Prognostic significance of arterial hypertension in pregnant women

A review of clinical studies indicates a high prevalence of hypertension in pregnant women. Arterial hypertension of pregnant women has a negative impact on the course of pregnancy and childbirth, as well as the health of the newborn. An analysis of 150 SMADS and information from the EMIAS was carried out, according to which 30 pregnant women with arterial hypertension were identified. SMAD profiles, office pressure measurements, body mass index (BMI), and glucose levels were analyzed. the relationship of arterial hypertension in pregnant women with age, the presence of concomitant diseases, the duration of pregnancy, the outcome of pregnancy and childbirth. The results show that about half (41.4 %) of pregnant women with hypertension have this disease before pregnancy and receive antihypertensive therapy during pregnancy. SMAD analysis shows that daily blood pressure values do not exceed the upper limit of the norm. According to the daily SAD index, non-dippers predominate, while dippers predominate according to the daily DAD index. Pregnant women with hypertension have several times higher risks of developing gestational diabetes than pregnant women with normal blood pressure. In pregnant women with arterial hypertension, the number of Cesarean section deliveries is higher than the national average, and the number of deliveries without complications is only a small percentage. The results of the study showed the importance of monitoring blood pressure in pregnant women not only in the doctor’s office, but also independently at home. In our opinion, daily blood pressure monitoring should be considered as one of the main methods for verifying the diagnosis of hypertension in pregnant women.

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