2014, Number 3
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Rev Cub Med Mil 2014; 43 (3)
Risk factors for preeclampsia
Valdés YM, Hernández NJ
Language: Spanish
References: 22
Page: 307-316
PDF size: 120.08 Kb.
ABSTRACT
Introduction: preeclampsia brings multiple complications that increase maternal and
perinatal morbidity and mortality rates.
Objective: to identify risk factors for preeclampsia in pregnant women.
Methods: a case-control study was conducted in "Dr Luis Diaz Soto" military hospital
from January 2012 to December 2013. The sample was made up of 128 patients
divided into two groups, that is, 64 preeclampsia cases in the study group and 64
healthy women randomly selected for the control group. Data were collected by
survey and clinical history review in order to analyze maternal age, nutritional status,
global weight gain, pregnancy-related disorders, obstetrics history, parity, and family
histories. For the statistical analysis, the statistic, the mean, the standard deviation,
the percentages, Student's t test, independent Chi square test and the odds ratio
were all used.
Results: significant risk factors for preeclampsia were maternal age of 35 years old
or more (OR= 4.27), maternal overweight at the beginning of gestation (OR= 2.61),
nulliparity (OR= 3.35) and family history of mother (OR= 7.35) or sister with
preeclampsia (OR= 5.59). Gestational disorders, global weight gain and unfavorable
obstetrical history were not significant risk factors.
Conclusions: most of the risk factors for preeclampsia were not modifiable, so a very
good prenatal care is required to assure the early diagnosis and timely management
of this problem.
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