Kết cục thai kỳ xấu và yếu tố liên quan ở sản phụ tiền sản giật tại Hải Phòng

Abstract

This cross-sectional study aimed to describe the status and identify factors associated with adverse pregnancy outcomes among 230 women with preeclampsia at Hai Phong Obstetrics and Gynecology Hospital from January 2021 to December 2022, using data extracted from medical records. Adverse pregnancy outcomes were defined as the occurrence of at least one maternal event (maternal death, eclampsia, HELLP syndrome, placental abruption, renal impairment, pulmonary edema, or cerebral hemorrhage) or neonatal event (low birth weight, intrauterine growth restriction, or perinatal death). The proportion of adverse pregnancy outcomes was 48.7% (95% CI: 42.2 – 55.2). Factors significantly associated with adverse outcomes included occupation (factory worker) (OR = 2.65; 95% CI: 1.21 – 5.8), systolic blood pressure ≥ 160 mmHg (OR = 2.04; 95% CI: 1.14 – 3.64), diastolic blood pressure ≥ 110 mmHg (OR = 3.53; 95% CI: 1.42 – 8.75), and preeclampsia with severe features (OR = 2.61; 95% CI: 1.44 – 4.74). The rate of adverse pregnancy outcomes remains high among women with preeclampsia. Strengthening early screening, timely detection, and appropriate management is essential to reduce risks for both mother and fetus.