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...

Full description

Saved in:
Bibliographic Details
Main Authors: Ebru Ayguler, Gokce Anik Ilhan
Format: Article
Language:English
Published: Medical Network 2023-12-01
Series:Gynecology Obstetrics & Reproductive Medicine
Subjects:
Online Access:https://gorm.com.tr/index.php/GORM/article/view/1429
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1823857339466252288
author Ebru Ayguler
Gokce Anik Ilhan
author_facet Ebru Ayguler
Gokce Anik Ilhan
author_sort Ebru Ayguler
collection DOAJ
description 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.
format Article
id doaj-art-3ed4533e3f07411b8785d7be5193f422
institution Kabale University
issn 1300-4751
2602-4918
language English
publishDate 2023-12-01
publisher Medical Network
record_format Article
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
work_keys_str_mv AT ebruayguler evaluationofhypertensionandrenalfunctioninpreeclampticwomenafollowupstudyat6thweekofpostpartum
AT gokceanikilhan evaluationofhypertensionandrenalfunctioninpreeclampticwomenafollowupstudyat6thweekofpostpartum