Preterm Preeclampsia with Severe Features: Composite Maternal and Neonatal Morbidities Associated with Fetal Growth Restriction

Objective  The objective of this study was to compare adverse pregnancy outcomes between fetuses with estimated fetal weight (EFW)   10% in women with preterm preeclampsia (PE) with severe features. Materials and Methods  All women with preterm PE with severe features and nonanomalous singletons with EFW were identified at a tertiary center. Women with oligohydramnios or absent/reversed umbilical Doppler velocimetry were excluded. Using multivariable analysis, we compared the composite maternal and neonatal morbidities (CMM and CNM) between those with appropriate for gestational age (AGA) fetal growth, defined as EFW at 10 to 90th versus those with fetal growth restriction (FGR), defined as EFW  Results  In this study, 165 patients were included; 112 had EFW at 10th to 90th percentile, and 53 had FGR. Of the 53 with FGR, 33 (62%) had EFW at 5 to 9% for GA and 20 (38%) had EFW  p p  = 0.01). Conclusion  Women with preterm PE with severe features and FGR, when compared with those with AGA, have significantly higher risk of CMM and CNM.