Document Detail


Early neonatal complications after elective preterm delivery in hypertensive pregnancies.
MedLine Citation:
PMID:  8568609     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We evaluated the rates of short-term neonatal complications, neonatal brain damage or mortality in a group of 96 singleton pregnancies complicated by hypertension and electively delivered before 36 weeks gestation. The neonatal outcome of these pregnancies was compared with that of a matched control group of 192 uneventful pregnancies delivered because of spontaneous preterm labor or premature rupture of membranes. Although the rates of acidosis, apneoic crises, bradycardia and ventilatory support were higher among cases than controls, the risk of intraventricular hemorrhage, severe brain damage (grade III-IV intraventricular hemorrhage or periventricular leucomalacia) or neonatal mortality were comparable between the two groups. Neonatal complications were more frequent among infants born to mothers with severe hypertension or severe proteinuria. In conclusion, this study has shown that short term neonatal complications after elective preterm delivery in hypertensive pregnancies are increased in comparison with low risk controls. However, these complications, which were well managed in our intensive care nursery, did not affected neonatal mortality or severe brain damage.
Authors:
A Spinillo; E Capuzzo; M Stronati; A Iasci; A Ometto; L Solerte
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of perinatal medicine     Volume:  23     ISSN:  0300-5577     ISO Abbreviation:  J Perinat Med     Publication Date:  1995  
Date Detail:
Created Date:  1996-03-07     Completed Date:  1996-03-07     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0361031     Medline TA:  J Perinat Med     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  175-81     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, University of Pavia School of Medicine, Italy.
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MeSH Terms
Descriptor/Qualifier:
Acidosis / epidemiology,  etiology
Adult
Apnea / epidemiology,  etiology
Bradycardia / epidemiology,  etiology
Case-Control Studies
Cerebral Hemorrhage / epidemiology,  etiology
Female
Fetal Growth Retardation / complications,  etiology
Humans
Hypertension / complications*
Incidence
Infant Mortality
Infant, Newborn
Infant, Premature, Diseases / epidemiology,  etiology*
Multivariate Analysis
Obstetric Labor, Premature / complications*
Pre-Eclampsia / complications,  etiology
Pregnancy
Pregnancy Complications, Cardiovascular*
Pregnancy Outcome
Prognosis
Prospective Studies
Proteinuria / complications,  etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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