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首页> 外文期刊>The Journal of maternal-fetal medicine >Outcome of infants delivered between 24 and 28 weeks' gestation in women with severe pre-eclampsia.
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Outcome of infants delivered between 24 and 28 weeks' gestation in women with severe pre-eclampsia.

机译：患有严重先兆子痫的妇女在妊娠24至28周之间分娩的结果。

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OBJECTIVE: To determine whether there are differences in neonatal outcome between infants born to mothers with severe pre-eclampsia and those born to normotensive mothers with preterm labor and intact membranes between 24 and 28 weeks' gestation. MATERIALS AND METHODS: Over a 4-year period between 1991 and 1995, neonates of women with severe pre-eclampsia delivering between 24 and 28 weeks were matched for maternal age, antenatally assigned gestational age and mode of delivery to normotensive women delivering during the same period. RESULTS: Fifty-eight women with severe pre-eclampsia were matched to 58 normotensive controls who delivered as a result of preterm labor. Antenatal steroids were used more often in pre-eclamptic women (75% vs. 47%, p < 0.01). The mean birth weight of pre-eclamptic neonates was significantly lower than that of controls, 767 g vs. 989 g, respectively. Other neonatal complications were similar for both groups. Neonates of pre-eclamptics required longer ventilator support (21 vs. 16 median days, p = 0.03). Neonatal survival was similar for both groups (72% and 79% for pre-eclamptics and normotensives, respectively). CONCLUSIONS: Neonates born to patients with severe pre-eclampsia have similar survival but a lower birth weight and require longer ventilator support than neonates born to women with preterm labor.
机译：目的：确定患有严重先兆子痫的母亲所生的婴儿与妊娠早产且胎膜完整的血压正常的母亲所生的婴儿在妊娠24至28周之间是否存在差异。材料与方法：在1991年至1995年的4年中，将患有严重先兆子痫的24到28周分娩的孕妇的产妇年龄，产前指定的胎龄和分娩方式匹配了在同一时期分娩的血压正常的妇女。期。结果：58名患有严重先兆子痫的妇女与58名因早产而分娩的血压正常对照相匹配。子痫前期妇女更常使用产前类固醇（75％比47％，p <0.01）。子痫前期新生儿的平均出生体重分别比对照组低，分别为767 g和989 g。两组的其他新生儿并发症相似。先兆子痫的新生儿需要更长的呼吸机支持（21天对比16天，p = 0.03）。两组的新生儿生存率相似（先兆子痫和血压正常者分别为72％和79％）。结论：重度先兆子痫患者所生的新生儿比早产妇女的新生儿具有相似的生存率，但出生体重较轻，需要更长的呼吸机支持。

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