Skip to main content Accessibility help
×
Hostname: page-component-586b7cd67f-gb8f7 Total loading time: 0 Render date: 2024-11-20T06:54:15.322Z Has data issue: false hasContentIssue false

Chapter 4 - Management of Severe Preeclampsia and Eclampsia

Antepartum, Intrapartum and Postpartum

from Section 2 - Algorithms for Management of the Top Five ‘Direct Killers’

Published online by Cambridge University Press:  06 May 2021

Edwin Chandraharan
Affiliation:
St George's University of London
Sir Sabaratnam Arulkumaran
Affiliation:
St George's University of London
Get access

Summary

Key Practice Points

Type
Chapter
Information
Obstetric and Intrapartum Emergencies
A Practical Guide to Management
, pp. 26 - 34
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Mol, BWJ, Roberts, CT, Thangaratinam, S, Magee, LA, de Groot, CJM, Hofmeyr, GJ. Pre-eclampsia. Lancet. 2016; 387(10022):9991011.Google Scholar
Steegers, EA, von Dadelszen, P, Duvekot, JJ, Pijnenborg, R. Pre-eclampsia. Lancet. 2010;376(9741):631–44.Google Scholar
Hutcheon, JA, Lisonkova, S, Joseph, KS. Epidemiology of pre-eclampsia and the other hypertensive disorders of pregnancy. Best Pract Res Clin Obstet Gynaecol. 2011; 25(4):391403.Google Scholar
Brown, MA, Magee, LA, Kenny L, , Karumanchi, SA, McCarthy, F, Saito, S, et al. The hypertensive disorders of pregnancy: ISSHP classification, diagnosis and management recommendations for international practice 2018. Pregnancy Hypertens. 2018;13:291310.CrossRefGoogle Scholar
Magee, LA, Pels, A, Helewa, M, Rey, E, von Dadelszen, P. Diagnosis, evaluation, and management of the hypertensive disorders of pregnancy. Pregnancy Hypertens. 2014;4(2):105–45.Google Scholar
Burke, O, Benton, S, Szafranski, P, von Dadelszen, P, Buhimschi, SC, Cetin, I, et al. Extending the scope of pooled analyses of individual patient biomarker data from heterogeneous laboratory platforms and cohorts using merging algorithms. Pregnancy Hypertens. 2016;6(1):53–9.CrossRefGoogle ScholarPubMed
Staff, AC, Burke, O, Benton, S, von Dadelszen, P, Szafranski, P, Zhang, C, et al. Maternal circulating PlGF concentrations and placenta-related pregnancy complications: First results from the CoLab AngF Study. Pregnancy Hypertens. 2013;3(2):59.Google Scholar
Staff, AC, Benton, SJ, von Dadelszen, P, Roberts, JM, Taylor, RN, Powers, RW, et al. Redefining preeclampsia using placenta-derived biomarkers. Hypertension. 2013;61(5):932942.Google Scholar
Ukah, UV, Mbofana, F, Manriquez Rocha, B, Loquiha, O, Mudenyanga, C, Usta, M et al. The diagnostic performance of placental growth factor in women with suspected preeclampsia attending antenatal facilities in Maputo, Mozambique. Hypertension. 2017;69(3):469–74.Google Scholar
Gillon, TE, Pels, A, von Dadelszen, P, MacDonell, K, Magee, LA. Hypertensive disorders of pregnancy: a systematic review of international clinical practice guidelines. PLoS ONE. 2014;9(12):e113715.CrossRefGoogle ScholarPubMed
Whelton, PK, Carey, RM, Aronow, WS, Casey, DE, Jr., Collins, KJ, Dennison, HC, et al. ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension. 2018;71(6):12691324.Google Scholar
Waugh, JJ, Gupta, M, Rushbrook, J, Halligan, A, Shennan, AH. Hidden errors of aneroid sphygmomanometers. Blood Press Monit. 2002;7(6):309–12.Google Scholar
Natarajan, P, Shennan, AH, Penny, J, Halligan, AW, de Swiet, M, Anthony, J. Comparison of auscultatory and oscillometric automated blood pressure monitors in the setting of preeclampsia. Am J Obstet Gynecol. 1999;181(5 Pt 1):1203–10.Google Scholar
MacDorman, MF, Declercq, E, Cabral, H, Morton, C. Recent increases in the U.S. maternal mortality rate: disentangling trends from measurement issues. Obstet Gynecol. 2016;128(3):447–55.Google Scholar
Pattinson, RC, Bergh, AM, Ameh, C, Makin, J, Pillay, Y, Van den Broek, N, et al. Reducing maternal deaths by skills-and-drills training in managing obstetric emergencies: a before-and-after observational study. S Afr Med J. 2019;109(4):241–5.Google Scholar
Council on Patient Safety in Women’s Health Care. Safe health care for every woman. 2018. 9–2-2018. https://safehealthcareforeverywoman.org/patient-safety-bundles/severe-hypertension-in-pregnancy/Google Scholar
Payne, BA, Hutcheon, JA, Ansermino, JM, Hall, DR, Bhutta, ZA, Bhutta, SZ, et al. A risk prediction model for the assessment and triage of women with hypertensive disorders of pregnancy in low-resourced settings: the miniPIERS (Pre-eclampsia Integrated Estimate of RiSk) multi-country prospective cohort study. PLoS Med. 2014;11(1):e1001589.Google Scholar
Payne, B, Hodgson, S, Hutcheon, JA, Joseph, KS, Li, J, Lee, T, et al. Performance of the fullPIERS model in predicting adverse maternal outcomes in pre-eclampsia using patient data from the PIERS (Pre-eclampsia Integrated Estimate of RiSk) cohort, collected on admission. BJOG. 2013;120(1):113–18.CrossRefGoogle ScholarPubMed
Akkermans, J, Payne, B, von Dadelszen, P, Groen, H, de Vries, J, Magee, LA, et al. Predicting complications in pre-eclampsia: external validation of the fullPIERS model using the PETRA trial dataset. Eur J Obstet Gynecol Reprod Biol. 2014;179:5862.Google Scholar
Ukah, UV, Payne, B, Lee, T, Magee, LA, von Dadelszen, P. External validation of the fullPIERS model for predicting adverse maternal outcomes in pregnancy hypertension in low- and middle-income countries. Hypertension. 2017;69(4):705–11.CrossRefGoogle ScholarPubMed
Ukah, UV, Payne B, Hutcheon JA, Ansermino JM, Ganzevoort W, Thangaratinam S, Magee LA, von Dadelszen P. Assessment of the fullPIERS Risk Prediction Model in Women With Early-Onset Preeclampsia. Hypertension. 2018 Apr;71(4):659–665. doi: 10.1161/HYPERTENSIONAHA.117.10318. Epub 2018 Feb 12.CrossRefGoogle Scholar
Payne, BA, Ryan, H, Bone, J, Magee, LA, Aarvold, AB, Ansermino, JM, et al. Development and internal validation of the multivariable CIPHER (Collaborative Integrated Pregnancy High-dependency Estimate of Risk) clinical risk prediction model. Crit Care. 2018;22(1):278.Google Scholar
Dawes, GS, Moulden, M, Redman, CW. Short-term fetal heart rate variation, decelerations, and umbilical flow velocity waveforms before labor. Obstet Gynecol. 1992;80(4):673–8.Google Scholar
Street, P, Dawes, GS, Moulden, M, Redman, CW. Short-term variation in abnormal antenatal fetal heart rate records. Am J Obstet Gynecol. 1991;165(3):515–23.Google Scholar
Baschat, AA, Cosmi, E, Bilardo, CM, Wolf, H, Berg, C, Rigano, S, et al. Predictors of neonatal outcome in early-onset placental dysfunction. Obstet Gynecol. 2007;109(2 Pt 1):253–61.Google Scholar
Ferrazzi, E, Bozzo, M, Rigano, S, Bellotti, M, Morabito, A, Pardi, G, et al. Temporal sequence of abnormal Doppler changes in the peripheral and central circulatory systems of the severely growth-restricted fetus. Ultrasound Obstet Gynecol. 2002;19(2):140–6.Google Scholar
Hecher, K, Bilardo, CM, Stigter, RH, Ville, Y, Hackeloer, BJ, Kok, HJ, et al. Monitoring of fetuses with intrauterine growth restriction: a longitudinal study. Ultrasound Obstet Gynecol. 2001;18(6):564–70.Google Scholar
Ribbert, LS, Snijders, RJ, Nicolaides, KH, Visser, GH. Relation of fetal blood gases and data from computer-assisted analysis of fetal heart rate patterns in small for gestation fetuses. Br J Obstet Gynaecol. 1991;98(8):820–3.Google Scholar
Odendaal, HJ, Pattinson, RC, Bam, R, Grove, D, Kotze, TJ. Aggressive or expectant management for patients with severe preeclampsia between 28–34 weeks’ gestation: a randomized controlled trial. Obstet Gynecol. 1990;76(6):1070–5.Google ScholarPubMed
Sibai, BM, Mercer, BM, Schiff, E, Friedman, SA. Aggressive versus expectant management of severe preeclampsia at 28 to 32 weeks’ gestation: a randomized controlled trial. Am J Obstet Gynecol. 1994;171(3):818–22.Google Scholar
Magee, LA, Yong, PJ, Espinosa, V, Cote, AM, Chen, I, von Dadelszen, P. Expectant management of severe preeclampsia remote from term: a structured systematic review. Hypertens Pregnancy. 2009;28(3):312–47.CrossRefGoogle ScholarPubMed
Broekhuijsen, K, van Baaren, GJ, van Pampus, MG, Ganzevoort, W, Sikkema, JM, Woiski, MD, et al. Immediate delivery versus expectant monitoring for hypertensive disorders of pregnancy between 34 and 37 weeks of gestation (HYPITAT-II): an open-label, randomised controlled trial. Lancet. 2015;385(9986):2492–501.Google Scholar
Koopmans, CM, Bijlenga, D, Groen, H, Vijgen, SM, Aarnoudse, JG, Bekedam, DJ, et al. Induction of labour versus expectant monitoring for gestational hypertension or mild pre-eclampsia after 36 weeks’ gestation (HYPITAT): a multicentre, open-label randomised controlled trial. Lancet. 2009;374(9694):979–88.CrossRefGoogle ScholarPubMed
Alanis, MC, Robinson, CJ, Hulsey, TC, Ebeling, M, Johnson, DD. Early-onset severe preeclampsia: induction of labor vs elective cesarean delivery and neonatal outcomes. Am J Obstet Gynecol. 2008;199(3):262–6.Google Scholar
Li, H, Gudmundsson, S, Olofsson, P. Prospect for vaginal delivery of growth restricted fetuses with abnormal umbilical artery blood flow. Acta Obstet Gynecol Scand. 2003;82(9):828–33.Google Scholar
Deruelle, P, Coudoux, E, Ego, A, Houfflin-Debarge, V, Codaccioni, X, Subtil, D. Risk factors for post-partum complications occurring after preeclampsia and HELLP syndrome: a study in 453 consecutive pregnancies. Eur J Obstet Gynecol.Reprod Biol. 2006;125(1):5965.CrossRefGoogle ScholarPubMed
Jacobsen, AF, Skjeldestad, FE, Sandset, PM. Ante- and postnatal risk factors of venous thrombosis: a hospital-based case-control study. J Thromb Haemost. 2008;6(6):905–12.CrossRefGoogle ScholarPubMed
Raheem, IA, Saaid, R, Omar, SZ, Tan, PC. Oral nifedipine versus intravenous labetalol for acute blood pressure control in hypertensive emergencies of pregnancy: a randomised trial. BJOG. 2012;119(1):7885.CrossRefGoogle ScholarPubMed
Drugs and Lactation Database (LactMed). 9–2-2018. Washington, DC, US Library of Medicine. www.ncbi.nlm.nih.gov/books/NBK501922/Google Scholar
Duley, L, Gulmezoglu, AM, Henderson-Smart, DJ, Chou, D. Magnesium sulphate and other anticonvulsants for women with pre-eclampsia. Cochrane Database Syst Rev. 2010;(11):CD000025.Google Scholar
Ramos-Santos, E, Devoe, LD, Wakefield, ML, Sherline, DM, Metheny, WP. The effects of epidural anesthesia on the Doppler velocimetry of umbilical and uterine arteries in normal and hypertensive patients during active term labor. Obstet Gynecol. 1991;77(1):20–6.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×