Perinatal Consequences of Gestational Hypertensive Disorder

Abstract

Objective: Our aim in this study was to compare the perinatal outcomes of patients with gestational hypertensive disorder in a tertiary health institution of our country. It was aimed to compare the pregnancy outcomes and the relationship of the disease according to the clinical weights of these patients. Methods: In this study, 451 patients diagnosed with gestational hypertensive disorder and 122 control patients were evaluated retrospectively in Mersin University Obstetrics and Gynecology Clinic between 2010-2018. The patients were subdivided according to their diagnosis as hypertensive. The patients were averaged according to the age birth weeks. Additional disorders related to pregnancy were recorded in patients diagnosed with gestational hypertensive disorder. Multiple pregnancies were not listed, the control group was taken from maid pregnancies over 37 weeks. In the study, all groups were compared with the control group. P <0.05 was accepted as statistically significant Results: When the demographic characteristics of the patients are examined, it was observed that mothers with chronic hypertension and gestational hypertension were in older ages; eclampsia was observed in younger patients. It was found that patients with severe preeclampsia, eclampsia and hellp, whose disease severity increased, had earlier births and had lower birth weight. When the perinatal results of the patients are compared, just like fetal weight; As disease severity increased, intrauterine growth retardation (IUGR) increased. Only in gestational hypertensive patients, unlike fetal weight, 52% of patients were diagnosed with IUGR. Likewise, in gestational hypertensive disorder groups where disease severity increased, excessive low birth weight (LBW) fetus and delivery rate below 34 weeks were increased. Conclusions: In our hospital, which is a tertiary health institution, gestational hypertensive disorder insi dance was found to be 6%. In our study, preeclampsia was the most common group in 69% of gestational hypertensive disorder. It was observed that pregnant women with chronic hypertension were older, and eclamptic pregnant women were younger. As the severity of the disease increased, the rates of co-morbidity (such as IUGR) increased and the patients were delivered in earlier weeks. As the severity of the disease increased, the rate of very low birth weight infant increased proportionally due to preterm delivery and IUGR.

Keywords: Gestational hypertensive disorder, Preeclampsia, perinatal outcomes

DOI: 10.7176/JSTR/6-05-01