Pregnancy-induced hypertension and the neonatal outcome

Chaim, Solange Regina Perfetto; Oliveira, Sonia Maria Junqueira Vasconcellos de; Kimura, Amélia Fumiko

doi:10.1590/s0103-21002008000100008

Cited by 32 publications

(31 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Similarly in the study of Hussein et al (1998), majority of participants who were diagnosed with hypertension associated with pregnancy were between 25 to 29 years old. Also, similar findings were drawn by Wolde et al (2011) and Chaim et al (2008), indicating more than one-half of their study population at ages of 25 to 34 years old diagnosed with hypertension disease of pregnancy. Although American Heart Association cited that less than 20 years old and over 40 years old are at risk for acquiring hypertension-related pregnancy, the in-between ages are childbearing ages so there could be higher incidence of possible hypertension associated with pregnancy.…”

Section: Discussionsupporting

confidence: 89%

Fetomaternal outcomes of hospitalized hypertensive gravida in Shaqra General Hospital: a retrospective study

Abalos

Ellasus

Gutiérrez

2015

IJANS

View full text Add to dashboard Cite

Background: Elevation of blood pressure during pregnancy can adversely affect both fetal and maternal outcomes. Other maternal and fetal complications may also arise which may result to maternal and fetal mortality. Objective: This study aimed to determine the fetal and maternal outcomes of hospitalized pregnant clients with hypertension. Methods: This 6-year retrospective research design was carried out in Shaqra General Hospital between January 2008 and November 2013. Following approval by the hospital research ethics committee and hospital administrators, hospital records were reviewed and examined using guide checklist. Universal sampling was applied totaling to 56 evaluable cases of pregnant women with hypertension. Results: Of 56 cases studied, year 2008 to 2013 had the most frequency of hypertensive mothers. Most women are in middle adulthood stage with age 25 years old and above, had more than one pregnancy (multigravida) and more than one viable pregnancy (multipara). Fetal outcome resulted to high number of babies who were term, appropriate for gestational age, with good Apgar score, no birth defect but high frequency of neonatal intensive care unit (NICU) admissions. Maternal outcome recorded no maternal deaths; however, 4% maternal complications (i.e., post-partum hemorrhage and HELLP syndrome) and more caesarean section deliveries were observed. Conclusion: Good Apgar score and absence of birth defects is associated with higher frequency of roomed-in babies and less NICU admissions. There were lesser complications to mothers who had more than one pregnancy. There were more NICU admissions from caesarean section deliveries.

show abstract

Section: Discussionsupporting

confidence: 89%

Fetomaternal outcomes of hospitalized hypertensive gravida in Shaqra General Hospital: a retrospective study

Abalos

Ellasus

Gutiérrez

2015

IJANS

View full text Add to dashboard Cite

show abstract

“…Corroborando esse resultado, alguns autores, ao analisarem 5.602 prontuários em um hospital de São Paulo, evidenciaram a prematuridade como sendo uma das principais repercussões perinatais de gestantes com DHEG, aumentando a taxa de morbidade e mortalidade perinatal, com possibilidade de sequelas imediatas ou tardias. 18 Gestantes com SH grave apresentam risco aumentado para parto prematuro, recém-nascido com baixo peso ao nascer, recém-nascido pequeno para idade gestacional, admissão em UTI neonatal, mortalidade neonatal e/ou natimortalidade, provavelmente pelo agravamento da hipertensão e/ou pela interrupção da gravidez. 19 Quanto ao baixo peso ao nascer, estudos relatam que mães com DHEG tiveram 2,6 vezes mais chances de darem à luz bebês com baixo peso.…”

Section: Discussionunclassified

Hypertensive Syndrome and Perinatal Outcomes in High-Risk Pregnancies

Antunes¹,

Demitto²,

Gravena³

et al. 2017

REME: Revista Mineira De Enfermagem

View full text Add to dashboard Cite

RESUMOEsta pesquisa teve como objetivo analisar os resultados perinatais de gestantes de alto risco com síndrome hipertensiva. Estudo transversal, de base documental, com 920 prontuários de gestantes de um ambulatório de alto risco. A variável independente foi a síndrome hipertensiva, considerando a hipertensão arterial como condições preexistentes, pré-eclâmpsia como antecedente obstétrico e doença hipertensiva específica da gestação (DHEG) como intercorrência clínica. As variáveis dependentes foram prematuridade, baixo peso ao nascer, Apgar inferior a sete no 1° e 5° minutos, morte fetal, morte infantil, parto normal e parto cesáreo. Para analisar a associação entre as variáveis, utilizou-se o teste qui-quadrado e comparou-se o risco relativo no intervalo de confiança (IC) a 95%. Da amostra estudada, 25,32% apresentaram síndrome hipertensiva; 14,36% foram classificadas com hipertensão arterial (grupo 1), 6,73% com pré-eclâmpsia (grupo 2); 4,02% apresentaram DHEG (grupo 3); e 30,65% eram normotensas (grupo 4). No grupo 1 constatou-se risco elevado para morte fetal e o parto normal foi fator de proteção. No grupo 2 verificou-se risco elevado para parto cesáreo. No grupo 3, constituiu risco elevado para prematuridade e baixo peso ao nascer. Os três grupos apresentaram risco elevado para Apgar baixo no 1º e 5º minuto. As síndromes hipertensivas na gestação relacionaram-se a resultados perinatais desfavoráveis, evidenciando a necessidade de cuidados especializados à gestante, por meio de um pré-natal especializado e de qualidade. Palavras-chave: Saúde Materno-Infantil; Complicações na Gravidez; Gravidez de Alto Risco; Hipertensão. ABSTR ACT This study aimed to analyze the perinatal outcomes of high risk pregnancies of women with hypertensive syndrome. It was a cross-sectional study, with a documental basis, with 920 records of pregnant women from a high-risk outpatient clinic. The independent variable was hypertensive syndrome, considering arterial hypertension as pre-existing conditions, pre-eclampsia as obstetric antecedents and heart disease of pregnancy (HDP) as clinical complications. The dependent variables were prematurity, low birth weight, Apgar score below than seven in the 1st and 5th minutes of life, fetal death, infant death, normal delivery and cesarean delivery. To analyze the association between the variables, the Chi-square test was used and Relative Risk was compared in the 95% confidence interval (CI

show abstract

“…1 The incidence in primigravidae is about 10% and in multigravidae about 5%. 4 Pregnancy induced hypertension increases cardiopulmonary morbidity and has a higher prevalence of myocardial contraction band necrosis at autopsy suggesting that pre-eclampsia may be associated with potentially significant myocardial damage.…”

Section: …………………………………………………………………………………………………… Introduction:-mentioning

confidence: 99%