Department of Obstetrics and Gynecology, Peking University First Hospital Ningxia Women and Children's Hospital (Ningxia Hui Autonomous Region Maternal and Child Health Hospital), Yinchuan, PR. China.
Department of Obstetrics and Gynecology, Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, PR. China.
Hypertens Pregnancy. 2023 Dec;42(1):2234490. doi: 10.1080/10641955.2023.2234490.
Hypertensive disorders in pregnancy (HDPs) are the leading causes of maternal and perinatal death worldwide, and appropriate prenatal care is beneficial toward improve pregnancy outcomes in populations at high risk of preeclampsia.
To describe variations in regional manifestations and outcomes of HDPs among the Chinese population to aid in the development of region-specific perinatal management guidelines.
This is a retrospective study. The clinical data of patients with HDP in 3 different regions were collected to explore the characteristics of HDP patients in different regions of China.
In Peking University First Hospital, a regional rescue center for prenatal care and delivery, the proportion of patients with high-risk factors for PE was considerably high; 37.8% were of advanced maternal age, and 14.7% were obese. Among the patients, at this hospital, the proportion of comorbidities (e.g., chronic hypertension) in HDP patients was higher than that in the other 2 specialized maternal and child health care hospitals.
Targeted prenatal care procedures should be established based on regional characteristics to improve the quality of perinatal health care and reduce the incidence of HDP. [Figure: see text].
妊娠高血压疾病（HDPs）是全球孕产妇和围产儿死亡的主要原因，适当的产前保健有利于改善子痫前期高危人群的妊娠结局。
描述中国人群中 HDP 的区域性表现和结局差异，以帮助制定针对特定区域的围产期管理指南。
这是一项回顾性研究。收集了 3 个不同地区 HDP 患者的临床资料，以探讨中国不同地区 HDP 患者的特点。
在北京大学第一医院（产前保健和分娩的区域性抢救中心），PE 高危因素患者的比例相当高；37.8%的患者年龄较大，14.7%的患者肥胖。在该院，HDP 患者的合并症（如慢性高血压）比例高于其他 2 家专门的妇幼保健医院。
应根据区域性特点制定有针对性的产前保健程序，以提高围产保健质量，降低 HDP 的发生率。[图：见正文]。
