Premium
OUT‐PATIENT MANAGEMENT OF TOXAEMIA
Author(s) -
Mathews D. D.,
Patel I. R.,
Sengupta S. M.
Publication year - 1971
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1971.tb00323.x
Subject(s) - medicine , caesarean section , eclampsia , obstetrics , urine , gestation , accidental , fetal death , pregnancy , pediatrics , fetus , genetics , physics , acoustics , biology
Summary During 1969 and 1970 toxaemic patients attending the antenatal clinic at Sheppey General Hospital were admitted only if one or more of the following criteria were satisfied: 1. The urine contained albumin on testing with Albustix. 2. Urinary oestriol excretion was unsatisfactory. 3. The obstetric condition and duration of gestation were such that either labour was to be induced or the baby delivered by elective Caesarean section. No case of eclampsia was seen. A maternal death followed a Caesarean section for accidental haemorrhage. The perinatal death rate in toxaemic patients fell from 4·8 to 3·1 per cent. The hospital bed days utilized by toxaemic patients were reduced by 72 per cent. Tt was concluded that testing of the urine for albumin by the patient herself might replace early admission in the prevention of eclampsia and that neither admission nor placental function testing were necessary for the protection of the baby in non‐albuminuric toxaemia unless there was evidence of impaired fetal growth.