Цитата:
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Сообщение от ksn1968
Наша задача поскорее родоразрешить. При такой готовности (точнее неготовности) шейки затратим много времени - часов 8-9, без гарантии что у женщины не будет дискоординации. Кроме того не забудьте, что при схватках давление будет возрастать. Так, что готовимся к кесареву сечению!!
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Elective Cesarean Delivery
Once severe preeclampsia is diagnosed, the obstetrical propensity is for prompt delivery. Labor induction to effect vaginal delivery has traditionally been considered to be in the best interest of the mother. Several concerns, including an unfavorable cervix precluding successful induction of labor, a perceived sense of urgency because of the severity of preeclampsia, and the need to coordinate neonatal intensive care, have led some practitioners to advocate cesarean delivery. Alexander and colleagues (1999) reviewed 278 singleton liveborn infants weighing 750 to 1500 g delivered of women with severe preeclampsia at Parkland Hospital. Half of the women had labor induced and the remainder underwent cesarean delivery without labor. Induction was not successful in 35 percent of the women in the induced group, but it was not harmful to their very low-birthweight infants. Similar results were reported by Nassar and colleagues (1998).