TITLE:
Fetal Prognostics in Relation to Uricemia and Maternal Proteinuria of Arterial High Blood Pressure Types during Pregnancy at the Maternity of Donka, National Hospital Donka, CHU of Conakry, Guinea
AUTHORS:
Boubacar Siddi Diallo, Mamadou Sambakeita, Ibrahima Sory Balde, Oumar Diawara, Telly Sy, Mohamed Lamine Kaba, Yolande Hyjazi, Namory Keita
KEYWORDS:
Uricemia, Maternal Proteinuria, Arterial High Blood Pressure
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.9 No.7,
July
11,
2019
ABSTRACT: Objectives: The objectives of this work were to calculate the frequency of arterial
hypertension during pregnancy, describe the epidemiological profile, and
identify the most common type of hypertension and to establish fetal prognosis
based on uricemia and maternal proteinuria. Methodology: This was a six
(6) month descriptive prospective study performed in the Obstetrics and
Gynecology Department of Donka National Hospital-CHU Conakry. The study took
place from july 1 st to December 31st, 2015. Results: The frequency of
arterial hypertension during pregnancy was 8.82% in the service. The
epidemiological profile was that of teenagers (32.8%), nulliparous (56%),
coming from home (69.2%), not having performed CPN (52%), not schooled (68%)
and housewives. The primary factor was the risk factor (52.4%). Gestational
age greater than 37 was the most concerned (62%). The reasons for consultation
are dominated by headache (76%) and vertigo (68%). The main type of
hypertension was pre-eclampsia (48%) followed by Transient HTA (28%). The predominant clinical form during the
admission was pre-eclampsia (47.2%) followed by eclampsia (23%). At the
first minute, 35.68% of newborns had an APGAR score of less than 7 and the
fifth 25.5% had a score of less than 7. Fetal morbidity was dominated by fetal
hypotrophy (30.19%), followed by prematurity (23.92%). In 90.90% of hypotrophy, there are 85.24% of premature babies, 95.55%
of SFA, and 80% of MIU; the serum uric acid was greater than 350 mmol. We
recorded 204 children born with mothgers
with proteinuria greater than or equal to 30 mg/dl, or 80% of children. 30
cases of MFIU and 7 cases of neonatal death out of 255 births, that is 14.50%
were noted. Conclusion: The detection of risk factors by a good prenatal
follow-up and the regular training of the care providers for adequate and multidisciplinary
care (obstetrician, intensive care nephrologist and pediatrician) of
hypertensive pregnant women and their newborns can improve the maternal
prognosis and fetal.