妊娠高血压对婴儿的影响

Sirajum Monira, Mosammat Afroza Jinnat, Md Tafazzal Hossain Khan, M A Salim, Mashura Musharraf
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摘要

背景:妊高征(PIH)是一种较为常见的妊娠疾病,可引起各种母体和胎儿问题。这可能会增加围产期窒息、败血症、死产等的数量。它对出生体重也有显著影响,而出生体重又与胎龄有关。目的:观察妊高征对妊高征新生儿的影响,并与正常妊高征母亲的新生儿进行比较。材料与方法:本病例对照研究于2016年7月至2016年12月进行。研究组选择妊高征(PIH)母亲的婴儿,对照组选择在达卡医学院附属医院产科就诊的血压正常母亲的婴儿,纳入和排除标准。本研究共纳入100例新生儿。将妊高征母亲所生新生儿50例作为病例,将血压正常母亲所生新生儿50例作为对照组。结果:本研究显示,妊高征母亲的新生儿发病率最高的是围产期窒息(22%)。死产率为12%。妊娠持续时间也受PIH的影响,其中大多数婴儿为早产儿(88%),仅发现足月妊娠(12%)。值得注意的是,有先兆子痫病史的母亲早产率更高(p <0.001)。出生体重与胎龄相关的另一个重要结果也非常重要,在SGA和AGA中最高,分别为92%和8%。有PIH病史的婴儿体重显著降低(p<0.001),平均体重为1592.78±470.06。结论:妊高征组早产、小胎龄儿及围产期窒息发生率高于正常妊高征组。KYAMC学报,第13卷,第04期,2023年1月:204-207
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Impact of Pregnancy Induced Hypertension on Babies
Background: Pregnancy-induced hypertension (PIH) is a relatively common pregnancy disorder that causes variable maternal and fetal problems. This may increase the number of perinatal asphyxia, sepsis, still birth etc. It also has a significant affect on birth weight which is also related to gestational age. Objectives: To observe the impact of pregnancy induced hypertension on their newborn babies and compare the findings with the babies of normotensive mother. Materias and Methods: This case control study was conducted from July 2016 to December 2016. The study group was selected from the babies of pregnancy induced hypertension (PIH) mothers and control group selected from babies of a normotensive mother attending in Obstetrics department of Dhaka Medical College Hospital, Dhaka having the inclusion and exclusion criteria. The total number of 100 neonates were included consecutively in this study. 50 neonates born to mothers with pregnancy-induced hypertension were grouped as cases and 50 neonates born to normotensive mothers were grouped as control. Results: The study revealed that, the highest frequency of neonatal morbidities were perinatal asphyxia (22%) among the babies of PIH mother. Stillbirth it was found 12 % . The duration of pregnancy were also affected by PIH where most of the babies were preterm (88%) and complete-term pregnancy found only (12%). It should be mentioned that those mother having history of preeclampsia delivered more premature babies (p <0.001). Another important outcome birth weight related to gestational age was also very important which were measured as the highest for SGA 92% and AGA 8%. The weight of the baby were significantly (p<0.001) reduced in those who had a history of PIH and the mean weight was 1592.78 ± 470.06. Conclusion: Prematurity, Small for gestational-age babies and perinatal asphyxia are more common in Pregnancy induced hypertension group than in the normotensive group. KYAMC Journal Vol. 13, No. 04, January 2023: 204-207
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