Preeklampsi: Maternal Risk Faktörleri ve Perinatal Sonuçlar

Abstract

Background: Pre-eclampsia (PE) is the commonest hypertensive disorder in pregnancy. Adverse maternal and perinatal outcomes of pre-eclampsia are representing the big burden on national health system. Objectives: Is to identify the maternal risk factors of pre-eclamsia among pregnant women as well as to find out the maternal and perinatal outcomes of this problem. Methods: A prospective follow up study was conducted in Obstetrics & Gynecology Department (OGD) of Al-Zahraa Maternity and Pediatric Hospital (ZMPH) in Al-Muqdadia District in Diyala province from the period 1st of February 2017 to 31st of January 2018. The study sample comprised 60 pregnant women with pre-eclampsia and 60 healthy pregnant women as controls. The diagnosis of PE was established according to American College of Obstetricians and Gynecologists (ACOG) diagnostic criteria of PE. Results: Maternal risk factors related significantly to pre-eclampsia in comparison to controls were increased woman's age, obesity and primigravidity. There was a highly significant association between high cesarean section rates and pre-eclamptic women. A significant association was observed between neonates of pre-eclamptic women and low birth weight preterm birth , low Apgar score at 1 minute . low Apgar score at 5 minutes and admission to neonatal intensive care unit . Conclusion: The main maternal risk factors for pre-eclampsia are advanced reproductive age, obesity and primigravidity, while the common adverse maternal outcome is the cesarean section. The common perinatal outcomes of PE are low birth weight, prematurity, low Apgar scores at 1 & 5 minutes and high NICU admission.