Croatian Society of Gynaecology and Obstetrics, and Croatian Society of Perinatal Medicine of Croatian Medical Association
Abstract
Utjecaj antepartalnih, intrapartalnih i ranih neonatalnih faktora rizika značajan je za tijek i ishod trudnoće, rani neonatalni period i kasniji razvoj djeteta. Cilj rada je detekcija rizičnih trudnica u kojih bi tijekom trudnoće moglo doći do razvoja hipertenzije. Ispitano je 67 hipertenzivnih i 129 normotenzivnih trudnica. Osim ostalih rutinskih pretraga, naglasak je stavljen na vrijednosti krvnog tlaka, analize krvi i urina te na vrijednosti tjelesne mase. Prosječna starost trudnica bila je 25.73±5.77 god. Istraživanje je pokazalo da je trudnoćom izazvana hipertenzija najčešće zastupljena u mladih primipara i starijih multipara. Kućanice, nepismene i žene s osnovnim obrazovanjem su najrizičnije. Razvoj i manifestacija PIH najviše se očekuje u trudnica s ponovljenim urinarnim infekcijama i/ili povećanom tjelesnom masom. U predikciji PIH naročito je značajno redovito mjerenje krvnog tlaka: statistička analiza podataka pokazala je značajnu razliku između skupina hipertenzivnih i normotenzivnih trudnica, čak i prije patološkog povećanja sistoličkog i dijastoločkog tlaka, koje se obično događalo u razdoblju od 33–35 tjedna trudnoće.The influence of antepartal, intrapartal and early neonatal risk factors are important for pregnancy outcome, the early neonatal period and the forthcoming children development. Our aim is to detect the risk groups of pregnant women who later develop Pregnancy Induced Hypertension (PIH) and the risk factors that precede its appearance as well. The 67 preeclamptic and 129 normotensive pregnancies were examined. The patients had a monthly blood pressure check and regular analysis of blood and urine. Average age was 25.73±5.77 years. Preeclampsia or Pregnancy Induced Hypertension (PIH) is most frequently appearing in young primiparas and adult multiparas. The housewife’s, illiterate women and women with only primary education are the most risky groups. The development of PIH is preceded by recurrent urine infections and/or obesities. In the prediction of PIH the measurement of BP is essential: the statistical elaboration of data showed significant differences between hypertensive and normotensive groups even before pathological increase of systolic and diastolic pressure, which usually happened in a period of 33–35 week of pregnancy
