Influence of arterial hypertension on intrauterine development of the fetus

The results of monitoring the course of pregnancy in women suffering from arterial hypertension and preventive measures focused on problems associated with hypertension are analyzed. It is shown that hypertension does not occur in pregnant women under 18 years old, but with the increasing of age of pregnant women, its occurrence is sharply increased. It was revealed that arterial hypertension during pregnancy creates not only a threat of preeclampsia and eclampsia development, but also a threat of defective development of the fetus. It was found that 26 (46%) parturient women undergone cesarean section. In this case, in 12 (21%) pregnant pre-natal development of the fetus was abnormal. After giving birth, the women in childbirth were under the supervision of a cardiologist and received appropriate treatment. 25 (45%) of women had another pregnancy after the treatment. Among the re-pregnant women, who before the onset of pregnancy received treatment in a specialized cardiological clinic, only 5 (20%) were prescribed to caesarean section. The remaining 80% of parturients gave birth naturally. Stillbirth and spontaneous miscarriages were not observed. Out of 25 newborns, only 3 (12%) children were found to have congenital malformations. Thus, in women with arterial hypertension and receiving appropriate treatment in cardiology hospitals, the indications for cesarean section were 26% less, also there were 10% perinatal development defects less than in women who did not receive such a treatment. Consequently, pregnant women suffering from hypertension should be monitored not only by an obstetrician-gynecologist, but also by cardiologist, nephrologist, ophthalmologist and endocrinologist.

pregnancy, arterial hypertension, fetal growth, congenital anomalies, caesarean section, extragenital diseases, preeclampsia, eclampsia