Objective To investigate the influence of gestational hypertension and preeclampsia on pregnancy outcome,to decrease the adverse maternal outcome and promote the neonatal health. Methods A nested case-control study based on a prospective cohort.The pregnancy outcome of the case group which included 39 women with gestational hypertension and 45 with preeclampsia was compared with the control group (n=84),and the two groups were matched at the pregnancy age,gestational week,BMI,gravidity,parity. Results The differences in cesarean section,preterm,intrauterine hypoxia,low birth weight,in-patient,birth weight,height,1 min Apgar score,5 min Apgar score were significant compared with the control group (P<0.05).The preeclampsia induced a more serious outcome of women and infant. Conclusions Gestational hypertension and preeclampsia induced maternal and neonatal adverse outcomes,more attention should be paid to maternal health care,prevents and treats the pregnancy induced hypertension disease positively,realizes the eugenics.
Key words
gestational hypertension /
preeclampsia /
pregnancy outcome /
neonate
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References
[1] 丰有吉,沈铿.妇产科学[M].2版.北京:人民卫生出版社,2010:78-85.
[2] 上海市妊娠高血压综合征调查协作组.上海市10年妊娠高血压综合征发病的研究[J].中华妇产科杂志,2001,36(3):8-10.
[3] 周爱芬,赵瑾珠,章一鸣,等.武汉市妊娠期高血压疾病及其不良妊娠结局大样本流行病学分析[J].中国妇幼保健,2013,28(18):2957-2960.
[4] 闻静.妊娠期高血压疾病与妊娠结局的关系[J].中国妇幼保健,2011,26(10):1464-1465.
[5] 陈忠,许建娟.妊娠期高血压疾病危险因素的Logistic回归分析[J].中国妇幼保健,2011,26(30):4675-4677.
[6] 古桂雄,戴耀华.儿童保健学[M].7版.北京:人民卫生出版社,2008:11.
[7] Katsi V,Felekos I,Siristatidis C,et al.Preeclampsia (VD Garovic,Section Editor),preeclampsia:what does the father have to do with it?[J].Current Hypertension Reports,2015,17:60.
[8] 韦壮丽,莫爱旭,黄红莲,等.妊娠期高血压综合征患者妊娠结局观察及相关分析[J].河北医学,2013,19(7):996-998.
[9] 冯永亮,彭婷婷,王芳,等.妊娠期高血压疾病对出生结局的影响及相关因素[J].中华疾病控制杂志,2014,18(2):131-134.
[10] Cho GeumJoon,Kim Log Young,Min Kyung-Jin,et al.Prior cesarean section is associated with increased preeclampsia risk in a subsequent pregnancy[J].BMC Pregnancy and Childbirth,2015,15:24.DOI:10.1186/s12884-015-0447-x
[11] Johnson S,Evans TA,Draper ES,et al.Neurodevelopmental outcomes following late and moderate prematurity:a population-based cohort study[J].Arch Dis Child Fetal Neonatal Ed,2015,100:301-308.
[12] Talge NM,Holzman C,Van Egeren LA,et al.Late-preterm birth by delivery circumstance and its association with parent-reported attention problems in childhood[J].J Dev BehavPediatr,2012,33:405-415.
[13] de Jongh BE,Paul DA,Hoffman M,et al.Effects of prepregnancy obesity,race/ethnicity and prematurity[J].Matern Child Health J,2014,18(3):511-517.
[14] 汪冬梅.产前检查对妊娠高血压疾病结局的影响[J].蚌埠医学院学报,2014,39(6):779-780.
[15] 孙滢滢,刘志新,苏亚楠,等.临床干预治疗对妊娠期高血压疾病患者的血压和妊娠结局的影响[J].中国妇幼保健,2015,30(11):1675-1677.