Details
Category: Volume 06 Issue 12 December 2018
Hits: 879

Title: Surveillance of Hypertensions in pregnant women: Our experience

Authors: Deepak Kumar Parhi, Kumar Gaurav Behera

 DOI: https://dx.doi.org/10.18535/jmscr/v6i12.185

Abstract

Study objective: Our motivation was to think about the connection among wheezing and pregnancy-initiated hypertension and development impediment of the baby. Plan: Retrospective, cross-sectional, back to back case arrangement.

Materials and Methods: The Department of Cardiology, IMS and SUM Hospital, Bhubaneswar. Members and estimations: upon the arrival of conveyance, 502 ladies with singleton pregnancies finished a survey about wheezing, saw rest apneas, and daytime weakness. Information concerning restorative intricacies were taken from the ladies' casebooks.

Results: Amid the most recent seven day stretch of pregnancy, 23% of the ladies revealed wheezing each night. Just 4% detailed wheezing before getting to be pregnant. Hypertension created in 14% of wheezing ladies, contrasted and 6% of nonsnorers (p < 0.01). Preeclampsia happened in 10% of snorers, contrasted and 4% of nonsnorers (p < 0.05). An Apgar score < 7 was increasingly basic in newborn children destined to constant snorers. Development impediment of the baby, characterized as little for gestational age during childbirth, had happened in 7.1% of the babies of wheezing moms and 2.6% of the rest of the newborn children (p < 0.05). Ongoing wheezing was autonomously prescient of hypertension (chances proportion [OR], 2.03; p < 0.05) and development hindrance (OR, 3.45; p < 0.01) in a calculated relapse investigation controlling for weight, age, and smoking.

Conclusions: Wheezing is regular in pregnancy and is an indication of pregnancy-initiated hypertension. Wheezing shows a danger of development impediment of the embryo.

Keywords: hypertension; intrauterine growth retardation; preeclampsia; pregnancy; small for gestational age; snoring.

References

  1. Wallenburg HCS. Detecting hypertensive disorders of preg-nancy. In: Chalmers I, Enkin M, Keirse MJNC, eds. Effective care in pregnancy and childbirth. Oxford, UK: University Press, 1989; 382– 402
  2. Kaunitz AM, Hughes JM, Grimes DA, et al. Causes of maternal mortality in the United States. Obstet Gynecol 1985; 65:605– 612
  3. Chamberlain G, Phillip E, Howlett B, et al. British births 1970: Vol 2. Obstetric care. London, UK: Heinemann, 1978; 80 –107
  4. MacGillivray I. Pre-eclampsia: the hypertensive disease of pregnancy. London, UK: WB Saunders, 1983
  5. Gislason T, Benediktsdo´ ttir B, Bjo¨ rnsson JK, et al. Snoring, hypertension, and the sleep apnea syndrome: an epidemiologic survey of middle-aged women. Chest 1993; 103:1147–1151
  6. Guilleminault C, Stoohs R, Duncan S. Snoring (1): daytime sleepiness in regular heavy snorers. Chest 1991; 99:40 – 48
  7. Bliwise DL, Nekich JC, Dement WC. Relative validity of self-reported snoring as a symptom of sleep apnea in a sleep clinic population. Chest 1991; 99:600 – 608
  8. Hla KM, Young TB, Bidwell T, et al. Sleep apnea and hypertension: a population-based study. Ann Intern Med 1994; 120:382–388
  9. Franklin KA, Nilsson J, Sahlin C, et al. Sleep apnoea and nocturnal angina. Lancet 1995; 345:1085–1087
  10. Mooe T, Rabben T, Wiklund U, et al. Sleep-disordered breathing in women: occurrence and association with coro-nary artery disease. Am J Med 1996; 101:251–256.
  11. Carlson JT, Hedner J, Elam M, et al. Augmented resting sympathetic activity in awake patients with obstructive sleep apnea. Chest 1993; 103:1763–1768
  12. Lapinski M, Przybylowski T, Lewandowski J, et al. Diurnal blood pressure rhythm and urinary catecholamine excretion in obstructive sleep apnoea and essential hypertension. J Hy-pertens 1993; 11(Suppl 5):292–293
  13. Pilkington S, Carli F, Dakin MJ, et al. Increase in Mallampati score during pregnancy. Br J Anaesth 1995; 74:638 – 642
  14. Joel-Cohen SJ, Schoenfeld A. Fetal response to periodic sleep apnea: a new syndrome in obstetrics. Eur J Obstet Gynecol Reprod Biol 1978; 8:77– 81
  15. Charbonneau M, Falcone T, Cosio MG, et al. Obstructive sleep apnea during pregnancy: therapy and implications for fetal health. Am Rev Respir Dis 1991; 144:461– 463
  16. Sherer DM, Caverly CB, Abramowicz JS. Severe obstructive sleep apnea and associated snoring documented during external tocography. Am J Obstet Gynecol 1991; 165:1300 –1301
  17. Lefcourt LA, Rodis JF. Obstructive sleep apnea in pregnancy. Obstet Gynecol Surv 1996; 51:503–506
  18. Loube MDI, Poceta JS, Morales MC, et al. Self-reported snoring in pregnancy: association with fetal outcome. Chest 1996; 109:885– 889
  19. Fisher DE, Paton JB. Resuscitation of the newborn infant In: Klaus MH, Fanaroff AA, eds. Care of the high-risk neonate. Philadelphia, PA: WB Saunders, 1986; 35–37
  20. Marsal K, Persson P-H, Larsen T, et al. Intrauterine growth curves based on ultrasonically estimated fetal weights. Acta Paediatr 1996; 85:843– 88
  21. Lavie P. Incidence of sleep apnea in a presumably healthy working population: a significant relationship with excessive daytime sleepiness. Sleep 1983; 6:312–318
  22. Stoohs RA, Blum H-C, Haselhorst M, et al. Normative data on snoring: a comparison between younger and older adults. Eur Respir J 1998; 11:451– 457.

Corresponding Author

Dr Gaurav Behera

Assistant Professor, Department of Cardiology, IMS and SUM Hospital, Bhubaneswar-751003, Odisha, India

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.