Perinatal outcome of hypertensive pregnant women is related to the severity of preeclampsia

Autores

  • Marciano Anselmini Residência Médica em Ginecologia e Obstetrícia, Hospital Universitário de Santa Maria (HUSM), Universidade Federal de Santa Maria (UFSM). Santa Maria (RS), Brasil.
  • Lucas Kreutz Rodrigues Curso de Medicina da Universidade Federal de Santa Maria (UFSM). Santa Maria (RS), Brasil.
  • Bruna Balestrin Curso de Medicina da Universidade Federal de Santa Maria (UFSM). Santa Maria (RS), Brasil.
  • Daniel de Paula Santana Curso de Medicina da Universidade Federal de Santa Maria (UFSM). Santa Maria (RS), Brasil.
  • Gisely Freitas Curso de Medicina da Universidade Federal de Santa Maria (UFSM). Santa Maria (RS), Brasil.
  • Leonardo Kreutz Rodrigues Curso de Medicina da Universidade Federal de Santa Maria (UFSM). Santa Maria (RS), Brasil.
  • Francisco Maximiliano Pancich Gallarreta Departamento de Ginecologia e Obstetrícia, Centro de Ciências da Saúde, Universidade Federal de Santa Maria (UFSM). Santa Maria (RS), Brasil.
  • Cristine Kolling Konopka Departamento de Ginecologia e Obstetrícia, Centro de Ciências da Saúde, Universidade Federal de Santa Maria (UFSM). Santa Maria (RS), Brasil.

Palavras-chave:

Hypertension, pregnancy, pre-eclampsia, perinatal outcome, neonatal complications

Resumo

Introduction: Hypertension in pregnancy plays a key role in perinatal morbidity and mortality. This study aims to analyze maternal and perinatal outcomes associated with hypertension in pregnant women.

Methods: A prospective longitudinal study was conducted at the University Hospital of Santa Maria, RS, Brazil, involving hypertensive pregnant women admitted for delivery. The results were analyzed using the chi-square test and the Mann-Whitney test.

Results: Of the 162 hypertensive pregnant women studied, 61.1% were diagnosed with preeclampsia. Cesarean section was the most frequent mode of delivery (79.6%). Overall, 46.2% of newborns were premature; of these, 23.4% required intensive neonatal care. Preeclampsia and severe preeclampsia were associated with prematurity in 56.2% of cases (p = 0.011) and 75.7% of cases (p = 0.004), respectively. Severe preeclampsia was associated with neonatal complications (45.9%), and no neonatal complications were associated with mild preeclampsia in 78% (p = 0.014) and gestational hypertension in 96% (p = 0.001). Neonatal deaths occurred in 11.1% of cases admitted to the neonatal intensive care unit, corresponding to a neonatal mortality rate of 24 per 1,000 live births.

Conclusions: The association of severe preeclampsia with prematurity and adverse perinatal outcomes corroborates the need for care of these laboring women in referral centers with specialized neonatal care.

Keywords: Hypertension; pregnancy; pre-eclampsia; perinatal outcome; neonatal complications

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Publicado

2018-07-19

Como Citar

1.
Anselmini M, Kreutz Rodrigues L, Balestrin B, de Paula Santana D, Freitas G, Rodrigues LK, Pancich Gallarreta FM, Kolling Konopka C. Perinatal outcome of hypertensive pregnant women is related to the severity of preeclampsia. Clin Biomed Res [Internet]. 19º de julho de 2018 [citado 27º de janeiro de 2023];38(2). Disponível em: https://seer.ufrgs.br/index.php/hcpa/article/view/76514

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