Maternal medical compromise during pregnancy and pregnancy outcomes

Alina Weissmann-Brenner, Shimrit Haiman, Maayan Metzger Ayala, Liat Gindes, Reuven Achiron, Eyal Sivan, Eran Barzilay

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Objective: To examine the outcomes of pregnancy and newborn following an event of maternal medical compromise during pregnancy.Methods: A retrospective study was performed on all patients hospitalized following an event of medical compromise during pregnancy. Medical compromise was divided to acute or chronic bleeding, major or complicated operations, and admission to intensive care unit (ICU). Data collected included maternal, fetal, neonatal and childs follow-up.Results: The study included 51 pregnant patients and 58 fetuses. The study group had increased risk of preterm deliveries (35.0 versus 6.5%, p < 0.001), cesarean delivery (55.0 versus 22.7%, p < 0.001) and low Apgar scores (5.0 versus 0.45%, p = 0.002). Patients with acute bleeding had higher rates of cesarean sections, preterm deliveries, admissions to neonatal ICU and neonatal mortality. Two cases of fetal abnormalities included brain abnormalities and pericardial effusion. Three terminations of pregnancies were performed: two in patients in ICU due to severe maternal medical condition and one in the fetus with brain abnormalities.Conclusions: Maternal medical compromise during pregnancy increases the risk for preterm deliveries, cesarean delivery and low Apgar scores. Acute bleeding was the main cause of medical compromised and with the higher rates of adverse outcomes.

Original languageEnglish
Pages (from-to)1202-1207
Number of pages6
JournalJournal of Maternal-Fetal and Neonatal Medicine
Volume28
Issue number10
DOIs
StatePublished - 3 Jul 2015
Externally publishedYes

Keywords

  • Cesarean section
  • maternal medical compromise
  • pregnancy outcome
  • premature delivery

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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