Neonatal consequences of acute pulmonary edema in pregnant women referred to the hospitals in Tabriz, 2013-2014

Abstract

Introduction: Since acute pulmonary edema is one of the reasons for hospitalization of pregnant women in intensive care units and failure to timely diagnose it has dangerous complications for mother and fetus. This study was performed with aim to determine the consequences of acute pulmonary edema in pregnant women referred to the hospitals in Tabriz. Methods: In this cohort study conducted in 2013-2014 in Tabriz educational and medical centers, 2750 pregnant women with high-risk pregnancies were evaluated for acute pulmonary edema, and neonatal outcomes (first and fifth minute Apgar scores, neonatal weight, fetal death, birth time were evaluated in women with a definitive diagnosis of acute gestational edema. Data were analyzed by SPSS statistical software (version 17) and t-test and Chi-square test. P<0.05 was considered statistically significant. Results: The prevalence of acute pulmonary edema in high-risk pregnancies was 1.2% (n=34) and in the total population of pregnant mothers was 0.15%. In terms of neonatal outcomes, the neonatal weight of acute pulmonary edema group was lower and the first and fifth minute Apgar scores were lower; IUGR in acute pulmonary edema group was 1.9 times higher than the unprotected group (CI: 1.5-1: 1.5%, 95% (RR= 1.9) and the incidence of fetal death in the acute pulmonary edema group was 2.5 times that of the unprotected group (CI: 1.5-1.9: 95%, RR = 2.5). Conclusion: Acute pulmonary edema leads to negative and adverse effects on the newborn such as weight loss, preterm delivery, increased mortality and decreased Apgar score.

Keywords

• acute pulmonary edema
• consequences
• frequency
• pregnancy