Featured Research

from universities, journals, and other organizations

Expectant monitoring rather than immediate delivery recommended for women with hypertension or preeclampsia

Date:
February 3, 2014
Source:
Society for Maternal-Fetal Medicine
Summary:
New findings recommend expectant monitoring instead of immediate delivery for women with gestational hypertension or preeclampsia between 34 and 37 weeks of pregnancy.

In a study to be presented on Feb. 6 at the Society for Maternal-Fetal Medicine's annual meeting, The Pregnancy Meeting ™, in New Orleans, researchers will report findings that recommend expectant monitoring instead of immediate delivery for women with gestational hypertension or preeclampsia between 34 and 37 weeks of pregnancy.

Related Articles


There are two strategies to manage hypertensive disorders for pregnant women between 34 and 37 weeks. The first is immediate delivery, which will cure the mother and thereby prevent complications. The second strategy is expectant monitoring, which postpones delivery until the child is no longer at risk for breathing difficulties due to premature birth, or until mother or child become too severely ill to wait any longer.

This randomized controlled study, Delivery versus expectant monitoring for late preterm hypertensive disorders of pregnancy (HYPITAT-II), was conducted in 51 Dutch hospitals, and evaluated whether immediate delivery could reduce adverse maternal outcomes without increasing the risk of neonatal respiratory distress syndrome (RDS). Adverse maternal outcomes were defined as eclampsia, HELLP-syndrome, pulmonary edema, thrombo-embolic disease, placental abruption, and/or maternal death.

More than 700 women were randomly allocated to immediate delivery or expectant monitoring and outcomes of mothers and children were registered. Researchers found that the risks of complications for mothers were not significantly different between both groups (1.1% versus 3.1%), but breathing difficulties due to prematurity more often occurred in the group that was allocated to immediate delivery (5.7% versus 1.7%). Thus, the study revealed that in women with late preterm hypertensive disorders of pregnancy, routine delivery did not decrease the risk of severe adverse maternal outcomes, but it did increase the risk of neonatal RDS, unlike with expectant monitoring.

"Delivery, with the risk of breathing difficulties or other problems due to premature birth, should ideally only be chosen if it prevents worse complications," said Kim Broekhuijsen, M.D., one of the researchers.

"We now have evidence suggesting that delivery of all women with these disorders does not prevent enough complications to justify the problems it causes in newborns. But if we could predict which women will develop these types of complications, we could choose delivery for them, while safely allowing pregnancy to continue [i.e. expectant monitoring] in the large majority of women. This would prevent complications due to hypertensive disorders, without causing unnecessary premature births," said Broekhuijsen, of University of Groningen, University Medical Center Groningen, Obstetrics and Gynecology, in Groningen, the Netherlands,

According to the researchers, further research should focus on determining exact criteria for the delivery of women with hypertensive disorders between 34 and 37 weeks of pregnancy.


Story Source:

The above story is based on materials provided by Society for Maternal-Fetal Medicine. Note: Materials may be edited for content and length.


Cite This Page:

Society for Maternal-Fetal Medicine. "Expectant monitoring rather than immediate delivery recommended for women with hypertension or preeclampsia." ScienceDaily. ScienceDaily, 3 February 2014. <www.sciencedaily.com/releases/2014/02/140203084244.htm>.
Society for Maternal-Fetal Medicine. (2014, February 3). Expectant monitoring rather than immediate delivery recommended for women with hypertension or preeclampsia. ScienceDaily. Retrieved November 26, 2014 from www.sciencedaily.com/releases/2014/02/140203084244.htm
Society for Maternal-Fetal Medicine. "Expectant monitoring rather than immediate delivery recommended for women with hypertension or preeclampsia." ScienceDaily. www.sciencedaily.com/releases/2014/02/140203084244.htm (accessed November 26, 2014).

Share This


More From ScienceDaily



More Health & Medicine News

Wednesday, November 26, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Pet Dogs to Be Used in Anti-Ageing Trial

Pet Dogs to Be Used in Anti-Ageing Trial

Reuters - Innovations Video Online (Nov. 26, 2014) Researchers in the United States are preparing to discover whether a drug commonly used in human organ transplants can extend the lifespan and health quality of pet dogs. Video provided by Reuters
Powered by NewsLook.com
Today's Prostheses Are More Capable Than Ever

Today's Prostheses Are More Capable Than Ever

Newsy (Nov. 26, 2014) Advances in prosthetics are making replacement body parts stronger and more lifelike than they’ve ever been. Video provided by Newsy
Powered by NewsLook.com
From Popcorn To Vending Snacks: FDA Ups Calorie Count Rules

From Popcorn To Vending Snacks: FDA Ups Calorie Count Rules

Newsy (Nov. 25, 2014) The US FDA is announcing new calorie rules on Tuesday that will require everywhere from theaters to vending machines to include calorie counts. Video provided by Newsy
Powered by NewsLook.com
Daily Serving Of Yogurt Could Reduce Risk Of Type 2 Diabetes

Daily Serving Of Yogurt Could Reduce Risk Of Type 2 Diabetes

Newsy (Nov. 25, 2014) Need another reason to eat yogurt every day? Researchers now say it could reduce a person's risk of developing type 2 diabetes. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins