Table 2.
Maternal Outcomes
| Maternal Outcomes | Pre ACOG N=254 |
Post ACOG N =203 |
P - value |
|---|---|---|---|
| Superimposed preeclampsia | 87 (34.3) | 72 (35.5) | 0.79 |
| Without severe features | 32 (12.6) | 9 (4.4) | <0.01 |
| With severe features | 55 (21.7) | 63 (31.0) | 0.02 |
| GA at diagnosis of superimposed preeclampsia | 34.1±4.0 | 33.8±4.1 | 0.65 |
| Mode of delivery | |||
| Caesarean | 102 (40.16) | 94 (46.3) | 0.19 |
| Indication for delivery | |||
| Completed 37 weeks | 159 (62.6) | 131 (64.53) | 0.69 |
| Fetal indication | 30 (11.81) | 30 (14.78) | 0.4 |
| Lab abnormalities | 7 (2.76) | 13 (6.4) | 0.06 |
| Uncontrolled severe BPa | 28 (11.02) | 36 (17.73) | 0.04 |
| Persistent maternal symptoms | 17 (6.69) | 14 (6.9) | 1.0 |
| Spontaneous onset of labor | 46 (18.11) | 31 (15.27) | 0.45 |
| Placental abruption | 5 (1.97) | 4 (1.97) | 1.0 |
| Eclampsia | 0 (0) | 0 (0) | - |
| HELLP Syndrome | 0 (0) | 3 (1.48) | 0.25 |
| Pulmonary edema | 2 (0.7) | 1 (0.4) | 1.0 |
| Magnesium at delivery | 53 (20.87) | 48 (23.65) | 0.5 |
| Maternal complications | |||
| Postpartum hemorrhage | 27 (10.63) | 32 (15.8) | 0.11 |
| Maternal ICU admission | 4 (1.57) | 2 (1.0) | 0.59 |
| Maternal brain imaging | 1 (0.39) | 4 (2.0) | 0.19 |
| Maternal mortality | 0 (0) | 0 (0) | - |
| Fetal complications | |||
| Antenatal steroids | 41 (16.14) | 39 (19.21) | 0.45 |
| Intrauterine growth restriction | 21 (8.3) | 17 (8.4) | 0.92 |
| Abnormal umbilical artery Doppler | 10 (3.9) | 6 (3.0) | 0.57 |
| Stillbirth | 2 (0.99) | 7 (2.7) | 0.19 |
Values reported as n (%) or mean ± standard
ACOG: American College of Obstetricians and Gynecologist; BP: Blood pressure; HELLP: hemolysis, elevated liver enzymes, low platelet count; ICU Intensive care unit.
a
Uncontrolled severe blood pressure (BP) is defined as BP not controlled after several intravenous doses of antihypertensive medications.