Preeclampsia: Materanl Risk Factors & Perinatal Outcomes

Yıl 2018, Cilt: 6 Sayı: 2, 10 - 15, 31.08.2018

Raid K. Ali , Yusra A. Hussein Jalil Alezzi

https://doi.org/10.21765/pprjournal.467553

Öz

Background:  Pre-eclampsia (PE) is the commonest
hypertensive disorder in pregnancy. Adverse maternal and perinatal outcomes of
pre-eclampsia are representing the big burden on national health system.

Objectives: Is to identify
the maternal risk factors of pre-eclamsia among pregnant women as well as  to find out the maternal and perinatal
outcomes of this problem.

Methods: A prospective follow up study was conducted
in Obstetrics & Gynecology Department (OGD) of Al-Zahraa Maternity and
Pediatric Hospital (ZMPH) in Al-Muqdadia District in Diyala province
from the period 1^st of February
2017 to 31^st of January 2018. The study sample comprised 60 pregnant women with pre-eclampsia and 60 healthy pregnant women as controls. The
diagnosis of PE was established according to American College of Obstetricians
and Gynecologists (ACOG) diagnostic criteria of PE.

Results: Maternal risk factors related
significantly to pre-eclampsia in comparison to controls were increased woman's
age, obesity and primigravidity. There was a highly significant association
between high cesarean section rates and pre-eclamptic women. A significant
association was observed between neonates of pre-eclamptic women and low birth
weight  preterm birth , low Apgar score
at 1 minute . low Apgar score at 5 minutes and admission to neonatal intensive care
unit .  

 Conclusion: The main maternal risk factors for
pre-eclampsia are advanced reproductive age, obesity and primigravidity, while
the common adverse maternal outcome is the cesarean section. The common perinatal outcomes  of PE are low birth weight, prematurity, low
Apgar scores at 1 & 5 minutes and high NICU admission. 

Anahtar Kelimeler

Pre-eclapsia, Obesity, Perinatal outcome

Preeklampsi: Maternal Risk Faktörleri ve Perinatal Sonuçlar

Öz

Amaç: Preeklampsi (PE) gebelikte en sık görülen hipertansif hastalıktır. Preeklampsinin olumsuz maternal ve perinatal sonuçları, ulusal sağlık sistemi üzerindeki büyük yükü temsil etmektedir.Gebelerde preeklampsinin maternal risk faktörlerini belirlemek ve bu problemin maternal ve perinatal sonuçlarını bulmak.

Metodlar: Diyala ili / Irak'ta El-Mukaradia Bölgesi'ndeki Kadın Hastalıkları ve Doğum Kliniği (ZMPH)’de 1 Şubat 2017 - 31 Ocak 2018 tarihleri ​​arasında prospektif bir izlem çalışması yapıldı. Çalışma örnekleminde preeklampsili 60 gebe ve kontrol grubu olarak 60 normal gebe alındı. PE tanısı, Amerikan Kadın Doğum Kliniği ve Jinekologlar Koleji (ACOG) PE tanı kriterlerine göre kondu.

Bulgular: Kontrole kıyasla preeklampsiyle anlamlı derecede ilişkili anne risk faktörleri, kadının yaşı, şişmanlığı ve primigraviditesinde artış idi. Sezaryen doğum oranları ile preeklampsi arasında oldukça anlamlı bir ilişki vardı. Preeklamptik kadınların yenidoğanları ile düşük doğum ağırlıklı erken doğum, 1 dakikada düşük Apgar skoru,  düşük 5 dakika Apgar skoru ve yenidoğan bakım ünitesine yatış arasında anlamlı bir ilişki gözlendi.

  Sonuç: Preeklampsi için ana maternal risk faktörleri ileri derecede üreme yaşı, obezite ve primigravidite iken, ortak ters maternal sonuç sezaryendir. PE'nin sık görülen perinatal sonuçları düşük doğum ağırlığı, prematürite, 1-5 dakikada düşük Apgar skorları ve yüksek NICU kabulüdür.

Anahtar Kelimeler

Preeklampsi, Obezite, Perinatal sonuç, Prematüre

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