TITLE:
Evaluation of Management of Pre-Eclamptic Cases Admitted to Elshatby Maternity University Hospital
AUTHORS:
Nermeen Mohamed Hefila, Tamer Mamdouh Abd Eldayem, Hisham Adel El Fazari
KEYWORDS:
Pre-Eclampsia, Preeclampsia Management, Elshatby Hospital
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.11 No.6,
June
11,
2021
ABSTRACT: Hypertensive diseases of pregnancy, mainly PET,
consist of several diseases which are associated with increased morbidity
and mortality rates both maternal and fetal wise. Its incidence among pregnant
females is about 3% - 10%. This study included 500 pregnant PET women, and they
categorized to mild and severe forms, after exclusion of cases with essential
hypertension, renal disease and SLE. All pregnant ladies underwent history
taking, abdominal examination (general and local), obstetric ultrasound,
Doppler ultrasound, laboratory investigations; treatment received
(antihypertensive medications, magnesium sulphate (MgSO4) and
steroids) and finally follow up till delivery. Regarding complications, PET can
result in serious fetal/neonatal or maternal complications. By the beginning of this study we started with 380
mild cases and 120 severe cases, but the end of the study 50 cases of mild PET
were lost during follow up and 70 cases of mild PET converted into severe form.
The aim of this study is to evaluate the management protocols of preeclamptic
cases admired to Elshatby maternity hospital to minimize maternal and fetal
morbidity and mortality. RESULTS: The results showed that the incidence of PET
is significant in both young and old age, higher incidence of IUGR in sever
PET, the use of corticosteroids and MgSO4 was significantly higher in
sever cases. CONCLUSION: it’s important to diagnose PET by repeated blood
pressure measurement. The use of corticosteroids and MgSO4 is
improving maternal and fetal outcomes significantly. The incidence of C.S. is
higher towards prematurity in sever cases.