Document Detail


Pattern and factors affecting the outcome of pregnancy in hypertensive patients.
MedLine Citation:
PMID:  15622693     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The pattern and factors affecting the outcome of pregnancy in hypertensive patients at the Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria between January 1997 and December 2002 were studied. There were 2,393 deliveries, with 127 (5.3%) patients fulfilling the criteria for hypertensive disorder of pregnancy. 26.2% had de-novo (gestational) hypertension, 19.7% had pre-eclampsia (PET) superimposed on chronic hypertension and 54.1% had PET/eclampsia. All patients with prepregnancy chronic hypertension had superimposed PET or eclampsia in this study. The PET/eclampsia group had the worst maternal and fetal outcomes as demonstrated by maternal mortality (6.1%), fetal mortality (36.4%), fetal respiratory distress (66.7%) and abruptio (6.1%). They also had more target organ damage (18.2%). 50.8% of these were categorized as high risk. Furthermore, patients in the PET/eclampsia group tended to be illiterate, attended antenatal clinic (ANC) less regularly and had more maternal and fetal adverse outcomes. Twenty percent of the patients had poorly controlled blood pressures (BP) at discharge, and only one out of five of the chronic hypertensive patients attended the medical hypertension clinic on discharge. These poor outcomes further emphasize the need for patient education; regular antenatal clinic attendance; prompt treatment of elevated BP; compliance with postnatal clinic follow-up, including medical outpatient care in these patients.
Authors:
Oluranti B Familoni; Peter O Adefuye; Taiwo O Olunuga
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the National Medical Association     Volume:  96     ISSN:  0027-9684     ISO Abbreviation:  J Natl Med Assoc     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2004-12-29     Completed Date:  2005-02-01     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  7503090     Medline TA:  J Natl Med Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1626-31     Citation Subset:  IM    
Affiliation:
Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria. rfamiloni@justice.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Eclampsia / epidemiology
Female
Humans
Hypertension, Pregnancy-Induced / epidemiology*
Nigeria / epidemiology
Pre-Eclampsia / epidemiology
Pregnancy
Pregnancy Outcome
Risk Assessment
Risk Factors
Comments/Corrections

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