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[Effect of hypertensive pregnancy complications on neonatal outcome of growth retarded fetuses].
Z Geburtshilfe Neonatol. 2000 Mar-Apr; 204(2):49-54.ZG

Abstract

OBJECTIVE

To determine the effect of hypertensive disorders in pregnancy on the neonatal outcome of growth restricted fetuses. There is conflicting data on the effect of hypertension during pregnancy on the incidence of neonatal respiratory distress syndrome (RDS) and intraventricular hemorrhage. Some studies report a lower incidence of RDS and intraventricular hemorrhage in infants of hypertensive mothers, whereas other studies report a similar or higher incidence in infants born to hypertensive mothers.

STUDY DESIGN

We performed a retrospective analysis of 220 growth restricted fetuses born between January 1, 1996 to July 1, 1997 at the Department of Obstetrics and Gynecology of the University-Hospital at Homburg/Saar. Data were obtained by review of the medical records. Growth restricted infants born to preeclamptic women or women with HELLP syndrome were compared to growth restricted fetuses born to mothers without hypertensive disorders.

RESULTS

Growth restricted fetuses born to hypertensive mothers had a significant lower birth weight (p < 0.05). The incidence of RDS in children born to hypertensive mothers was significantly higher (p < 0.05, p < 0.01) and they stayed significantly longer in the neonatal intensive care unit (p < 0.01). In contrast to infants born to mothers with HELLP syndrome (n = 7) there was no difference in the incidence of intraventricular hemorrhage, infection, sepsis, necrotizing enterocolitis or cardiac complications (arrhythmia, insufficiency) in case of preeclampsia (n = 68). The perinatal mortality of infants born to hypertensive mothers was significantly higher (p < 0.05, p < 0.01).

CONCLUSION

This study does not support the contention that hypertensive disorders in pregnancy have a beneficial effect on the postnatal course of IUGR infants.

Authors+Show Affiliations

Universitäts-Frauenklinik und Poliklinik mit Hebammenlehranstalt Homburg/Saar.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

ger

PubMed ID

10798264

Citation

Axt, R, et al. "[Effect of Hypertensive Pregnancy Complications On Neonatal Outcome of Growth Retarded Fetuses]." Zeitschrift Fur Geburtshilfe Und Neonatologie, vol. 204, no. 2, 2000, pp. 49-54.
Axt R, Boos R, Babayan A, et al. [Effect of hypertensive pregnancy complications on neonatal outcome of growth retarded fetuses]. Z Geburtshilfe Neonatol. 2000;204(2):49-54.
Axt, R., Boos, R., Babayan, A., Ertan, K., & Schmidt, W. (2000). [Effect of hypertensive pregnancy complications on neonatal outcome of growth retarded fetuses]. Zeitschrift Fur Geburtshilfe Und Neonatologie, 204(2), 49-54.
Axt R, et al. [Effect of Hypertensive Pregnancy Complications On Neonatal Outcome of Growth Retarded Fetuses]. Z Geburtshilfe Neonatol. 2000;204(2):49-54. PubMed PMID: 10798264.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Effect of hypertensive pregnancy complications on neonatal outcome of growth retarded fetuses]. AU - Axt,R, AU - Boos,R, AU - Babayan,A, AU - Ertan,K, AU - Schmidt,W, PY - 2000/5/8/pubmed PY - 2000/6/24/medline PY - 2000/5/8/entrez SP - 49 EP - 54 JF - Zeitschrift fur Geburtshilfe und Neonatologie JO - Z Geburtshilfe Neonatol VL - 204 IS - 2 N2 - OBJECTIVE: To determine the effect of hypertensive disorders in pregnancy on the neonatal outcome of growth restricted fetuses. There is conflicting data on the effect of hypertension during pregnancy on the incidence of neonatal respiratory distress syndrome (RDS) and intraventricular hemorrhage. Some studies report a lower incidence of RDS and intraventricular hemorrhage in infants of hypertensive mothers, whereas other studies report a similar or higher incidence in infants born to hypertensive mothers. STUDY DESIGN: We performed a retrospective analysis of 220 growth restricted fetuses born between January 1, 1996 to July 1, 1997 at the Department of Obstetrics and Gynecology of the University-Hospital at Homburg/Saar. Data were obtained by review of the medical records. Growth restricted infants born to preeclamptic women or women with HELLP syndrome were compared to growth restricted fetuses born to mothers without hypertensive disorders. RESULTS: Growth restricted fetuses born to hypertensive mothers had a significant lower birth weight (p < 0.05). The incidence of RDS in children born to hypertensive mothers was significantly higher (p < 0.05, p < 0.01) and they stayed significantly longer in the neonatal intensive care unit (p < 0.01). In contrast to infants born to mothers with HELLP syndrome (n = 7) there was no difference in the incidence of intraventricular hemorrhage, infection, sepsis, necrotizing enterocolitis or cardiac complications (arrhythmia, insufficiency) in case of preeclampsia (n = 68). The perinatal mortality of infants born to hypertensive mothers was significantly higher (p < 0.05, p < 0.01). CONCLUSION: This study does not support the contention that hypertensive disorders in pregnancy have a beneficial effect on the postnatal course of IUGR infants. SN - 0948-2393 UR - https://www.unboundmedicine.com/medline/citation/10798264/[Effect_of_hypertensive_pregnancy_complications_on_neonatal_outcome_of_growth_retarded_fetuses]_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-2000-10196 DB - PRIME DP - Unbound Medicine ER -