在患有黄昏症的患者中,原孕症的发生频率
1, Ruqqia Sultana1, Jawaris Batool1
1Department of Obstetrics and Gynaecology, Ayub Teaching Hospital Abbottabad.
Journal of Ayub Medical College, Abbottabad : JAMC
|July 9, 2023
概括
黄昏症在第一次怀孕的母亲 (primigravidas) 中更为常见,其中76%的病例发生在这个群体中. 这凸显了对孕妇经历妊娠引起的高血压有针对性的监测和管理策略的需要.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 怀孕期间的高血压疾病
背景情况:
- 怀孕引起的高血压 (PIH) 影响5%的怀孕,对孕产妇和产周发病率和死亡率做出了重大贡献.
- 黄昏症是一种严重的PIH形式,在primigravidas中显示出更高的发病率,但当地数据有限.
- 现有的研究往往广泛关注妊娠前或样本大小小小,需要在特定人群中对原孕妇妊娠前的频率进行研究.
研究的目的:
- 为了确定在怀孕20周后被诊断患有黄昏症的患者中原孕症的发生频率.
- 提供关于primigravidas.in黄昏症的人口和临床特征的当地数据.
- 为了告知有针对性的干预措施,并改善孕妇患有黄昏症风险的结果.
主要方法:
- 2020年10月至2021年4月,在阿伯塔巴德的Ayub教学医院进行了一项描述性,横截面的研究.
- 包括134名被诊断患有黄昏症的患者 (基于/昏迷,高血压,蛋白尿).
- 数据收集涉及产科史,血压,尿液分析和患者人口统计;管理包括稳定和分娩.
主要成果:
- 该研究包括134名患者,102名 (76%) 被确定为原重症患者,32名 (24%) 被确定为多重症患者.
- 大多数患者 (72%) 的年龄在18-27岁之间.
- 大多数患者 (64%) 的BMI>27Kg/m2,而58%的患者以前没有患过高血压.
结论:
- 在这个三级护理医院环境中,在赤斑患者中,primigravidas的频率为76%.
- 这种高发病率凸显了第一次怀孕中阴风险增加的原因.
- 调查结果强调了警监测primigravidas,特别是那些有风险因素,如更高的BMI的阴的重要性.
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