Preeklampsja – choroba kobiet w ciąży

Filipek, Anna; Jurewicz, Ewelina

doi:10.18388/pb.2018_146

Cited by 75 publications

(33 citation statements)

References 61 publications

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“…Preeclampsia (PE) is one of the most severe complications of pregnancy and remains a principal cause of maternal-fetal mortality and morbidity worldwide. The prevalence of the disease is estimated at 3-5% of all pregnant women, representing the most frequent medical complication during pregnancy [1].…”

Section: Introductionmentioning

confidence: 99%

Uterine Artery Doppler Ultrasonography for First Trimester Prediction of Preeclampsia in Individuals at Risk from Low-Resource Settings

et al. 2020

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Background and objectives: The objective of this study was to evaluate the potential of first trimester uterine artery Doppler ultrasonography for the early prediction of preeclampsia (PE), in at-risk pregnant women. Materials and Methods: This was a prospective longitudinal study, including 120 Caucasian pregnant women with risk factors for PE. The potential of pulsatility indexes (PI) and notch was assessed as a tool for preeclampsia screening. Results: Doppler examination of the uterine artery performed early at 11–14 WA allows the detection of pregnancies that will develop PE with a sensitivity of 61.5% and a specificity of 63.8% based on PI analysis. Predictive power increases slightly by adding bilateral notch (sensitivity = 65.4%; specificity = 66%). Conclusions: Uterine artery Doppler examination is an effective non-invasive screening test for the development of PE in pregnancies at risk, particularly appropriate in health systems with limited means of evaluating other biomarkers.

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Section: Introductionmentioning

confidence: 99%

Uterine Artery Doppler Ultrasonography for First Trimester Prediction of Preeclampsia in Individuals at Risk from Low-Resource Settings

et al. 2020

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“…Some women can develop HELPP syndrome which is characterised by haemolysis, elevated liver enzymes and low platelet count. Moreover co-existing signs and symptoms are hypertension, proteinuria and peripheral oedema [16]. Hypertension is defined as a systolic blood pressure of ≥ 140 mm Hg and/or diastolic blood pressure of ≥ 90 mm Hg in two separate measurements at least 4h apart.…”

Section: Symptomsmentioning

confidence: 99%

Preeclampsia – long-term effects on mother and child

Wieteska

Maj

Gorecka

et al. 2021

J Educ Health Sport

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Preeclampsia (PE) is a pregnancy complication that affects 5% to 8% of all pregnancies. It is a leading cause of maternal mortality that contributes annually more than 60,000 maternal deaths all over the world. Data submitted so far by clinicians are still insufficient to completely understand the disease. Despite many researches, the prediction of patients suffering from PE remains difficult. Moreover therapeutic methods are also limited and concentrated on symptomatic treatment and early termination of pregnancy. The aim of the presented article is to review current research on the PE and its long-term effects on mother and child. PE is defined as a hypertension developing after 20 weeks of gestation with at least one of the following symptoms: proteinuria, maternal organ dysfunction or foetal growth restriction. Because initially patients may be completely asymptomatic, the diagnosis is usually difficult. Untreated PE may lead to the death of both mother and neonate. In later life it predisposes woman and child to cardiovascular and metabolic diseases. Maternal consequences are related to increased risk of hypertension, stroke, thrombosis or chronic kidney disease, whilst offspring implications are directly correlated with hypertension, increased body mass index, hormonal changes and reductions in cognitive functions. In the future there is a need to develop more effective diagnostic methods of PE. Comprehensive understanding of the pathophysiology would allow to avoid many negative long-term effects and reduce its mortality rate.

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“…Przyszła matka obawia się przedwczesnego porodu, poronienia, jej sytuacja może być odczuwana jako trudna i może objawiać się smutkiem i przygnębieniem, a nawet depresją. W literaturze wskazuje się, że następujące powikłania ciąży zwiększają ryzyko wystąpienia depresji poporodowej: wcześniactwo, nadciśnienie tętnicze, stan przedrzucawkowy kobiety w ciąży oraz cukrzyca ciążowa [28,33,34]. Z badań przeprowadzonych przez Iracką i wsp.…”

Section: Materiał I Metodaunclassified

Assessment of the incidence of postpartum depression in the first week of confinement

Niegowska¹,

Kobos²

2019

Med Og Nauk Zdr.

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StreszczenieWprowadzenie i cel pracy. Częstość występowania depresji poporodowej na całym świecie waha się od 0,5 do 60,8%. W Polsce wprowadzono nowe normy opieki, według których należy trzykrotnie ocenić stan psychiczny położnicy pod kątem depresji. Celem pracy była ocena częstotliwości występowania depresji poporodowej u kobiet w pierwszym tygodniu połogu oraz określenie czynników mogących predysponować do jej wystąpienia. Materiał i metoda. Badaniem objęto 300 kobiet przebywających w oddziale położniczym między 1. a 7. dobą po porodzie. Do zebrania materiału badawczego wykorzystano Edynburską Skalę Depresji Poporodowej. Hipotezy statystyczne weryfikowano przy użyciu testu U Manna-Whitneya, testu Kruskala-Wallisa oraz testu chi². Wyniki. Badania wykazały, że 35% kobiet uzyskało w skali depresji poporodowej 12 pkt i więcej. Czynniki socjodemograficzne, takie jak wiek, stan cywilny, poziom wykształcenia, status zawodowy, miejsce zamieszkania i sytuacja materialna badanych, nie różnicowały ryzyka wystąpienia depresji poporodowej w badanej grupie. Położnice, których ciąża przebiegała z komplikacjami (M = 10,91) oraz u których w przeszłości występowały zaburzenia psychiczne (M = 12,51), wykazywały istotnie wyższe wartości w skali depresji poporodowej. Liczba porodów, przebieg porodu, doba po porodzie oraz obecność cukrzycy w czasie ciąży nie różnicowały w badanej grupie ryzyka wystąpienia depresji poporodowej. Wnioski. 1. Co trzecia kobieta w pierwszym tygodniu połogu wykazuje wysoki wskaźnik depresji poporodowej. 2. Położnice wykazujące w wywiadzie zaburzenia psychiczne w przeszłości w dalszym okresie połogu wymagają uwagi pielęgniarek i położnych. 3. Kobiety, których ciąża przebiega z komplikacjami, powinny być obserwowane pod kątem depresji już w okresie ciąży i po porodzie. AbstractIntroduction. The incidence of postpartum depression varies from 0.5% -60.8% worldwide. In Poland, new standards of care have been introduced, according to which the mental state of the women in confinement should be assessed three times.Objective. The aim of the study was to assess the frequency of postpartum depression in the first week of puerperium and to identify the factors that may predispose to it. Materials and Method: The study included 300 women staying at the maternity ward between days 1-7 after delivery. The Edinburgh Postnatal Depression Scale (EPDS) was used to collect the research material. Statistical hypotheses were verified using the Mann-Whitney U test, Kruskal-Wallis test and chi-square test. Results: The research showed that 35% of women scored 12 points or more on the postnatal depression scale. Sociodemographic factors, such as age, marital status, education, professional status, place of residence and material situations, did not differentiate the risk of postpartum depression in the research group. The women in confinement with pregnancy complications (M=10.91) and prior mental health disorders (M=12.51) showed significantly higher values on the postpartum depression scale. Moreover, the risk of postpartum d...

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Preeklampsja – choroba kobiet w ciąży

Cited by 75 publications

References 61 publications

Uterine Artery Doppler Ultrasonography for First Trimester Prediction of Preeclampsia in Individuals at Risk from Low-Resource Settings

Uterine Artery Doppler Ultrasonography for First Trimester Prediction of Preeclampsia in Individuals at Risk from Low-Resource Settings

Preeclampsia – long-term effects on mother and child

Assessment of the incidence of postpartum depression in the first week of confinement

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