Risk factors for post-partum complications occurring after preeclampsia and HELLP syndrome. A study in 453 consecutive pregnancies

European Journal of Obstetrics, Gynecology, and Reproductive Biology
Philippe DeruelleDamien Subtil

Abstract

To evaluate complications that occurred during the post-partum period for patients with preeclampsia or HELLP syndrome. Retrospective analysis of 453 patients. The main outcome measures were maternal complications during post-partum period: fever >38.5 degrees C with proved infection, abdominal or perineal abscess, thrombo-embolic events, reoperation, need for blood transfusion, acute renal failure, eclampsia or disseminated intravascular coagulation. Statistic tests included univariate and multivariate analysis with stepwise descending logistic regression. Patients were divided into 305 preeclampsia (67.3%) and 20 HELLP syndrome (4.4%), 128 (28.3%) had both. Eighty-five patients (18.8%) had at least one post-partum complication. The most frequent complication was infection: fever (41 patients, 9.1%) and abscess (30 patients, 6.6%). Twenty-six transfusions (5.7%), 10 disseminated intravascular coagulation (2.2%), seven thromboembolic events (1.5%), seven reoperations (1.5%) and one eclampsia (0.2%) were observed. There was no acute renal failure, no pulmonary oedema and no maternal death. Stepwise logistic regression showed five independent risk factors associated with post-partum complications: ascites or pulmonary oedema (OR:...Continue Reading

References

Jun 1, 1991·American Journal of Obstetrics and Gynecology·J N MartinR W Martin
Jan 1, 1989·American Journal of Obstetrics and Gynecology·K de BoerP E Treffers
May 1, 1985·American Journal of Obstetrics and Gynecology·B M SibaiG D Anderson
Feb 1, 1995·British Journal of Obstetrics and Gynaecology·W Visser, H C Wallenburg
Apr 1, 1996·Current Opinion in Obstetrics & Gynecology·B M Sibai, A Y Frangieh
Dec 1, 1995·European Journal of Obstetrics, Gynecology, and Reproductive Biology·W Visser, H C Wallenburg
Jan 1, 1996·Journal of Perinatal Medicine·N MakkonenP Kirkinen
Aug 6, 1998·British Journal of Obstetrics and Gynaecology·O IrionA Morabia
Apr 29, 1999·Current Opinion in Obstetrics & Gynecology·D O Anumba, S C Robson
Aug 19, 1999·Clinical Obstetrics and Gynecology·E F Magann, J N Martin
Oct 8, 1999·Obstetrics and Gynecology·P LindqvistK Marŝál
Oct 16, 1999·American Journal of Obstetrics and Gynecology·C M IslerJ N Martin
Mar 11, 2000·Obstetrics and Gynecology·T S TranA Geater
Jun 1, 2000·Obstetrics and Gynecology·S T VermillionA Verdeja
Nov 21, 2000·American Journal of Obstetrics and Gynecology·E L Mozurkewich, E K Hutton
Feb 26, 2004·American Journal of Obstetrics and Gynecology·Renate M E HägerTore Henriksen
Jul 31, 2004·American Journal of Obstetrics and Gynecology·Bassam HaddadBaha M Siba

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Citations

Mar 30, 2010·Annales Françaises D'anesthèsie Et De Rèanimation·J-F BrichantUNKNOWN Société française de anesthésie et de réanimation
Feb 28, 2009·BMC Pregnancy and Childbirth·Kjell HaramUlrich Abildgaard
Dec 20, 2011·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Harshad DevarbhaviChannagiri Krishnamurthy Adarsh
Jun 19, 2015·Journal of Obstetrics and Gynaecology of India·Sushil ChawlaRaju Agarwal
May 18, 2016·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·Kjell HaramOffer Erez
Oct 27, 2012·Gynécologie, obstétrique & fertilité·G MarcqP Deruelle
Oct 18, 2008·Journal of Hepatology·Harshad DevarbhaviLakshmi Padmanabhan
Feb 27, 2010·Gynécologie, obstétrique & fertilité·S Cathelain-SolandP Deruelle
May 26, 2017·Archives of Gynecology and Obstetrics·J Yavana SuriyaS Soundara Raghavan
Jun 11, 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·James P HoggJames N Martin
Sep 17, 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·Rachel Gomez-TolubOffer Erez
Nov 11, 2009·Hypertension in Pregnancy : Official Journal of the International Society for the Study of Hypertension in Pregnancy·Charlene E ThorntonAnnemarie Hennessy

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