الفهرس 
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Abstract
Hypertensive disorders during pregnancy are among the leading causes of maternal and neonatal morbidity worldwide, and include pregnancy induced hypertension (PIH) and preeclampsia. PIH and preeclampsia complicate about 7% of all pregnancies and severe preeclampsia is a major cause of sever maternal morbidity (as stroke and liver rupture).
Counseling of the patients is complicated by the sparse data on the recurrence risk for hypertensive diseases following an index pregnancy complicated by HELLP syndrome.
In addition, study results investigating the recurrence risk after HDP vary from 2.5% to 29%. The relatively low incidence of HELLP syndrome makes it difficult to recruit study groups large enough to determine recurrence risk. Few environmental risk factors for hypertensive disorders of pregnancy have been examined.
In this study we investigated the association between obesity, diabetes, smoking and pesticide exposure and the incidence of preeclampsia and HELLP syndrome.
Our aim is to study the association between obesity, smoking, diabetes and pesticide exposure with preeclampsia and HELLP syndrome.
The study participants were recruited from Boulak El Dakror General Hospital. Cases participating in this study came in labor to the emergency unit of the hospital. This study had included 250 women who have been equally divided into five groups; Group I corresponds to the Control group and Group II corresponds to pregnant women with obesity, Group III corresponds to smoking pregnant women, Group IV corresponds to pregnant women who were exposed to pesticides, and the last group corresponds to pregnant women with diabetes.
The statistical study of the results demonstrated that there is slight increase in the incidence of preeclampsia and HELLP syndrome due to obesity, diabetes and pesticide exposure but there is decline in the incidence of preeclampsia and HELLP syndrome due to smoking.