Analysis of the prevalence of arterial hypotension and its effect on the outcome of pregnancy and childbirth
N. V. Orlova,
Yu. N. Fedulayev,
I. V. Makarova,
S. V. Goryainova,
E. V. Mitsevichus,
F. A. Evdokimov,
D. V. Volkov https://doi.org/10.33667/207856312025172833
Abstract
Arterial hypotension is widespread among pregnant women. The data of the analyzed scientific literature on the effect of arterial hypotension on pregnancy and birth outcomes are contradictory. Our study revealed the prevalence of arterial hypotension among pregnant women at 28%, with a predominance in the second trimester. Arterial hypotension was independent of age and was predominantly diastolic in nature. The vast majority of pregnant women with arterial hypotension (more than 75%) suffered from anemia of varying severity. The number of specific complications of childbirth, including the need for cesarean section, in patients with arterial hypotension did not significantly differ from patients with normotonia. Conclusions were drawn about the inexpediency of the routine use of SMAD in the diagnosis of arterial hypotension in pregnant women. To assess hypotension, including orthostatic hypotension, office blood pressure measurement and self-monitoring of blood pressure of a pregnant woman at home are sufficient.
About the Authors
N. V. Orlova
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Orlova Natalia V., DM Sci (habil.), professor at Dept of Faculty Therapy of Institute of Motherhood and Childhood
Moscow
Yu. N. Fedulayev
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Fedulaev Yuri N., DM Sci (habil.), professor, head of Dept of Institute of Motherhood and Childhood
Moscow
I. V. Makarova
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Makarova Irina V., аssociate professor at Dept of Faculty Therapy of Institute of Motherhood and Childhood
Moscow
S. V. Goryainova
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Goryainova Svetlana V., PhD Med, applicant at Dept of Faculty Therapy of Institute of Motherhood and Childhood
Moscow
E. V. Mitsevichus
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Mitsevichus Ekaterina V., resident at Dept of Faculty Therapy of Institute of Motherhood and Childhood
Moscow
F. A. Evdokimov
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Evdokimov Fyodor A., PhD Med, associate professor at Dept of Faculty Therapy of Institute of Motherhood and Childhood
Moscow
D. V. Volkov
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Volkov Danila V., 5th year student at the Institute of Motherhood and Childhood
Moscow
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Review
For citations:
Orlova N. ., Fedulayev Yu.N., Makarova I.V., Goryainova S.V., Mitsevichus E.V., Evdokimov F.A., Volkov D.V. Analysis of the prevalence of arterial hypotension and its effect on the outcome of pregnancy and childbirth. Medical alphabet. 2025;(17):28-33. (In Russ.) https://doi.org/10.33667/207856312025172833
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