Iris publishers- Open access Journal of Anaesthesia & Surgery | Maternal Outcomes Among Hypertensive Pregnant Women at A Tertiary Maternity Hospital in Qatar, 2015-2017: A Case-Control Study

Authored by Gamal Sayed Ahmed

Introduction

Chronic hypertension in pregnancy is associated with increased hospitalization due to new complications or the deterioration of pre-existing comorbidities [1]. Also, there is an increased risk of placental abruption, vascular accidents, gestational diabetes, and C-section [2]. In Qatar, evidence is lacking on the aforementioned issue despite the increasing trend of hypertension and its risk factors. So, we aimed to identify the maternal outcomes among pregnant women with chronic hypertension at a tertiary maternity facility in Doha, Qatar.

Methods

This was a hospital-based unmatched case-control study among pregnant women attending antenatal follow up at the Women Hospital/ Women Wellness and Research Center (Doha, Qatar) between January 1, 2015 and December 30, 2017. A simple random sampling technique recruited 82 cases (pregnant women with chronic hypertension) and 82 controls (pregnant women without chronic hypertension). Descriptive and inferential statistics were employed as adequate using Wizard Pro (version 1.9.26). A P-value less than 0.05 was considered statistically significant (Graph1&2).

Results

Among the 164 study subjects, the prevalence of gestational diabetes mellitus was higher among hypertensive pregnant women (14.6%) than their controls (11.3%) (p = 0.54). Moreover, the percentage of preeclampsia among cases (19.5%) was almost six times higher than that among controls (3.8%) (p=0.002). Thirteen study subjects were lost to follow up (8 cases and 5 controls). Of those remaining, 74 were cases and 77 were controls; the incidence of preterm labor among the cases (32.4%) was roughly double that of the controls (16.7%) (0.002). On the other hand, the incidence of other outcomes (emergency cesarean section, elective cesarean section, vaginal delivery, and fetal distress) was not statistically significant (Table 1).

Table 1: Distribution of maternal outcomes among the cases and controls, WWRC 2015-2017.

Conclusion

The adverse outcomes associated with hypertension in pregnancy necessitate a more comprehensive clinical management. Further research on the prevention of preterm labor is warranted to optimize the maternal and fetal outcomes of pregnant hypertensive women.

I confirm the originality of the research work and that all fellow authors/researchers of this research work are aware and in agreement of this abstract submission.

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