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Post a Comment Hypertensive disorders in pregnancy: problems of classification, differential diagnosis and management
- Authors: Mostova N.V.1, Kovalev V.V.2, Kudryavtseva E.V.1,2
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Affiliations:
- Clinical and Diagnostic Medical Center «Mother and Child Health Protection»
- Ural State Medical University
- Issue: Vol 41, No 1 (2024)
- Pages: 32-41
- Section: Original studies
- URL: https://bakhtiniada.ru/PMJ/article/view/254842
- DOI: https://doi.org/10.17816/pmj41132-41
- ID: 254842
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Abstract
Objective. To study the features of hypertensive disorders formation in pregnancy depending on the period and clinical form on the example of the population of Sverdlovsk region.
Materials and methods. The outcomes of 217 pregnant women with moderate and severe preeclampsia and gestational hypertension were analyzed (41, 74, and 102 cases, respectively).
Results. The severe preeclampsia group had the highest rate of fetal growth restriction (14.6 %), low birth weight -2045 g (1640–2650), preterm delivery (63.4 %), and cesarean delivery (87.8 %). A detailed analysis of 28 cases of gestational hypertension lasting up to 34 weeks was performed. The analysis revealed significant challenges in the differential diagnosis of this pregnancy complication, not only in terms of clinical manifestations, but also in terms of timely diagnosis in general.
Conclusions. The findings of this study spark a debate over the use of severity-based classification in clinical practice, which lessens the doctor's vigilance in milder forms that, however, result in equally serious complications. This raises the question of whether unified tactical approaches should be used in this pathology.
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##article.viewOnOriginalSite##About the authors
Natalya V. Mostova
Clinical and Diagnostic Medical Center «Mother and Child Health Protection»
Author for correspondence.
Email: mostova-n24@yandex.ru
ORCID iD: 0009-0005-0286-9628
Physician, Post-graduate
Russian Federation, YekaterinburgVladislav V. Kovalev
Ural State Medical University
Email: vvkovalev55@gmail.com
ORCID iD: 0000-0001-8640-8418
MD, PhD, Professor, Head of the Department of Obstetrics, Gynecology and Hemotransfusion
Russian Federation, YekaterinburgElena V. Kudryavtseva
Clinical and Diagnostic Medical Center «Mother and Child Health Protection»; Ural State Medical University
Email: elenavladpopova@yandex.ru
ORCID iD: 0000-0003-2797-1926
MD, PhD, Associate Professor, Head of Central Research Laboratory
Russian Federation, Yekaterinburg; YekaterinburgReferences
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