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妊娠高血压:一项基于社区的研究。

Hypertension in Pregnancy: A Community-Based Study.

作者信息

Mehta Bharti, Kumar Vijay, Chawla Sumit, Sachdeva Sandeep, Mahopatra Debjyoti

机构信息

Department of Community Medicine, Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India.

Department of Community Medicine, Maharishi Markendeshwar Medical College (MMMC), Solan, Himachal Pradesh, India.

出版信息

Indian J Community Med. 2015 Oct-Dec;40(4):273-8. doi: 10.4103/0970-0218.164403.

Abstract

BACKGROUND

Hypertensive disorders during pregnancy occur in women with preexisting primary or secondary chronic hypertension, and in women who develop new-onset hypertension in the second half of pregnancy. The present study was undertaken to study the prevalence and correlates of hypertension in pregnancy in a rural block of Haryana.

MATERIALS AND METHODS

This cross-sectional study was carried out in the all 20 subcenters under Community Health Center (CHC) Chiri, Block Lakhanmajra. All the pregnant women registered at the particular subcenter at a point of time of visit were included in the study. Appropriate statistical tests were used for analysis.

RESULTS

A total of 931 pregnant women were included in the present study. Prevalence of hypertension in pregnancy was found to be 6.9%. Maternal age ≥25 years, gestational period ≤20 weeks, history of cesarean section, history of preterm delivery, and history of hypertension in previous pregnancy were found to be significantly associated with prevalence of hypertension in pregnancy.

CONCLUSION

Nearly one in 14 pregnant women in rural areas of Haryana suffers from a hypertensive disorder of pregnancy. Early diagnosis and treatment through regular antenatal checkup is a key factor to prevent hypertensive disorders of pregnancy and its complications.

摘要

背景

妊娠期高血压疾病发生于孕前已患有原发性或继发性慢性高血压的女性,以及在妊娠后半期出现新发高血压的女性。本研究旨在调查哈里亚纳邦一个农村地区妊娠期高血压的患病率及其相关因素。

材料与方法

本横断面研究在拉克汉马杰拉社区卫生中心(CHC)奇里下属的所有20个基层医疗中心开展。在特定基层医疗中心就诊时登记的所有孕妇均纳入本研究。采用适当的统计检验进行分析。

结果

本研究共纳入931名孕妇。妊娠期高血压患病率为6.9%。产妇年龄≥25岁、妊娠期≤20周、剖宫产史、早产史以及既往妊娠高血压史均与妊娠期高血压患病率显著相关。

结论

哈里亚纳邦农村地区近十四分之一的孕妇患有妊娠期高血压疾病。通过定期产前检查进行早期诊断和治疗是预防妊娠期高血压疾病及其并发症的关键因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dbd/4581149/d822f2932c74/IJCM-40-273-g001.jpg

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