[Various forms of hypertension in pregnancy and perinatal fetal condition].

Abstract

A prospective study analyses the course of pregnancy and the delivery of 315 women suffering from hypertension during their pregnancy. The perinatal state of the child is analysed as to the prevailing kind of hypertension. Gravidae suffering from gestation and chronical hypertensions, resp. (three forth of all kinds) delivered at birth term an eutrophic child. The proportion of spontaneous deliveries, acidosis morbidity, and of Apgar score was in correspondence with the average of all deliveries per annum without hypertension. The perinatal mortality among all kinds of hypertension was 1.6% caused only by children from gravidae suffering from preeclampsia and chronical nephropathy (corresponding to a quarter of all kinds). In comparison with gestation hypertension, chronical hypertension and the annual average of all deliveries, such gravidae prematurely delivered hypotrophic children of high acidosis morbidity and a worse Apgar score. Gravidae suffering from preeclampsia had an 80% abdominal delivery frequency. The prognosis of the child is made worse by appearance and severity of proteinuria.