PECULIARITIES OF GESTATION IN WOMEN WITH HYPERTENSIVE DISORDERS (RETROSPECTIVE ANALYSIS)
DOI:
https://doi.org/10.11603/2415-8798.2017.2.7742Keywords:
arterial hypertension in pregnant women, risk factors, preeclampsia.Abstract
Insufficient effectiveness of existing methods of treatment of hypertensive conditions during pregnancy justifies the expediency of searching for new antihypertensive agents and methods of their use in pregnant women, which will prevent the development of preeclampsia and eclampsia in a significant number of cases, and thus reduce the incidence of pregnancy complications and perinatal losses.
The aim of the study – to detect factors affecting the development of preeclampsia in pregnant women with various types of hypertensive disorders.
Materials and Methods. A retrospective analysis and a multidimensional development of 564 monitoring cards for pregnant women and women with hypertensive disorders was conducted.
Results and Discussion. Chronic hypertension in pregnancy should be considered as one of the risk factors for pre-eclampsia and preeclampsia combined, and low efficiency of antihypertensive therapy or lack of compliance can be considered a precursor to the development of these complications. The presence of untreated chronic hypertension and pre-eclampsia provokes demonstration combined preeclampsia in pregnant 2–3 weeks earlier than women without hypertension or at its adequate therapy.
Conclusions. The presence of not corrected chronic hypertension in pregnancy significantly increases the frequency of their late gestosis and significantly worsens the prognosis of pregnancy. Applying an adequate antihypertensive therapy vasodilator betablockers contributes significant reduction in the incidence of preeclampsia and the severity of its course.
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