The objective of this study was to compare maternal complications and describe neonatal outcomes in women with severe preeclampsia at ≤ 26+0 weeks in two countries with different management policies: expectant management (Brazil) versus termination of pregnancy (France). When comparing termination of pregnancy to expectant management in severe preeclampsia before 26 weeks, maternal complications were equivalent but maternal reproductive future might have been compromised in 20% of cases due to a higher risk of uterine rupture in subsequent pregnancies for patients having classic cesarean (vertical incision). 26.6% of children survived the neonatal period when pregnancy was pursued, however we lack information on their long-term follow-up.
References
WHO Recommendations for Prevention and Treatment of Pre-Eclampsia and Eclampsia. World Health Organization; 2011.
Mayrink J, Costa ML, Cecatti JG. Preeclampsia in 2018: Revisiting Concepts, Physiopathology, and Prediction. ScientificWorldJournal. 2018;2018:6268276 10.1155/2018/6268276
van Oostwaard MF, van Eerden L, de Laat MW, Duvekot JJ, Erwich JJHM, Bloemenkamp KWM, et al. Maternal and neonatal outcomes in women with severe early onset pre-eclampsia before 26 weeks of gestation, a case series. BJOG An Int J Obstet Gynaecol. 2017;124(9):1440–7.
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