Premium
Labour‐Onset Pre‐Eclampsia
Author(s) -
Long P. A.,
Oats J. N.,
Beiscber N. A.
Publication year - 1981
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1981.tb00117.x
Subject(s) - medicine , eclampsia , obstetrics , gestation , incidence (geometry) , pregnancy , preeclampsia , ergometrine , proteinuria , preterm labour , blood pressure , gestational hypertension , genetics , physics , optics , biology , kidney
Summary: In a consecutive series of 1,201 singleton pregnancies with preeclampsia, the onset occurred during labour in 290 (24.1 %). There was no difference between the primparous and parous patient in this respect (25.9% v 20.7% P < 0.10). The tendency for pre‐eclampsia to develop during labour increased with advancing maturity of the pregnancy and seldom occurred before 38 weeks of gestation; this was again equally true of the primiparous and parous patient, as was the incidence of severe hypertension (diastolic pressure > 110mm Hg) (36.1% v 34.1%). The high incidences of severe hypertension (35.5%), proteinuria (41.7%), and eclampsia (2.1%), and the I maternal death testified to the severity of the disease process and the need for aggressive management. After delivery, the clinical signs tended to subside rapidly, but the early third stage of labour was a time of maternal risk, irrespective of whether ergometrine or Syntocinon was the oxytocic agent administered. Analysis of perinatal results showed that the risk to the fetus was minimal.