ABSTRACT
Objectives: We sought to estimate the prevalence of hypertensive disorders of pregnancy [HDP] in Saudi Arabia as well as the risk factors of HDP, and maternal and fetal outcomes
Methods: We retrospectively evaluated the medical records of 9493 women who delivered at King Abdulaziz University Hospital, a tertiary care center, between January 2015 and June 2017. All cases of HDP were included
Results: We identified 224 pregnant women with HDP in our patient cohort, giving a prevalence of 2.4%. Their mean age was 31.3 +/- 6.7 years, with an average gravidity of 4.0 and average parity of 3.0. The most prevalent subtype of HDP was preeclampsia [54.9%] while 29.5% of the women had gestational hypertension, and 8.0% had eclampsia. The prevalence of subtypes of HDP differed significantly with gravidity, and mean age differed significantly with HDP subtype. Personal and family histories of preeclampsia and the presence of diabetes were more prevalent in women with preeclampsia and gestational hypertension; however, only the difference in diabetes prevalence was significant. The overall prevalence of maternal complications was 9.4% and the prevalence of maternal mortality was 1.3%. Multigravid women and women with chronic hypertension were at increased risk of prematurity compared to other pregnant women, but not significantly
Conclusions: The prevalence of HDP was relatively low in our cohort. However, to prevent harmful impacts on both the mother and fetus, screening for this disorder is recommended early in pregnancy
ABSTRACT
Retinal haernorrhage in the newborn is a well documented observation. In order to determine the frequency of occurrence and to investigate the association with various factors, the retinae of 50 newborns were examined within the first 24 hours after delivery at King Abdulaziz University Hospital, Jeddah, Saudi Arabia. The examining ophthalmologist was unaware of the course and management of labor and delivery. Relevant clinical details were taken from the patient's charts, coded and entered into a microcomputer. The results of the analysis revealed that 40% of the 50 newborns examined [N = 20], were found to have retinal haernorrhage. Eight newborns delivered by cesarean section, none of which had retinal Haemorrhage, were excluded from the study. Forty-two newborns delivered vaginally were divided into two groups; group 1 [N = 22] who had a normal retina, and group 2 [N = 20] who had retinal haemorrhage. Several factors were examined for association of occurrence of retinal haemorrhage using comparison between means and frequency of occurrence in each group. None of the factors examined were found to have any association in the development of retinal haemorrhage