RISK FACTORS AND LABOUR OUTCOME IN PAROUS WOMEN WITH PRE - ECLAMPSIA

A. Alrubaee, Methal

doi:10.33762/mjbu.2006.46412

	RISK FACTORS AND LABOUR OUTCOME IN PAROUS WOMEN WITH PRE - ECLAMPSIA
The Medical Journal of Basrah University
Article 6, Volume 24, Issue 1, 2006, Pages 23-27 PDF (0 K)
DOI: 10.33762/mjbu.2006.46412
Author
Methal A. Alrubaee
Abstract
ABSTRACT This is a case-control study, carried out to estimate the frequency of parous women with pre-eclampsia among all deliveries conducted in the study period (September 2004 -September 2005); to identify demographic, medical and obstetrical risk factors that are associated with recurrence of pre-eclampsia in subsequent pregnancies as well as to assess perinatal outcome. The study included 165 parous women with pre-eclampsia as (cases) compared to 200 normotensive parous women as (controls). The study found that the incidence of parous women with pre-eclampsia was about 1% of all deliveries. Recurrence rate was about 55%. Advanced maternal age, body overweight and obesity, chronic hypertension, previous pre-eclampsia, long interval between pregnancies, previous preterm labor, poor antenatal care and family history of pre-eclampsia were the main risk factors associated with development of preeclampsia. Higher rate of cesarean section for eclampsia, fetal distress and abruption placenta was found among parous women with pre-eclampsia as well as high rate of abruption placenta and postpartum haemorrhage as obstetrical complications. Adverse perinatal outcome was reported in women with pre-eclampsia in term of high rate of preterm delivery, fetal death, low birth weight and low apgar scor. In conclusion; the overall recurrence of pre-eclampsia in subsequent pregnancies is still high with poor prognosis regarding maternal and perinatal morbidity and mortality.

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