Comparison of Pregnancy Outcomes of Women with and Without Hypertension at the Latent Phase of Labor Who Were Under Medical Care for Preeclampsia
OBJECTIVE: We explored the association between hypertension (>140/90) at the latent phase of labor (resistant hypertension) and the subsequent development of major maternal complications or adverse infant outcomes in women with preeclampsia under medical care. STUDY DESIGN: We drew data from 8...
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| Format: | Article |
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Medical Network
2022-12-01
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| Series: | Gynecology Obstetrics & Reproductive Medicine |
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| Online Access: | https://gorm.com.tr/index.php/GORM/article/view/1153 |
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| author | Resul Karakus Cetin Kilicci Enis Ozkaya Ezgi Darici Onder Tosun Sultan Seren Karakus Ali Aras |
| author_facet | Resul Karakus Cetin Kilicci Enis Ozkaya Ezgi Darici Onder Tosun Sultan Seren Karakus Ali Aras |
| author_sort | Resul Karakus |
| collection | DOAJ |
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OBJECTIVE: We explored the association between hypertension (>140/90) at the latent phase of labor (resistant hypertension) and the subsequent development of major maternal complications or adverse infant outcomes in women with preeclampsia under medical care.
STUDY DESIGN: We drew data from 824 women who were under follow-up at the Department of Perinatology of Health Sciences University Zeynep Kamil Women and Children’s Health Training and Research Hospital with a diagnosis of preeclampsia. Women with and without resistant hypertension were compared in terms of major maternal complications and adverse infant outcomes.
RESULTS: Mean age and body mass index were similar between the two groups (p>0.05). The rate of preeclamptic complaints was significantly higher in groups with resistant hypertension (90.1% vs. 67.2%, p<0.05). Proteinuria was more frequent in the resistant hypertension group (78.7% vs. 66.8%, p<0.001). The newborn intensive care unit admission rate was significantly higher in the group with resistant hypertension (65.6% vs. 45.9%, p<0.001). Gestational age at delivery was significantly lower in the group with resistant hypertension compared to the normotensive group (34.6 vs. 32.9 weeks, p<0.001). There was a significant difference between the two groups in terms of the rate of preterm delivery (78.5% vs. 66.7%, p=0.04).
CONCLUSION: Resistant hypertension is associated with a higher rate of preeclamptic symptoms during labor and newborn intensive care unit admission.
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| format | Article |
| id | doaj-art-4bdd77bef6b14afea282e32b34d28dc5 |
| institution | Kabale University |
| issn | 1300-4751 2602-4918 |
| language | English |
| publishDate | 2022-12-01 |
| publisher | Medical Network |
| record_format | Article |
| series | Gynecology Obstetrics & Reproductive Medicine |
| spelling | doaj-art-4bdd77bef6b14afea282e32b34d28dc52025-02-11T21:16:19ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512602-49182022-12-0128310.21613/GORM.2021.1153Comparison of Pregnancy Outcomes of Women with and Without Hypertension at the Latent Phase of Labor Who Were Under Medical Care for PreeclampsiaResul Karakus0Cetin Kilicci1Enis Ozkaya2Ezgi Darici3Onder Tosun4Sultan Seren Karakus5Ali Aras6Department of Obstetrics and Gynecology, Health Sciences University Zeynep Kamil Women and Children’s Diseases Training and Research HospitalDepartment of Obstetrics and Gynecology, Health Sciences University Zeynep Kamil Women and Children’s Diseases Training and Research HospitalDepartment of Obstetrics and Gynecology, Health Sciences University Zeynep Kamil Women and Children’s Diseases Training and Research HospitalDepartment of Obstetrics and Gynecology, Health Sciences University Zeynep Kamil Women and Children’s Diseases Training and Research HospitalDepartment of Obstetrics and Gynecology, Health Sciences University Zeynep Kamil Women and Children’s Diseases Training and Research HospitalDepartment of Obstetrics and Gynecology, Health Sciences University Zeynep Kamil Women and Children’s Diseases Training and Research HospitalDepartment of Urology, Health Sciences University Zeynep Kamil Women and Children’s Diseases Training and Research Hospital OBJECTIVE: We explored the association between hypertension (>140/90) at the latent phase of labor (resistant hypertension) and the subsequent development of major maternal complications or adverse infant outcomes in women with preeclampsia under medical care. STUDY DESIGN: We drew data from 824 women who were under follow-up at the Department of Perinatology of Health Sciences University Zeynep Kamil Women and Children’s Health Training and Research Hospital with a diagnosis of preeclampsia. Women with and without resistant hypertension were compared in terms of major maternal complications and adverse infant outcomes. RESULTS: Mean age and body mass index were similar between the two groups (p>0.05). The rate of preeclamptic complaints was significantly higher in groups with resistant hypertension (90.1% vs. 67.2%, p<0.05). Proteinuria was more frequent in the resistant hypertension group (78.7% vs. 66.8%, p<0.001). The newborn intensive care unit admission rate was significantly higher in the group with resistant hypertension (65.6% vs. 45.9%, p<0.001). Gestational age at delivery was significantly lower in the group with resistant hypertension compared to the normotensive group (34.6 vs. 32.9 weeks, p<0.001). There was a significant difference between the two groups in terms of the rate of preterm delivery (78.5% vs. 66.7%, p=0.04). CONCLUSION: Resistant hypertension is associated with a higher rate of preeclamptic symptoms during labor and newborn intensive care unit admission. https://gorm.com.tr/index.php/GORM/article/view/1153HypertensionPregnancyLabor |
| spellingShingle | Resul Karakus Cetin Kilicci Enis Ozkaya Ezgi Darici Onder Tosun Sultan Seren Karakus Ali Aras Comparison of Pregnancy Outcomes of Women with and Without Hypertension at the Latent Phase of Labor Who Were Under Medical Care for Preeclampsia Gynecology Obstetrics & Reproductive Medicine Hypertension Pregnancy Labor |
| title | Comparison of Pregnancy Outcomes of Women with and Without Hypertension at the Latent Phase of Labor Who Were Under Medical Care for Preeclampsia |
| title_full | Comparison of Pregnancy Outcomes of Women with and Without Hypertension at the Latent Phase of Labor Who Were Under Medical Care for Preeclampsia |
| title_fullStr | Comparison of Pregnancy Outcomes of Women with and Without Hypertension at the Latent Phase of Labor Who Were Under Medical Care for Preeclampsia |
| title_full_unstemmed | Comparison of Pregnancy Outcomes of Women with and Without Hypertension at the Latent Phase of Labor Who Were Under Medical Care for Preeclampsia |
| title_short | Comparison of Pregnancy Outcomes of Women with and Without Hypertension at the Latent Phase of Labor Who Were Under Medical Care for Preeclampsia |
| title_sort | comparison of pregnancy outcomes of women with and without hypertension at the latent phase of labor who were under medical care for preeclampsia |
| topic | Hypertension Pregnancy Labor |
| url | https://gorm.com.tr/index.php/GORM/article/view/1153 |
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