Managing pre-eclampsia 1: establishing guidelines

Jankowicz, Dawn; Tufnell, Derek

doi:10.12968/bjom.2004.12.11.16696

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…A coordinating regional midwife provided support to the link midwives, quality control and entered the data into a central database. Up to 196 data items were collected on each woman to assess the process of care, previously published, 4 and the outcome, which is the basis of this paper.…”

Section: Methodsmentioning

confidence: 99%

Outcomes of severe pre‐eclampsia/eclampsia in Yorkshire 1999/2003

Tuffnell

Jankowicz

Lindow

et al. 2005

BJOG

166

100

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On behalf of the Yorkshire Obstetric Critical Care GroupObjective To establish the risk of serious complications from severe pre-eclampsia and eclampsia in a region using a common guideline for the management of these conditions. Design A five-year prospective study.Setting Sixteen maternity units in Yorkshire.Population All women managed with severe pre-eclampsia and eclampsia.Methods A common guideline was developed for the management of women with these conditions. A network of midwives prospectively collected outcome data. Main outcome measure Incidence of the conditions and serious complication rates.Results A total of 210,631 women delivered in the 16 units between 1 January 1999 and 31 December 2003.One thousand eighty-seven women were diagnosed with severe pre-eclampsia or eclampsia (5.2/1000). One hundred and fifty-one women had serious complications including 82 women (39/10,000) having eclamptic seizures and 49 women (23/10,000) requiring ICU admission. There were no maternal deaths but 54 out of 1145 babies died before discharge, giving a mortality rate of 47.2/1000. Of the 82 cases of eclampsia, 45 occurred antenatally (55%), 18 before admission to the maternity unit. Eleven cases occurred in labour (13%), including 1 during a caesarean section, and 26 cases occurred following delivery (32%). Twenty-five women developed pulmonary oedema (2.3% of cases) and six women required renal dialysis (0.55% of cases). One hundred and sixty-five (15%) required no antihypertensive therapy and 489 (53%) of the remainder required only oral therapy. Two hundred and one (18.5%) required more than one drug. Conclusion A regional guideline for severe pre-eclampsia and eclampsia can be developed and implemented.Its use may contribute to a low rate of serious complications.

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Section: Methodsmentioning

confidence: 99%

Outcomes of severe pre‐eclampsia/eclampsia in Yorkshire 1999/2003

Tuffnell

Jankowicz

Lindow

et al. 2005

BJOG

166

100

View full text Add to dashboard Cite

show abstract

“…Since completion of the study, a number of discussion papers have addressed the management of obstetric‐related critical illness (Goebel 2004, Jankowicz & Tufnell 2004a,b, Perozzi & Englert 2004, Noble 2005), suggesting an increasing awareness regarding the importance of critical care management in obstetric women. Additionally, Zeeman et al.…”

Section: Introductionmentioning

confidence: 99%