Expectant management of mild preeclampsia versus superimposed preeclampsia up to 37 weeks

Objective We sought to compare maternal and neonatal outcomes of expectantly managed pregnancies complicated by chronic hypertension with superimposed preeclampsia vs mild preeclampsia up to 37 weeks of gestation. Study Design This was a multicenter retrospective cohort study of all pregnancies comp...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology 2015-04, Vol.212 (4), p.515.e1-515.e8
Main Authors: Valent, Amy M., DO, DeFranco, Emily A., DO, MS, Allison, Allessa, MD, Salem, Ahmed, MD, Klarquist, Lori, DO, Gonzales, Kyle, DO, Habli, Mounira, MD, Adair, C. David, MD, Armistead, Casey, RN, Wang, Yuping, MD, PhD, Lewis, David, MD, MBA, Sibai, Baha, MD
Format: Article
Language:English
Subjects:
Adult
Chronic Disease
Cohort Studies
expectant management
Female
Gestational Age
Hospitalization
Humans
hypertension
Hypertension - therapy
Infant, Newborn
Obstetrics and Gynecology
Pre-Eclampsia - therapy
preeclampsia
Pregnancy
Pregnancy Complications, Cardiovascular - therapy
Pregnancy Outcome
Pregnancy Trimester, Third
Retrospective Studies
Severity of Illness Index
Watchful Waiting
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Summary:Objective We sought to compare maternal and neonatal outcomes of expectantly managed pregnancies complicated by chronic hypertension with superimposed preeclampsia vs mild preeclampsia up to 37 weeks of gestation. Study Design This was a multicenter retrospective cohort study of all pregnancies complicated by chronic hypertension with superimposed preeclampsia or mild preeclampsia expectantly managed in the hospital from January 2008 through December 2011. The primary outcomes, adverse maternal and neonatal composite morbidities, were compared between these 2 groups. Frequency differences of maternal adverse outcomes were stratified by gestational age at delivery of
ISSN:0002-9378
1097-6868
DOI:10.1016/j.ajog.2014.10.1090