Relationship between Pregnancy-induced Hypertension with Neonatal and Maternal Complications

Authors

1 Associate Professor, Mother and Child Care Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.

2 Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Arak University of Medical Sciences, Arak, Iran.

3 MSc in Nursing, Clinical Care Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran.

4 Associate Professor, Chronic Disease (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.

5 Ph.D in Midwifery Mother and Child Care Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.

6 MSc, Faculty of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.

7 Assistant Professor, Mother and Child Care Research Center, Nursing and Midwifery School, Hamadan University of Medical Sciences, Hamadan, Iran.

Abstract

Background
Prevalence of hypertension has a relatively high prevalence especially in developing countries. In order to prevent and control the disease, it is important to know the extent of the complications. The aim of this study was to investigate the relationship between pregnancy-induced hypertension with neonatal and maternal complications.  
Materials and Methods
This prospective, descriptive study was conducted on 230 overweight women, with hypertension (n=115) and normal blood pressure (n=115) during pregnancy, referring to Hamedan hospitals. Researcher-made questionnaire including demographic characteristics and maternal and neonatal complications were used to collect required data. Data analysis was performed using Chi-square, t-test and ANOVA based on the difference between the data at a level of error less than 5%.
Results: There was no significant difference between the two groups in terms of demographic characteristics, smoking history, and mean weight, number of pregnancies, number of births, history of abortion and the reception of care during pregnancy (P > 0.05). Significant relationship was observed between pregnancy and maternal outcomes, such as cesarean section, infection, bleeding, hydramnios, diabetes, proteinuria, edema, headache and hospitalization time, as well as neonatal outcomes such as low birth weight, preterm delivery, Apgar, and longer hospitalization (P <0.05).
Conclusion
Regarding the proved significant relationship between pregnancy and maternal hypertension, it is highly recommended to prevent these complications by controlling the blood pressure and providing necessary measures during pregnancy.

Keywords