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  1. A comparative study of obstetric outcome of patients with pregnancy induced hypertension : economic considerations.

    Article - En anglais

    Background

    Hypertension in pregnancy is associated with increased maternal and fetal morbidity and mortality.

    The aim of this prospective study was to evaluate the obstetric outcome of patients with pregnancy induced hypertension (PIH) that delivered at the Maternity Hospital Kuwait within a period of six months and evaluate the economic implications of present management strategies.

    Methods

    This was a comparative study with age and parity, as matching variables, in 224 pregnant hypertensive women and 224 normotensive controls.

    Results

    During the study period, the incidence of PIH was 4.9 percent.

    They were more associated with diabetes mellitus and multiple pregnancy than controls (p<0.02).

    About 43 percent of the hypertensive parturients used antihypertensive therapy.

    More of them had induction of labor (p<0.001), preterm delivery (p<0.0002) and cesarean section (p<0.001), and babies with low birthweight (p<0.01).

    In the linear regression analysis, hypertension in pregnancy gave rise to more hospitalisation, intrauterine growth retardation and operative deliveries than the normotensive controls.

    The perinatal mortality was higher (p<0.001).

    Conclusion

    Despite the economic expenditure of about five times more for hypertensive women in pregnancy than in controls, both obstetric and neonatal outcome, are still significantly worse in the former. (...)

    Mots-clés Pascal : Hypertension artérielle, Gestation, Morbidité, Mortalité, Coût spécifique, Economie santé, Homme, Femelle, Appareil circulatoire pathologie, Gestation pathologie

    Mots-clés Pascal anglais : Hypertension, Pregnancy, Morbidity, Mortality, Specific cost, Health economy, Human, Female, Cardiovascular disease, Pregnancy disorders

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0325778

    Code Inist : 002B20F02. Création : 10/04/1997.