Knutzen V K, Davey D A
S Afr Med J. 1977 May 7;51(19):675-9.
The effect of various forms of hypertension on perinatal mortality has been investigated. Non-essential, non-proteinuric hypertension had relatively little effect on perinatal mortality, whereas essential and proteinuric forms of hypertension had a marked influence. Diastolic blood pressures of less than 110 mmHg did not influence perinatal mortality. Fetal loss from hypertensive disease was largely accounted for by fetoplacental inadequacy, accidental haemorrhage and preterm delivery. Management more suited to individual needs and induction of labour, once biological and lung maturity has been achieved, is advocated.
已经对各种形式的高血压对围产期死亡率的影响进行了调查。非原发性、非蛋白尿性高血压对围产期死亡率的影响相对较小，而原发性和蛋白尿性高血压形式则有显著影响。舒张压低于110 mmHg对围产期死亡率没有影响。高血压疾病导致的胎儿丢失主要是由胎盘功能不全、意外出血和早产造成的。提倡一旦胎儿生物学和肺成熟，采用更适合个体需求的管理方法和引产。
