Severe Preeclampsia in Nakhonpathom Hospital

Abstract

Objectives : To determine the incidence rate, clinical characteristics, frequency of abnormal findings, risk factors, mode of delivery, fetal outcomes and obstetric complications.

Materials and methods : A retrospective study was used to compare the severe preeclampsia group to the control group who had delivered at Nakhonpathom hospital during October 1, 2008 - September 30, 2009.

Results : The incidence rate of severe preeclampsia was 2.18 percent. Eclampsia occurred in 5 pregnant women. The most common abnormal findings were severe hypertension, proteinuria and cerebral/visual disturbance. The risk factors were age ≤ 19 years, twins and BMI before pregnancy > 35 kg/m². The most common mode of delivery was cesarean section. The obstetric complications such as PPH and abruptio placenta were not more than the control group. However the fetal outcomes such as birth weght < 2,500 grams, stillbirth, early neonatal death, birth asphyxia and hydrops fetalis were more than the control group.

Conclusion : Knowing about risk factors for severe preeclampsia is useful for monitoring the preeclampsia
patients effectively. The benefit is early detection and treatment. It helps reduce the serious complications
in mothers and infants.