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巴基斯坦苏库尔一家三级护理医院妊娠相关高血压疾病的母婴结局

Maternal and Fetal Outcomes of Pregnancy-related Hypertensive Disorders in a Tertiary Care Hospital in Sukkur, Pakistan.

作者信息

Un Nisa Shoaib, Shaikh Altaf A, Kumar Raj

机构信息

Obstetrics and Gynecology, Ghulam Muhammad Mahar Medical College and Hospital, Sukkur, PAK.

Internal Medicine, Ghulam Muhammad Mahar Medical College and Hospital, Sukkur, PAK.

出版信息

Cureus. 2019 Aug 28;11(8):e5507. doi: 10.7759/cureus.5507.

Abstract

Introduction Pregnancy-related hypertensive disorders are a significant cause of adverse maternal and fetal outcomes, especially in developing areas of the world. Preeclampsia and eclampsia are the most significant causes of maternal and perinatal morbidity and mortality. Methods We conducted a prospective observational study in the Obstetrics and Gynaecology Department of Ghulam Muhammad Meher Medical College and Hospital. One hundred twelve (n=112) women with pregnancy-related hypertensive disorders admitted for delivery were included in the study. Results The major pregnancy-related hypertensive disorder was eclampsia (n=48; 43.24%) and preeclampsia (n=28; 25.23%). Among the women who developed one or more complications during or after delivery, postpartum hemorrhage (PPH) was the most frequent (n=31; 27.6%). Conclusions Pregnancy-related hypertensive disorders are common and adversely impact maternal and fetal outcomes. Efforts should be made at both the community and hospital levels to increase awareness regarding hypertensive disorder of pregnancy and reduce its associated morbidity and mortality.

摘要

引言

妊娠相关高血压疾病是孕产妇和胎儿不良结局的重要原因,尤其是在世界上的发展中地区。子痫前期和子痫是孕产妇及围产期发病和死亡的最主要原因。方法:我们在古拉姆·穆罕默德·梅赫尔医学院及医院妇产科进行了一项前瞻性观察研究。该研究纳入了112名因妊娠相关高血压疾病入院分娩的女性。结果:主要的妊娠相关高血压疾病是子痫(n = 48;43.24%)和子痫前期(n = 28;25.23%)。在分娩期间或之后出现一种或多种并发症的女性中,产后出血(PPH)最为常见(n = 31;27.6%)。结论:妊娠相关高血压疾病很常见,对孕产妇和胎儿结局有不利影响。应在社区和医院层面做出努力,以提高对妊娠高血压疾病的认识,并降低其相关的发病率和死亡率。

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