caa a22 4500 378882767 CHVBK 20180305123435.0 cr unu---uuuuu 161128e20041104xx s 000 0 eng 10.1515/JPM.2004.132 doi (NATIONALLICENCE)gruyter-10.1515/JPM.2004.132 Comparison between HELLP syndrome, chronic hypertension, and superimposed preeclampsia on chronic hypertension without HELLP syndrome [Elektronische Daten] [Mehmet A. Osmanağaoğlu, İnanç Erdoğan, Ülkü Zengin, Hasan Bozkaya] Aim: To compare perinatal outcome of patients with HELLP syndrome to that of patients with chronic hypertension and superimposed preeclampsia on chronic hypertension without HELLP syndrome. Methods: We retrospectively evaluated the perinatal outcome of 147 pregnancies complicated by the HELLP syndrome, chronic hypertension, and superimposed preeclampsia on chronic hypertension without HELLP syndrome. Results: Gestational age at delivery and birthweights were lower among women with HELLP syndrome than among women with superimposed preeclampsia and chronic hypertension (P < 0.05). There were no statistically significant differences among the three groups with respect to intrauterine growth retardation, respiratory distress syndrome, intraventricular hemorrhage, necrotizing enterocolitis, Apgar score, admission to neonatal intensive care unit, overall rate of cesarean delivery and cesarean delivery rate for fetal distress. The total perinatal mortality rate was 17% (28/147) and was more frequent in the HELLP group (27%). Multivariate logistic regression analysis showed that gestational age at delivery (RR 0.45) and birthweight (RR 0.99) were risk factors for adverse outcome. Conclusions: Perinatal outcome is primarily influenced by gestational age at delivery and birthweight independent of the severity of the hypertensive status of pregnant women. © Walter de Gruyter Human reproduction, growth & development nationallicence Gynaecology & obstetrics nationallicence Paediatric medicine nationallicence chronic hypertension nationallicence HELLP syndrome nationallicence hypertension nationallicence perinatal outcome nationallicence superimposed preeclampsia nationallicence Osmanağaoğlu Mehmet A. Department of Obstetrics and Gynecology, Medicine School of Karadeniz Technical University, Trabzon, Turkey aut Erdoğan İnanç Department of Obstetrics and Gynecology, Medicine School of Karadeniz Technical University, Trabzon, Turkey aut Zengin Ülkü Department of Obstetrics and Gynecology, Medicine School of Karadeniz Technical University, Trabzon, Turkey aut Bozkaya Hasan Department of Obstetrics and Gynecology, Medicine School of Karadeniz Technical University, Trabzon, Turkey aut Journal of Perinatal Medicine Walter de Gruyter 32/6(2004-11-04), 481-485 0300-5577 32:6<481 2004 32 jpme https://doi.org/10.1515/JPM.2004.132 text/html Onlinezugriff via DOI 1 research article jats NATIONALLICENCE 856 40 https://doi.org/10.1515/JPM.2004.132 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Osmanağaoğlu Mehmet A. Department of Obstetrics and Gynecology, Medicine School of Karadeniz Technical University, Trabzon, Turkey aut NATIONALLICENCE 700 1- Erdoğan İnanç Department of Obstetrics and Gynecology, Medicine School of Karadeniz Technical University, Trabzon, Turkey aut NATIONALLICENCE 700 1- Zengin Ülkü Department of Obstetrics and Gynecology, Medicine School of Karadeniz Technical University, Trabzon, Turkey aut NATIONALLICENCE 700 1- Bozkaya Hasan Department of Obstetrics and Gynecology, Medicine School of Karadeniz Technical University, Trabzon, Turkey aut NATIONALLICENCE 773 0- Journal of Perinatal Medicine Walter de Gruyter 32/6(2004-11-04), 481-485 0300-5577 32:6<481 2004 32 jpme CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-gruyter