Document Detail


Morbidity and mortality from postpartum hypertension in Nigerian women.
MedLine Citation:
PMID:  7839876     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Two hundred and ten patients who were normotensive during pregnancy and labour but developed hypertension during puerperium have been studied. Two groups were identified with this unexpected postpartum hypertension. Although the patients in group A who had earlier onset hypertension were younger and mainly nulliparas, there was no significant difference between both groups with respect to age, serum creatinine, blood urea, blood pressures and presence of abnormal urine sediment at the onset of illness. The incidence of postpartum hypertension was 3.5. per cent; there was remission of hypertension in 8 patients (3.8%) without treatment, recurrence in 17 (8%) while cardiac failure occurred in (5.4%), cerebrovascular accident in 3 (1.4%) and acute oliguric renal failure in 3 (1.4%). Overall mortality was 0.9 per cent while persistent or chronic hypertension was observed in 52 (23.8%) Postpartum hypertension is a definite clinical entity with significant morbidity and mortality. Frequent monitoring of blood pressure in the puerperium is advocated to avoid or reduce cardiovascular, cerebrovascular and renal complications of postpartum hypertension in susceptible women.
Authors:
L I Ojogwu; U G Ofili
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  African journal of medicine and medical sciences     Volume:  22     ISSN:  0309-3913     ISO Abbreviation:  Afr J Med Med Sci     Publication Date:  1993 Mar 
Date Detail:
Created Date:  1995-02-27     Completed Date:  1995-02-27     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7801013     Medline TA:  Afr J Med Med Sci     Country:  NIGERIA    
Other Details:
Languages:  eng     Pagination:  11-6     Citation Subset:  IM    
Affiliation:
Department of Medicine, University of Benin Teaching Hospital, Nigeria.
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MeSH Terms
Descriptor/Qualifier:
Adult
Blood Urea Nitrogen
Cause of Death
Cerebrovascular Disorders / epidemiology,  etiology
Creatinine / blood
Female
Heart Failure / epidemiology,  etiology
Humans
Hypertension / blood,  complications,  epidemiology*,  therapy,  urine
Incidence
Kidney Failure, Acute / epidemiology,  etiology
Morbidity
Nigeria / epidemiology
Population Surveillance*
Prospective Studies
Puerperal Disorders / blood,  complications,  epidemiology*,  therapy,  urine
Recurrence
Risk Factors
Chemical
Reg. No./Substance:
60-27-5/Creatinine

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