التفاصيل البيبلوغرافية
| العنوان: |
Impactul preeclampsiei materne asupra evoluţiei nou-născutului. (Romanian) |
| العنوان البديل: |
The impact of maternal preeclampsia on neonatal outcome. (English) |
| المؤلفون: |
Mátyás, M., Hăşmăşanu, M., Blaga, L., Mureşan, D., Caracostea, G., Zaharie, G. |
| المصدر: |
Ginecologia.ro; 2019 Supplement S2, p30-30, 1p |
| مصطلحات موضوعية: |
RESPIRATORY distress syndrome, FETAL development, PREMATURE labor, BLOOD pressure, CEREBRAL hemorrhage, ENTEROCOLITIS, MECONIUM aspiration syndrome |
| مصطلحات جغرافية: |
CLUJ (Romania : Judet) |
| الملخص (بالإنجليزية): |
Introduction. Preeclampsia represents the arterial hypertension after 20 weeks of gestation, associated with proteinuria (>300 mg/day), organ dysfunction (renal, hepatic, neurological and hematologic) or utero- placental dysfunction potentially causing growth restriction. Neonatal complications are caused by premature birth. The most frequent complications are respiratory distress syndrome (RDS), cerebral hemorrhage, sepsis, and necrotizing enterocolitis. Materials and method. We conducted a longitudinal case-control study between November 2013 and October 2015. The study included preterm newborns admitted to the Neonatology Department of Obstetrics and Gynecology I, Cluj-Napoca. Maternal preeclampsia was defined as maternal blood pressure value >140/90 mmHg, associated with proteinuria over 300 mg/day and other complications. The control group included preterm newborns from mothers without preeclampsia, matched for gestational age with the case group. The incidence of RDS and the presence of intrauterine growth restriction, hypoglycemia, cerebral hemorrhage, thrombocytopenia and neutropenia were assessed. In the case group, the incidence of caesarean section delivery was significantly higher than in the control group (p<0.001). Intrauterine growth restriction was more frequent in the case group compared to controls. RDS required surfactant therapy in a greater number of mothers in the case group compared to the control group (p=0.004). Thrombocytopenia and neutropenia were not influenced by the presence of preeclampsia. Conclusions. Preeclampsia influences the neonatal growth. Among the pathologies associated with premature birth, RDS evolution was significantly influenced by the presence of preeclampsia. In the studied group, no correlations of preeclampsia with thrombocytopenia or neutropenia were found. [ABSTRACT FROM AUTHOR] |
| Abstract (Romanian): |
Introducere. Preeclampsia reprezintă hipertensiunea arterială maternă manifestă după vârsta gestaţională de 20 de săptămâni, asociată cu proteinurie (>300 mg/zi), disfuncţie de organ (renală, hepatică, neurologică şi hematologică) sau cu disfuncţie uteroplacentară potenţial cauzatoare de restricţie de creştere. Complicaţiile neonatale sunt determinate de naşterea prematură. Cele mai frecvente complicaţii sunt detresa respiratorie (SDR), hemoragia cerebrală, sepsisul şi entercolita ulceronecrotică. Materiale şi metodă. Am efectuat un studiu longitudinal de tip caz-control în perioada noiembrie 2013 - octombrie 2015. În acest studiu au fost înrolaţi nou-născuţi prematuri internaţi în serviciul de neonatologie al Clinicii Obstetrică- Ginecologie I, Cluj-Napoca. Criteriul de definire a preeclampsiei materne a fost valoarea tensiunii arteriale materne mai mare de 140/90 mmHg, asociată cu proteinurie de peste 300 mg/zi şi cu alte complicaţii. În lotul-martor au fost incluşi prematuri, prin potrivirea vârstei gestaţionale cu lotul de caz, fără preeclampsie. S-au urmărit incidenţa SDR, prezenţa restricţiei de creştere intrauterină, a hipoglicemiei, a hemoragiei cerebrale, a trombocitopeniei şi a neutropeniei. La lotul de caz, incidenţa secţiunii cezariene a fost semnificativ mai mare decât la lotul-martor (p<0,001). Restricţia de creştere intrauterină a fost mai frecventă la lotul de caz faţă de lotul-martor. Detresa respiratorie a necesitat terapie cu surfactant la un număr mai mare de cazuri dintre mame faţă de lotul-martor (p=0,004). Trombocitopenia şi neutropenia nu au fost influenţate de prezenţa preeclampsiei. Concluzii. Preeclampsia influenţează creşterea nou-născutului. Dintre patologiile asociate naşterii premature, evoluţia SDR a fost influenţată semnificativ de prezenţa preeclampsiei. La lotul studiat nu s-au găsit corelaţii ale preeclampsiei cu trombocitopenia sau cu neutropenia. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
