Clinical Background of Preecwsia in Jpsanese Women

In Japan, the maternal mortality rate from preeclampsia is still high. In this study, we analyzed the clinical background of 70(1.5%) cases of severe preeclampsia in 4, 633 deliveries in our clinic. The main family history was hypertension(34.2%). The medical complication of this pregnancy were nephritis(11.4%), hypertension(5.7%) and diabetes mellitus(4.3%). In previous obstetrical complication, preeclampsia was found very high frequency(44.4%). In this pregnancy, the cesarean section was done for 15(21.4%) cases. There was a significant high frequency of low birth weight infant in preeclampsia(2, 400 ± 925 gr, mean ± S.D.). The stillbirth was found in 12(17.1%) cases. The perinatal mortality rate was 169/1, 000 deliveries, this was a significantly higher than total rate(15/1, 000 deliveries).