[Time selection of cesarean section in preeclampsia]

Area of Science:

• Obstetrics and Gynecology
• Maternal-Fetal Medicine
• Neonatology

Context:

• Preeclampsia is a serious pregnancy complication.
• Gestational age significantly influences maternal and neonatal outcomes.
• Cesarean section is a common delivery method for preeclampsia.

Purpose:

• To investigate the optimal timing for cesarean section in preeclampsia.
• To assess the relationship between delivery timing and maternal/neonatal complications.
• To identify the best gestational window for intervention in severe preeclampsia.

Summary:

• A study of 103 preeclamptic women and 109 newborns revealed high cesarean section rates (83.06%).
• Neonatal complications, including asphyxia (28.17%), pneumonia, and meconium staining, increased significantly after 37 weeks.
• No maternal deaths occurred, but perinatal mortality was 6.67% overall, with lower rates before 37 weeks.

Impact:

• Findings suggest fetal lung maturation may precede gestational age in hypertensive pregnancies.
• Early delivery via cesarean section (34-36 weeks) is recommended for severe preeclampsia to reduce complications.
• Optimizing delivery timing can improve maternal and neonatal health outcomes in preeclampsia.