Document Detail


Pregnancy complicated by severe chronic hypertension: a 10-year analysis from a developing country.
MedLine Citation:
PMID:  17469004     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To assess pregnancy outcome in patients with severe chronic hypertension. METHODS: A retrospective analysis of a 10-year period (1995-2004) in a referral hospital in northern India. The outcome was compared with those women with mild chronic hypertension who registered in the hypertensive disorders with pregnancy clinic immediately before and after each woman with severe chronic hypertension. RESULTS: Hospital data identified 25 such women. Superimposed preeclampsia (36.4% versus 8%), preterm delivery (86.4% versus 42%), and perinatal mortality (27.2% versus none) were increased in patients with severe chronic hypertension as compared to those with mild hypertension. CONCLUSIONS: The small number of cases reflects the lack of antenatal supervision in developing countries. A much larger number of women are referred in the third trimester with eclampsia or severe preeclampsia, at which time it is not possible to identify whether or not they had underlying hypertension. Adverse events were found to occur more often in patients with severe chronic hypertension compared with those with mild hypertension.
Authors:
R Bagga; N Aggarwal; V Chopra; S C Saha; G R V Prasad; L K Dhaliwal
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Hypertension in pregnancy : official journal of the International Society for the Study of Hypertension in Pregnancy     Volume:  26     ISSN:  1064-1955     ISO Abbreviation:  Hypertens Pregnancy     Publication Date:  2007  
Date Detail:
Created Date:  2007-04-30     Completed Date:  2007-09-28     Revised Date:  2009-05-12    
Medline Journal Info:
Nlm Unique ID:  9421297     Medline TA:  Hypertens Pregnancy     Country:  United States    
Other Details:
Languages:  eng     Pagination:  139-49     Citation Subset:  IM    
Affiliation:
Department of Obstetrics & Gynaecology, Post Graduate Institute of Medical Education & Research, Sector 12. Chandigarh, India. rashmibagga@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Chronic Disease
Developing Countries*
Female
Follow-Up Studies
Gestational Age
Humans
Hypertension / complications*
India / epidemiology
Pregnancy
Pregnancy Complications, Cardiovascular / etiology*,  pathology
Pregnancy Outcome
Research Design
Retrospective Studies
Severity of Illness Index

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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