REVISTA DE EDUCATIE MEDICALA CONTINUA DEDICATA GINECOLOGILOR,
OBSTETRICENILOR, MOASELOR SI ASISTENTILOR MEDICALI DIN ROMANIA

<- Home <- Arhive <- Anul 8, Nr. 30, December 2020



RevistaGinecologia8(30)18-22(2020)
© VERSA PULS MEDIA, S.R.L.


Anatomical-clinical and ultrasound correlations in pregnancy-induced hypertension

B.M. Krâstev, A.D. Brăila, C.M. Pucă, M. Brăila


Rezumat: Pregnancy-induced hypertension is diagnosed by an increase in systolic blood pressure above 140 mmHg and diastolic blood pressure above 90 mmHg, after 20 weeks of gestational age, in a normotensive pregnant woman before pregnancy. The preeclamptic syndrome is specific to gestation, can affect all organs, and is characterized by the association of hypertension, proteinuria and oedemas. The aim of this paper is that, through early clinical-paraclinical and especially ultrasound monitoring, to achieve an adequate completion of pregnancy and childbirth, with at least three fundamental objectives: minimal maternal and foetal trauma; the birth of a child with the highest chances of survival, with an immediate and distant good functional prognosis; the complete restoration of the mother’s health condition, allowing an optimal life, with a good, reproductive and maternal prognosis in the future. Early clinical- paraclinical and especially ultrasound monitoring ensure an adequate completion of the pregnancy to term and childbirth. The foetal ultrasound, the foetal biophysical score and the multivascular Doppler velocimetry are of major importance in determining the obstetrical attitude – vaginal birth or foetal removal by caesarean section, in correlation with foetal intrauterine vitality, weight and Apgar score. The foetal, vital and functional prognosis, immediate and distant, was good. The complete restoration of the mother’s health allows an optimal life, with a good reproductive and maternal prognosis in the future.
Cuvinte cheie: pregnancy-induced hypertension, preeclampsia, maternal-foetal ultrasound, Doppler velocimetry.

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