[Clinical significance of the classification of hypertensive diseases in pregnancy].
In a prospective study we found a hypertonic disease in 5.26% of the pregnant women. The course of pregnancy and delivery in women with chronic hypertension (22.1%) and in women with a pregnancy hypertension (53.3%) was without complications; delivery of eutrophic children was on term. Pregnant women with pre-eclampsia (19.7%) had an early birth of dystrophic, retarded children (below the 10th percentile). The acidosis morbidity (36.4%) and the frequency of Caesarean section (79.2%) were significantly increased compared to other hypertension types. More often we found pathological para-clinical changes. The perinatal mortality occurred in women with pre-eclampsia in 10.4%. It was not increased in all other hypertension types. The emphasis in prepartal monitoring should be on women suffering from pre-eclampsia.
Abteilung Geburtshilfe, Medizinischen Akademie, Carl Gustav Carus, Dresden.
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Flachowsky
D000138:Acidosis / Q000209:etiology; D001034:Apgar Score; D002585:Cesarean Section; D003937:Diagnosis, Differential; D005260:Female; D005865:Gestational Age; D006801:Humans; D006973:Hypertension / Q000145:classification* / Q000209:etiology / Q000628:therapy; D007231:Infant, Newborn; D011225:Pre-Eclampsia / Q000145:classification* / Q000209:etiology / Q000628:therapy; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000145:classification* / Q000209:etiology / Q000628:therapy; D012307:Risk Factors
Klinische Bedeutung der Klassifikation der hypertensiven Erkrankungen in der Schwangerschaft.