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May 22, 2026Open Access

Clinical Characteristic and Maternal-Perinatal Outcome of Early-Onset vs Late-Onset Preeclampsia: A Systematic Review

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Key result

Early-onset preeclampsia is linked to substantially more lethal maternal and perinatal complications versus late-onset preeclampsia.

Why the study?

This review evaluated the clinical significance of distinct pathophysiological differences between early-onset and late-onset preeclampsia on pregnancy outcomes.

Does early-onset preeclampsia compared to late-onset preeclampsia worsen maternal and perinatal outcomes in pregnant women?

Population

Patients in 12 primary observational studies

Comparison

Early-onset preeclampsia (<34 weeks) vs late-onset preeclampsia (>=34 weeks)

Design

Systematic review of 12 primary observational studies

Authors

NSNyoman Gede Dikawijaya SatriawanIJI Kadek Ade JuniantaraGWGede Resha Wisadianta

Discussion

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Overview

Supports differentiated surveillance and delivery timing for EO-PE; confirms distinct placental versus cardiometabolic pathways guiding subtype-specific trials.

Key Points

  • This review evaluates the clinical significance of differences between early-onset and late-onset preeclampsia on maternal and perinatal outcomes.
  • Systematic review of 12 primary observational studies
  • Comparison of maternal and perinatal outcomes in early-onset and late-onset preeclampsia
  • Focus on clinical profiles and complications associated with each type
  • Early-onset preeclampsia patients had significantly lower gestational ages at delivery and mean birth weights due to more urgent deliveries.
  • Higher incidence of severe maternal complications like HELLP syndrome and placental abruption in EO-PE group.
  • Increased perinatal morbidities including extreme prematurity and fetal growth restriction in EO-PE infants, with a high need for NICU admission.

Study Design

Type

Systematic Review

Structured PICO

Does early-onset preeclampsia compared to late-onset preeclampsia worsen maternal and perinatal outcomes in pregnant women?

P
Population
Pregnant women with preeclampsia (pooled from 12 primary observational studies)
I
Intervention
Early-Onset Preeclampsia (EO-PE, <34 weeks)
C
Comparator
Late-Onset Preeclampsia (LO-PE, ≥34 weeks)
O
Outcome
Severity of maternal and perinatal outcomeshard clinical

Early-onset preeclampsia presents a substantially more lethal spectrum of maternal and perinatal complications compared to late-onset preeclampsia, underscoring the need for early detection and specific risk stratification.

Cite This Study

Satriawan et al. (2026) conducted a systematic review in Preeclampsia. Early-Onset Preeclampsia vs. Late-Onset Preeclampsia was evaluated on Severity of maternal and perinatal outcomes. Early-onset preeclampsia (<34 weeks) presents a substantially more lethal spectrum of maternal and perinatal complications compared to late-onset preeclampsia (≥34 weeks).

synapsesocial.com/papers/6a0ff3d9d674f7c03778cc02https://doi.org/10.5281/zenodo.20305715
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Late vs. Early Preeclampsia2025
  2. 2A study to compare maternal and perinatal outcome in early vs. late onset preeclampsia2020 · 64 citations
  3. 3Timing matters: Unveiling the distinct effects of early vs late onset pre-eclampsia on mothers and newborns in a tertiary hospital in Bangladesh2025
  4. 4MATERNALAND NEONATAL OUTCOMES OF EARLY-ONSET AND LATE-ONSET PRE-ECLAMPSIA IN A RURAL HOSPITAL: A RETROSPECTIVE COHORT STUDY2025
  5. 5Placental Age-mismatch in Early- and Late-Onset Pre-eclampsia: A Systematic Review of Multi-omics Evidence2026 · 1 citations