Pregnancy outcomes of expectant management of stable mild to moderate chronic hypertension as compared with planned delivery
2014
article i nfo (ORs) with 95% confidence interval (CIs) were determined. Results: There were no differences in superimposed pre-eclampsia (SPE), severe hypertension, preterm delivery, placental abruption, oligohydramnios, intrauterine growth restriction, or perinatal mortality between the groups. Group B had higher gestational age at delivery (P =0 .001) and birth weight (P = 0.01), but lower cesarean (OR 3.4; 95% CI, 1.2-10.3; P = 0.03) and neonatal care unit admission (OR 5.4; 95% CI, 1.4-21.0; P = 0.01) rates. More women with SPE were diagnosed before than after 37 weeks in group B (P = 0.01). Overall, patients who developed SPE had more adverse pregnancy outcomes than those who did not. Conclusion: Mild to moderate chronic hypertension could be managed expec- tantly up to 41 weeks if SPE did not develop.
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