Korean J Perinatol.  2007 Sep;18(3):245-251.

Systematic Evaluation in Hospitalization in Mildly Preeclamptic Women whose Placental Dysfunction was Exacerbated

• Kang YD
• Yu WJ
• Park MC

Abstract

OBJECTIVES
To compare the systematic evaluations in hospitalization of mildly preeclamptic women whose placental dysfunction was exacerbated with those whose placental dysfunction was not exacerbated.
METHODS
There were seventy six mildly preeclamptic women after systematic evaluations in hospitalization, in which twenty eight women showed exacerbated placental dysfunction. Outcome markers considered suggestive of exacerbation of placental dysfunction included oligohydramnios (amniotic fluid index less than 5 cm), clinical diagnosis of intrapartum fetal distress and progression to severe preeclampsia. A clinical diagnosis of fetal distress was made when the monitoring revealed recurrent late, persistent tachycardia with loss of variability or prolonged decelerations.
RESULTS
There were no significant differences in the amount of 24 hours urine protein, the concentrations in serum protein, creatinine, aspartate transaminase and alanine transaminase and hematocrit. But in exacerbated group, the concentrations of serum albumin and urine creatinine and creatinine clearance were significantly lower and the concentrations of serum uric acid and lactate dehydrogenase were significantly higher than not exacerbated group.
CONCLUSION
In mildly preeclamptic women diagnosed after systematic evaluation in hospitalization, we must give attention to those whose concentrations of serum albumin and urine creatinine and creatinine clearance are low and concentrations of serum uric acid and lactate dehydrogenase are high.

Keyword

Mild preeclampsia; Systematic evaluation; Placental dysfunction

MeSH Terms

Alanine Transaminase
Aspartate Aminotransferases
Creatinine
Deceleration
Diagnosis
Female
Fetal Distress
Hematocrit
Hospitalization*
Humans
L-Lactate Dehydrogenase
Oligohydramnios
Pre-Eclampsia
Pregnancy
Serum Albumin
Tachycardia
Uric Acid
Alanine Transaminase
Aspartate Aminotransferases
Creatinine
L-Lactate Dehydrogenase
Serum Albumin
Uric Acid