scholarly journals PRESENTATION AND OUTCOME OF PREECLAMPSIA: A FIVE –YEAR REVIEW IN UDUTH, SOKOTO

2018 ◽  
Vol 6 (4) ◽  
Author(s):  
Tunau KA ◽  
Sulaiman R ◽  
Garba JA ◽  
Aliyu FB ◽  
Panti AA ◽  
...  

Background: Hypertensive disorders in pregnancy are multi-organ, heterogeneous disorder of pregnancy associated with significant maternal and neonatal morbidity and mortality. Pre-eclampsia is a condition which typically occurs after 20 weeks of gestation and is characterized by high blood pressure and significant proteinuria. Objective: The aim of the study was to find out the outcome of pregnancies complicated by pre-eclampsia in the teaching hospital in Sokoto, North-West Nigeria. Methods: A five-year retrospective study on the presentation and outcome of management of pre-eclampsia carried out in Usmanu Danfodiyo University Teaching Hospital (UDUTH) between 1st January 2010 and 31st December 2014.

2020 ◽  
Vol 3 (2) ◽  
pp. 193-203
Author(s):  
Phoibe Uwizeyimana ◽  
Emerthe Musabyemariya ◽  
Olive Tengera ◽  
Anita Collins

Background Globally, maternal hypertensive disorders in pregnancy significantly increase both maternal and perinatal morbidity and mortality. Maternal hypertension affects 14 percent of pregnancies. Eearly detection and management are critical for improving the health outcomes of both mother and neonate. Objective To assess the association between maternal hypertension disorders in pregnancy and immediate neonatal outcomes at a University Teaching Hospital in Rwanda. Methods A retrospective study of maternal files with hypertension disorders was conducted from January 1, 2016, to March 31, 2019. A census sample of 114 records and pretested checklist was used to collect data. Descriptive statistics were used to analyze associations between maternal factors and immediate neonatal outcomes. Results Neonatal outcomes included low birth weight (75.4%), prematurity (59.6%), admission to neonatal intensive care unit (50.4%), intrauterine growth restriction (32.4%), and neonatal death (22.8%). Nearly two-thirds (62%) of mothers had preeclampsia. Significant associations with immediate neonatal outcomes included gestational age, medical history, delivery mode, maternal referral status, preterm birth, prematurity, and abortion. Conclusion Maternal hypertensive disorders were significantly associated with adverse neonatal outcomes in our study population in Rwanda. Improving early detection, health education, and management of hypertensive disorders in pregnancy is critical to reduce maternal and neonatal morbidity and mortality. Rwanda J Med Health Sci 2020;3(2):193-203


Author(s):  
Mukhtar Isyaku Gwarzo ◽  
Rukayya Bashir ◽  
Salisu Ahmed Ibrahim

Background: Hypertensive disorders in pregnancy (HDP) are associated with coagulation abnormalities. However, results of standard coagulation tests in patients with HDP have been inconsistent. Aim: The aim of this study was to determine mean clotting time (CT) in subjects with HDP attending antenatal clinic at Murtala Muhammad specialist Hospital Kano, Nigeria and to assess CT as a possible predictor of HDP. Materials and Methods: Eighty-four HDP subjects and equal number of normotensive pregnant women were recruited for the study. Blood pressure was measured according to standard protocol. Urinalysis was performed using urine test strips (Medi-Test Combi 9®). Whole-blood CT was determined using capillary tube method. Hypertensive disorders in pregnancy were defined according to the report of National high blood pressure education program working group on high blood pressure in pregnancy. Data were analyzed using IBM SPSS version 23.0. Chi-square test of association and independent t test were used to determine association and difference between categorical and quantitative variables respectively. Pearson’s correlation was used to determine relationship between quantitative variables.


ESC CardioMed ◽  
2018 ◽  
pp. 2872-2874
Author(s):  
Renata Cifkova

Hypertensive disorders in pregnancy are the most common medical complications affecting 5–10% of pregnancies worldwide. This chapter discusses the following topics: diagnosis of hypertension, definition and classification of hypertension in pregnancy, additional laboratory tests, management of hypertension in pregnancy, pharmacological management of hypertension in pregnancy, delivery induction, blood pressure postpartum and lactation, and prognosis after pregnancy.


Nutrients ◽  
2020 ◽  
Vol 12 (2) ◽  
pp. 378 ◽  
Author(s):  
Silvia Fogacci ◽  
Federica Fogacci ◽  
Arrigo F.G. Cicero

The aim of the present critical review is to summarize the available clinical evidence supporting the use of some dietary supplements that have been shown to lower blood pressure in hypertensive pregnant women. A systematic search strategy was carried out to identify trials in MEDLINE (National Library of Medicine, Bethesda, Maryland, MD, USA; January 1980 to September 2019) and the Cochrane Register of Controlled Trials (The Cochrane Collaboration, Oxford, UK). The terms ‘nutraceuticals’, ‘dietary supplements’, ‘pregnancy’, ‘pre-eclampsia’, ‘clinical trial’, and ‘human’ were incorporated into an electronic search strategy. The references of the identified studies and review articles were reviewed to look for additional studies of interest. We preferably selected papers that reported recent comprehensive reviews or meta-analysis, or original clinical trials of substances with blood pressure-lowering or vascular protective effect in pregnancy. There is a relative body of evidence that supports the use of calcium, vitamin D, folic acid, and resveratrol in preventing the development of hypertensive disorders in pregnancy, and evidence supporting drug treatment too. Further clinical research is advisable to identify the dosage and timing of the supplementation, the group of women that might benefit the most from this approach, and the nutraceuticals with the best cost-effectiveness and risk-benefit ratio for widespread use in clinical practice.


2017 ◽  
Vol 66 (4/5) ◽  
pp. 235-250
Author(s):  
Yetunde Abosede Zaid

Purpose This study examines the level of awareness about high blood pressure and the role of librarians in the dissemination of health information among residents in Lagos State, Nigeria. Design/methodology/approach The population comprised high blood pressure patients at the University of Lagos Teaching Hospital in Lagos State, Nigeria. A sample of 900 patients was taken from the existing population of high blood pressure patients comprising male and female aged 15-55 years and above. Data for the study were collected through the use of a structured questionnaire. Few in-depth interviews were also conducted to enrich the data from the structured questionnaire. Some descriptive statistical techniques were used to analyze the data obtained from the structured questionnaire, while the data obtained from the in-depth interviews were subjected to content analysis. Findings The findings revealed that awareness about high blood pressure was generally low among the study population. It was also discovered that the librarians working in the medical and public libraries in Lagos State provided information services to members of the communities. However, the librarians affirmed that their role in the dissemination of information to the public was inadequate. Research limitations/implications The study was limited to the high blood pressure patients at the Lagos State University Teaching Hospital, while the patients attending other hospitals in Lagos State were not included as a result of time factor and lack of funding for the research. The views of the excluded category of patients on the level of awareness of high blood pressure may vary. Originality/value Good health is the bedrock of human development, and awareness is the first step in the battle against the scourge of ill-health. Recognizing the need for increased level of awareness and the value of disseminating useful information are vital to patients in the management of high blood pressure.


2010 ◽  
Vol 30 (3) ◽  
pp. 216-223 ◽  
Author(s):  
Leona C. Y. Poon ◽  
Violeta Stratieva ◽  
Silvia Piras ◽  
Solmaz Piri ◽  
Kypros H. Nicolaides

2018 ◽  
Vol 03 (02/03) ◽  
pp. 068-078
Author(s):  
Lalita Nemani

Abstract Hypertension in pregnancy is defined as systolic blood pressure (SBP) ≥ 140 mm Hg or diastolic blood pressure (DBP) ≥ 90 mm Hg or both on two different occasions at least 6 hours apart. Severe hypertension is SBP ≥ 160 mm Hg or DBP ≥ 110 mm Hg. Hypertension is the most common medical problem in pregnancy and one of the major causes of maternal and perinatal mortality and morbidity. Hypertensive disorders in pregnancy (HDP) are classified as (1) chronic hypertension, (2) chronic hypertension with superimposed preeclampsia, (3) preeclampsia-eclampsia, and (4) gestational hypertension. HDP contributes to increased risk of hypertension, stroke, and maternal cardiovascular disease (CVD) in later life. HDP can be considered as a failed cardiovascular stress test identifying women susceptible to CVD in later life. Further research is required to identify the mechanisms in HDP that contribute to CVD in later life so as to initiate appropriate prevention measures.


2017 ◽  
Vol 3 (2) ◽  
pp. 1-6 ◽  
Author(s):  
KWAME ADU-BONSAFFOH ◽  
◽  
Michael Y Ntumy ◽  
Samuel A Obed ◽  
Joseph D Seffah ◽  
...  

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