BACKGROUND Twin pregnancy is associated with more pregnancy complications and poorer pregnancy outcome than singleton pregnancy. Hence periodic review is necessary to improve on the pregnancy outcome. OBJECTIVE To determine the incidence and compare pregnancy complications and obstetric outcomes of twin pregnancies and singleton pregnancies. MATERIALS AND METHODS The twin pregnancies (study...

Background: Pregnant women of extremes of reproductive age group at both ends (< 20 years and > 35 years age) comprise high risk groups. Pregnant women up to 35 years get many complications like diabetes, spontaneous abortion, hypertensive disorders, autosomal trisomies, increased newborn and maternal morbidity and mortality and cesarean sections. Pregnancies of < 18 years age group is complica...

This retrospective study was designed to evaluate the outcome of pregnancies in women diagnosed with systemic lupus erythematosus (SLE) followed in a tertiary fetal-maternal center. Data were collected from clinical charts between January 1993 and December 2007, with a total of 136 pregnancies (107 patients). Mean maternal age was 29 years, with the vast majority of patients being Caucasian. Mo...

how to cite this article: sharifian m. hypertensive encephalopathy. iran j child neurol 2012; 6(3):1-7. hypertension is called the silent killer and vital organs such as the brain, eyes,kidneys and the heart are the targets. seizure, central nervous system (cns)hemorrhage, and cerebrovascular accident (cva), blindness and heart attacksare the end points.the prevalence of hypertension in childre...

Pregnancies complicated by pre-eclampsia and small-for-gestational-age (SGA) infants demonstrate impaired placental vascular remodelling. Angiopoietin-1 (ANG-1) is an angiogenic growth factor which regulates vascular integrity and remodelling. The TT genotype of angiopoietin 1 (ANGPT1) rs2507800 polymorphism has been associated with increased plasma ANG-1 levels compared with the AA genotype. W...

BACKGROUND: Hypertensive disorders in pregnancy are leading causes of maternal, fetal and neonatal morbidity and mortality worldwide. However, studies attempting to quantify the effect of hypertension on adverse perinatal outcomes have been mostly conducted in tertiary centres. This population-based study explored the frequency of hypertensive disorders in pregnancy and the associated increase ...

BACKGROUND Hypertensive disorders in pregnancy are associated with systemic endothelial dysfunction leading to impaired physiological vasodilation. Recent evidence has shown central aortic pressures obtained through pulse wave analysis, at less than 14 weeks of gestation, to be predictive of pre-eclampsia. In light of this, we aimed to evaluate the role of central aortic stiffness in the predic...

physiologists have shown that increased fluids improve skeletal muscle performance in prolonged exercise.typical orders provide for 125 ml of intravenous fluids per hour in patients taking limited oral fluids during labor. our purpose in this study was to determine whether increased intravenous fluids affect the progress of labor. in a prospective randomized institutional clinical trial, one-hu...

intravenous hydralazine is a commonly administered arteriolar vasodilator that is effective for hypertensive emergencies associated with pregnancy. oral nifedipine is an alternative in management of these patients. in this study the efficacy of nifedipine and hydralazine in pregnancy was compared in a group of iranian patients. fifty hypertensive pregnant women were enrolled in the study. a ran...

Hypertensive disorders complicate 5%-10% of pregnancies with increasing incidence mainly due to upward trends in obesity globally. In the last century, several terminologies have been introduced to describe the spectrum of this disease. The current and widely used classification of hypertensive pregnancy disorders was introduced in 1972 and in 1982, but has not been free of controversy and conf...