Objective: The objective of the study was to study to evaluate the maternal and perinatal outcome of expectant management in early onset of severe preeclampsia in a tertiary care hospital.
Material and Methods: This was a observational study performed in tertiary hospitals. All eligible pregnant women with gestational age between 28 and 34 weeks and diagnosis of severe preeclampsia (ACOG 2013 guidelines) were included in study for expectant management. On admission; cases were monitored vigilantly and treated with antihypertensives, magnesium sulphate seizure prophylaxis and termination of pregnancy ether at 34 weeks or earlier in case of complication. Appropriate statistical analysis was done.
Results: A total of 96 cases were enrolled in study. Mean prolongation of pregnancy was 8 days with range between 1-27.Only 26.04% were able to attain 34 weeks of gestation. Maternal complications were noted in 12.5% of cases. There was no maternal mortality. There were 2.08% stillbirths, 32.29% perinatal death and 67.70% babies were alive. The association between days prolonged was not significant that means increase in number of days of pregnancy prolongation, does not increase maternal complications. At the same time, the association between number of days prolonged and perinatal survival was found to be statistically significant that means improved perinatal outcome was noted with increasing number of days of pregnancy prolongation.
Conclusion: This study concluded that an expectant management of women with early onset severe preeclampsia in selected situation is associated with improved perinatal survival without increasing maternal complications.