Abstract
In this study we determined the outcome of subsequent pregnancies after termination of pregnancy for preeclampsia, with the purpose of presenting data useful for counselling these women on future pregnancies. The cohort consisted of 131 women with a history of termination of pregnancy for preeclampsia. Data of 79 pregnancies were available for analysis, including 13 women with chronic hypertension and 16 women with thrombophilia. There were seven miscarriages (8.8%) and 72 ongoing pregnancies. Low-dose aspirin was prescribed for 64 women (89%). The mean gestational age at delivery was 356/7±4weeks with a mean birth weight of 2571±938g. Overall recurrence rate for preeclampsia was 29% at a mean gestational age of 32weeks. Thirty-eight women had an uncomplicated pregnancy (53%). The women with chronic hypertension had the highest recurrence rate of 38%. Neonatal mortality was4%. The course of subsequent pregnancies after mid-trimester termination for preeclampsia is uncomplicated in 53% with a recurrence rate for preeclampsia of 29%. The mean gestational age at delivery was 11weeks later and birth weight 2000g higher than in the index pregnancy.
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More From: The Australian & New Zealand journal of obstetrics & gynaecology
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