Management of severe preeclampsia

B M Sibai, A Y Frangieh
Current Opinion in Obstetrics & Gynecology 1996, 8 (2): 110-3
Preeclampsia affects two patients, the mother and the fetus. Traditionally, women with severe preeclampsia have been delivered without delay, regardless of fetal considerations. Although delivery is appropriate therapy for the mother, aggressive management with immediate delivery of a fetus remote from term leads to high neonatal mortality and morbidity resulting from prematurity. Recent studies have shown favorable neonatal outcomes after conservative management of severe preeclampsia. Candidates for conservative management should be selected carefully and managed with intensive maternal and fetal monitoring at a tertiary perinatal center.

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