AI Summary & Key Takeaways
AI InsightSince the rate of pregnancy related hypertension is higher at high altitude, it is vital that these patients should be diagnosed during the early stages of the diseases in order to decrease complications.
📌 3 Key Takeaways
Abstract
Objective: Hypertensive disorders of pregnancy remain a leading cause of maternal and perinatal mortality and morbidity. The purpose of this study was to determine the distribution map related to pregnancy toxicosis of provinces in our region and the effects of altitude on hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome and eclampsia. Materials and Methods: Patients who were admitted to Atatürk University, Obstetrics and Gynecology Department with preeclampsia, eclampsia and a diagnosis of HELLP syndrome for the 5 years between1998-2002 were chosen. The birth rate was obtained from the health directorate of provinces in our area during the same period. Provinces were divided into two groups by altitude: less than and more than 1500 m above sea level. Results: The rates of HELLP syndrome and eclampsia diagnoses were 1.4 per 10.000 patients living above 1500 m altitude. However, this rate was 0.96 per 10.000 patients living below 1500 m altitude (p < 0.01). The highest rate of eclampsia and HELLP syndrome was seen in the Ardahan province, in 36 patients per 10,000 births, whereas the lowest rate was seen in the Iğdır province, 9.9 patients per 10,000 births. Conclusion: Altitude contributes to occurrence of HELLP syndrome and eclampsia. Since the rate of pregnancy related hypertension is higher at high altitude, it is vital that these patients should be diagnosed during the early stages of the diseases in order to decrease complications.
Özet
Amaç: Gebeliğin hipertansif hastalıkları maternal ve perinatal mortalite ve morbiditenin önde gelen sebebi olmaya devam etmektedir. Bu çalışmanın amacı, bölgemizdeki illere gore gebelik toksikozu dağılım haritası çıkarmak ve hemoliz, yükselmiş karaciğer enzimleri, düşük platelet (HELLP) sendromu ve eklampsi üzerine yüksek rakımın etkilerini belirlemektir. Gereç ve Yöntemler: Atatürk Üniversitesi, Kadın Hastalıkları ve Doğum bölümüne 1998-2002 yılları arasında 5 yıllık bir dönemde preeklampsi, eklampsi ve HELLP tanısı ile başvuran hastalar seçildi. Aynı dönemde, il sağlık müdürlüklerinden doğum hızları temin edildi. Deniz seviyesine göre 1500 m altında ve üstünde olmak üzere iller iki gruba ayrıldı. Bulgular: HELLP sendromu ve eklampsi tanıları 1500 m üzerinde 10.000 doğumda 1.4 izlenirken, 1500 m altında 0.96 izlenmiştir (p