Document Detail

Treatment of severe pre-eclampsia by plasma exchange.
MedLine Citation:
PMID:  6940569     Owner:  NLM     Status:  MEDLINE    
Three women will with pre-existing renal disease developed severe pre-eclampsia with renal failure during the midtrimester of pregnancy. Plasma exchange was commenced at 23, 26 and 29 weeks of gestation and continued, initially daily then second daily, until delivery at 32, 29 and 32 weeks, respectively. During this period, signs of pre-eclampsia regressed and renal function stabilised or improved. One baby with severe hyaline membrane disease died at 6 days; the other 2, now aged 7 months and 4 months, are in good health. Plasma exchange may offer an alternative to termination of pregnancy in the management of patients with severe pre-eclampsia when fetal maturity is insufficient for viability.
A J d'Apice; L L Reti; R J Pepperell; K F Fairley; P Kincaid-Smith
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Australian & New Zealand journal of obstetrics & gynaecology     Volume:  20     ISSN:  0004-8666     ISO Abbreviation:  Aust N Z J Obstet Gynaecol     Publication Date:  1980 Nov 
Date Detail:
Created Date:  1981-07-09     Completed Date:  1981-07-09     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0001027     Medline TA:  Aust N Z J Obstet Gynaecol     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  231-5     Citation Subset:  IM    
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MeSH Terms
Heparin / therapeutic use
Infant, Newborn
Kidney Diseases / complications
Kidney Function Tests
Plasma Exchange*
Pre-Eclampsia / etiology,  therapy*
Pregnancy Complications
Pregnancy Trimester, Second
Reg. No./Substance:

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