Authors :
EL ABASSE ZEINE MD; BAH ALI RIDA MD; ELY CHEIKH TELMOUDI
Volume/Issue :
Volume 5 - 2020, Issue 10 - October
Google Scholar :
http://bitly.ws/9nMw
Scribd :
https://www.scribd.com/document/481375481/High-Blood-Pressure-During-Pregnancy-About-544-Cases
Abstract :
Arterial hypertension and pregnancy is common
and remains a leading cause of maternal and fetal
mortality and morbidity. The aim of this work is to study
the peculiarities of this high-risk pregnancy. This is a
retrospective study of 544 cases of hypertension and
pregnancy collected at the LallaMeryem maternity
hospital Ibn Rochd hospital in Casablanca for a period
of 2 years. The incidence is 9.2%. The average age of
onset was 30 years with an age range of 15 to 45 years.
The primiparous were the most exposed 261 cases
(48%).310 cases (57%) have an unguarded pregnancy.
290 cases (53.3%) had a systolic blood pressure greater
than or equal to 160 mm Hg, and 160 cases (29.4%) had
a diastolic blood pressure ≥ 110 mmHg. The most used
medical conduct was the combination of rest and
antihypertensives. Obstetrical behavior was marked by
the frequency of vaginal deliveries (63.4%). Maternal
complications represent (14.7%) dominated by retroplacental hematoma (5.1%) and eclampsia (3.7%).
Perinatal mortality represents 57 cases (9.9%). The
factors of bad fœto-maternal prognosis are for the fetus:
the low gestational age, the low parity, the non
monitoring of the pregnancy, the massive proteinuria
and the hyperuricemia. For the mother, young maternal
age, primiparity, non-pregnancy status, diastolic blood
pressure ≥ 110 mm Hg, systolic blood pressure ≥ 160 mm
Hg, and massive proteinuria. Careful monitoring of
pregnancies, early diagnosis of high blood pressure and
better management of the mother and child, as well as a
better knowledge of the fetal and maternal prognostic
factors, contribute to the reduction of complications of
arterial hypertension during pregnancy
Arterial hypertension and pregnancy is common
and remains a leading cause of maternal and fetal
mortality and morbidity. The aim of this work is to study
the peculiarities of this high-risk pregnancy. This is a
retrospective study of 544 cases of hypertension and
pregnancy collected at the LallaMeryem maternity
hospital Ibn Rochd hospital in Casablanca for a period
of 2 years. The incidence is 9.2%. The average age of
onset was 30 years with an age range of 15 to 45 years.
The primiparous were the most exposed 261 cases
(48%).310 cases (57%) have an unguarded pregnancy.
290 cases (53.3%) had a systolic blood pressure greater
than or equal to 160 mm Hg, and 160 cases (29.4%) had
a diastolic blood pressure ≥ 110 mmHg. The most used
medical conduct was the combination of rest and
antihypertensives. Obstetrical behavior was marked by
the frequency of vaginal deliveries (63.4%). Maternal
complications represent (14.7%) dominated by retroplacental hematoma (5.1%) and eclampsia (3.7%).
Perinatal mortality represents 57 cases (9.9%). The
factors of bad fœto-maternal prognosis are for the fetus:
the low gestational age, the low parity, the non
monitoring of the pregnancy, the massive proteinuria
and the hyperuricemia. For the mother, young maternal
age, primiparity, non-pregnancy status, diastolic blood
pressure ≥ 110 mm Hg, systolic blood pressure ≥ 160 mm
Hg, and massive proteinuria. Careful monitoring of
pregnancies, early diagnosis of high blood pressure and
better management of the mother and child, as well as a
better knowledge of the fetal and maternal prognostic
factors, contribute to the reduction of complications of
arterial hypertension during pregnancy
