Abstract
Hypertensive diseases of pregnancy, mainly PET, consist of several diseases which are associated with increased morbidity and mortality rates both maternal and fetal wise. Its incidence among pregnant females is about 3% - 10%. This study included 500 pregnant PET women, and they categorized to mild and severe forms, after exclusion of cases with essential hypertension, renal disease and SLE. All pregnant ladies underwent history taking, abdominal examination (general and local), obstetric ultrasound, Doppler ultrasound, laboratory investigations; treatment received (antihypertensive medications, magnesium sulphate (MgSO4) and steroids) and finally follow up till delivery. Regarding complications, PET can result in serious fetal/neonatal or maternal complications. By the beginning of this study we started with 380 mild cases and 120 severe cases, but the end of the study 50 cases of mild PET were lost during follow up and 70 cases of mild PET converted into severe form. The aim of this study is to evaluate the management protocols of preeclamptic cases admired to Elshatby maternity hospital to minimize maternal and fetal morbidity and mortality. RESULTS: The results showed that the incidence of PET is significant in both young and old age, higher incidence of IUGR in sever PET, the use of corticosteroids and MgSO4 was significantly higher in sever cases. CONCLUSION: it’s important to diagnose PET by repeated blood pressure measurement. The use of corticosteroids and MgSO4 is improving maternal and fetal outcomes significantly. The incidence of C.S. is higher towards prematurity in sever cases.
Highlights
Pregnancy hypertensive diseases, including PET, can be present in different presentations which increased morbidity and mortality rates both maternal and fetal
By the beginning of this study we started with 380 mild cases and 120 severe cases, but the end of the study 50 cases of mild PET were lost during follow up and 70 cases of mild PET converted into severe form
Description of the studied cases according to IUGR: IUGR is significantly higher in severe cases (Table 4)
Summary
Pregnancy hypertensive diseases, including PET, can be present in different presentations which increased morbidity and mortality rates both maternal and fetal. [1] [2] PET is one of the major causes of maternal fetal deaths worldwide but its less common in developed countries. It is the main cause of maternal ICU admission due to high maternal morbidity [3] [4]. 12% to 25% of fetal IUGR and SGA age infants as well as 15 to 20% of all preterm births are due to PET [3] [5]. Preeclampsia is a main cause of maternal and fetal or neonatal mortality and morbidity [6]. The disorder complicates 5% - 7% of all pregnancies [7]
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