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Planned early delivery versus expectant management to reduce adverse pregnancy outcomes in pre-eclampsia in a low- and middle-income setting: study protocol for a randomised controlled trial (CRADLE-4 Trial).


ABSTRACT: BACKGROUND:Pre-eclampsia is a pregnancy complication characterised by high blood pressure and multi-organ dysfunction in the mother. It is a leading contributor to maternal and perinatal mortality, with 99% of these deaths occurring in low- and middle-income countries (LMIC). Whilst clear guidelines exist for management of early-onset (

SUBMITTER: Beardmore-Gray A 

PROVIDER: S-EPMC7684962 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature

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Planned early delivery versus expectant management to reduce adverse pregnancy outcomes in pre-eclampsia in a low- and middle-income setting: study protocol for a randomised controlled trial (CRADLE-4 Trial).

Beardmore-Gray Alice A   Vousden Nicola N   Charantimath Umesh U   Katageri Geetanjali G   Bellad Mrutyunjaya M   Kapembwa Kunda K   Chinkoyo Sebastian S   Vwalika Bellington B   Clark Matthew M   Hunter Rachael R   Seed Paul P   Goudar Shivaprasad S   Chappell Lucy C LC   Shennan Andrew A  

Trials 20201123 1


<h4>Background</h4>Pre-eclampsia is a pregnancy complication characterised by high blood pressure and multi-organ dysfunction in the mother. It is a leading contributor to maternal and perinatal mortality, with 99% of these deaths occurring in low- and middle-income countries (LMIC). Whilst clear guidelines exist for management of early-onset (< 34 weeks) and term (≥ 37 weeks) disease, the optimal timing of delivery in pre-eclampsia between 34<sup>+ 0</sup> and 36<sup>+ 6</sup> weeks is less cle  ...[more]

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