Geburtshilfe Frauenheilkd 2004; 64(1): 27-32
DOI: 10.1055/s-2003-44694

Georg Thieme Verlag Stuttgart · New York

Management of Preeclampsia Remote from Term

Management der Präeklampsie lange vor dem erwarteten Zeitpunkt der GeburtK. H. Coppage 1 , B. M. Sibai 1
  • 1Department of Obstetrics and Gynecology, University of Cincinnati, Ohio, USA
Further Information

Publication History

Publication Date:
19 January 2004 (online)


Hypertensive disorders are the most common medical complication of pregnancy, affecting 5 - 10 % of all pregnancies. Approximately 30 % of hypertensive disorders in pregnancy are due to chronic hypertension and 70 % are due to gestational hypertension-preeclampsia. The spectrum of disease ranges from mildly elevated blood pressures with minimal clinical significance to severe hypertension and multi-organ dysfunction. Understanding the disease process and the impact of hypertensive disorders on pregnancy is of the utmost importance, as these disorders remain a major cause of maternal and perinatal morbidity and mortality worldwide. Maternal complications include: abruptio placentae, disseminated intravascular coagulation, eclampsia, renal failure, liver failure or hemorrhage, hypertensive encephalopathy, pulmonary edema, and death. Fetal neonatal complications include: intrauterine growth restriction, preterm delivery, hypoxia/acidosis, neurologic injury, and death.


M. D. B. M. Sibai

Department of Obstetrics and Gynecology · University of Cincinnati, Ohio

231 Albert Sabin Way, M/L 0526

Cincinnati, Ohio 45267-0526