Management of severe, early pre-eclampsia: is conservative management justified?

摘要: Abstract A retrospective analysis was performed to assess the fetal and maternal benefits of allowing women presenting with severe pre-eclampsia between 24 32 weeks continue their pregnancy following treatment hypertension. Cases in Oxford (conservative management) Birmingham (stabilisation early intervention) were compared. Patients considered require when systolic blood pressure ≥ 170 mmHg or 110 diastolic, associated at least 1+ proteinuria hyperuricaemia. We compared gestation delivery, birth weight neonatal complications for each group, any morbidity. There 28 patients group. Gestational age delivery significantly less group managed by intervention. Those conservatively gained a mean 9.5 days (range 2–26 days; P = 0.0001). All intervention recovered no complications. However, those had higher incidence HELLP (2 cases) ELLP syndrome cases), 1 case requiring temporary renal dialysis. Previous studies have not indicated an increase morbidity from such management, this finding serves highlight potential dangers conservative management pre-eclampsia.