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School of Diagnostics|Epidemiological Characteristics of Hypertension in Pregnancy

School of Diagnostics|Epidemiological Characteristics of Hypertension in Pregnancy

(Summary description)

School of Diagnostics|Epidemiological Characteristics of Hypertension in Pregnancy

(Summary description)

 
 

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Hypertension in pregnancy is a relatively common disease in obstetrics. The disease can lead to multiple organ failure of the parturient, affect the growth and development of the fetus, and increase the incidence of fetal distress. It is one of the main causes of death of the parturient and perinatal infant.Statistics show that hypertension in pregnancy can cause about 70,000 deaths in pregnant women worldwide each year. Once the disease progresses to severe preeclampsia, the risks of various complications are significantly increased. Understanding the epidemiological characteristics of hypertension in pregnancy is of great significance for preventing the occurrence of hypertension in pregnancy and its related complications.

 

The study retrospectively analyzed the clinical data of 450 patients with pregnancy-induced hypertension admitted to Jiaozhou People's Hospital within 5 years (May 2013 to September 2018), and comprehensively analyzed and studied their epidemiological characteristics, including the name, age, and household registration of the research subjects , Gestational age, parity, whether there are regular obstetrics, delivery methods information, in order to provide reference for the prevention and treatment of hypertension in pregnancy。

 

 

  Epidemiological characteristics of 450 cases of pregnancy-induced hypertension  

 

The study showed that the age of onset of 450 patients with pregnancy-induced hypertension was 32 to 38 years old, with an average of (34.52 ± 1.91) years. Compared with the age of onset in 5 years, the difference was not statistically significant (P>0.05). The rural population accounts for 23.78% (107/450), and the proportion is increasing year by year. Primiparous women accounted for 77.56% (349/450), and the proportion is gradually decreasing.The gestational week of onset of 450 patients was 33-40 weeks, with an average of (36.11 ± 2.75) weeks. The gestational week of onset has been advanced year by year in the five years.Regular check-ups accounted for 72. 44% (326 /450), and the proportion is increasing year by year. Vaginal delivery accounted for 18.00% (81/450), the delivery method did not change much (P>0.05), and cesarean section was still the main method. See Table 1.

 
 

  Analysis of epidemiological characteristics of patients with pregnancy-induced hypertension  

 

Hypertension in pregnancy is a disease unique to women during pregnancy. The cause of the disease is complicated. It is not yet possible to completely prevent the occurrence of the disease. However, relevant medical research points out that the analysis and prevention of some high-risk factors of this disease will help Reduce the occurrence of pregnancy-induced hypertension, reduce the incidence of related complications, and improve the perinatal maternal and infant outcomes.At present, the medical profession recognizes that the causes of hypertension in pregnancy are advanced age, chronic hypertension and multiple pregnancy.

 

This study analyzed the clinical data of 450 cases of pregnancy-induced hypertension admitted to Jiaozhou People’s Hospital in the past five years, and found that the age of onset of the disease is mainly between 32 and 38 years old. For the investigation of pregnant women in this age group, the family members should be observed more frequently from the 33rd week of pregnancy, regular diet, regular work and rest, and regular obstetric check-ups,Achieve early prevention, early detection, and early intervention to minimize the occurrence of adverse pregnancy outcomes.

 

The data of this study shows that the composition ratio of primipara has been declining in the past five years, and this finding should arouse the attention of clinicians. In recent years, the vaginal delivery rate has been low, and the delivery method is dominated by cesarean section, which may be in line with the improvement of modern people’s economic level. It is related to the reduced tolerance of pregnant women to pain. At the same time, this study found that the proportion of regular birth checkups has increased year by year in the past 5 years, indicating that pregnant women pay more attention to prenatal checkups, which helpsEarly screening of high-risk patients, early treatment of patients,In order to avoid the occurrence of adverse events, at the same time, it indirectly confirms the achievements of maternal obstetrics related science popularization work, and also illustrates the necessity of carrying out popular science work.

 

In addition, this study also found that the proportion of rural population among patients with pregnancy-induced hypertension has been on the rise in the past five years, which may be related to the low educational level of the rural population, insufficient awareness of pregnancy-induced hypertension, weak awareness of health care, and attention to related obstetrics Therefore, it is necessary to strengthen the health promotion of pregnancy and childbirth knowledge to the rural population, increase their awareness, and cause them to pay enough attention to consciously develop good living habits and regular birth check to prevent the occurrence of complications related to pregnancy-induced hypertension , To improve the perinatal maternal and infant outcome.

 

In summary, pregnancy-induced hypertension mainly occurs between the ages of 32 and 38. In recent years, the proportion of primiparous women has declined, the proportion of rural population has increased, and the proportion of regular obstetric patients has risen, and the gestational week of patients has a tendency to advance. Adequate attention should be paid to the clinic, the publicity of the disease should be increased, and the perinatal health care should be strengthened.

 

 

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Original Source

Dai Peifen. Epidemiological characteristics of hypertension in pregnancy[J/CD]. Chinese Electronic Journal of Heart and Rhythm,2019,7( 4) : 201 - 203

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