ﺑﺮﺭﺳﻲ ﻓﺮﺍﻭﺍﻧﻲ ﻋﻮﺍﺭﺽ ﻣﺎﺩﺭﻱ ﻭ ﺟﻨﻴﻨﻲ ﺩﺭ ﺑﻴﻤﺎﺭﺍﻥ ﻣﺒﺘﻼ ﺑﻪ ﭘﺮﻩﺍﮐﻼﻣﭙﺴﻲ ﺑﺴﺘﺮﻱ ﺩﺭ ﺑﻴﻤﺎﺭﺳﺘﺎﻥ ﻣﻄﻬﺮﻱ ﺍﺭﻭﻣﻴﻪ ﺩﺭ ﺳﺎﻝ 98

EVALUATION OF FREQUENCY OF MATERNAL an‎d FETAL COMPLICATIONS IN PATIENTS WITH PREECLAMPSIA ADMITTED TO MOTAHHARI HOSPITAL IN URMIA IN 2019

ﭘﻴﺶﺯﻣﻴﻨﻪ ﻭ ﻫﺪﻑ: ﭘﺮﻩ ﺍﮐﻼﻣﭙﺴﻲ ﻳﮑﻲ ﺍﺯ ﻋﻮﺍﺭﺽ ﺷﺪﻳﺪ ﺣﺎﻣﻠﮕﻲ ﻣﻲﺑﺎﺷﺪ. ﭘﺮﻩ ﺍﮐﻼﻣﭙﺴﻲ ﻣﻲﺗﻮﺍﻧﺪ ﻣﻨﺠﺮ ﺑﻪ ﺍﺧﺘﻼﻝ ﻋﻤﻠﮑﺮﺩ ﺍﺭﮔﺎﻥﻫﺎﻱ ﻣﺨﺘﻠﻒ ﻣﺎﻧﻨﺪ ﮐﺒﺪ، ﮐﻠﻴﻪ ﻭ ﻣﻐﺰ ﺷﻮﺩ ﮐﻪ ﻣﻨﺠﺮ ﺑﻪ ﻋﻮﺍﺭﺽ ﻣﺎﺩﺭﻱ ﻭ ﺟﻨﻴﻨﻲ ﻣﻲﺷﻮﺩ. ﺩﺭ ﺍﻳﻦ ﻣﻄﺎﻟﻌﻪ ﻗﺼﺪ ﺩﺍﺭﻳﻢ ﻋﻮﺍﺭﺽ ﻣﺨﺘﻠﻔﻲ ﮐﻪ ﺩﺭ ﻣﺎﺩﺭ ﻭ ﺟﻨﻴﻦ ﺩﺭ ﺍﺛﺮ ﭘﺮﻩ ﺍﮐﻼﻣﭙﺴﻲ ﺍﻳﺠﺎﺩ ﺷﺪﻩ ﺭﺍ ﻣﻮﺭﺩ ﺑﺮﺭﺳﻲ ﻗﺮﺍﺭ ﺩﻫﻴﻢ. ﻣﻮﺍﺩ ﻭ ﺭﻭﺵﻫﺎ: ﺩﺭ ﻣﻄﺎﻟﻌﻪﻱ ﺣﺎﺿﺮ ﺑﻪ ﺻﻮﺭﺕ ﮔﺬﺷﺘﻪﻧﮕﺮ ﻣﺤﻘﻖ ﺑﺎ ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﭼﮏ ﻟﻴﺴﺖ ﻃﺮﺍﺣﻲ ﺷﺪﻩ ﺑﺮ ﺍﺳﺎﺱ ﺍﻫﺪﺍﻑ ﻣﻄﺎﻟﻌﻪ، ﻋﻮﺍﺭﺽ ﻣﺎﺩﺭﻱ ﻭ ﺟﻨﻴﻨﻲ، ﺍﺗﻔﺎﻕ ﺍﻓﺘﺎﺩﻩ ﺭﺍ ﺍﺯ ﭘﺮﻭﻧﺪﻩﻫﺎﻱ ﺑﺴﺘﺮﻱ ﺍﺳﺘﺨﺮﺍﺝ ﮐﺮﺩﻩ ﺍﺳﺖ. ﺩﺭ ﺍﻳﻦ ﻣﻄﺎﻟﻌﻪ، ﺗﻤﺎﻣﻲ ﻣﺎﺩﺭﺍﻥ ﻣﺒﺘﻼ ﺑﻪ ﭘﺮﻩ ﺍﮐﻼﻣﭙﺴﻲ ﮐﻪ ﺍﺯ ﺍﺑﺘﺪﺍﻱ ﺳﺎﻝ 98 ﺑﺴﺘﺮﻱ ﺷﺪﻩ ﺑﻮﺩﻧﺪ، ﻣﻮﺭﺩ ﺑﺮﺭﺳﻲ ﻗﺮﺍﺭ ﮔﺮﻓﺘﻨﺪ. ﺑﺮﺍﻱ ﻣﺘﻐﻴﺮﻫﺎﻱ ﮐﻤﻲ ﺷﺎﺧﺺﻫﺎﻱ ﻣﺮﮐﺰﻱ ﻭ ﭘﺮﺍﮐﻨﺪﮔﻲ )ﻣﻴﺎﻧﮕﻴﻦ ﻭ ﺍﻧﺤﺮﺍﻑ ﻣﻌﻴﺎﺭ( ﻭ ﺑﺮﺍﻱ ﻣﺘﻐﻴﺮﻫﺎﻱ ﮐﻴﻔﻲ ﻓﺮﺍﻭﺍﻧﻲ ﻭ ﺩﺭ ﺻﺪ ﻓﺮﺍﻭﺍﻧﻲ ﻣﺤﺎﺳﺒﻪ ﺷﺪ. ﺍﺯ ﻧﻤﻮﺩﺍﺭﻫﺎ ﻭ ﺟﺪﺍﻭﻝ ﺍﻣﺎﺭﻱ ﺑﺮﺍﻱ ﻧﻤﺎﻳﺶ ﺩﺍﺩﻩﻫﺎ ﺍﺳﺘﻔﺎﺩﻩ ﺷﺪ. ﮐﻠﻴﻪﻱ ﺗﺤﻠﻴﻞ ﺩﺍﺩﻩﻫﺎ ﺑﺮ ﺍﺳﺎﺱ ﻧﺮﻡﺍﻓﺰﺍﺭ SPSS ﺑﻮﺩ. ﻳﺎﻓﺘﻪﻫﺎ: ﺩﺭ ﺍﻳﻦ ﻣﻄﺎﻟﻌﻪ 200 ﺯﻥ ﺑﺎﺭﺩﺍﺭ ﻣﻮﺭﺩ ﺑﺮﺭﺳﻲ ﻗﺮﺍﺭ ﮔﺮﻓﺘﻨﺪ. ﻣﻴﺎﻧﮕﻴﻦ ﺳﻨﻲ ﻣﺎﺩﺭﺍﻥ 30,96±0,45 ﺳﺎﻝ ﺑﻮﺩ. ﻓﻘﻂ 71 ﻧﻔﺮ ﺍﺯ ﻣﺎﺩﺭﺍﻥ ﺑﺎﺭﺩﺍﺭ ﺩﺭ ﺑﺨﺶ ICU ﺷﺪﻧﺪ. ﺑﻴﺸﺘﺮ ﻣﺎﺩﺭﺍﻥ ﻣﻮﺭﺩ ﺑﺮﺭﺳﻲ، ﭘﺮﺍﻳﻤﻲ ﮔﺮﺍﻭﻳﺪ ﺑﻮﺩﻧﺪ. ﻣﻴﺰﺍﻥ ﺷﻴﻮﻉ ﺳﻘﻂ ﺩﺭ ﺑﻴﻦ ﻣﺎﺩﺭﺍﻥ 30ﺩﺭﺻﺪ ﺑﻮﺩ. ﺗﻨﻬﺎ 27/5)55ﺩﺭﺻﺪ( ﻧﻔﺮ ﺍﺯ ﻣﺎﺩﺭﺍﻥ ﺩﺍﺭﺍﻱ ﺁﺧﺮﻳﻦ ﺳﻮﻧﻮﮔﺮﺍﻓﻲ ﻧﺮﻣﺎﻝ ﻧﺒﻮﺩﻧﺪ )ﺗﺤﺖ ﺩﻳﺴﺘﺮﺱ ﺑﻮﺩﻥ ﺟﻨﻴﻦ(. 26/6)34ﺩﺭﺻﺪ( ﻧﻔﺮ ﺍﺯ ﻧﻮﺯﺍﺩﺍﻥ ﺯﻣﺎﻧﻲ ﮐﻪ ﺩﺭ ﺑﺨﺶ NICU ﺑﺴﺘﺮﻱ ﺑﻮﺩﻧﺪ ﻓﻮﺕ ﮐﺮﺩﻧﺪ. ﺷﺎﻳﻊﺗﺮﻳﻦ ﻋﻠﺖ ﺧﺘﻢ ﺑﺎﺭﺩﺍﺭﻱ ﺩﺭ ﺑﻴﻦ ﻣﺎﺩﺭﺍﻥ ﻣﻮﺭﺩ ﺑﺮﺭﺳﻲ، ﻓﺸﺎﺭ ﺧﻮﻥ ﮐﻨﺘﺮﻝ ﻧﺸﺪﻩ ﺑﻮﺩ ﻭ ﺩﺭ ﺭﺗﺒﻪ ﺩﻭﻡ ﺍﻓﺰﺍﻳﺶ ﺁﻧﺰﻳﻢﻫﺎﻱ ﮐﺒﺪﻱ ﻗﺮﺍﺭ ﺩﺍﺷﺖ. ﻧﺘﻴﺠﻪﮔﻴﺮﻱ: ﺍﺑﺘﻼ ﺑﻪ ﭘﺮﻩ ﺍﮐﻼﻣﭙﺴﻲ ﻣﻨﺠﺮ ﺑﻪ ﺍﻓﺰﺍﻳﺶ ﻣﻴﺰﺍﻥ ﺗﻮﻟﺪ ﭘﺮﻩﺗﺮﻡ، ﻣﻴﺰﺍﻥ ﻭ ﻣﺪﺕ ﺑﺴﺘﺮﻱ ﺩﺭ NICU ﻭ ﻣﻴﺰﺍﻥ ﺑﺎﻻﺗﺮ ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﺭﻭﺵ ﺳﺰﺍﺭﻳﻦ ﺩﺭ ﺯﻣﺎﻥ ﺯﺍﻳﻤﺎﻥ ﻣﻲﺷﻮﺩ ﻭ ﺑﺎﻟﺘﺒﻊ ﻣﻴﺰﺍﻥ ﻫﺰﻳﻨﻪﻫﺎﻱ ﺗﺤﻤﻴﻠﻲ ﺑﺮ ﺳﻴﺴﺘﻢ ﺑﻬﺪﺍﺷﺘﻲ ﻭ ﺩﺭﻣﺎﻧﻲ ﺍﻓﺰﺍﻳﺶ ﻣﻲﻳﺎﺑﺪ. ﮐﻠﻴﺪ ﻭﺍﮊﻩ: ﭘﺮﻩ ﺍﮐﻼﻣﭙﺴﻲ، ﺍﮐﻼﻣﭙﺴﻲ، ﺯﺍﻳﻤﺎﻥ ﺯﻭﺩﺭﺱ، ﺍﺧﺘﻼﻝ ﻋﻤﻠﮑﺮﺩ ﺍﻧﺪﻭﺗﻠﻴﺎﻝ

Background & Aims: Preeclampsia is one of the most serious complications of pregnancy. Preeclampsia can lead to dysfunction of various organs such as the liver, kidneys, and brain, leading to maternal and fetal complications. In this study, we intended to examine the various complications that occur in the mother and fetus due to preeclampsia. Materials & Methods: In the present study, the researchers retrospectively extracted the maternal and fetal complications from the hospital records using a checklist designed based on the objectives of the study. In this study, all mothers with preeclampsia hospitalized since the beginning of 2019 were examined. For quantitative variables, central indices and dispersion (mean and standard deviation) were calculated, and for qualitative variables, frequency and frequency percentage were calculated. Graphs and statistical tables were used to display the data. Statistical analysis was performed using SPSS. Results: In this study, 200 pregnant women were studied. The mean age of mothers was 30.96±0.45 years. Only 71 pregnant women were hospitalized in the ICU. Most of the mothers studied were prime gravid. The prevalence of abortion among mothers was 30%. Only 55 (27.5%) mothers did not have the last normal ultrasound (fetal distress). 34 (26.6%) infants died while hospitalized in the NICU. The most common cause of termination of pregnancy among the studied mothers was uncontrolled blood pressure and elevated liver enzymes were the second most common cause for ending a pregnancy. Conclusion: Preeclampsia leads to an increase in preterm birth rates, the amount, and duration of hospitalization in the NICU, and a higher rate of cesarean delivery, and consequently increases the costs imposed on the health care system.