[Perinatal result with conservative treatment in XXXX ].

@entity1 @entity101 @entity417 @entity548 @entity2102 @entity3036 @entity1468 @entity881
INTRODUCTION: Conservative treatment in severe @entity1468 has been documented by several authors citing significant improvement in neonatal outcome lacking a significant increase in maternal complications. OBJECTIVE: Our objective was to inform of our preliminary results using protocolized conservative management in @entity1 with @entity1468 , favoring better neonate conditions. MATERIAL AND @entity1 : We included 34 @entity1 with average age of 28.2 years with documented severe @entity1468 complicating a 36-weeks or less pregnancy, admitted in the obstetric intensive care unit (OICU) between October 2001 and February 2002. @entity1 received protocolized management consisting of intravascular colume expansion, anti- @entity101 control, target organ protection, monitoring, and clinical observation. We considered conservative management as a 24 or more period offered to @entity1 with satisfactory response to medical treatment and no evidence of binomial compromise. RESULTS: Of our group, 85% corresponded to severe @entity1468 , 9% to @entity3036 , 3% to imminence of @entity3036 , and 3% to @entity2102 . Average stay in OICU was 5.5 days with 3.5 days average management before pregnancy was interrupted. These @entity1 presented mean gestational age of 32.8 weeks during which we observed @entity417 , low platelets, D dimmer increments, MAP average of 112.8, PCOc 18.6, and BI 0.15. We obtained 36 live newborns of whom 12% four died, two were extremely immatures (510 g and 600 g, respectively); one 980-g newborn presented @entity548 , and a 1,450-g newborn had @entity881 . Conservative treatment in @entity1 with severe @entity1468 is a feasible alternative in hospitals with an ICU. Conservative management can improve neonatal survival and prognosis in preterm newborns.
