HYPERTENSIVE DISORDERS IN PREGNANCY-PHYSICIANS’AWARENESS FOR EARLY DETECTION
Journal
Македонски медицински преглед = Macedonian Medical Review
Date Issued
2019
Author(s)
Abstract
Abstract
Introduction. Hypertensive disorders in pregnancy
are a major cause of perinatal morbidity and mortality.
Early diagnosis, term delivery, and/or patient’s transfer
to a tertiary institution have a huge impact on favorable outcome.
Aim. To estimate ob-gyn physician’s awareness for
early detection of pregnancy hypertension i.e. for
establishing diagnosis before the onset of symptoms.
Methods. Study population was consisted of all
pregnant women in ≥37 week of gestation admitted to
Special Hospital for Obstetrics and Gynecology “Mother
Teresa” during the period 15.02-28.02.2018. Тhe study
was designed as a retrospective one, and the data were
collected by a questionnaire.
Additionally, histories of all patients admitted to SHOG
“Mother Teresa” between 01.01.2017 and 31.12.2017
under diagnosis of PIH/PE (pregnancy-induced hypertension/pre-eclampsia), were analyzed retrospectively
whether the diagnosis was established during the hospital admission or before.
Results. Twenty-two percent of pregnant women that
underwent regular antenatal check-ups did not have
blood pressure measurement taken by their ob-gyn
physician at all. Only in 16.7% of cases, the diagnosis
was established early, i.e. before the onset of symptoms.
Conclusion. The awareness of ob-gyn physicians for
early (pre-symptomatic) detection of hypertensive disorders in pregnancy is low.
Introduction. Hypertensive disorders in pregnancy
are a major cause of perinatal morbidity and mortality.
Early diagnosis, term delivery, and/or patient’s transfer
to a tertiary institution have a huge impact on favorable outcome.
Aim. To estimate ob-gyn physician’s awareness for
early detection of pregnancy hypertension i.e. for
establishing diagnosis before the onset of symptoms.
Methods. Study population was consisted of all
pregnant women in ≥37 week of gestation admitted to
Special Hospital for Obstetrics and Gynecology “Mother
Teresa” during the period 15.02-28.02.2018. Тhe study
was designed as a retrospective one, and the data were
collected by a questionnaire.
Additionally, histories of all patients admitted to SHOG
“Mother Teresa” between 01.01.2017 and 31.12.2017
under diagnosis of PIH/PE (pregnancy-induced hypertension/pre-eclampsia), were analyzed retrospectively
whether the diagnosis was established during the hospital admission or before.
Results. Twenty-two percent of pregnant women that
underwent regular antenatal check-ups did not have
blood pressure measurement taken by their ob-gyn
physician at all. Only in 16.7% of cases, the diagnosis
was established early, i.e. before the onset of symptoms.
Conclusion. The awareness of ob-gyn physicians for
early (pre-symptomatic) detection of hypertensive disorders in pregnancy is low.