EXPECTANT MANAGEMENT ON PRETERM PREGNANCY WITH PREECLAMPSIA: A SCOPING REVIEW

Abstract

Preeclampsia complicates 5-8% of all pregnancies and is responsible for 100 maternal deaths and 400 perinatal deaths every day globally. In the worldwide, preeclampsia and eclampsia are considered as the factors for approximately 14% of maternal deaths and prematurity, in the 30-34 week gestation period. Yet, they are remained to be associated with high perinatal mortality rates in Indonesia (28% perinatal mortality). The aim of this study was to conduct a scoping review to determine the effectiveness of expectant management for less-month pregnancies with preeclampsia. There were five stages for the scoping review. The five stages include: identifying research questions, identifying relevant literature, selecting literature, mapping data, compiling, summarizing and reporting results. All selected articles were taken using quantitative method. From 12 journals gathered, thematic analysis was carried out to identify the main points. We classify the main points of expectant management as an effort to prolong pregnancy, as expectant management with the time of termination of pregnancy, and as expectant management with the right gestational age. The average length of pregnancy in women with preeclampsia without any other risk is 11.5 days. Clinical decisions for termination of pregnancy or expectant management are highly depended on the mother, fetus and laboratory. The experience of the obstetricians also influences the decision to terminate the pregnancy during the maternal evaluation.

Keywords: preterm, pregnancy, preeclampsia, management