79 -4 (90) 2026 - Najmetdinova D.F., Negmatullaeva M.N. - DIFFERENTIATED OBSTETRIC MANAGEMENT AND PERINATAL OUTCOMES IN PREGNANT WOMEN WITH HYPERTENSIVE DISORDERS

DIFFERENTIATED OBSTETRIC MANAGEMENT AND PERINATAL OUTCOMES IN PREGNANT WOMEN WITH HYPERTENSIVE DISORDERS

Najmetdinova D.F. - Republican Specialized Scientific and Practical Medical Center for Maternal and Child Health

Negmatullaeva M.N. - Bukhara State Medical Institute named after Abu Ali ibn Sina

Resume

The study analyzed delivery methods and perinatal outcomes in pregnant women with hypertensive disorders. A total of 200 women were examined and distributed into four groups: control (n=50); gestational arterial hypertension — GAH (n=40); chronic arterial hypertension — CAH (n=35); and moderate preeclampsia — PE (n=75). All controls were delivered vaginally, whereas caesarean section was required in 40.0 % of PE women and labor induction was needed in 22.7 % of cases. Preterm delivery occurred in 22.7 % of PE patients, with fetal hypotrophy detected in 36.0 %. In 14 women with recurrent moderate PE and an unfavourable cervix, two-step preinduction with a Foley catheter and dinoprostone gel resulted in successful vaginal delivery in 71.4 % of cases. The findings substantiate the need for individualised obstetric management and stepwise cervical preparation in pregnancies complicated by hypertensive disorders.

Keywords: preeclampsia, arterial hypertension, delivery, caesarean section, Foley catheter, labor induction, perinatal outcomes.

First page

527

Last page

533

For citation:Najmetdinova D.F., Negmatullaeva M.N. - DIFFERENTIATED OBSTETRIC MANAGEMENT AND PERINATAL OUTCOMES IN PREGNANT WOMEN WITH HYPERTENSIVE DISORDERS//New Day in Medicine 4(90)2026 527-533 https://newdayworldmedicine.com/en/new_day_medicine/4-90-2026

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