Evaluation of Hypertension and Renal Function in Preeclamptic Women: A Follow-Up Study at 6th Week of Postpartum
OBJECTIVES: Chronic hypertension stands as the primary contributing factor for cardiovascular ailments among women who have experienced preeclampsia. The purpose of this research is to examine how often preeclamptic symptoms persist at the postpartum 6th week. STUDY DESIGN: The study included 50...
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2023-12-01
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Series: | Gynecology Obstetrics & Reproductive Medicine |
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Online Access: | https://gorm.com.tr/index.php/GORM/article/view/1429 |
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author | Ebru Ayguler Gokce Anik Ilhan |
author_facet | Ebru Ayguler Gokce Anik Ilhan |
author_sort | Ebru Ayguler |
collection | DOAJ |
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OBJECTIVES: Chronic hypertension stands as the primary contributing factor for cardiovascular ailments among women who have experienced preeclampsia. The purpose of this research is to examine how often preeclamptic symptoms persist at the postpartum 6th week.
STUDY DESIGN: The study included 50 singleton pregnant women in the third trimester who were diagnosed with preeclampsia according to ACOG criteria, were older than 18 years, had no known hypertension before the 20th gestational week, had no additional systemic disease, did not use medication, had no fetal chromosomal or structural abnormalities and delivered within 24-48 hours of hospitalization.
RESULTS: The mean age of preeclamptic pregnant patients was 29.26±7.15 years, the mean gestational week was 35.6±2.8, and the mean BMI was 31.3±4.9. Twenty (40%) of 50 preeclamptic patients had severe preeclampsia. The mean decrease in systolic blood pressure was 34.6±15.2 mmHg, while the mean decrease in diastolic blood pressure was 22.88±11.68 mmHg (p<0.001). The decrease in systolic and diastolic blood pressure at postpartum 6th week was statistically significant. The mean change in 24-hour urine protein value at postpartum 6th week was 2313.52 ± 2696.48 and the difference was statistically significant (p<0.001). There were 14 patients (28%) with persistent hypertension and 19 patients (38%) with persistent proteinuria.
CONCLUSIONS: Although preeclampsia is considered a complication of pregnancy, persistent hypertension, and proteinuria after delivery show us that preeclampsia is a disease that threatens maternal health even after delivery. These women should be followed up long-term period.
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institution | Kabale University |
issn | 1300-4751 2602-4918 |
language | English |
publishDate | 2023-12-01 |
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series | Gynecology Obstetrics & Reproductive Medicine |
spelling | doaj-art-3ed4533e3f07411b8785d7be5193f4222025-02-11T21:17:50ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512602-49182023-12-0129310.21613/GORM.2023.1429Evaluation of Hypertension and Renal Function in Preeclamptic Women: A Follow-Up Study at 6th Week of PostpartumEbru Ayguler0Gokce Anik Ilhan1Haseki eğitim Araştırma Hastanesi2Department of Obstetrics and Gynecology, Marmara University Faculty of Medicine, Istanbul, Turkey OBJECTIVES: Chronic hypertension stands as the primary contributing factor for cardiovascular ailments among women who have experienced preeclampsia. The purpose of this research is to examine how often preeclamptic symptoms persist at the postpartum 6th week. STUDY DESIGN: The study included 50 singleton pregnant women in the third trimester who were diagnosed with preeclampsia according to ACOG criteria, were older than 18 years, had no known hypertension before the 20th gestational week, had no additional systemic disease, did not use medication, had no fetal chromosomal or structural abnormalities and delivered within 24-48 hours of hospitalization. RESULTS: The mean age of preeclamptic pregnant patients was 29.26±7.15 years, the mean gestational week was 35.6±2.8, and the mean BMI was 31.3±4.9. Twenty (40%) of 50 preeclamptic patients had severe preeclampsia. The mean decrease in systolic blood pressure was 34.6±15.2 mmHg, while the mean decrease in diastolic blood pressure was 22.88±11.68 mmHg (p<0.001). The decrease in systolic and diastolic blood pressure at postpartum 6th week was statistically significant. The mean change in 24-hour urine protein value at postpartum 6th week was 2313.52 ± 2696.48 and the difference was statistically significant (p<0.001). There were 14 patients (28%) with persistent hypertension and 19 patients (38%) with persistent proteinuria. CONCLUSIONS: Although preeclampsia is considered a complication of pregnancy, persistent hypertension, and proteinuria after delivery show us that preeclampsia is a disease that threatens maternal health even after delivery. These women should be followed up long-term period. https://gorm.com.tr/index.php/GORM/article/view/1429Hypertension, Preeclampsia, Proteinuria, Renal function Preeclampsia, ProteinuriaRenal function |
spellingShingle | Ebru Ayguler Gokce Anik Ilhan Evaluation of Hypertension and Renal Function in Preeclamptic Women: A Follow-Up Study at 6th Week of Postpartum Gynecology Obstetrics & Reproductive Medicine Hypertension, Preeclampsia, Proteinuria, Renal function Preeclampsia, Proteinuria Renal function |
title | Evaluation of Hypertension and Renal Function in Preeclamptic Women: A Follow-Up Study at 6th Week of Postpartum |
title_full | Evaluation of Hypertension and Renal Function in Preeclamptic Women: A Follow-Up Study at 6th Week of Postpartum |
title_fullStr | Evaluation of Hypertension and Renal Function in Preeclamptic Women: A Follow-Up Study at 6th Week of Postpartum |
title_full_unstemmed | Evaluation of Hypertension and Renal Function in Preeclamptic Women: A Follow-Up Study at 6th Week of Postpartum |
title_short | Evaluation of Hypertension and Renal Function in Preeclamptic Women: A Follow-Up Study at 6th Week of Postpartum |
title_sort | evaluation of hypertension and renal function in preeclamptic women a follow up study at 6th week of postpartum |
topic | Hypertension, Preeclampsia, Proteinuria, Renal function Preeclampsia, Proteinuria Renal function |
url | https://gorm.com.tr/index.php/GORM/article/view/1429 |
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