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European Journal of General Medicine
Medical Investigations Society
ISSN: 1304-3897
Vol. 5, No. 4, 2008, pp. 212-215
Bioline Code: gm08042
Full paper language: English
Document type: Research Article
Document available free of charge

European Journal of General Medicine, Vol. 5, No. 4, 2008, pp. 212-215

 en How To Manage Intrauterine Growth Restriction Associated With Severe Preeclampsia At 28-34 Weeks Of Gestation?
Gezginç, Kazım; Acar, Ali; Peru, Harun; Karataylı, Rengin; Çelik, Çetin & Çapar, Metin

Abstract

Aim: To propose optimal management of intrauterine growth restriction (IUGR) cases associated with severe preeclampsia at 28-34 weeks of gestation.
Methods: Two hundred pregnant women with severe preeclampsia associated with growth restricted fetuses were followed with doppler velocimetry of umbilical artery between 28-34 weeks of pregnancy. Patients were grouped according to indications for termination of pregnancy, first group consisted of severely affected doppler velocity waveforms (n:100) and the second group consisted of those whose cardiotocography and biophysic profile were unfavorable (n:100). Groups were compared according to perinatal outcomes (cesarean rates, gestational age at delivery, birth weight, Apgar scores and demand for intubation and perinatal deaths).
Results: The diagnosis to delivery interval is significantly higher in the second group (p<0.05), whereas there was no significant difference between groups regarding gestational age at delivery and parity (p>0.05). Apgar scores were lower in the first group (p<0.05), and there was increased demand for intubation. Perinatal deaths were also lower in the second group (p<0.05). Cesarean rate was significantly lower compared with first group (p<0.05).
Conclusion: Assessment of doppler velocimetry alone may not be enough at decision for termination of pregnancy, biophysic profile and cardiotocography should be added to confirm exact time for delivery of a premature fetus and to improve perinatal outcomes.

Keywords
Severe Preeclampsia, Intrauterine Growth Restriction, Doppler Velocimetry, Biophysic Profile, Perinatal Outcomes

 
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