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Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit
Published on: January 7, 2020
Temporising versus interventionist management (preterm and at term).
Wessel Ganzevoort1, Baha M Sibai
1Academisch Medisch Centrum Amsterdam, The Netherlands. wesselganzevoort@me.com
Summary
Pre-eclampsia management involves balancing maternal and fetal health. Early delivery after 37 weeks improves outcomes, while earlier gestations require careful consideration of risks versus benefits.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Perinatal Medicine
Background:
- Pre-eclampsia is linked to adverse outcomes, with high morbidity when diagnosed late and high incidence when diagnosed early.
- Placental delivery is the only cure for pre-eclampsia, but timing is crucial for perinatal outcomes.
Purpose of the Study:
- To review two contrasting management approaches for pre-eclampsia: interventionist (stabilization and delivery) versus temporizing (symptom management until delivery).
- To describe the indications for each management approach based on gestational age and disease severity.
Main Methods:
- Review of existing literature on pre-eclampsia management strategies.
- Comparison of interventionist and temporizing approaches, considering maternal and fetal outcomes.
Main Results:
- The temporizing approach is generally safe.
- Delivery after 37 weeks of gestation is associated with better perinatal outcomes.
- Evidence is lacking for optimal management below 37 weeks, necessitating further trials.
Conclusions:
- Management decisions for pre-eclampsia should consider gestational age, maternal disease severity, and fetal condition.
- Further research is needed to establish optimal management strategies for pre-eclampsia before 37 weeks gestation.
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