Is immediate post-partum curettage of the endometrium accelerate recovery from Preeclampsia–Eclampsia? Five Years Experience in Mansoura University | ||||
| The Egyptian Journal of Fertility of Sterility | ||||
| Article 5, Volume 16, Issue 1 - Serial Number 11106352, January 2012, Page 17-19 PDF (864.16 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/egyfs.2012.257281 | ||||
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| Author | ||||
| A Ragab, M Raghib, A Badawy, R Barakat, A El-Samanoudy | ||||
| Department of Obstetrics/ Gynecology, Mansoura University Hospitals, Mansoura, Egypt1 Department of Biochimestry, Mansoura Faculty of Medicine, Mansoura, Egypt2 | ||||
| Abstract | ||||
| Objectives: to evaluate the effect of immediate postpartum curettage in pre-eclampsia and eclmapsia women, on rapid resolution of clinical and laboratory indices, duration of stay in obstetric intensive care unit, and also morbidities associated with eclampsia. Materials & Methods: in this prospective randomized case control study, 420 pre-eclamptic or eclamptic women with singleton pregnancy, were diagnosed from 24 weeks onward, involved. These cases were subdivided into two groups, first, (220 cases) underwent immediate postpartum curettage, while the second, (200 cases) comprised the control group, who were not submitted to immediate postpartum curettage. Results: significant improvement was noted in the mean arterial blood pressure (MAB), urine output, renal and liver functions (creatinine, uric acid, and SGPT, SGOT levels respectively) and also in the platelet count in the study group compared to those in the control group. Average duration of 52.6 + 5.12 hours hours hospital stay in the study group < br />was significantly lower than 78.2 + 3.12 in the control group ( P = 0.002). Five percent of women in the study group developed serious complications, mainly eclampsia, renal or liver impairment in the postpartum period in comparison to 24.6% in the control group. Conclusion: immediate postpartum curettage is a safe and effective procedure and can accelerate recovery from pre-eclampsia or eclampsia, consequently affecting the incidence and severity of post-partum complications | ||||
| Keywords | ||||
| Key words: eclampsia; curettage; postpartum | ||||
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