Abstract
OBJECTIVE: To access the ability of immediate postpartum curettage to accelerate maternal recovery from severe pre eclampsia and eclampsia. MATERIAL AND METHODS: 100 patients with severe pre-eclampsia and eclampsia where assigned to postpartum curettage following delivery or to have no curettage. RESULTS: subjects who underwent immediate curettage had a decreased MAP at each fourth hourly for the first 24 hrs compared to those who were not curetted. The urine output after uterine curettage was significantly greater in the first four hours of 24hrs of postpartum period compared with controls. Platelet counts increased in 24hrs following a curettage where as controls exhibited at unchanged platelet count for 12 to 24hrs. CONCLUSION: Immediate postpartum curettage of the parturient in severe pre eclampsia and eclampsia appears to accelerate the recovery of the disease with no apparent adverse sequel.
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