PREGNANCY OUTCOMES IN GESTATIONAL HYPERTENSIVE DISORDERS

Objective. to study pregnant outcomes and delivery modes in relation to the degree of hypertensive disorders and gestational ages. Subjects and methods. One hundred and fifty women with hypertensive states caused by current pregnancy at above 20 week’s gestation (a study group) and 50 women with normal pregnancy without hypertensive disorders in the same gestational periods (a control group) were examined. The outcomes of pregnancy, the time and methods of delivery were studied in relation to the severity of hypertensive disorders. Pearson’s x 2test was used to assess the relationship between qualitative indicators. Results. In gestational hypertensive disorders, pregnancy ends in term, preterm, and immature births in 26.7, 54.7, and 18.6% of the examinees, respectively. Reproductive losses in hypertensive disorders are 22.7%. Hypertensive disorders are characterized by a high rate of operative deliveries (70.7%). Gestational age affects the rate of a delivery mode - operative deliveries prevail over vaginal ones before 34 weeks’ gestation; the reverse is observed after 34 weeks. The rate of cesarean delivery in hypertension depended on the degree of the disease and considerably increased (8.6-fold) in its severe forms. Conclusion. Pregnancy-induced hypertensive disorders every so often give rise to poor outcomes for both the mother and fetus. The treatment of this disease, its severe forms in particular, is ineffective. The only correct and effective way to overcome this problem is timely delivery and prevention of the severe forms of the disease.

pregnancy, gestational hypertension, preeclampsia, birth, cesarean section