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Updated: Aug 12, 2026

Assessment of Maternal Vascular Remodeling During Pregnancy in the Mouse Uterus
Published on: December 5, 2015
[Study of pregnancy with chronic hypertension]
N Sass1, A F Moron, D el-Kadre
1Disciplina de Obstetrícia da Escola Paulista de Medicina, São Paulo.
Insights
Chronic hypertension in pregnant women, particularly when combined with obesity, significantly increases risks for adverse obstetrical outcomes and mortality. This includes higher rates of intrauterine growth restriction and fetal death.
Area of Science:
- Obstetrics and Gynecology
- Cardiology
- Perinatology
Context:
- Retrospective analysis of 189 chronic hypertension patients at Hospital São Paulo.
- Utilized non-parametric statistical tests for data analysis with a 5.0% significance level.
Purpose:
- To investigate the association between chronic hypertension in pregnancy and adverse obstetrical outcomes.
- To identify risk factors contributing to increased fetal and neonatal mortality.
Summary:
- Obesity and chronic hypertension in pregnant women are linked to delayed intra-uterine growth and pregnancy-specific hypertensive disease.
- Metabolic disorders, infections, and respiratory issues correlate with higher newborn mortality.
- Fetus, neonatal, and perinatal mortality rates were five times higher in the study group compared to controls.
Impact:
- Highlights the critical need for enhanced monitoring and management of chronic hypertension during pregnancy.
- Informs clinical practice regarding risk stratification and intervention strategies for hypertensive pregnant individuals.
- Underscores the significant impact of maternal hypertension on perinatal outcomes.
Abstract:
This is a retrospective study of 189 chronic hypertension patients seen at the Discipline of Obstetrics of the São Paulo Medical School at Hospital São Paulo. The data were fed into a computer and several selected variables and established interrelations were run to have a statistical study by means of non-parametric tests. Hypotheses were rejected at a level of 5.0 percent. Results allow to conclude that there is an association of obesity and chronic hypertensive women to obstetrical occurrences such as delayed intra-uterus growth and pregnancy-specific hypertensive disease. With respect to development during pregnancy, a higher number of newborn mortality was observed and correlated to metabolic disorders, infectious diseases, and problems of the respiratory system. However, the authors did not see a high incidence of congenital malformation. All such results lead to the conclusion that the incidence of fetus death, neonatal mortality, and perinatal mortality are five times more frequent in this group than in the control group.
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Factors affecting Blood pressure
Physiological Factors:
Hypertension and Regulation of Blood Pressure
Hypertension I: Introduction
Hypertension II: Pathophysiology
Hypertension III: Clinical Manifestations and Diagnostic Studies
Hypertension V: Nursing Management

