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Higher rates of respiratory distress seen with cesareans. (Severe Preeclampsia).
PALM BEACH, FLA. -- Severe preeclampsia accounts for nearly two-thirds of cesarean deliveries, but the procedure offers no inherent benefits to patients with this condition, according to the findings of a retrospective chart review.
In the study mothers and infants who were delivered vaginally had a significantly lower incidence of respiratory distress. Other outcomes were either equal for the C-section and vaginal delivery groups or worse for those in the C-section group, Dr. Kristin Coppage and Dr. William Polzin reported in a poster presentation at the annual meeting of District V of the American College of Obstetricians and Gynecologists.
The investigators, who are with Good Samaritan Hospital in Cincinnati, recommended a trial of labor by induction for all women with severe preeclampsia unless there are obstetrical contraindications.
The researchers compared the results of 93 deliveries in women who had a diagnosis of severe preeclampsia--54 by C-section and 39 vaginally-over the course of a year. The remaining participants were excluded because other complications precluded a choice of delivery route.
After adjusting for ...
- Conservative Therapy for Severe Preeclampsia.
- Magazine article from: OB GYN News BAKER, BARBARA March 1, 2000 700+ words
...appropriate for select cases of severe preeclampsia, said Dr. Maurice L...conservative management of severe preeclampsia remote from term can significantly...the neonate's risk of respiratory distress syndrome, need for neonatal...
- Identifies candidates for treatment: CSF analysis yields clues to severe...
- Magazine article from: OB GYN News Worcester, Sharon July 1, 2004 700+ words
...useful for identifying biomarkers of severe preeclampsia, a study suggests. The technology...anesthesia from seven patients with severe preeclampsia, eight patients with mild preeclampsia...proteomic biomarker score distinguished severe preeclampsia from mild preeclampsia and ...
- Antithrombin is better than heparin alone for treating severe preeclampsia.
- Newspaper article from: Health & Medicine Week February 23, 2004 700+ words
...than heparin alone for treating severe preeclampsia. "The prospective feasibility...could be used for patients with severe preeclampsia to provide clinical efficacy without...alone might be effective enough for severe preeclampsia," investigators stated. Kobayashi...
- Expert opinion: exceptions to rule of delivery for severe...
- Magazine article from: OB GYN News Brunk, Doug August 1, 2004 700+ words
...the general rule of delivery for severe preeclampsia regardless of gestational age...included proteinuria as a criterion for severe preeclampsia in its Practice Bulletin No. 33...delivery, and expectant management of severe preeclampsia by blood pressure criteria alone...
- Oxidative stress may play a role in severe preeclampsia.
- Newspaper article from: World Disease Weekly December 14, 2004 700+ words
...Oxidative stress may play a role in severe preeclampsia, suggest study results from Sweden...and inflammation are involved in severe preeclampsia compared to normal pregnancy and...inflammatory response was observed in severe preeclampsia, a reduction of gamma-tocopherol...
- Case reported of severe preeclampsia presenting as third nerve palsy.
- Newspaper article from: Health & Medicine Week June 21, 2004 700+ words
...third nerve palsy," they reported. "In this case of severe preeclampsia manifested by third nerve palsy, we hypothesize that...oculomotor nerve," Bonebrake and colleagues concluded (Severe preeclampsia presenting as third nerve palsy. Am J Perinatol, 2004...
- Employ relative fluid restriction: Simple is best when treating severe...
- Magazine article from: OB GYN News Jancin, Bruce April 15, 2002 700+ words
VAIL, COLO. -- "Keep it simple" is the operative principle in effectively managing severe pregnancy-induced hypertension, Dr. Gary D.V Hankins said at a conference on obstetrics and gynecology sponsored by the University of Colorado. He shared a treatment algorithm learned two decades ago as a
- Active SLE complicates pregnancy.
- Newspaper article from: Obesity, Fitness & Wellness Week October 30, 2004 700+ words
...complicated by severe preeclampsia highlights...complicated by severe preeclampsia (the HELLP...and adult respiratory distress syndrome...worsening acute respiratory distress syndrome...nephropathy and severe preeclampsia are present...
