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[Pregnancy hypotension and fetal outcome]
Fortschritte Der Medizin
|January 25, 1979
Summary
Hypotensive pregnant women showed significantly reduced placental perfusion, leading to smaller newborns with dystrophic signs. Maternal blood pressure below 115/70 mmHg is considered alarming in pregnancy.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Perinatology
Context:
- Prospective study involving 28 pregnant women with hypotension.
- Conducted at the I. Department of Obstetrics and Gynecology, University of Vienna.
- Included periodical controls of human chorionic somatomammotropin (HCS) and estriol (E3).
Purpose:
- To investigate placental perfusion in pregnant women with hypotension.
- To assess the correlation between maternal hypotension and placental function.
- To determine the impact of low maternal blood pressure on fetal development.
Summary:
- Placental perfusion measurements using isotopes were significantly reduced in hypotensive pregnant patients compared to normal cases.
- Neonates born to mothers with hypotension were generally smaller than normal.
- A significant proportion of neonates exhibited dystrophic signs, indicating compromised fetal well-being.
Impact:
- Suggests that maternal blood pressure below 115/70 mmHg during pregnancy is an alarming sign.
- Highlights the importance of monitoring placental perfusion in hypotensive pregnancies.
- Underscores the potential adverse effects of maternal hypotension on fetal growth and development.