الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
 |  | from | 130 |  |  |
| | | from | 130 | | |
Abstract
Management of severe pre-eclampsia is an important topic for all provide maternal health care, especially those patients with gestational age before 34 weeks gestation. Most of clinical centers have limited experience in managing such patients, all recommended protocols for managing these patients have been based on retrospective observations and empiric clinical experience. The ultimate goals for any recommended protocol must always consider the safety of the mother first and then delivery of a live mature newborn in an optimal condition. There is universal agreement that all patients with severe pre eclampsia should be delivered if the disease develop after 34 weeks gestation, however there is disagreement regarding management if the gestational age is at or before 34 weeks. Some authors consider delivery as the definitive therapy for all patients regardless the gestational age, others recommend an expectant management approach, untill either development of fetal lung maturity, fetal or maternal distress or gestational age of 34 to 36 weeks is achieved. Aggressive management with immediate delivery in patients with severe pre-eclampsia before 34 weeks gestation leads to high neonatal mortality and morbidity resulting from iatrogenic prematurity. Conversely.