To explore maternal and fetal outcomes of severe preeclampsia with acute heart failure.

Eighty-two cases of severe preeclampsia with acute heart failure in The Third Affiliated Hospital of Guangzhou Medical University from 2009 January to 2013 January were retrospectively analyzed.

Eighty-two patients had abnormal clinical manifestation and physical examination. The lab indexes including myocardial enzymes and B-type natriuretic peptide precursor were increased. Among 82 patients, 27 patients developed cardiac function grading Ⅲ and 55 grading Ⅳ. The total average treatment time of 82 cases were 10.8±0.9 days, and 43 cases were admitted to ICU whose treatment time in ICU were 3.2±0.3 days. After timely treatment, all the patients had good outcomes without death case. There were 83 live births cases and 5 still births cases. Fifty cases of 83 live births were premature infants and 16 cases had neonatal asphyxia and 41 cases were admitted to the neonatal intensive care unit. The average weight of live newborns were 2 114.5±202.4 grams, and the average Apgar scores of 1 min, 5 min and 10 min were 6.4±0.6 scores, 7.7±0.6 scores and 8.3±0.5 scores, respectively.

The pregnancy women before 34 gestation weeks or after 37 gestation weeks were likely to developed severe preeclampsia with acute heart failure. The onset time strongly affect the outcome of newborns but not the mothers. Treating primary disease, blood pressure control and preventing heart function failure were the key points to ensure maternal and fetal outcomes.

Preeclampsia; Heart failure; Pregnancy complications