Relationship Between Incidence of Hyaline Membrane Disease and Maternal Hypertension During Pregnancy

  • Lasmida Nazir Nuriman Department of Child Health, Medical School Padjadjaran University / Hasan Sadikin Hospital, Bandung
  • Dadang Sjarif Hidajat Department of Child Health, Medical School Padjadjaran University / Hasan Sadikin Hospital, Bandung
Keywords: hyaline membrane disease, maternal hypertension, pregnancy

Abstract

There have been controversies over the eiTect of hypertension in pregnancy on the incidence of type I neonatal respiratory distress syndrome or hyaline membrane disease (HMD). We investigated the relationship between the incidence of HMD and maternal hypertension during pregnancy in 91 infants at 34 weeks gestation or less. This retrospective cross sectional study included all live born babies between May 1, 1994 and April 30, 1995 at Dr. Hasan Sadikin General Hospital, Bandung. Maternal hypertension during pregnancy was diagnosed in 38 mothers of91 infants studied. The incidence of HMD (5%) in the maternal hypertension during pregnancy group was significantly lower than the 62% in the normotensive group (p<0.01). There was a negative correlation between the occurence of HMD and hypertension during pregnancy. We conclude that the risk of developing HMD in infants born to hypertensive mothers is significantly lower than those born to normotensive mothers.

References

Gluck L, Kulovich MV. Lecithin/sphingomyelin ratios in amniotic fluid in normal and abnormal pregnancy. Am J Obstet Gynecol 1973; 115: 539-46.

Chiswick ML, Burnard E. Respiratory distress syndrome. Lancet 1973; 1: 1060.

Pardi G, Marini A. Fetal lung maturation in toxaemia and estrogen therapy in management of respiratory distress syndrome. Lancet 1974; 2:1453.

Chiswick ML. Prolonged rupture of membranes, preeclamptic toxaemia in respiratory distress syndrome. Arch Dis Child 1976; 51:674-79.

Yoon JJ, Schuyber K, Harper RG. The relationship between maternal hypertensive disease of pregnancy and the incidence of idiopathic respiratory distress syndrome. Pediatrics 1980; 65:735-9.

Lee KS, Eidelman AI, Tseng PI, Kandall SR, Gartner LM. Respiratory distress syndrome of the newborn and complications of pregnancy. Pediatrics 1976; 58:675-80.

Brazy JE, Grimm JK, Little VA. Neonatal manifestations of severe maternal hypertension occuring before the thirtysixth week of pregnancy. J Pediatr 1982; 100:265-71.

White E, Shy KK, Benedetti TJ. Chronic fetal stress and the risk of infant respiratory distress syndrome. Obstet Gynecol1986; 67:57-62.

Hansen T, Corbet A. Lung development and function. In: Schaffer and Avery's Diseases in the newborn; 6th ed. Philadelphia: Saunders, 1991,461-9.
Published
2017-07-11
How to Cite
1.
Nuriman L, Hidajat D. Relationship Between Incidence of Hyaline Membrane Disease and Maternal Hypertension During Pregnancy. PI [Internet]. 11Jul.2017 [cited 26Apr.2024];38(3-4):47-3. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/1559
Received 2017-07-06
Accepted 2017-07-06
Published 2017-07-11