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Revista Colombiana de Obstetricia y Ginecología
Print version ISSN 0034-7434On-line version ISSN 2463-0225
Abstract
GUZMAN-YARA, Yuly Natalia et al. Expectant management in non-severe pre-eclampsia, obstetric and perinatal outcomes in a high complexity hospital in Neiva (Colombia). Rev Colomb Obstet Ginecol [online]. 2018, vol.69, n.3, pp.160-168. ISSN 0034-7434. https://doi.org/10.18597/rcog.3075.
Objective:
To determine the incidence of preeclampsia and identify maternal and perinatal outcomes in patients with initial expectant management.
Materials and methods:
Historical cohort of pregnant women with non-severe preeclampsia seen in a public high-complexity referral institution between June 2015 and May 2016. Convenience sampling was used. Sociodemographic, clinical and paraclinical characteristics were measured as well as maternal and perinatal outcomes; the incidence of non-severe preeclampsia is determined and a descriptive analysis is performed.
Results:
The incidence rate ratio of non-severe preeclampsia was 3%. 86 pregnant women with a mean age of 28 years (SD ± 8.1) were included in the cohort. The mean gestational age at the time of diagnosis was 29 weeks (SD ± 3.1). 47.7% of the pregnant women with an initial diagnosis of non-severe preeclampsia converted to severe preeclampsia and 27 neonates experienced at least one complication, the most frequent being admission to the Neonatal Intensive Care Unit (27.9%).
Conclusion:
the major maternal complication in patients with non-severe preeclampsia was transition to severe preeclampsia identified in around half of the patients, and perinatal complications in around one third of the pregnant mothers. Therefore, a strict control of the patients with non-severe preeclampsia and expectant management is required.
Keywords : complications; preeclampsia; disease management; perinatal care.