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Is immediate post-partum curettage of the endometrium accelerate recovery from Preeclampsia–Eclampsia? Five Years Experience in Mansoura University

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Last updated: 03 Jan 2025

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Abstract

Objectives: to evaluate the effect of immediate postpartum curettage in pre-eclampsia and
eclmapsia women, on rapid resolution of clinical and laboratory indices, duration of stay
in obstetric intensive care unit, and also morbidities associated with eclampsia.
Materials & Methods: in this prospective randomized case control study, 420 pre-eclamptic or eclamptic women with singleton pregnancy, were diagnosed from 24 weeks
onward, involved. These cases were subdivided into two groups, first, (220 cases) underwent immediate postpartum curettage, while the second, (200 cases) comprised the
control group, who were not submitted to immediate postpartum curettage.
Results: significant improvement was noted in the mean arterial blood pressure (MAB),
urine output, renal and liver functions (creatinine, uric acid, and SGPT, SGOT levels respectively) and also in the platelet count in the study group compared to those in the control group. Average duration of 52.6 + 5.12 hours hours hospital stay in the study group < br />was significantly lower than 78.2 + 3.12 in the control group ( P = 0.002). Five percent of
women in the study group developed serious complications, mainly eclampsia, renal or
liver impairment in the postpartum period in comparison to 24.6% in the control group.
Conclusion: immediate postpartum curettage is a safe and effective procedure and can
accelerate recovery from pre-eclampsia or eclampsia, consequently affecting the incidence and severity of post-partum complications

DOI

10.21608/egyfs.2012.257281

Keywords

Key words: eclampsia, Curettage, Postpartum

Authors

First Name

A Ragab,

Last Name

R Barakat, A El-Samanoudy

MiddleName

M Raghib, A Badawy,

Affiliation

Department of Obstetrics/ Gynecology, Mansoura University Hospitals, Mansoura, Egypt1 Department of Biochimestry, Mansoura Faculty of Medicine, Mansoura, Egypt2

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Volume

16

Article Issue

1

Related Issue

36443

Issue Date

2012-01-01

Receive Date

2022-08-31

Publish Date

2012-01-01

Page Start

17

Page End

19

Print ISSN

1110-6352

Online ISSN

2536-9768

Article File

EGYFS_Volume 16_Issue 1_Pages 17-19.pdf

PDF . 884.9kB

Link

https://egyfs.journals.ekb.eg/article_257281.html

Detail API

https://egyfs.journals.ekb.eg/service?article_code=257281

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5

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Original Article

Type Code

319

Publication Type

Journal

Publication Title

The Egyptian Journal of Fertility of Sterility

Publication Link

https://egyfs.journals.ekb.eg/

MainTitle

Is immediate post-partum curettage of the endometrium accelerate recovery from Preeclampsia–Eclampsia? Five Years Experience in Mansoura University

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Article

Created At

22 Jan 2023