Direct versus referred admission to the maternity hospital due to preeclampsia: Does it influence pregnancy outcomes?

International Journal of Gynecology & Obstetrics 2026 Open access

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Authors: Juliana da‐Costa‐Santos, Guilherme F. Borges, Vitor Luiz Reis, Rodolfo Rosa Japecanga, Maykon A. Carvalho, Ana Julia G. Oliveira, Laura Cintra Vinchi, Arthur B.P. Righi, Jussara Mayrink, Fernanda Garanhani de Castro Surita, José Paulo de Siqueira Guida, Renato T. Souza
+2 more José Guilherme Cecatti, Maria Laura Costa
DOI: 10.1002/ijgo.70772
Cited by: 0
References: 23

Abstract

OBJECTIVES: This study describes maternal and perinatal outcomes of women with preeclampsia (PE) according to hospital admission characteristics: referral from lower complexity settings or directly admitted at the reference hospital. METHODS: This is a cross-sectional study considering women with PE who were admitted for childbirth between September 2019 and August 2021, at a Brazilian university hospital. Women were divided into hospitalized at the tertiary center or referred women (from facilities in the region). The main outcome measures were need for magnesium sulfate (proxy for severity), mean gestational age (GA) at childbirth, 5-min Apgar score

Fields of Study & Subjects

Pregnancy and preeclampsia studies Maternal and Neonatal Healthcare Preterm Birth and Chorioamnionitis

Publication details

Journal / source
International Journal of Gynecology & Obstetrics
Volume
173
Issue
3
Pages
1528–1536
Publication date
5 January 2026
Language
EN