Prevalence and management of severe intrapartum hypertension in patients with preeclampsia at an urban tertiary care medical center.
Prevalence and management of severe intrapartum hypertension in patients with preeclampsia at an urban tertiary care medical center.
复制标题
DOI：
10.1016/j.preghy.2021.12.011
复制
发表时间：
2022-03
期刊：
影响因子：
--
通讯作者：
Rana S
中科院分区：
文献类型：
--
作者：
Nwabueze N;Docheva N;Arenas G;Mueller A;Lopes Perdigao J;Rana S
Data on management of severe intrapartum hypertension is lacking. The aim of this study is to explore the proportion of timely interventions in severe, persistent intrapartum hypertension treatment by exploring the prevalence and management of intrapartum hypertension trends. This was a retrospective case-control study of pregnant women who delivered at the University of Chicago between January 2015 and March 2017. Patients with severe preeclampsia who underwent labor (either induced or spontaneous) were stratified into two groups: severe intrapartum hypertension and no severe intrapartum hypertension. Type of treatment and timing to treatment of severe hypertensive episodes were explored as well as prevalence of maternal adverse outcomes. A total of 95 patients with severe preeclampsia in labor were identified. In patients with persistent severe intrapartum hypertension (n = 52), 15 (28.9%) received treatment. Patients experiencing greater than 3 episodes of blood pressure elevation were more likely to receive treatment as compared to those with fewer episodes. There was no significant difference in severe maternal morbidity (SMM) between those treated within 60 minutes compared to those untreated or treated after 60 minutes (16.7% vs 27.5%; p = 0.71). Management protocols of intrapartum hypertensive episodes are variable or not universally implemented. Inadequately treated episodes of severe intrapartum hypertension trend towards higher rates of SMM.
登录
查看更多内容
影响因子：
9.8
作者：
Shields, Laurence E.;Wiesner, Suzanne;Hedriana, Herman L.
通讯作者：
Hedriana, Herman L.
影响因子：
9.8
作者：
Hitti, Jane;Sienas, Laura;Easterling, Thomas
通讯作者：
Easterling, Thomas
影响因子：
9.8
作者：
Kantorowska, Agata;Heiselman, Cassandra J.;Heo, Hye J.
通讯作者：
Heo, Hye J.
影响因子：
8.3
作者：
Perdigao, Joana Lopes;Chinthala, Sireesha;Rana, Sarosh
通讯作者：
Rana, Sarosh
DOI：
10.1016/j.ijgo.2015.07.036
发表时间：
2016-03-01
影响因子：
3.8
作者：
Hedriana, Herman L.;Wiesner, Suzanne;Shields, Laurence E.
通讯作者：
Shields, Laurence E.