TITLE:
Serum Calcium Ionised Rate and Materno-Perinatal Prognosis in Arterial Hypertension in Pregnancy at the Reference General Hospital of Panzi
AUTHORS:
Mushera Aganze Alain, Raha Maroyi Kenny, Kakisingi Mibi De Joseph, Musese Nguru Marie Constance, Julien Bwama Botalatala, Mbozi Andrea, Koko Kasengire Euphrasie, Imani Erahamoba Pince, Olivier Nyakio
KEYWORDS:
Hypocalcaemia, Arterial Hypertension During Pregnancy and Maternal and Perinatal Prognosis
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.14 No.3,
March
21,
2024
ABSTRACT: Hypertensive disorders of pregnancy are among the
leading causes of severe maternal morbidity and mortality, particularly in
developing countries. Hypertensive disorders of pregnancy are among the leading
causes of severe maternal morbidity and mortality, particularly in developing
countries, maternal hypocalcaemia being a factor favouring the onset of
arterial hypertension during pregnancy. The aim was to determine the maternal
and perinatal prognosis of patients with hypertensive disorders of pregnancy as
a function of serum ionised calcium levels. Material and Methods: A
cross-sectional analytical study of 114 patients with arterial hypertension
during pregnancy or during pregnancy or in the postpartum period at the
HGR/Panzi from 1 January 2021 to 30 June 2022, text was entered using Microsoft
Office Word 2010 and the tables were analysed using Excel 2010. The data was
analysed using SPSS version 20.0 and Stata 14.0. The associations of the
variables were calculated using Pearson's chi-square test, with a significance
threshold set at a value of p Results: The mean gestational age
was 34.43 ± 4.327 amenorheas weeks, 46.6% of patients had a vaginal
delivery, 66.65% of which were indicated for maternal prognosis, maternal
complications were associated with maternal hypocalcaemia in 81, 82% (P = 0.043) and an OR = 3.255 (P = 0.0158) threefold risk that the patient presenting with a complication is
likely to be in a state of hypocalcaemia at 95% confidence index, and fetal
prognosis was not significantly related to maternal calcaemia. Conclusion: Maternal
hypocalcaemia is one of the factors that can influence maternal-foetal complications maternal-fetal complications, early management
and prevention of this pathology is pathology is important to reduce maternal-fetal morbidity and mortality.