Pregnancy and nephrogenic hypertension syndrome

Abstract

Objective: The necessity to study nephrogenic in pregnancy is mandated by a continuing increase of number of patients affected by that disorder.

Full Text

Methods: 153 pregnant women with chronic pyelonephritis were examined. Methods of examination were: generally accepted clinical methods, biochemical, echographia, radioisotopic, cardiotocographia, dopplerometria.

Results: Hypertensive syndrome was found out in 32 (20,9 %) patients: 30 with parenchymatous form & 2 - with vasorenal form. The abortion for medical duration in the 1st trimester of pregnancy was done in 2 patients with vasorenal hypertension (arterial pressure 180/120 - 240/150 mm Hg) & in the II-nd trimester in 6 patients with parenchymatous hypertension of pregnancy tie to high hypertension & the progression of chronic renal insuffiency. Another 24 pregnant women continued 32-38 weeks with different degree of gravity & complications: with negatively influence on the condition of fetal (retardation 62,5%, hypoxia 58,3%) & women (the violation of nitric excretory function 83,3%, the increase of chronic renal insufficiency 12,5%). Perinatal mortality was 4,2%.

Conclusion: The prolongation of pregnancy with nephrogenic hypertension must be decisive individual.