Analysis Of The Risk Factors And Mother And Fetus Outcomes In 161 Cases Of Hypertensive Disorders Complicating Pregnancy

Objective: to study the risk factors of hypertensive disorders complicating pregnancy and the relationship beteen the related parameters, to provide theoretical basis for clinical consultation and processing.Methods: Using the methods of retrospective analysis, selecting 161 pregnant women were diagnosed with gestational hypertension disease as observation group, chosing other 123 normal pregnant women who were randomly selected at the same time in the hospital during the same period as the control group. two groups of pregnant women gave birth to their childen in the Obstetrics and Gynecology Department of General Hospital of jilin university second hospital during January 2014 to October 2015. Collect and analysis the data of the two groups of pregnant women about the natural condition、prenatal and postpartum complications、pregnancy check index、the perinatal infant’s outcomes.Results: 1、the observation group of pregnant women on average age is(30.5 ± 5.315) and the control group in pregnant women with an average age of(28.8 ± 4.76), there has statistically significant difference(P > 0.05); the age composition of pregnant women was statistically significant(P < 0.05); The Observation group in pregnant women about the age, the number of days of pregnancy termination, production time, pregnancy body mass index(BMI) and gestational hypertension family history compared with the control group are statistically significant differences.2、We can get the information by comparing the gestational age, body mass index, new mothers and family history of hypertension with the perinatal outcome from single factor analysis:(1)、The perinatal outcomes of the age moer than 35 years old and the age less than 35 years of pregnant women in the incidence of adverse outcomes about premature birth, low birth weight newborn, neonatal asphyxia and perinatal death rates were diffrente,there has difference in statistical significance(P < 0.05).(2)、The pregnant women with BMI moer than 35 kg/m2 compered with the BMI less than 35 kg/m2 in the incidence of premature birth, low birth weight newborn, perinatal death rates and neonatal asphyxia were difference in statistical significance(P < 0.05).(3)、The primipara and multipara`s perinatal infant in the incidence of premature birth, low birth weight newborn, perinatal death rates and neonatal asphyxia were difference in statistical significance(P < 0.05).(4) 、 pregnant women with family history of hypertension and pregnant women with no family history of hypertension in the incidence of premature birth, low birth weight newborn, perinatal death rates and neonatal asphyxia were difference in statistical significance(P < 0.05).3、In pregnant women in the perinatal period different complications compared with the related risk factors, it can be found that BMI more than 35 kg/m2 compared to BMI less than 35 kg/m2, the pregnant women complicated with retinopathy and gestational diabetes were statistically significant(P < 0.05).4、with the increase of umbilical cord blood flow S/D value, the incidence of adverse outcomes about premature birth, low birth weight newborn, neonatal asphyxia and perinatal death rates were increased, the difference had statistical significance(P < 0.05).5、HDCP group of pregnancy complicated with urinary protein, along with the increase of urinary protein, the incidence of adverse outcomes about premature birth, low birth weight newborn, neonatal asphyxia and perinatal death rates were increased, the difference had statistical significance(P < 0.05).Conclusion: 1、Primipara,advanced age(more than 35 years of age), pregnancy obesity and family history of high blood pressure are risk factors of HDCP, management should be strengthened. 2、the perinatal infant of HDCP pregnant women older than 35 years old has high incidence rate in the incidence of premature birth, low birth weight newborn, perinatal death rates and neonatal asphyxia compered with the HDCP pregnant women younger than 35. 3、Maternal body mass index more than 35 ㎏/㎡ can increase the incidence of premature birth, low birth weight newborn, perinatal death rates and neonatal asphyxia, as well as to Increase the pregnant complications. 4, first-time mothers are more likely to occur hypertension disease. 5, HDCP pregnancy complicated with urinary protein and S/D value rise will also increase the incidence of perinatal adverse outcome above. Pregnancy should strengthen the monitoring of urine protein and S/D value.