RISK FACTORS FOR THE HIGH PREVALENCE OF HELLP SYNDROME AND THE OUTCOME

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概要

• 論文の詳細を見る

• Objective : To identify the risk factors associated with HELLP syndrome Materials and Methods : 36 patients with HELLP syndrome and severe preeclampsia or eclampsia consisted group one and 130 patients with severe preeclampsia or eclampsia without HELLP syndrome consisted the control group. The groups were compared for maternal age, education, number of pregnancies gestational age antenatal care history of hypertension presence of underlying disease, blood pressure, edema proteinuria nausea epigastric pain, headache, blurred vision, maternal and perinatal outcomes, route of delivery, rate of stillbirth, maternal mortality, complications and days of hospital stay. Statistical analyses were performed with the SPSS statistics program using the Mann Whitney-U, Chi-Square and Student T tests to examine differences between the two groups. A value of P≤0.05 was considered significant. Results : The rate of HELLP syndrome was 21.08% and the rate in severe preeclampsia and eclampsia were 15.17% and 33.33% respectively. Maternal age, lack of antenatal care, delay in seeking medical attention were significantly associated with HELLP syndrome. 65.7% of HELLP syndrome had upper gastrointestinal syndrome symptoms on presentation. The rate of stillbirth, maternal mortality rate, rate of complications, the mean days of hospital stay were significantly higher, the mean Apgar scores at five minutes, the mean gestational age, the rate of adolescent pregnancies were lower in the HELLP syndrome group. Conclusion : Age, gestational age, antenatal care, delay seeking medical attention, upper quadrant pain, nausea and vomiting are important risk factors in the diagnosis and the prognosis of HELLP syndrome.

• 名古屋市立大学の論文
• 2001-02-01

著者

• Sahin Idris

  Department Of Internal Medicine University Of Yuzuncu Yil Medical Faculty

• Sahin H.guler

  Department Of Obstetrics And Gynecology University Of Yuzuncu Yil Medical Faculty

• SAHIN Huseyin

  Department of Family Medicine, University of Yuzuncu Yil, Medical Faculty

• ONBASI Kevser

  Department of Internal Medicine, University of Yuzuncu Yil, Medical Faculty

• Onbasi Kevser

  Department Of Internal Medicine University Of Yuzuncu Yil Medical Faculty

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