Analysis of the prevalence of arterial hypotension and its effect on the outcome of pregnancy and childbirth
Arterial hypotension is widespread among pregnant women. The data of the analyzed scientific literature on the effect of arterial hypotension on pregnancy and birth outcomes are contradictory. Our study revealed the prevalence of arterial hypotension among pregnant women at 28%, with a predominance in the second trimester. Arterial hypotension was independent of age and was predominantly diastolic in nature. The vast majority of pregnant women with arterial hypotension (more than 75%) suffered from anemia of varying severity. The number of specific complications of childbirth, including the need for cesarean section, in patients with arterial hypotension did not significantly differ from patients with normotonia. Conclusions were drawn about the inexpediency of the routine use of SMAD in the diagnosis of arterial hypotension in pregnant women. To assess hypotension, including orthostatic hypotension, office blood pressure measurement and self-monitoring of blood pressure of a pregnant woman at home are sufficient.
Authors
- Yu. N. Fedulaev (ORCID: https://orcid.org/0000-0003-4040-2971)
- И. В. Макарова (ORCID: https://orcid.org/0000-0001-5127-1300)
- F. A. Evdokimov
- Orlova Nv (ORCID: https://orcid.org/0000-0002-4293-3285)
- S. V. Goryainova (ORCID: https://orcid.org/0000-0001-8506-1723)
- E. V. Mitsevichus
- D. V. Volkov
Institutions
- Pirogov Russian National Research Medical University (RU)
Publication Details
- Journal
- Medical alphabet
- Published
- 2025-08-30
- DOI
- https://doi.org/10.33667/207856312025172833
- Primary Topic
- Pregnancy and preeclampsia studies
- Type
- article
- Field-Weighted Citation Impact
- 0.00