EVALUATE RESULTS OF MANAGEMENT IN HYPERTENSIVE DISORDERS OF PREGNANCY FROM THE SECOND TRIMESTER AT SOC TRANG PEDIATRIC OBSTETRICS HOSPITAL IN 2020-2021
Main Article Content
Abstract
Background: Hypertensive disorders of pregnancy (HDPs) is one of the main causes of maternal and perinatal morbidity and mortality, is still a difficult problem to solve and not preventable. Good prenatal management, early diagnosis and prompt treatment of pregnancyinduced hypertension have important significations to prevent severe maternal and newborn complications. Objectives: Assess the results of management and pregnancy outcome in hypertensive disorders of pregnancy from the second trimester at Soc Trang Pediatrics Obstetrics Hospital in 2020-2021. Materials and methods: An interventional cross-sectional study on 50 hypertensive disorders of pregnancy Soc Trang Pediatric Obstetrics Hospital. Results: Cases of managed hypertensive disorders of pregnancy include: 66% gestational hypertension, 14% preeclampsia, 12% chronic hypertension and 8% pre-eclampsia superimposed on chronic hypertension. Women with pregnancy-induced hypertension were born babies at onterm pregnancy from 37 weeds gestational age are 82%. Good blood pressure control accounts for 80%. Maternal outcome is 22% with: 22% severe elevated blood pressure, 10% intrauterine growth restriction and the other morbidities: HELLP syndrome (2%), pulmonary edema (4%), impaired liver function (2%) or abruption placenta (2%). The adverse perinatal outcome includes: 18% of preterm delivery, 2% of birth asphyxia, 14% of admission to neonatal intensive care unit, 2% of perinatal death. Health assessment of maternity and newborn up to the first 6 weeks postpartum, there are 90% of blood pressure returns to normal and 98% of children are in good heath. Conclusion: Prenatal management for hypertensive disorders of pregnancy can control blood pressure well, maintain gestational age to onterm pregnancy (37 weeds), severe managing maternal and perinatal complications are associated the severity of HDPs.
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Keywords
Hypertensive disorders of pregnancy (HDPs), Risk factors, Prenatal management
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