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ABS TRACT Objective: This study was performed to compare the obstetric outcomes between preeclampsia and superimposed preeclampsia cases. Material and Methods: This retrospective study included 500 women with preeclampsia and 101 women with superimposed preeclampsia who delivered in a tertiary care center. Clinical findings, maternal and perinatal outcomes were compared between the two groups. Results: In cases of preeclampsia, antenatal, perinatal, neonatal mortality rates were 13.4%, 17.9%, 5.1% respectively. The rate of cases which mother’s life at risk was 30.2%. The antenatal, perinatal and neonatal mortality rates were 12.9%, 19.8%, and 8.9%, respectively, in cases of superimposed preeclampsia and the rate of cases where mother's life was at risk was 25.7%. There was no significant difference between the two groups in terms of time of onset of the symptoms (p = 0.669), mean birth week (p = 0.410) and birth weight (p= 0.340). Rates of intrauterine growth retardation (p = 0.434), early and late neonatal loss (p = 0.111, p = 0.848) and stillbirth (p = 0.887) did not differ between the groups. Although maternal deaths and maternal near miss cases were not significantly different between the two groups (p=0.370), the rate of complication with eclampsia in preeclampsia cases was higher than that of superimposed preeclampsia cases (p=0.001). Conclusion: Preeclampsia and superimposed preeclampsia have similar obstetric outcomes. Further research is needed to elucidate the mechanisms underlying eclampsia in preeclampsia cases.

The Obstetric Outcomes in Women with Preeclampsia and Superimposed Preeclampsia