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Evidence · Randomised trial

Planned early delivery or expectant management for late preterm pre-eclampsia (PHOENIX): a randomised controlled trial.

Randomised trialLancet (London, England)2019Over 5 years oldFull text
  • Communicating with families
  • Delivery room and stabilisation
  • Families and professional practice
  • Medical

This paper is from 2019, more than five years ago. Newer evidence may have been published since.

Summary

The PHOENIX multicentre randomised controlled trial across 46 maternity units in England and Wales compared planned delivery with expectant management in 901 women with late preterm pre-eclampsia between 34 and less than 37 weeks' gestation. Planned delivery reduced a composite of maternal morbidity and severe hypertension. It increased neonatal unit admissions, mainly related to prematurity, without indicators of greater neonatal morbidity. The authors highlight this trade-off as a basis for shared decision making about timing of delivery, which is relevant to neonatal teams planning for late preterm admissions.

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