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Clinical features and outcomes of pregnancies complicated by pre-ecplampsia necessitating in-utero transfer.
Reilly, Stephanie E; Brennecke, Shaun P; Smith, Jacqui; Stewart, Michael J; Boland, Rosemarie A.
Afiliación
  • Reilly SE; The University of Melbourne, Department of Obstetrics and Gynaecology, Melbourne, Australia.
  • Brennecke SP; The University of Melbourne, Department of Obstetrics and Gynaecology, Melbourne, Australia; The Royal Women's Hospital, Pregnancy Research Centre, Department of Maternal-Fetal Medicine, Melbourne, Australia.
  • Smith J; Paediatric Infant Perinatal Emergency Retrieval, Royal Children's Hospital, Melbourne, Australia.
  • Stewart MJ; Paediatric Infant Perinatal Emergency Retrieval, Royal Children's Hospital, Melbourne, Australia; Murdoch Children's Research Institute, Melbourne, Australia; The University of Melbourne, Department of Paediatrics, Melbourne, Australia.
  • Boland RA; The University of Melbourne, Department of Obstetrics and Gynaecology, Melbourne, Australia; Paediatric Infant Perinatal Emergency Retrieval, Royal Children's Hospital, Melbourne, Australia; Murdoch Children's Research Institute, Melbourne, Australia. Electronic address: rosemarie.boland@unimelb.edu
Pregnancy Hypertens ; 14: 162-167, 2018 Oct.
Article en En | MEDLINE | ID: mdl-30527106
OBJECTIVES: Pre-eclampsia (PE) is associated with significant risks of adverse perinatal outcomes, often necessitating transfer to a higher level of care for specialist perinatal management. In Victoria, Australia, the Paediatric Infant Perinatal Emergency Retrieval (PIPER) coordinates in-utero transfers of high-risk pregnancies. Our objectives were to report the clinical features and outcomes of women referred to PIPER with a primary diagnosis of PE, and subsequently transferred in-utero. STUDY DESIGN: A retrospective audit of consecutive pregnancies referred to PIPER in 2013-2014 with a primary diagnosis of pre-eclampsia, ≥20 weeks' gestation and transferred in-utero. MAIN OUTCOME MEASURES: Severity of disease, gestational age, transfer details and outcome until 7 days post transfer. RESULTS: Over two years, 244 women were referred to PIPER with PE; 199 (82%) were subsequently transferred in-utero. Severe PE was diagnosed in 146 (73%) women. Overall, 64% presented 'early' (<32 weeks' gestation). Only 6% were ≥37 weeks. All but 2 women <32 weeks were transferred to a tertiary perinatal centre, compared with 39% of women ≥32 weeks. Within 7 days, 153/199 (77%) delivered, 10% remained in-patients and 12.5% were discharged. There were 165 livebirths and 3 stillbirths, with a mean gestational age of 30.7 weeks (SD 3.3 weeks). Twenty-nine women required high dependency or intensive care admission. No maternal deaths were reported. CONCLUSION: Women referred to PIPER predominantly presented with early onset, severe PE and most delivered within 7 days of transfer. Data from this study provides important information for obstetric service planning in Victoria and comparable regions.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Preeclampsia / Resultado del Embarazo / Transferencia de Pacientes / Embarazo de Alto Riesgo Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Adult / Female / Humans / Newborn / Pregnancy Idioma: En Revista: Pregnancy Hypertens Año: 2018 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Países Bajos
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Preeclampsia / Resultado del Embarazo / Transferencia de Pacientes / Embarazo de Alto Riesgo Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Adult / Female / Humans / Newborn / Pregnancy Idioma: En Revista: Pregnancy Hypertens Año: 2018 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Países Bajos