PMID: 8598957Mar 1, 1996Paper

Atypical presentation of preeclampsia in high-order multifetal gestations

Obstetrics and Gynecology
H HardardottirJ F Rodis

Abstract

To describe our experience with preeclampsia in high-order multifetal gestations. Records for all triplet and quadruplet pregnancies delivered after 24 weeks' gestation from January 1988 through June 1994 were reviewed. All patients were treated with bed rest from 20 weeks' gestation onward and received corticosteroids weekly beginning at 24 weeks. Tocolytics were used as needed. Twenty-one triplet and eight quadruplet pregnancies were studied. The mean gestational age at delivery was 32.3 and 27.9 weeks, and mean birth weights were 1547 and 1028 g, respectively. Seventeen of 29 patients developed preeclampsia, 14 of the 21 triplet mothers and three of the eight quadruplet mothers. Among 16 patients who were delivered for preeclampsia, only eight had blood pressure (BP) elevation before delivery, whereas ten had epigastric pain, visual disturbances and/or headache; nine had elevated liver enzyme levels; and seven had low platelet counts. Only three patients had proteinuria, and only six had edema. Five women developed the syndrome of hemolysis, elevated liver enzymes, and low platelets postpartum, all of whom had normal BP before delivery. Two patients developed preeclampsia after delivery. A total of 95 infants were delivered,...Continue Reading

Citations

Jan 20, 2009·Archives of Gynecology and Obstetrics·Shunji Suzuki, Miwa Igarashi
Jun 1, 2005·Clinics in Perinatology·Alisa B Modena, Vincenzo Berghella
Sep 16, 2003·Clinical Obstetrics and Gynecology·Stephen D Pratt
Feb 4, 1999·Baillière's Clinical Obstetrics and Gynaecology·R B Newman
May 30, 2006·Seminars in Perinatology·Young Mi LeeMary E D'Alton
Dec 19, 2000·Hypertension in Pregnancy : Official Journal of the International Society for the Study of Hypertension in Pregnancy·S SuzukiT Araki
Aug 30, 2012·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Rocio RevelloIgnacio Zapardiel
Jul 16, 2003·American Journal of Obstetrics and Gynecology·Huda B Al-KouatlyFrank A Chervenak
May 16, 2006·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·S A Al-SuleimanM S Rahman
Sep 24, 2016·Obstetrics and Gynecology·UNKNOWN Committee on Practice Bulletins—Obstetrics, UNKNOWN Society for Maternal–Fetal Medicine
Jul 1, 2020·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Tomer AvnonAriel Many
Nov 20, 2020·Current Hypertension Reports·Kavita Narang, Linda M Szymanski
May 21, 2021·Obstetrics and Gynecology·UNKNOWN American College of Obstetricians and Gynecologists’ Committee on Practice Bulletins—Obstetrics, Society for Maternal-Fetal

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