Effect of different types of hypertensive disorder complicating pregnancy on pregnancy outcome

ObjectiveTo explore the effects of different types of hypertensive disorder complicating pregnancy(HDCP) on pregnancy outcome.

MethodsOne hundred and sixty-eight pregnant women with different types of HDCP were selected using simple sampling, and set as the observation group.One hundred and sixty-eight normal pregnant women in the same period were set as the control group.The adverse outcomes of pregnant womanl, fetus and neonate were recorded, counted and analyzed in two groups.

ResultsThe total incidence rates of adverse outcomes in perinatal stage in observation group and control group were 48.81% and 3.57%, respectively.Except for the HDCP, the difference of the incidence rate of other complications between two groups was not statistically significant(P>0.05).The incidence rate of placenta abruption complications in observation group was higher than that in control group(P < 0.05 to P < 0.01).The incidence rate of two kinds of complications in observation group was higher than that in control group(P < 0.01), and the difference of the incidence rate of three kinds of complications between two groups was not statistically significant(P>0.05).The incidence rate of adverse outcomes of fetuses in observation group and control group were 58.42% and 6.90%, respectively.The incidence rates of fetal death, fetal distress and fetal growth restriction of fetus in observation group were higher than those in control group(P < 0.05 to P < 0.01).The incidence rate of two kinds of complications in fetuses of observation group was higher than that in control group(P < 0.01), and the difference of the incidence rate of three kinds of complications in fetuses between two groups was not statistically significant(P>0.05).The incidence rate of neonatal adverse outcomes during perinatal period in observation group and control group were 46.55% and 4.93%, respectively.The incidence rates of the neonatal asphyxia and SGA in observation group were higher than those in control group(P < 0.01).The incidence rate of two kinds of complications in neonates in observation group was higher than that in control group(P < 0.01), and the differences of the incidence rates of death and three kinds of complications of neonates were not statistically significant(P>0.05).The differences of the incidence rates of gestational hypertension, preeclampsia, eclampsia, pregnancy complicated with chronic hypertension, chronic hypertension complicated with preeclampsia perinatal placental abruption, fetal death and neonatal death between two groups were not statistically significant(P>0.05).

ConclusionsHDCP can seriously impact on the maternal and infant prognosis, and the effects gradually increase with the development of disease.Strengthening the screening, early detection and intervention should be done to improve the quality of maternal and infant prognosis.