Elective cesarean section at 37 versus 38 completed weeks in pregenant females with mild_to-moderate preeclampsia and its effect on neonatal respiratory outcome / Rasha Ibraheem Mohamed ; Supervised Salah Sanad , Ahmad Elsawaf , Sherif Elanwary

Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Gynecology and Obstetrics

Preeclampsia is complex disorder that affect about 5% of pregnant women.Preeclampsia is a pregnancy Specific syndrome which is devided into mild_to_moderate and sever preeclompsia. The Best time for termination of mild_to_moderate preeclampsia by cesarean section without respiratory morbidity to the neonate is our question. The aim of this study is to determine the most proper timing for termination of pregnancy by elective cesarean section in patients with mild_to_moderate preeclampsia with the least incidence of respiratory morbidity through making a comparison between respiratory outcome of neonate of patient with mild_to_moderate preeclampsia at 37 completed weeks versus 38 completed weeks.The study was conducted on 100 patients with mild_to_moderate preeclampsia (50 patient on each group) who delivered by elective cesarean section in Kasr El Eini Hospital in a period from October 2013 to April 2014. Patients were divided into 2 groups: Group 1 : patients with mild_to_moderate preeclampsia at completed 37 weeks. Group 2 : patients with mild_to_moderate preeclampsia at completed 38 weeks All of Mothers were subjected to full detailed history, examination and ultrasound examinations. According to data collected from these study,we found that although there were no much significant differences between the 2 groups but termination of pregnancy remains better at 38 completed weeks. Finally larger studies were recommended to determine the most proper time for temmination of pregnancy by elective cesarean section in case of mild_to_moderate preeclampsia

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