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| Risk and preventive measures of elderly pregnant woman with gestational hypertension |
| Affiliated Hospital of Nankai University (The Fourth Hospital of Tianjin), Tianjin, 300222 |
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Abstract Objective: To investigate and analyze the risk factors of elderly pregnant woman with gestational hypertension, and to put forward corresponding preventive measures. Methods: The clinical data of 346 elderly pregnant women from June 2017 to November 2018 were retrospectively analyzed, and they were divided into study group (women with gestational hypertension) and control group (women without gestational hypertension). The 11 items of all women were investigated by self-designed questionare and were compared between the two groups, and multivariate logistic regression analysis was performed. Results: In the 346 elderly pregnant women, 71(20.52%) women had gestational hypertension. There were significant different in BMI before pregnancy, education level, rate of family history of diabetes mellitus, rate of family history of hypertension, rate of systematic examination during pregnancy, rate of bad mood during pregnancy, and rate of lack of exercise during pregnancy of women between the two groups (P<0.05). Logistic regression analysis showed that BMI before pregnancy (OR=3.632), family history of hypertension (OR=4.809), no systematic examination during pregnancy (OR=3.872), bad mood during pregnancy (OR=4.335), or lack of exercise during pregnancy (OR=3.801) was the independent influencing factor of pregnancy hypertension of elderly pregnant women. Conclusion: It is suggested that corresponding preventive measures, such as active diet control, health education during pregnancy, strengthening emotional management, and giving scientific exercise guidance, should be taken for reducing the occurrence of gestationalhypertension.
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