Al-Azar experience in pregnancy associated hypertension
El-tagi, A.; Nassar, A.; El Agizi, H.
Population Sciences 3: 43-52
1982
ISSN/ISBN: 1110-7502 PMID: 12266217 Document Number: 183641
The incidence, pathogenesis and management of hypertension in 1600 pregnant women admitted to El-Hussein University Hospital, Cairo, in 1980 was studied. A total of 100 women had pregnancy related hypertension, e.g.: 67 or 4.18% had pre-eclampsia, 7 or .44% had eclampsia, 25 or 1.56% had essential hypertension, and 1 or .06% had chronic nephritis. Total fetal mortality was 18%. Maternal mortality was 2% in all cases. Maternal complications or morbidity was 14: 10 in pre-eclampsia; 1 in eclampsia; and 3 in essential hypertension. From all pathological states 54 patients ended with spontaneous vaginal delivery. Termination of pregnancy occurred only in 2 patients, one with severe pre-eclampsia and the other with severe essential hypertension. Induction of labor was done in different weeks of gestation according to the severity or complications discovered. Caesarean section was done in 12 patients, 7 of them for hypertension and in the remaining 5 for other reasons. Management of hypertension at the hospital consisted of 3 approaches: 1) rest in bed and sedation such as pethidine, valium or Algafan; 2) a combination of sedatives and hypotensives such as Brinerdin, Serpasil and Aldomet; and 3) a combination of sedatives, hypotensives and diuretics.