ABSTRACT
El Hospital Nacional Dr. Mario Catarino Rivas (hospital de segundo nivel de atención), sirve como centro de atención para embarazos de alto riesgo de la zona noroccidental de Honduras; reportó 1,702 casos de trastor-nos hipertensivos del embarazo en 2017 y 2,070 casos en 2018. Se caracterizó pacientes con signos y síntomas de trastornos hipertensivos del embarazo agrupadas desde un punto de vista obstétrico, epidemiológico y clínico. Se realizó un estudio, descriptivo de corte transversal en gestantes que presentaron cefalea, cifras tensionales elevadas (≥ 140/90mmHg); registrando ausencia o presencia de proteinuria, atendidas en la emergencia de labor y parto de un hospital nacional de segundo nivel de atención en San Pedro Sula, Honduras, desde junio hasta octubre del 2019. Se incluyeron 110 pacientes de entre 18-43 años, mestizas y amas de casa, la edad gestacional promedio por fecha de ultima menstruación de 37.7 semanas; el 28.2% presentó preeclampsia severa. Las manifestaciones clínicas frecuentes fueron edema de miembros inferiores y cefalea. El 57.3% desarrolló trabajo de parto espontá-neo, la resolución del embarazo fue cesárea en el 57.3% de las gestantes. Respecto al producto de la concepción, 66.4% tenían peso normal y talla apropiada para la edad gestacional, un APGAR de 8 al primer minuto y de 9 a los 5 minutos. En este estudio, se reporta una prevalencia del 13.72% con respecto a los trastornos hipertensivos del embarazo. Particularmente en pacientes mayores de 35 años, multípara, con índice de masa corporal ≥ 32 kg/m2, presentando antecedentes de hipertensión arterial, diabetes mellitus y preeclampsia.
The National Hospital Dr. Mario Catarino Rivas (second-level care hospital), serves as a care center for high-risk pregnancies in the northwestern part of Honduras; it reported 1,702 cases of hypertensive disorders of pregnancy in 2017 and 2,070 cases in 2018. Patients with signs and symptoms of hypertensive disorders of preg-nancy were characterized grouped from an obstetric, epidemiological and clinical point of view. A descriptive cross-sectional study was carried out in pregnant women who presented headache, high blood pressure (≥ 140 / 90mmHg); registering the absence or presence of proteinuria in urine, attended in the labor and delivery emer-gency of a national hospital of second level of care in San Pedro Sula, Honduras; from June to October 2019. 110 patients between 18-43 years old, mixed race and housewives were included, the average gestational age by date of last menstruation of 37.7 weeks, 28.2% presented severe preeclampsia. The frequent clinical manifestations were lower limb edema and headache. 57.3% developed spontaneous labor, the pregnancy termination route was cesarean section in 57.3% of pregnant women. Regarding the product of conception, 69.1% had weight and height appropriate for gestational age, an APGAR of 8 at the first minute and of 9 at 5 minutes. In this study, a prevalence of 13.72% is reported with respect to hypertensive disorders of pregnancy. Particularly in patients older than 35 years, multiparous, with a body mass index ≥ 32 kg / m2, presenting a history of arterial hypertension, diabetes mellitus and pre-eclampsia.
Subject(s)
Humans , Female , Pregnancy , Infant, Newborn , Adolescent , Adult , Cesarean Section/methods , Gestational Age , Pregnancy, High-Risk , Natural Childbirth , Pre-Eclampsia/diagnosis , Proteinuria/complications , Infant, Newborn/growth & development , Labor, Obstetric , Diabetes, Gestational/diagnosis , HELLP Syndrome/diagnosis , Eclampsia/diagnosis , Headache/diagnosis , HondurasABSTRACT
INTRODUCCIÓN Y OBJETIVO: Los trastornos hipertensivos asociados al embarazo son considerados un problema de salud pública. Se busca describir las características clínicas y desenlaces materno-fetales de las pacientes con esta patología, atendidas en el Hospital Universitario de Santander (HUS) durante el primer semestre de 2017. MÉTODOS: Estudio observacional retrospectivo de corte transversal. Se incluyeron las pacientes en estado de embarazo o puerperio con diagnóstico o sospecha de trastorno hipertensivo; se excluyeron aquellas que no pudieron ser clasificadas o no correspondían a éstos. RESULTADOS: Se analizaron 181 historias clínicas; la edad de las pacientes osciló entre 14 y 44 años; el 43,7% eran primigestantes; el 40,3% tuvo un control prenatal inadecuado y el 27,5% tenía antecedente de trastorno hipertensivo en gestaciones previas. El 75,1% de las pacientes fueron clasificadas como preeclampsia, 18,2% con hipertensión gestacional, 4,4% con hipertensión más preeclampsia sobreagregada y 2,2% con hipertensión crónica. El 16,9% de las pacientes con preeclampsia debutaron antes de la semana 34, de las cuales el 91,3% tenían criterios de severidad; mientras que entre las demás, el 84% presentaron criterios de severidad. CONCLUSIONES: La preeclampsia fue el trastorno hipertensivo más frecuente, predominó la presentación tardía y severa con importantes tasas de complicación maternas y fetales. Mediante la implementación de estrategias de detección temprana y adecuada atención de los trastornos hipertensivos asociados al embarazo podrían mejorarse los desenlaces materno-fetales.
BACKGROUND AND OBJECTIVE: Hypertensive disorders of pregnancy are considered a public health issue. The aim is to describe the clinical features, maternal - fetal outcomes of patients with this disease, who were admitted at the University Hospital of Santander (Bucaramanga, Colombia) during the first half of 2017. METHOD: Cross-sectional retrospective observational study. Patients in pregnancy or puerperium with diagnosis of hypertensive disorder were included; those who could not be classified or did not correspond were excluded. RESULTS: 181 clinical charts were analyzed, the age of the patients ranged between 14 and 44 years, 43.7% were nulliparous, 40.3% had an inadequate prenatal control and 27.5% had history of hypertensive disorder in previous pregnancies. 75.1% were classified as preeclampsia, 18.2% as gestational hypertension, 4.4% as hypertension and superimposed preeclampsia and 2.2% with chronic hypertension; 16.9% of the patients were of an early-onset preeclampsia before week 34, of which 91.3% had criteria of severity; among the others, 84% presented criteria of severity. CONCLUSION: Preeclampsia was the most frequent hypertensive disorder, late and severe presentation prevailed with important maternal and fetal complication rates. Through the implementation of early detection strategies and adequate care of hypertensive disorders associated with pregnancy maternal and fetal outcomes could be improved.
Subject(s)
Humans , Female , Pregnancy , Adolescent , Adult , Young Adult , Hypertension, Pregnancy-Induced/classification , Hypertension, Pregnancy-Induced/diagnosis , Hypertension, Pregnancy-Induced/epidemiology , Pre-Eclampsia/classification , Pre-Eclampsia/diagnosis , Pre-Eclampsia/epidemiology , Pregnancy Outcome , Cross-Sectional Studies , Retrospective Studies , HELLP Syndrome/classification , HELLP Syndrome/diagnosis , HELLP Syndrome/epidemiology , Colombia , Eclampsia/classification , Eclampsia/diagnosis , Eclampsia/epidemiologyABSTRACT
Introducción: La preeclampsia produce proteinuria, edema e hipertensión arterial. La eclampsia aparece luego de la preeclampsia o de forma aguda con convulsiones. Ambos estados suelen producirse hacia el final de la gestación, durante o después del parto. Objetivo: Caracterizar a gestantes o puérperas con preeclampsia-eclampsia, ingresadas en la unidad de cuidados intensivos. Método: Estudio descriptivo, prospectivo y longitudinal, que incluyó 38 pacientes a las que se les realizó examen físico completo, exámenes complementarios de utilidad para su diagnóstico y el índice APACHE II. Resultados: Predominaron las puérperas con preeclampsia y las edades entre 21 a 35 años. Los factores de riesgo más frecuentes encontrados: las edades extremas, antecedentes personales y la nuliparidad. Con una estadía entre 4 y 5 días de ambos grupos, con 100 por ciento de egresos vivos. Conclusiones: Con una estrategia de seguimiento precoz en gestantes y puérperas con riesgo, se puede llegar al diagnóstico de formas graves e incipientes de preeclampsia(AU)
Introduction: Preeclampsia produces proteinuria, edema and arterial hypertension. Eclampsia appears after preeclampsia or acute with seizures. Both states usually occur towards the end of pregnancy, during or after delivery. Objective: To characterize pregnant or puerperal women with preeclampsia-eclampsia, admitted to the Intensive Care Unit. Methods: A descriptive, prospective and longitudinal study was concluded, in 38 patients who underwent a complete physical examination, complementary tests useful for their diagnosis and APACHE II index. Results: Puerperal pre-eclampsia predominated. The ages between 21 to 35 years prevailed. The most frequent risk factors found were advanced ages, personal history and nulliparity. The stay ranged between 4 and 5 days in both groups, with 100 percent of live hospital discharges. Conclusions: The early diagnosis of severe and initial forms of preeclampsia is possible with a strategy of early follow-up in pregnant and puerperal women at risks(AU)
Subject(s)
Humans , Female , Pregnancy , Pre-Eclampsia/diagnosis , Pre-Eclampsia/prevention & control , Longitudinal Studies , Critical Care/methods , Postpartum Period , Eclampsia/diagnosisABSTRACT
Objective: The aims of the study were to determine the incidence of eclampsia and describe its clinical correlates and pregnancy outcomes.Patients and Methods: A one-year prospective study of 93 cases of eclampsia using a structured questionnaire which included socio-demographic data, clinical presentation, work-up, management and feto-maternal outcomes was done at Karamara Regional Hospital, Eastern Ethiopia.Results: The incidence of eclampsia was 2.7% (93 in 3500 deliveries). Most of the cases were young (45%), nulliparous (70%) women who had not received any antenatal care (63%). Almost two thirds of the women (n=57, 61%) presented with eclampsia in antepartum, whereas 26 cases (28%) occurred in intrapartum, and there were 10 cases (11%) with eclampsia postpartum. Preceding symptoms were reported in 78.5 % of patients with severe hypertension recorded in 66%. The average gestational age at presentation was 32 weeks. Hydralazine was used for emergency control of hypertension in 91% of the cases. Magnesium was administered to 92 (99%) of the patients. Delay greater than 12h from admission to delivery occurred in 45% of the women with eclampsia. Cesarean section (CS) was performed in 14 (17%) and instrumental delivery in 15 (18%). The maternal and perinatal case fatality rates of eclampsia were 34.7% and 11% respectively.Conclusion: The incidence of eclampsia was very high with corresponding high maternal and perinatal deaths. The presentation of patients was late and the work up and management of cases substandard. Hence capacity building of health facilities, implementation of standard guidelines and criteria based auditing are recommended
Subject(s)
Eclampsia/diagnosis , Eclampsia/epidemiology , Eclampsia/surgery , Ethiopia , Pregnancy Outcome , Prospective StudiesABSTRACT
Introducción: la preeclampsia produce proteinuria, edema e hipertensión arterial. La eclampsia aparece luego de la preeclampsia o de forma aguda con convulsiones. Ambos estados suelen producirse hacia el final de la gestación, durante o después del parto. Objetivo: caracterizar a gestantes o puérperas con preeclampsia-eclampsia, ingresadas en la unidad de cuidados intensivos. Método: estudio descriptivo, prospectivo y longitudinal, que incluyó 38 pacientes a las que se les realizó examen físico completo, exámenes complementarios de utilidad para su diagnóstico y el índice APACHE II. Resultados: predominaron las puérperas con preeclampsia y las edades entre 21 a 35 años. Los factores de riesgo más frecuentes encontrados fueron las edades extremas, antecedentes personales y la nuliparidad. Con una estadía entre 4 y 5 días de ambos grupos, con 100 por ciento de egresos vivos. Conclusiones: con una estrategia de seguimiento precoz en gestantes y puérperas con riesgo, se puede llegar al diagnóstico de formas graves e incipientes de preeclampsia(AU)
Introduction: Preeclampsia produces proteinuria, edema and arterial hypertension. Eclampsia appears after preeclampsia or it appears acute with seizures. Both states usually occur towards the end of pregnancy, during or after delivery. Objective: To characterize pregnant or puerperal women suffering preeclampsia-eclampsia, who were admitted to the ICU. Method: A descriptive, prospective and longitudinal study was conducted in 38 patients who underwent a complete physical examination, complementary tests useful for their diagnosis and the APACHE II index. Results: Puerperal women suffering preeclampsia and ages ranging 21 to 35 years prevailed. The most frequent risk factors found were extreme ages, personal history, and nulliparity. Subjects in both groups stayed 4 - 5 days. A hundred percent were discharged alive. Conclusions: with a strategy of early follow-up in pregnant and puerperal women at risk, the diagnosis of severe and incipient forms of preeclampsia can be reached(AU)
Subject(s)
Humans , Female , Pregnancy , Pre-Eclampsia/diagnosis , Eclampsia/diagnosis , Epidemiology, Descriptive , Prospective Studies , Longitudinal Studies , Critical Care/methodsABSTRACT
Antecedentes: El Hospital Santa Teresa (HRST) es un hospital regional de segundo nivel con capacidad de brindar un mayor nivel de resolución a procesos mórbidos, pese a que está limitado por sus características de infraestructura, equipamiento, personal y en la capacidad para el manejo de complicaciones en las gestantes. Es necesario determinar las características de las paci - entes con trastornos hipertensivos del embarazo para fortalecer su capacidad de atención. Objetivo: Describir las características clíni - cas y epidemiológicas de los trastornos hipertensivos del embarazo de la sala de labor y partos del Hospital Regional Santa Teresa, Comayagua, durante el año 2015. Métodos: Estudio observacional descriptivo. En este período ingresaron 6,090 gestantes, de las cuales 361 (5.9%) presentaron enfermedad hipertensiva del embarazo. Se estimó un tamaño de muestra de 186 (51.5%, IC95%). Las variables incluyeron datos sociodemográicos, antecedentes gineco-obstétricos, manifestaciones clínico-laboratoriales, diagnóstico, manejo terapéutico y complicaciones. La información recolectada fue ingresada en base de datos Epiinfo versión 7.1.5 (CDC, Atlanta). Los resultados se presentan como frecuencias, porcentajes, rangos y promedios. La información personal de los casos se manejó conidencialmente. Resultados: El 58.6%(109) tenían entre 19 a 35 años, 65.1% (121) con ≥ 5 controles prenatales. El signo clínico más frecuente edema 37.1%(69), laboratorialmente lactato deshidrogenasa 69.9%(130). La vía de parto más frecuente fue vaginal 63.4%(118), 45.1%(84) ameritó uso de antihipertensivos, 25.8%(48) anticonvulsivantes. El trastorno hipertensivo más frecuente fue la preeclampsia-eclampsia con un 65.1%(121) y la complicación más frecuente síndrome HELLP 3.7%(7). Discusión: La prevalencia de los trastornos hipertensivos fue de 5.9% respectivamente...(AU)
Subject(s)
Humans , Female , Pregnancy , Adult , Antihypertensive Agents/administration & dosage , Data Collection/statistics & numerical data , Eclampsia/diagnosis , Hypertension, Pregnancy-Induced , Pregnancy Complications/mortalityABSTRACT
La preeclampsia/eclampsia se caracteriza por presión arterial elevada durante el embarazo, presentándose en cerca del 8-10% de todos los embarazos. En la mujer embarazada normalmente hay un aumento del volumen plasmático, sin embargo en preeclampsia-eclampsia usualmente dicho volumen esta disminuido. Esta disminución del volumen plasmático ha llevado a la idea de que hay que administrar fluidos para mantener la estabilidad hemodinámica materna...
Subject(s)
Female , Eclampsia/diagnosis , Eclampsia/drug therapy , Flow Mechanics/adverse effects , Flow Mechanics/prevention & control , Pre-Eclampsia/diagnosis , Pre-Eclampsia/metabolism , Pre-Eclampsia/prevention & control , Waste Disposal, FluidABSTRACT
Objective: To assess some macroscopic changes in the placentas of eclamptic mothers in a tertiary care setting of eastern India. Design: Cross-sectional observational type of study. Methods: 44 placentas from 15 normotensive and 29 eclamptic mothers were collected after delivery at term and studied for area, weight and volume. Foetal surface was studied for insertion of umbilical cord, insertion of membranes and subchorionic fibrosis. Maternal surface was studied for retroplacental blood clot, calcification and infarct. Necessary statistical tests were done. Result: Statistically significant differences were observed in placental area, weight and volume between normotensive and eclamptic mothers. These showed that placental area, weight and volume were more in the former group with some exceptions. Subchorionic fibrosis, retroplacental blood clot, calcification and infarct were also more in placentas of eclamptic mothers. Conclusion: Eclampsia adversely affects the foetus through its harmful effects on placenta. The study agrees well with the findings of other investigators.
Subject(s)
Eclampsia/analysis , Eclampsia/diagnosis , Eclampsia/pathology , Female , Fetus , Humans , Pathological Conditions, Anatomical/analysis , Pathological Conditions, Anatomical/diagnosis , Pathological Conditions, Anatomical/pathology , Pathological Conditions, Anatomical/statistics & numerical data , Placenta/anatomy & histology , Placenta/pathologyABSTRACT
Introducción:en la consulta de Riesgo de preeclampsia-eclampsia se realiza el diagnóstico precoz de formas graves y tempranas de preeclampsia. Objetivos: demostrar los resultados de la atención a gestantes con riesgo de preeclampsia eclampsia. Métodos: estudio descriptivo de corte transversal en el municipio de Santa Clara, provincia Villa Clara, en el año 2010. La muestra se conformó con 181 gestantes a las que se les aplicó una encuesta que incluyen los factores de riesgo, se diseñaron estrategias de seguimiento y diagnóstico precoz de formas graves e incipientes de la preeclampsia. Resultados: las edades extremas resultaron el 58,01 porciento del total, con 105 mujeres a predominio del subgrupo de la avanzada edad materna 69 (38,12 porciento)...
Introduction: early diagnosis of serious and early forms of pre-eclampsia is made in the consultation for pre-eclampsia eclampsia. Objectives: to show the results in the care of pregnant women at pre-eclampsia eclampsia risk. Methods: a cross sectional study in the municipality of Santa Clara, Villa Clara during 2010. The sample consisted of 181 pregnant women to whom they were given a survey including risk factors; strategies were designed for monitoring and early diagnosis of serious and emerging forms of preeclampsia. Results: the extreme ages were 58.01 percent out of the total, 105 women with a predominance of the subgroup of advanced maternal age 69 (38.12 percent)...
Subject(s)
Humans , Female , Pregnancy , Eclampsia/diagnosis , Eclampsia/prevention & control , Maternal-Child Health Services , Pre-Eclampsia/diagnosis , Cross-Sectional Studies , Epidemiology, Descriptive , Risk FactorsABSTRACT
A hipertensão arterial é um dos principais fatores de risco cardiovascular entre as mulheres e seu diagnóstico e tratamento precoces têm impacto significativo na redução de risco. Alguns aspectos da fisiopatologia da hipertensão arterial na mulher são importantes para serem reconhecidos, sobretudo os relacionados ao uso de anticoncepcionais em jovens e à menopausa, nas mais idosas, para o tratamento mais adequado. Além disso, a hipertensão na gestação, especialmente as formas mais graves, está entre as principais causas de mortalidade materna. O diagnóstico e tratamento preciso são fundamentais para o melhor acompanhamento destas pacientes, evitando-se repercussões maternas e fetais graves.
Arterial hypertension is one of the major cardiovasculatr risk factors among women, and the early diagnosis and treatment had significant impact on risk reduction. It is important to recognize some features of the pathophysiology of arterial hypertension in women, especially the related to contraceptive use in younger and to menopause in older women, for the most adequate treatment. In addition, hypertension in pregnancy, mainly the more severe forms, is one the most important causes of maternal mortality, thus precise diagnosis and treatment are essential to a better approach of the patients, preventing severe maternal and fetal repercutions.
Subject(s)
Humans , Male , Female , Pregnancy Complications/diagnosis , Cardiovascular Diseases/complications , Cardiovascular Diseases/diagnosis , Eclampsia/diagnosis , Hypertension/physiopathology , Menopause/physiology , Risk Factors , Takayasu Arteritis/diagnosis , Epidemiologic StudiesABSTRACT
Determinar la incidencia de eclampsia y su repercusión materna y perinatal en el Departamento de Obstetricia y Ginecología. Departamento Clínico Integral de la Costa. Universidad de Carabobo. Hospital Dr. Adolfo Prince Lara Puerto Cabello. Estudio descriptivo, retrospectivo, longitudinal y analítico de 40 casos con diagnóstico de eclampsia en 31 532 nacimientos en un período de 10 años: 1998 - 2007. La incidencia fue de 0,13 por ciento, 1 caso por cada 788 nacimientos. Predominó el grupo etario de 10 - 19 años (52,5 por ciento), concubinas 60 por ciento, grado de instrucción primaria (60 por ciento). Prevaleció el antecedente familiar de hipertensión en la madre (25 por ciento), el antecedente personal de preeclampsia en embarazo anterior (12,5 por ciento). Los principales signos y síntomas fueron: hiperreflexia (65 por ciento), cefalea (50 por ciento), escotomas y amaurosis (20 por ciento). La primera convulsión se presentó ante-parto (75 por ciento). Sin control de embarazo (55 por ciento). Destacaron las I gestas (72,5 por ciento), edad de embarazo 37-41 semanas (50 por ciento), tipo de parto: cesárea (85 por ciento). En los resultados perinatales prevaleció: neonatos deprimidos (52,5 por ciento), peso neonatal entre 2.500-3.499 g (50 por ciento), con morbilidad de 30,55 por ciento, la mayoría debido a síndrome de dificultad respiratoria. La mortalidad fetal fue de 9,09 por ciento y la mortalidad neonatal 9,09 por ciento. Morbilidad materna fue de 53,84 por ciento, asociada: síndrome Hellp (23,07 por ciento), insuficiencia renal aguda (7,69 por ciento), desprendimiento prematuro de placenta (7,69 por ciento); hubo una muerte materna (2,5 por ciento). Es importante que todas las mujeres embarazadas reciban atención médica continua y oportuna, lo cual permite el diagnóstico y tratamiento temprano de afecciones como la pre-eclampsia y eclampsia, esta última es una de...
To determine the incidence of eclampsia and maternal and perinatal impact en el Departamento de Obstetricia y Ginecologia, Hospital Dr. Adolfo Prince Lara, Departamento Clínico Integral de la Costa, Universidad de Carabobo. Puerto Cabello. A descriptive, retrospective, longitudinal and analytical diagnosis of 40 cases in 31 532 births eclampsia over a period of 10 years from 1998 to 2007. The incidence was 0.13 percent, 1 case per 788 births. The predominant age group of 10 - 19 years (52.5 percent), concubines 60 percent, primary education level (60 percent). The prevailing family history of hypertension in the mother (25 percent), personal history of preeclampsia in previous pregnancy (12.5 percent). The main signs and symptoms were hyperreflexia (65 percent), headache (50 percent), scotoma and amaurosis (20 percent). The first seizure came before delivery (75 percent). Without birth control (55 percent). First gravity (72.5 percent), gestational age 37-41 weeks (50 percent), type of delivery: cesarean section (85 percent). Prevailed in perinatal outcomes: depressed neonates (52.5 percent), birth weight between 2 500-3 499 g (50 percent), with morbidity of 30.55 percent, mostly due to respiratory distress syndrome. Fetal mortality was 9.09 percent and 9.09 percent neonatal mortality. Maternal morbidity was 53.84 percent, associated: HELLP syndrome (23.07 percent), acute renal failure (7.69 percent), abruption (7.69 percent) there was one maternal death (2.5 percent ). It is important that all pregnant women receive ongoing and timely medical care, allowing early diagnosis and treatment of conditions such as pre-eclampsia and eclampsia, the latter is a major obstetric emergencies, this review reveals once again that contributes decisively to the morbidity and maternal and perinatal mortality. It involves an early and intensive support to reduce their impact.
Subject(s)
Humans , Female , Pregnancy , Infant, Newborn , Perinatal Care , Eclampsia/diagnosis , Perinatal Mortality , ObstetricsABSTRACT
Os autores realizaram uma revisão sobre epidemiologia e quadro clinico, enfatizando a importância dos diagnóstico precoce e do manejo correto da crise eclâmptica na emergência.
Subject(s)
Eclampsia/diagnosis , Eclampsia/epidemiology , Eclampsia/therapy , Hypertension, Pregnancy-Induced , Pre-Eclampsia , SeizuresSubject(s)
Humans , Female , Pregnancy , Eclampsia/diagnosis , Eclampsia/therapy , Hypertension, Pregnancy-Induced/diagnosis , Hypertension, Pregnancy-Induced/therapy , Pre-Eclampsia/diagnosis , Pre-Eclampsia/therapy , HELLP Syndrome/diagnosis , HELLP Syndrome/therapy , Argentina , Antihypertensive Agents/administration & dosage , Antihypertensive Agents/therapeutic use , Follow-Up Studies , Maternal Mortality , Postpartum Period , Pregnancy Complications , Pregnancy Outcome , Prenatal Care , Prognosis , Risk FactorsABSTRACT
Se presentan los resultados preliminares del protocolo de atención a gestantes con riesgos de preeclampsia eclampsia en municipio de Santa Clara, Villa Clara en el período desde noviembre del 2009 a abril del 2010 con el ojetivo de demostrar la incidencia de factores predisponentes de la preeclampsia en un grupo de gestantes de riesgo y las acciones de salud que pueden mejorar la atención prenatal con estos grupos para disminuir la morbilidad y mortalidad asociada a estas entidades...
Subject(s)
Humans , Eclampsia/diagnosis , Hypertension/prevention & control , Pregnancy , Pre-Eclampsia/diagnosis , Risk FactorsSubject(s)
Humans , Female , Eclampsia/diagnosis , Glioma/complications , Brain Neoplasms , Seizures/etiology , Labor, Obstetric , Diagnostic ErrorsSubject(s)
Adult , Female , Humans , Pregnancy , Eclampsia/diagnosis , HELLP Syndrome/diagnosis , Posterior Leukoencephalopathy Syndrome/diagnosis , Eclampsia/therapy , HELLP Syndrome/therapy , Magnetic Resonance Imaging , Posterior Leukoencephalopathy Syndrome/etiology , Posterior Leukoencephalopathy Syndrome/therapy , Tomography, X-Ray ComputedABSTRACT
Se realizó un estudio descriptivo, longitudinal y prospectivo de 162 pacientes con preeclampsia grave de un total de 1 532 gestantes que ingresaron en el Hospital de Victoria Falls de Zimbabwe desde septiembre del 2005 hasta marzo del 2006. Entre las variables analizadas figuraron: edad, procedencia, factores desencadenantes de la preeclampsia, síntomas y signos de gravedad y complicaciones más frecuentes. En la casuística, las más afectadas fueron las menores de 20 años y de procedencia rural; todas las embarazadas tenían malos hábitos alimentarios y muchas de ellas sufrieron graves complicaciones como eclampsia, insuficiencia renal aguda y edema agudo del pulmón, en algunos casos mortales.
A descriptive, longitudinal and prospective study of 162 patients with severe preeclampsia from a total of 1 532 pregnant women who were admitted at Victoria Falls Hospital in Zimbabwe from September, 2005 to March, 2006 was carried out. Among the analyzed variables there were: age, origin, triggering factors of preeclampsia, symptoms and signs of severity and more frequent complications. In the case material, the most affected were those under 20 years and of rural origin; all the pregnant women had bad nutritional habits and many of them suffered serious complications such as eclampsia, acute renal failure and lung acute edema, in some fetal cases.
Subject(s)
Humans , Female , Prenatal Care/methods , Eclampsia/diagnosis , Hypertension , Maternal Mortality , Pregnancy Complications , Proteinuria , Pulmonary Edema , Pre-Eclampsia/diagnosis , Epidemiology, Descriptive , Longitudinal Studies , Prospective StudiesSubject(s)
Adult , Cesarean Section , Eclampsia/diagnosis , Epilepsy, Generalized/drug therapy , Epilepsy, Tonic-Clonic/drug therapy , Female , Humans , Hypertension/drug therapy , Magnesium Sulfate/administration & dosage , Nifedipine/administration & dosage , Postpartum Period , Pregnancy , Elective Surgical Procedures , Time Factors , Treatment OutcomeABSTRACT
El desprendimiento seroso de la retina es una rara complicación de la hipertensión inducida por el embarazo. Se ha reportado en 1% a 2% de pacientes con eclampsia severa siendo usualmente bilateral. En esta condición, la isquemia coroidea inducida por el vasoespasmo suele ser severa y es la responsable de la ruptura de la barrera hematorretiniana externa y del desprendimiento. La mayoría de los pacientes obtienen recuperación espontánea en el curso de pocas semanas sin secuelas visuales, quedando como evidencia cambios pigmentarios residuales en el epitelio pigmentario de la retina. En una secuencia de angiografías fluoresceínicas del fondo ocular de una embarazada de 31 años mostramos la historia natural de la complicación
Serous retinal detachment is an unusual complication of the hypertensive disorder in pregnancy. It has been reported in 1% to 2% of patients with severe preeclampsia and 10% with eclampsia and is usually bilateral. In this condition choroidal ischemia induced by vasospasm may be severe compromising the retinal-pigmentary epithelium barrier and resulting in serous retinal detachment. Most patients with retinal detachment in pregnancy-induced hypertension have had full spontaneous resolution within a few weeks, and they did not have any visual sequelae but residual pigmentary changes of the retinal pigment epithelium. The natural history of the condition is shown in sequential fluoresce in angiography studies in a 31 year-old pregnant patient
Subject(s)
Humans , Female , Pregnancy , Adult , Retinal Detachment/etiology , Eclampsia/diagnosis , Pre-Eclampsia/diagnosis , Arterial Pressure/physiology , Fetal Membranes, Premature Rupture/etiology , Fluorescein Angiography/methods , Pregnancy Complications/prevention & control , Magnesium Sulfate/pharmacologyABSTRACT
Eclampsia is a potentially fatal disorder of pregnancy and an important cause of maternal mortality throughout the world. To find out the frequency of eclampsia and its maternal complications in a public sector hospital. This prospective descriptive study was performed in the gynaecology unit "A" of Lady Reading hospital Peshawar. The study included all patients who presented with eclampsia to this unit in one year. The diagnosis was based on convulsions, hypertension and albuminuria. The list of complications included visual, cerebrovascular, cardiovascular, pulmonary, renal, haemostatic and hepatic. Obstetrical and minor complications were not recorded. During the study period a total of 3090 patients were delivered in the unit with 96 cases being diagnosed as eclamptics [3.1%]. Complications were seen in 46[48%] patients. Of 96 cases 11[11.5%] died. Most of the patients who died had more than one complication. Eclampsia is a serious threat to pregnant females and needs to be picked earlier and treated promptly