PMID: 42586Nov 1, 1979

Active management of high-risk pregnancy

International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
M BhattacharyyaV N Purandare


Sixty patients with previous stillbirths were given active antepartum, intrapartum and early postnatal care. A majority (75%) had a history of repeated stillbirths, and responsible pathology was detected in 55% of the cases. In the present pregnancy, 90% of the patients suffered complications, each of which was diagnosed and treated. Most of the group were hospitalized. Tests for serial urinary estrogens were done for 75% of the women. Other special assessments of maturity with amniotic fluid, oxytocin challenges and fetal monitoring were carried out in selected cases. After confirming maturity and degree of antepartum stress, labor was induced when appropriate. There was liberal recourse to cesarean section (18.3%), but no maternal mortality. Overall fetal salvage was 75%.


Mar 1, 1973·Clinical Obstetrics and Gynecology·R H Aubry, J C Pennington
Apr 1, 1969·American Journal of Obstetrics and Gynecology·R E Nesbitt, R H Aubry

Related Concepts

Pregnancy Complications
Prenatal Care
Fetal Mummification
Fetal Monitoring

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