ASSESSMENT OF RISK FACTORS FOR ARTERIAL HYPERTENSION HYPERTENSION IN PREGNANT WOMEN
Abstract
To date, arterial hypertension (AH) occupies a leading position among all extragenital diseases in pregnant women. In Russia, the frequency of occurrence of this pathology according to various data is from 4 to 30%, in Europe this indicator is 4-15%, and according to the World Health Organization – up to 20%. Despite the urgency, this problem is far from being solved, since hypertension of pregnant women occupies a special ("intermediate") position between two such different disciplines-obstetrics and therapy. In this respect, it is a typical example of a borderline problem, which has important theoretical and practical significance. The lack of full-fledged standards for the diagnosis and treatment of pregnant women with hypertension not only causes high maternal mortality, but also increases the number of adverse perinatal outcomes. Against the background of increased arterial pressure, pregnant women are significantly more likely to experience such dangerous complications as: progressive placental insufficiency, fetal hypoxia, and in severe cases, asphyxia and death of the child. Therefore, at the present stage, it is necessary to be able to predict and prevent the development of the disease in time. But at the moment, there are many inconsistent positions in the approaches to the examination, follow-up, and treatment of pregnant women with hypertension, which requires additional research in this area.
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