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Comparison between HELLP syndrome, chronic hypertension, and superimposed preeclampsia on chronic hypertension without HELLP syndrome.
J Perinat Med. 2004; 32(6):481-5.JP

Abstract

AIM

To compare perinatal outcome of patients with HELLP syndrome to that of patients with chronic hypertension and superimposed preeclampsia on chronic hypertension without HELLP syndrome.

METHODS

We retrospectively evaluated the perinatal outcome of 147 pregnancies complicated by the HELLP syndrome, chronic hypertension, and superimposed preeclampsia on chronic hypertension without HELLP syndrome.

RESULTS

Gestational age at delivery and birthweights were lower among women with HELLP syndrome than among women with superimposed preeclampsia and chronic hypertension (P < 0.05). There were no statistically significant differences among the three groups with respect to intrauterine growth retardation, respiratory distress syndrome, intraventricular hemorrhage, necrotizing enterocolitis, Apgar score, admission to neonatal intensive care unit, overall rate of cesarean delivery and cesarean delivery rate for fetal distress. The total perinatal mortality rate was 17% (28/147) and was more frequent in the HELLP group (27%). Multivariate logistic regression analysis showed that gestational age at delivery (RR 0.45) and birthweight (RR 0.99) were risk factors for adverse outcome.

CONCLUSIONS

Perinatal outcome is primarily influenced by gestational age at delivery and birthweight independent of the severity of the hypertensive status of pregnant women.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Medicine School of Karadeniz Technical University, 61080 Trabzon, Turkey. osmanaga@meds.ktu.edu.trNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

15576268

Citation

Osmanağaoğlu, Mehmet A., et al. "Comparison Between HELLP Syndrome, Chronic Hypertension, and Superimposed Preeclampsia On Chronic Hypertension Without HELLP Syndrome." Journal of Perinatal Medicine, vol. 32, no. 6, 2004, pp. 481-5.
Osmanağaoğlu MA, Erdoğan I, Zengin U, et al. Comparison between HELLP syndrome, chronic hypertension, and superimposed preeclampsia on chronic hypertension without HELLP syndrome. J Perinat Med. 2004;32(6):481-5.
Osmanağaoğlu, M. A., Erdoğan, I., Zengin, U., & Bozkaya, H. (2004). Comparison between HELLP syndrome, chronic hypertension, and superimposed preeclampsia on chronic hypertension without HELLP syndrome. Journal of Perinatal Medicine, 32(6), 481-5.
Osmanağaoğlu MA, et al. Comparison Between HELLP Syndrome, Chronic Hypertension, and Superimposed Preeclampsia On Chronic Hypertension Without HELLP Syndrome. J Perinat Med. 2004;32(6):481-5. PubMed PMID: 15576268.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison between HELLP syndrome, chronic hypertension, and superimposed preeclampsia on chronic hypertension without HELLP syndrome. AU - Osmanağaoğlu,Mehmet A, AU - Erdoğan,Inanç, AU - Zengin,Ulkü, AU - Bozkaya,Hasan, PY - 2004/12/4/pubmed PY - 2005/3/11/medline PY - 2004/12/4/entrez SP - 481 EP - 5 JF - Journal of perinatal medicine JO - J Perinat Med VL - 32 IS - 6 N2 - AIM: To compare perinatal outcome of patients with HELLP syndrome to that of patients with chronic hypertension and superimposed preeclampsia on chronic hypertension without HELLP syndrome. METHODS: We retrospectively evaluated the perinatal outcome of 147 pregnancies complicated by the HELLP syndrome, chronic hypertension, and superimposed preeclampsia on chronic hypertension without HELLP syndrome. RESULTS: Gestational age at delivery and birthweights were lower among women with HELLP syndrome than among women with superimposed preeclampsia and chronic hypertension (P < 0.05). There were no statistically significant differences among the three groups with respect to intrauterine growth retardation, respiratory distress syndrome, intraventricular hemorrhage, necrotizing enterocolitis, Apgar score, admission to neonatal intensive care unit, overall rate of cesarean delivery and cesarean delivery rate for fetal distress. The total perinatal mortality rate was 17% (28/147) and was more frequent in the HELLP group (27%). Multivariate logistic regression analysis showed that gestational age at delivery (RR 0.45) and birthweight (RR 0.99) were risk factors for adverse outcome. CONCLUSIONS: Perinatal outcome is primarily influenced by gestational age at delivery and birthweight independent of the severity of the hypertensive status of pregnant women. SN - 0300-5577 UR - https://www.unboundmedicine.com/medline/citation/15576268/Comparison_between_HELLP_syndrome_chronic_hypertension_and_superimposed_preeclampsia_on_chronic_hypertension_without_HELLP_syndrome_ L2 - https://www.degruyter.com/document/doi/10.1515/JPM.2004.132 DB - PRIME DP - Unbound Medicine ER -