• Clinical and statistical features of prevalence of pregnancy and sickness in women with chronic arterial hypertension
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Clinical and statistical features of prevalence of pregnancy and sickness in women with chronic arterial hypertension

HEALTH OF WOMAN. 2017.10(126):92–95; doi 10.15574/HW.2017.126.92

Mushak N. I.
SHEE «Uzhgorod national University»

The objective: the establishment of features of the gestational process, delivery and the state of newborns in patients with chronic arterial hypertension (CAG) under conditions of endemic iodine deficiency.
Materials and methods. In order to determine the frequency of various pregnancy pathologies in women with CAG in the anamnesis, to identify clinical parallels during pregnancy and childbirth of various pathogenetic groups, and to predict the course of pregnancy and childbirth, these patients had a retrospective clinical and statistical analysis of pregnancy and childbirth for the last 6 years (2011-2016) in 236 pregnant women with CAG who gave birth in the city maternity hospital in Uzhhorod.
The received data were processed by statistical method using the computer program Microsoft Excel.
Results. The course of pregnancy and childbirth on the background of the CAG was complicated by the threat of abortion, the development of pre-eclampsia, chronic placental insufficiency, fetal distress, untimely outpouring of amniotic fluid, which led to a high rate of delivery by caesarean section, the use of obstetric forceps, episiotopic and perineotomies. A large percentage of birth trauma and unsatisfactory state of the fetus at birth was noted.
Conclusion. The commonly used treatment and prophylactic measures are not effective enough, which is a convincing basis for developing a new approach to reducing the frequency of obstetric and perinatal complications in women with chronic arterial hypertension, and their prevention is an actual problem of modern midwifery.
Key words: structure of morbidity, chronic arterial hypertension, obstetric and perinatal complications.

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