2012, Number 1
<< Back Next >>
Revista Cubana de Obstetricia y Ginecología 2012; 38 (1)
Perinatal results related to pregnancy hypertensive disorders
Sáez CV, Pérez HMT, Agüero AG, González GH, Alfonso DA
Language: Spanish
References: 20
Page: 36-44
PDF size: 135.05 Kb.
ABSTRACT
Introduction: The pregnancy hypertensive disorders are related to a high perinatal morbidity and mortality.
Objective: To determine the incidence of the unfavourable perinatal results associated with different pregnancy hypertensive disorders.
Methods: A prospective, descriptive and observational study was conducted in the "Enrique Cabrera" Teaching and General Hospital from January 1 to December 31, 2020. Sample included 108 patients diagnosed with hypertension and in them it was possible to determine the gestational age at delivery, weight and Apgar score of the neonate, diagnosis of fetal suffering and the need of neonatal intensive cares. Percentages and Chi2 test were used for qualitative variables, using the statistical system for Window SPSS-11.5.
Results: Prematurity was more frequent in patients presenting with eclampsia (4/100%) and pre-eclampsia (16/66,7 %), the mean weight of neonates was lower in patients with eclampsia (1540 ± 1160), chronic hypertension with addition of pre-eclampsia (2226 ± 1236,2) and pre-eclampsia (2442 ± 917, the great frequency of stillbirths occurred in patients presenting with eclampsia and in those
with addition of pre-eclampsia (25 % each).
Conclusions: The pre-eclampsia-eclampsia is associated with a high perinatal morbidity and mortality over the study period.
REFERENCES
Sánchez Iglesias JL, Izquierdo González F, Llurba E. Prevención y tratamiento de los EHE. En: Bajo Arenas JM, Melchor Marcos JC, Mercé LT. Fundamentos de Obstetricia (SEGO). Madrid: Grupo ENE Publicidad, S.A; 2007.
Zhang J, Meikle S, Trumble A. Severe Maternal Morbidity Associated with Hypertensive Disorders in Pregnancy in the United States. Hypertension in pregnancy. 2003;22(2):203-12.
Sibai B, Dekker G, Kupferminc M. Pre-eclampsia. Lancet. 2005;365:785-99.
Zhang WH, Alexander S, Bouvier-Colle MH, Macfarlane A. Incidence of severe pre-eclampsia, postpartum haemorrhage and sepsis as a surrogate marker for severe maternal morbidity in a European population-based study: the MOMS-B survey. BJOG. Jan 2005;112:89-96.
Heard AR, Dekker GA, Chan A, Jacobs DJ, Vreeburg SA, Priest KR. Hypertension during pregnancy in South Australia, Part 1: Pregnancy outcomes. Australian and New Zealand Journal of Obstetrics and Gynaecology. 2004;44:404-9.
Kin Lau T, Wah Pang M, Sahota DS, Ngong Leung T. Impact of hypertensive disorders of pregnancy at term on infant birth weight. Acta Obstet Gynecol Scand. 2005;84:875-7.
Bagga R, Aggarwal N, Chopra V, Saha SC, Prasad GRV, Dhaliwal LK. Pregnancy Complicated by Severe Chronic Hypertension: A 10-Year Analysis from a Developing Country. Hypertension in Pregnancy. 2007;26:139-49.
Rodríguez PM, Homma CJ, Hernández CJ, Crespo HT, Triana AP. Enfermedad hipertensiva gravídica: algunas consideraciones sobre su influencia en los indicadores de morbimortalidad perinatal. Rev Cubana Obstet Ginecol Mayo- Ago. 1999;25(2).
Reyes Balseiro ES, Pedro Vilallonga RP, Reyes N B, Viñas SL. Enfermedad vascular hipertensiva en Nuevitas durante un quinquenio. Revista Archivo Médico de Camagüey. 2006;10(1).
Orizondo AR, Ferrer BB, Pentón CR, Díaz FC. Resultados obstétricos y perinatales en 150 pacientes con hipertensión arterial crónica asociada al embarazo. Rev Cubana Obstet Ginecol. 2006;32(3).
Ganfong EA, Nieves AA, Simonó BN, Glonzález PJ, Díaz PM, Ramírez RR, et al. Hipertensión durante la gestación y su repercusión en algunos resultados perinatales en el Hospital "Dr. Agostinho Neto", Guantánamo. Rev Cubana Obstet Ginecol. 2007;33(3).
Orizondo AR, Cairo GV. Eclampsia en Santa Clara. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-600X2009000300005&lng=es
Roberts CL, Algert CS, Morris JM, Ford JB, Henderson-Smart DJ. Hypertensive disorders in pregnancy: a population-based study. MJA. 2005;182:332-5. Disponible en: http://www.mja.com.au/public/issues/182_07_040405/rob10821_fm.pdf
Allen V, Joseph KS, Murphy KE, Magee LA, Ohlsson A. The effect of hypertensive disorders in pregnancy on small for gestational age and stillbirth: a population based study. BMC Pregnancy and Childbirth 2004;4:17. Disponible en: http://www.biomedcentral.com/content/pdf/1471-2393-4-17.pdf
Póvoa AM, Costa F, Rodrigues T, Patricio B, Cardoso F. Prevalence of Hypertension during pregnancy in Portugal. Hypertension in Pregnancy. 2008;27:279-84.
Chhabra S, Qureshi A, Datta N. Perinatal outcome with HELLP/partial HELLP complicating hypertensive disorders of pregnancy. An Indian rural experience. Journal of Obstetrics and Gynaecology, August 2006;26(6):531-3.
Goodman A. Preterm Birth, Complications Related to Cerebral Palsy Reduced. Mescape medical News. Disponible en: http://www.medscape.com/viewarticle/742032?sssdmh=dm1.685084&src=nlconfnews&spon=16
Gus Dekker G, Sibai B. Primary, secondary, and tertiary prevention of preeclampsia. Lancet. January 20, 2001;357:209-15.
Von Dadelszen P, Ornstein MP, Bull SB, Logan AG, Koren G, Magee LA. Fall in mean arterial pressure and fetal growth restriction in pregnancy hypertension: a meta-analysis. Lancet. 2000;355:87-92.
Nguyen NNT, Merialdi M, Abdel-Aleem H, Carroli G, Purwa M, Zavaleta N, et al. Causes of stillbirths and early neonatal deaths: data from 7993 pregnancies in six developing countries. Bulletin of the WHO. September 2006;84(9):699-705.