Expectant Monitoring for Women with Preterm Hypertensive DisordersFebruary 19, 2014
February 19, 2014
A new study presented at the 2014 Annual Meeting of the Society for Maternal-Fetal Medicine (SMFM) has found that women with late preterm hypertensive pregnancy disorders benefited more from close expectant monitoring rather than immediate delivery.
According to the results, mothers with gestational hypertensive disorders and preeclampsia during late term pregnancy gained a higher risk of undergoing neonatal respiratory distress syndrome with the latter method.
There are two hypertensive disorder management strategies for pregnant women between 34 and 37 weeks: immediate delivery and expectant monitoring. The first strategy focuses on curing the mother to prevent complications and the second involves delaying delivery until the baby is free ofrespiratory problems from premature birth, or until the mother and baby may become critically ill.
For the study, 700 women were randomly divided into two groups. The first half underwent immediate delivery in the form of either a labor induction or caesarian within 24 hours, while the second half underwent expectant monitoring until gestation at 37 weeks. After evaluating the results, researchers found risks of complications for mothers were at 1.1 % and 3.1 % respectively. Additionally, breathing difficulties were more prevalent at 5.7% for women who underwent immediate delivery,versus 1.7% for expectant monitoring.
“Delivery, with the risk of breathing difficulties or other problems due to premature birth, should ideally only be chosen if it prevents worse complications,” said co-author Kim Broekhuijsen, MD, from the University of Groningen in the Netherlands. She adds that the capacity to predict which patients develop the complications would allow doctors to choose from either immediate delivery or expectant monitoring, to prevent complications and unnecessary premature births.
Doctors and other healthcare professionals should use only top-of-the-line fetal monitoring systems to ensure optimal prenatal, perinatal and neonatal care. AIV provides accessories and repair services for leading fetal monitoring equipment. View AIV’s line of replacement parts and accessories at http://www.aiv-inc.com/fetal-monitor-transducers.html.
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