The outcome of hypertensive disorders with pregnancy.
retrospective_cohort · Level III
Where this comes from
- Record sourced from PubMed, PMID 32509671.
- Also identified by DOI 10.4103/jfmpc.jfmpc_1054_19 and PMC identifier 7266187.
- Licence recorded as CC BY-NC-SA.
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Abstract
Hypertensive disorders (HTDs) with pregnancy remain a major health problem because of the associated adverse maternal and perinatal adverse outcomes. To evaluate the outcomes of HTDs with pregnancy. Four hundred and five (405) hypertensive women included in this retrospective multicenter study. Data of the studied women including maternal age, parity, gestational age at delivery, pregnancy outcome [preterm delivery (PTD), birth weight (LBW), Apgar scores, neonatal intensive care unit admission (NICU), intrauterine fetal death (IUFD), intrapartum and/or early neonatal deaths] were collected. Collected data analyzed statistically to evaluate the outcome of HTDs with pregnancy. Preeclampsia (PE)/superimposed PE group had significantly high relative risk (RR) and Odds ratio (OR) for PTD (RR 2.1; OR; 3.3; <i>P</i> = 0.0001 and <i>P</i> = 0.0001, respectively), LBW (RR 2.01; OR; 3.17; <i>P</i> = 0.0001 and <i>P</i> = 0.0001, respectively), and low Apgar score at 1<sup>st</sup> min (RR 1.7; OR 1.9; <i>P</i> = 0.01 and 0.01, respectively) and at 5<sup>th</sup> min (RR 2.2; OR; 2.36; <i>P</i> = 0.2 and 0.2; respectively). In addition, PE/superimposed PE group had significantly high RR and OR for NICU admission (RR 1.6; OR 2.2; <i>P</i> < 0.0002 and <i>P</i> < 0.0001, respectively) and IUFD (RR 2.9; OR 3.1; <i>P</i> = 0.01 and 0.01, respectively). women with PE/superimposed PE have high RR and OR for PTD, LBW, and low Apgar score at 1<sup>st</sup> and 5<sup>th</sup> min, NICU, and IUFD compared to the gestational and chronic hypertension with pregnancy.