Pregnancy outcome in chronic hypertensive pregnant women in Maharaj Nakorn Chiangmai Hospital

Abstract

Objective:

To assess pregnancy and fetal outcome in pregnant women with chronic hypertension

who delivered at Maharaj Nakorn Chiangmai Hospital.

Study design:

A retrospective descriptive study.

Materials and methods:

All 173 pregnant women with chronic hypertension from the maternal - fetal

medicine unit database and medical records during 10-year period (1997-2006) of Maharaj

Nakorn Chiangmai Hospital were reviewed. The baseline characteristics were analyzed. The

main outcomes were superimposed preeclampsia and other maternal and fetal outcomes were

studied.

Results:

153 pregnant women complicated with chronic hypertension were recruited in the

study. These pregnancies were complicated by superimposed preeclampsia (19%), preterm

delivery (36.6%), postpartum hemorrhage (6.5%), and puerperal infection (2%). Adverse fetal

outcomes found in this group consist of stillbirth (2%) and small for gestational age (11.1%).

Conclusions:

Adverse pregnancy outcome especially superimposed preeclampsia are commonly

found among pregnant women complicated with chronic hypertension.