在一家三级保健中心妇产科住院的孕妇中先兆子痫的情况。

Pre-eclampsia among Pregnant Women Admitted to the Department of Obstetrics and Gynaecology of a Tertiary Care Centre.

机构信息

Department of Clinical Physiology, Maharajgunj Medical Campus, Maharajgunj, Kathmandu, Nepal.

Department of Gynecology and Obstetrics, Maharajgunj Medical Campus, Maharajgunj, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2023 Nov 1;61(267):840-843. doi: 10.31729/jnma.8265.

DOI:10.31729/jnma.8265

PMID:38289744

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10725235/

Abstract

INTRODUCTION

Pre-eclampsia is a pregnancy-related hypertensive disorder with maternal and neonatal complications. Many studies are done regarding the prevalence of pre-eclampsia in Nepal but ascertaining the maternal risk factors and fetal outcomes are important. The aim of this study was to find out the prevalence of pre-eclampsia among pregnant women admitted to the Department of Obstetrics and Gynaecology of a tertiary care centre.

METHODS

A descriptive cross-sectional study was conducted among pregnant women admitted to the Department of Obstetrics and Gynaecology of a tertiary care hospital from 13 July 2023 to 29 September 2023 after obtaining ethical approval from the Institutional Review Committee. Convenience sampling method was used. Point estimate was calculated at a 95% Confidence Interval.

RESULTS

Among 5065 patient, pre-eclampsia was seen in 44 (0.87%) (0.61-1.13, 95% Confidence Interval). A total of 16 (36.36%) cases of pre-eclampsia were in the age group 25-29 years and 30 (68.18%) of them were nulliparous. A total of 38 (86.36%) of the newborns of the pre-eclamptic cases had low birth weight. The APGAR score of newborns at the 1 minute after birth was 26 (59.09%) followed by the newborns who needed re-evaluation 16 (36.36%). The APGAR score recorded at 5 minutes showed maximum newborns with normal APGAR score 40 (90.90%).

CONCLUSIONS

The prevalence of pre-eclampsia among pregnant women was found to be lower than other studies done in similar settings.

KEYWORDS

maternity; Nepal; pre-eclampsia; prevalence.

摘要

简介

子痫前期是一种与妊娠相关的高血压疾病，可导致母婴并发症。尼泊尔有许多关于子痫前期患病率的研究，但确定母体危险因素和胎儿结局很重要。本研究旨在确定在一家三级保健中心的妇产科就诊的孕妇中子痫前期的患病率。

方法

在获得机构审查委员会的伦理批准后，于 2023 年 7 月 13 日至 9 月 29 日期间，对一家三级医院妇产科就诊的孕妇进行了一项描述性横断面研究。使用便利抽样方法。点估计值在 95%置信区间内计算。

结果

在 5065 名患者中，44 名（0.87%）（0.61-1.13，95%置信区间）患有子痫前期。共有 16 例（36.36%）子痫前期患者年龄在 25-29 岁之间，其中 30 例（68.18%）为初产妇。子痫前期患者的新生儿中，共有 38 例（86.36%）体重偏低。新生儿出生后 1 分钟时的 APGAR 评分为 26（59.09%），其次是需要重新评估的新生儿 16 例（36.36%）。在第 5 分钟记录的 APGAR 评分中，有 40 例（90.90%）新生儿的 APGAR 评分正常。