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Created on : 28 May 2004
Modified on : 01 Dec 2007

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Bibliographical entry (without author) :

Delayed postpartum preeclampsia: an experience of 151 cases. American Journal of Obstetrics and Gynecology 2004;190(5):1464-1466.

Author(s) :

Matthys LA, Coppage KH, Lambers DS, Barton JR, Sibai BM.

Year of publication :

2004

URL(s) :

http://www.sciencedirect.com/science/article/B6W9P…

Résumé (français)  :

Abstract (English)  :

Objective

Preeclampsia affects 6% to 8% of pregnancies. There are few data regarding hypertensive disorders that are diagnosed in the postpartum period. Our purpose was to determine the demographics, outcomes, and treatment of this complication.

Study design

This was a multicenter retrospective study of women who had received a diagnosis of hypertension/preeclampsia in the postpartum period. Inclusion criteria were readmission of a patient with this diagnosis (≤6 weeks after the delivery).

Results

Data from 151 women were studied. Complications included 24 cases (15.9%) of eclampsia, 9 cases (5.9%) of pulmonary edema, 6 cases (3.9%) of endomyometritis, 2 cases (1.3%) of thromboembolism, and 1 case of maternal death. Seventy-eight patients required antihypertensive medications on discharge. Subanalysis performed between the eclamptic and non-eclamptic women showed no difference among groups.

Conclusion

Delivery does not eliminate the risk for preeclampsia and its complications. Efforts should be directed at the continued monitoring, reporting, and evaluating of the symptoms of preeclampsia during the postpartum period.

Sumário (português)  :

Resumen (español)  :

Comments :

Argument (français) :

Argument (English):

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Keywords :

➡ eclampsia (pre-)

Author of this record :

Cécile Loup — 28 May 2004