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Health Impacts of Pre-eclampsia: A Comprehensive Analysis of Maternal and Neonatal Outcomes
Flavius George Socol1, Elena Bernad2,3,4, Marius Craina2,3,4
1Doctoral School, "Victor Babeş" University of Medicine and Pharmacy, Eftimie Murgu Sq. No.2, 300041 Timisoara, Romania.
Insights
Pre-eclampsia significantly impacts maternal and child health, leading to short-term complications and long-term chronic conditions for mothers. Children born to mothers with pre-eclampsia face increased risks of developmental and health issues.
Area of Science:
- Obstetrics and Gynecology
- Perinatal Medicine
- Public Health
Background:
- Hypertensive disorders in pregnancy, especially pre-eclampsia, present substantial risks to maternal and neonatal well-being.
- Understanding the multifaceted health implications of pre-eclampsia is crucial for improving patient outcomes.
Purpose of the Study:
- To analyze the short- and long-term health consequences for mothers and their children following pre-eclampsia.
- To identify risk factors, diagnostic markers, and comparative outcomes between pre-eclamptic and non-pre-eclamptic pregnancies.
Main Methods:
- Retrospective observational study of 235 patients (98 with pre-eclampsia, 137 without) from 2015-2018.
- Data collection included maternal demographics, medical history, biochemical markers (proteinuria, sFlt-1, PlGF), and short/long-term health outcomes for mothers and children.
Main Results:
- Pre-eclamptic mothers were older, had higher BMIs, and more comorbidities; they experienced higher rates of eclampsia, HELLP syndrome, and acute kidney injury.
- Neonatal outcomes in the pre-eclampsia group included increased preterm birth, low birth weight, and NICU admissions.
- Long-term, mothers with pre-eclampsia showed higher incidences of chronic hypertension, cardiovascular disease, diabetes, and mental health disorders; their children had elevated risks of developmental delays and chronic health issues.
Conclusions:
- Pre-eclampsia has profound short- and long-term health effects on both mothers and children.
- Early detection, timely intervention, and personalized management strategies are essential for mitigating risks and improving outcomes.
Abstract:
Background and Objectives: Hypertensive disorders, particularly pre-eclampsia, pose significant risks during pregnancy, affecting both maternal and neonatal health. The study aims to analyze short- and long-term health implications for mothers and their children, comparing those with pre-eclampsia to those without, to improve understanding of risk factors, diagnostic markers, and outcomes. Materials and Methods: This retrospective observational study involved 235 patients, 98 with pre-eclampsia and 137 without, monitored from 2015 to 2018 at the Obstetrics and Gynecology Department of the "Pius Brînzeu" Emergency County Clinical Hospital in Timișoara, Romania. Results: Women with pre-eclampsia were older, had higher BMIs, and more frequently had a family history of pre-eclampsia, hypertension, and diabetes. They also had lower educational and socioeconomic levels and fewer prenatal visits. Biochemical markers such as higher proteinuria, elevated sFlt-1, and lower PlGF were significant in diagnosing pre-eclampsia. Short-term maternal complications like eclampsia, HELLP syndrome, and acute kidney injury were more prevalent in the pre-eclampsia group. Neonatal outcomes included higher rates of preterm birth, low birth weight, and NICU admissions. Long-term mothers with a history of pre-eclampsia had higher incidences of chronic hypertension, cardiovascular disease, kidney problems, diabetes, and mental health disorders. Their children faced increased risks of neuropsychological delays, chronic respiratory issues, behavioral disorders, learning difficulties, and frequent infections. Conclusions: The study highlights the significant short- and long-term health impacts of pre-eclampsia on both mothers and their children. Early monitoring, intervention, and comprehensive management are crucial in mitigating these risks. These findings underscore the need for personalized care strategies to improve health outcomes for affected individuals.
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