Preeclampsia and Prematurity: Implications for Maternal and Perinatal Outcomes in a Low-middle Income Country
Year: 2025
Type: article
Study design: Observational Study
Abstract: Objectives: To evaluate the maternal and perinatal outcomes of preeclampsia in accordance with the World Health Organization prematurity criteria, in a low-resource setting. Methods: weeks. Data was statistically analyzed. Results: The study included 324 women who delivered at the following gestation terms: EPB = 89 (27.5%), VPB = 35 (10.8%), and MLPB = 200 (61.7%), resulting in 331 neonates. Serious maternal complications developed in 45 (13.9%) women. Intrauterine death occurred in 18 (5.6%) cases. The median birth weights were significantly lower in the EPB and VPB groups. Of the 331 neonates, 21 (6.3%) died (20 in the EPB group and one in the MLPB group). Neonatal ICU admission, ventilator support, and low Apgar scores were also significantly more frequent in the EPB group. Conclusions: Neonatal mortality rises significantly when delivery occurs before 28 weeks of gestation. Complications rise with preeclampsia before 32 weeks. Vigilant monitoring and timely referral improve outcomes, but in resource-limited settings like Pakistan, restricted access to specialized care indicate the need for targeted healthcare investment.
Source: Oman Medical Journal
DOI: 10.5001/omj.2025.77
Authors: Zaheena Islam, Anum Aziz, Nida Najmi, Amir Raza, Shazia Masheer
Institutions: Aga Khan University, Aga Khan University Hospital
Language: English
Subfield: Obstetrics and Gynecology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4411037717