Back to Search
Start Over
Neonatal outcomes of late preterm deliveries with pre-eclampsia.
- Source :
-
Minerva ginecologica [Minerva Ginecol] 2012 Apr; Vol. 64 (2), pp. 109-15. - Publication Year :
- 2012
-
Abstract
- Aim: The aim of the study was to examine the impact of pre-eclampsia on neonatal outcomes of late preterm deliveries.<br />Methods: A retrospective study was conducted, enrolling pregnancies delivered between 34 0/7 and 36 6/7 weeks of gestation during the period 2004-2007 in a large tertiary center. Pregnancies were divided in group 1, including those complicated with pre-eclampsia and group 2, including normotensive cases. Epidemiological characteristics, mode of delivery and complications contributing in late preterm delivery were initially studied. Neonatal morbidity parameters of our interest included mean Apgar score in the 1st and 5th minute, admission to Neonatal Intensive Care Unit (NICU) and need for emergency intubation. Intrauterine growth retardation (IUGR), low birth weight (LBW) and very LBW (VLBW), respiratory distress syndrome (RDS), hypoglycemia, NICU infection, abnormal cerebral ultrasonographic findings and duration of NICU residence were also compared between the two groups.<br />Results: Out of 363 late preterm pregnancies, 29 (8%) were delivered because of pre-eclampsia. Mean gestational week and birth weight were significantly lower in group 1. The rate of elective caesarean section was also significantly higher in this group. The same observation was made concerning rates of IUGR, LBW and VLBW neonates. Furthermore, incidence of NICU admission and hypoglycemia were significantly higher in the group of infants born by pre-eclamptic mothers. Incidence of RDS and cerebral echo pathology were also higher, but without significant difference when compared to group 2.<br />Conclusion: Neonatal adverse outcomes were increased in late preterm infants of pre-eclamptic women in comparison with those of normotensive women.
- Subjects :
- Adult
Cesarean Section statistics & numerical data
Delivery, Obstetric statistics & numerical data
Elective Surgical Procedures statistics & numerical data
Female
Fetal Growth Retardation epidemiology
Greece epidemiology
Hospitals, Maternity
Hospitals, University
Humans
Hypoglycemia epidemiology
Infant, Newborn
Pregnancy
Pregnancy Outcome
Respiratory Distress Syndrome, Newborn epidemiology
Retrospective Studies
Infant, Low Birth Weight
Infant, Premature
Intensive Care Units statistics & numerical data
Pre-Eclampsia epidemiology
Premature Birth epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 0026-4784
- Volume :
- 64
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Minerva ginecologica
- Publication Type :
- Academic Journal
- Accession number :
- 22481621