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KMID : 1159920060070010067
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Korean Journal of Women s Health
2006 Volume.7 No. 1 p.67 ~ p.80
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Expectant Management of Severe Preeclampsia
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Abstract
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The main objective of expectant management in women with severe preeclampsia remote from term is to improve neonatal outcome. Maternal conditions, however, may worsen during this management. This highlights the importance of balancing the risks between maternal and perinatal outcomes. Traditionally, women with severe preeclampsia remote from term are delivered expeditiously, regardless of gestational age. We here have reported several retrospective, case-control, observational, or prospective, randomized trials in which expectant management in women with severe preeclampsia was feasible in well-selected patients without prejudicing maternal safety, and we have described our rationale and guidelines for this management. The first 48 hours after admission are critical because corticosteroid to enhance fetal lung maturity will be started and women eligible to expectant management will be selected during that period. This management should be performed in a tertiary care center.
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KEYWORD
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Severe Preeclampsia, Expectant Management, Proper Candidates
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