Ultrasound estimation of amniotic fluid and perinatal outcome in normotensive and pre-eclamptics at term in a Nigerian tertiary hospital
Ultrasound estimation of amniotic fluid and perinatal outcome in normotensive and pre-eclamptics at term in a Nigerian tertiary hospital
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DOI：
10.4314/jmbs.v4i3.1
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发表时间：
2015-01-01
期刊：
影响因子：
--
通讯作者：
Idowu, A.
中科院分区：
文献类型：
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作者：
Ogunlaja, O. A.;Fawole, A. A.;Idowu, A.
先兆子痫是妊娠期高血压疾病的一种亚型，被描述为一种广泛的血管内皮功能障碍和血管痉挛的疾病，在妊娠 20 周后出现临床表现，最迟可在产后 4-6 周出现。然而，现代产科护理的重点是通过预防策略降低孕产妇和围产期发病率和死亡率。本研究的目的是确定超声扫描测量羊水指数在确定血压正常和先兆子痫患者围产期结局方面的有用性。这是一项观察性研究，涉及 120 名先兆子痫患者和 120 名血压正常的女性。本研究对围产期结局指标的分析显示，先兆子痫妇女的胎便染色液、分娩途径、胎儿结局和出生体重与血压正常妇女相比，存在统计学显着差异。研究发现，对先兆子痫和血压正常患者的羊水进行超声评估有助于管理这些患者，从而改善围产期结局。因此，可能需要将其纳入管理协议中；然而，需要随机对照试验来进一步证明这一建议的发现。
Pre-eclampsia is a subtype of hypertensive disorder in pregnancy which is described as a disorder of widespread vascular endothelial malfunction and vasospasm that manifest clinically after 20 weeks gestation and can present as late as 4-6 weeks postpartum. However, the focus in modern obstetric care is on reduction of maternal and perinatal morbidity and mortality through preventive strategies. The objective of this study was to determine the usefulness of ultrasound scan measurement of the amniotic fluid indices in determining perinatal outcome in normotensive and pre-eclamptic paturients at term. This was an observational study involving 120 consenting pre-eclamptics and 120 normotensive women. An analysis of the measures of perinatal outcome in this study revealed a statistical significant difference when meconium stained liquor, route of delivery, fetal outcome and birth weight in pre-eclamptic women were compared with those of normotensive women. Ultrasound estimation of amniotic fluid in pre-eclamptic and normotensive paturients has been found to be useful in the management of these patients with the aim of improving perinatal outcome. Hence, there may be a need to include this in the protocol of management; however, randomized control trials will be needed to further justify the finding of this recommendation.