ปัจจัยที่สัมพันธ์กับความรุนแรงของโรคและผลลัพธ์ไม่พึงประสงค์ ในผู้ป่วยความดันโลหิตสูงระหว่างตั้งครรภ์ ในโรงพยาบาลประจวบคีรีขันธ์

บทคัดย่อ

       A retrospective study of Hypertensive disorders in pregnancy in Prachuabkirikhan Hospital during October 2002 to July 2006, included 201 patients, aimed to evaluate which clinical and laboratory examination result can relate to severity of disease and adverse outcomes of pregnancy (intrauterine growth retardation, low 1 min APGAR scores, maternal morbidity and mortality). Fifty-five patints were Gestational hypertension (GT), 47 were Mild preeclampsia (MP), 85 were Severe preeclampsia (SP), 14 were Eclampsia (E). Thirteen developed adverse maternal outcomes, (12 complication and 1 death). Factors related with more severe diseases were lower gestational age on admission, delivered by cesarean section, low 1 minute APGAR scores, high dipstick proteinuria, and maternal complication. Low APGAFt scores group had low gestational age on admission and high SGOT. No factors related to lntrauterine growth retardation. Factors related to adverse maternal outcomes were high SGOT, low 1 minute APGAR scores, and low gestational age on admission. Factors related to more than one adverse maternal outcomes was low hematocrit. So patients who had these factors should be cared with special attention.