PP151. Hypertensive complications in pregnancy - Two year study (2008-2009).

Area of Science:

• Obstetrics and Gynecology
• Maternal-Fetal Medicine
• Perinatal Health

Background:

• Hypertension complicates 10% of pregnancies, contributing significantly to antenatal admissions.
• Conditions range from gestational hypertension to pre-eclampsia and eclampsia, posing risks like preterm birth and fetal growth restriction.
• Pre-eclampsia affects 5-6% of pregnancies, with eclampsia occurring in 1-2% of those cases.

Purpose of the Study:

• To analyze maternal complications and fetal/neonatal outcomes in pregnancies with hypertensive disorders.
• Key outcomes included ICU admissions, pre-eclampsia/eclampsia, renal/cardiovascular dysfunction, HELLP syndrome, placental abruption, and maternal death.

Main Methods:

• A retrospective study analyzed data from January 2008 to December 2009.
• Files related to hypertensive disorder complications were reviewed.
• Statistical analysis was performed using Excel 2007.

Main Results:

• Gestational hypertension (40%) and chronic hypertension (40%) were most common; pre-eclampsia/eclampsia occurred in 29% of cases.
• Obstetric complications included fetal growth restriction (4%), HELLP syndrome (1%), and placental abruption (1%).
• Caesarean section was performed in 68.9% of deliveries; 6.5% of patients required ICU admission. No maternal deaths were reported.

Conclusions:

• Hypertensive disorders in pregnancy necessitate increased medical and obstetric interventions, notably caesarean sections.
• Preeclampsia and eclampsia present significant, potentially life-threatening risks to both mother and infant.
• Early identification and management are crucial for improving maternal and neonatal outcomes in hypertensive pregnancies.