AGGRESSIVE OBSTETRIC MANAGEMENT IN LATE 2ND-TRIMESTER DELIVERIES

  • 1 January 1981
    • journal article
    • research article
    • Vol. 58  (6) , 685-690
Abstract
A 3 yr experience during which fetal welfare was a major factor in the management of patients delivering between 24 and 27 wk gestation is presented. Sixty-two women from whom prenatal assigned gestational age was between 24 and 27 wk and who had a live fetus on admission were reviewed. Using discharge from the hospital as definition for survival, 34 of the 62 infants (55%) survived. Survival rates ranged from 36% at 24 wk gestation to 76% at 27 wk gestation. Three of the 34 survivors had major continuing problems at discharge. Of the various strategies used to improve perinatal outcome, the antenatal administration of betamethasone was associated with a significant (P < 0.03) improvement in infant survival. Aggressive antenatal and postnatal efforts for pregnancies with gestational ages between 24 and 27 wk are cost-effective, productive and worthwhile.

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