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2018, Number 2

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Rev cubana med 2018; 57 (2)

Neurological complications in critically ill pregnant women

Garzón CL, Gómez VN, Riol LJM, Olivera LIR

Language: Spanish
References: 33
Page: 1-10
PDF size: 115.33 Kb.


ABSTRACT

Introduction: Obstetric patients can present numerous complications that put in danger their lives, and they need of admission in intensive care units.
Objective: To characterize in a clinical way the critically ill pregnant women with neurological complications.
Methods: An observational, descriptive, retrospective study was conducted in " Hermanos Ameijeiras " Clinical-Surgical Hospital during the period from January, 2007 to December, 2016. There was carried out the calculation of absolute and relative frequencies for the analysis of the data; there were applied measures of central (average) trends and dispersion (range), and to know the possible association between the qualitative variables the Chi-square´s Test was performed with a significance of p < 0.05.
Results: The neurological complications appeared in 33,3 % of the patients and the most frequent were: eclampsia (65,7 %), cerebral infarction (9,0 %) and cerebral venous thrombosis (8,6 %). Being a nulliparous women (51,4 %) and age of more than 35 years (42,8 %) were the most common risk factors. Arterial hypertension was the main pathological background and the association between the neurological complications and the direct cause of the death (p=0.00043) was demonstrated.
Conclusions: The neurological complications were frequent in critically ill pregnant women and they constitute a direct cause of death. The most frequent complication was eclampsia.


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