53. Expectant management of severe preeclampsia in a developing country: Maternal outcomes and perinatal survival

Abstract

Background Management of severe preeclampsia which develops prior to 34 still debatable. Immediate delivery leads to high neonatal mortality and morbidity due to prematurity, conversely expectant management may potentially increase maternal morbidity and mortality. Objective of this study was to determine maternal outcomes and perinatal survival achieved with expectant management in patients presenting with preeclampsia Study Design A retrospective cohort analysis of outcome in patients with severe preeclampsia in a tertiary hospital in Indonesia during 3 years: 165 patients (178 fetuses) managed expectantly were studied. Neonatal outcomes (birth weight, APGAR score, fetal growth restriction (FGR), intrauterine fetal death (IUFD), early neonatal death, and maternal complications (HELLP syndrome, pulmonary edema, eclampsia, renal insufficiency, and placental abruption) were registered. Results 25 patients had a preeclampsia disease onset Conclusion Neonatal outcome in preterm severe preeclampsia depends mainly on GA at onset of preeclampsia and GA at delivery. Expectant management of preeclampsia presenting at less