Efficacy of expectant management of early-onset severe preeclampsia in gynecology and obstetrics department at the Central Highlands Regional General Hospital in 2023

Tóm tắt

The early-onset severe preeclampsia is a serious disease with many complications for mothers and newborns. Expectant management helps prolong gestational age to reduce morbidity and mortality due to preterm birth, while still ensuring safety by limiting complications for the mother. This was a cross-sectional descriptive study on 36 pregnant women diagnosed and treated for early-onset severe preeclampsia with gestational age from 24 to 34 weeks at the Obstetrics and Gynecology Department of Central Highlands Regional General Hospital to evaluate the effectiveness and some factors affecting the expectant management effect on this disease. Results: The expectant treatment success rate was 22.2%; The mean number of days of treatment was 7.8 (± 5.9). The group with gestational age >32 weeks had an expectant treatment success rate 1.35 times higher than the other group (p<0.05. OR=1.35 CI: 1.35 -117.5). The complications for the mother: there were no cases of death, eclampsia or placental abruption, There was 1 case of HELLP syndrome accounting for 2.8%. Neonatal outcomes: postnatal mortality accounts for 11.1%, Neonatal Intensive Care Unit admission was 21.7%, poor neonatal outcomes were mainly related to gestational age and neonatal weight.