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Federación Mexicana de Ginecología y Obstetricia, A.C.

2011, Number 10

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Ginecol Obstet Mex 2011; 79 (10)

Persistence of chronic hypertension in preclampsia

Romero-Gutiérrez G, Hernández GBO

Language: Spanish
References: 15
Page: 601-606
PDF size: 234.60 Kb.


ABSTRACT

Background: Preeclampsia is a multisystem disorder of unknown etiology that is one of the leading causes of maternal-fetal morbimortality, it is unknown how many women with preeclampsia persists with chronic hypertension.
Objective: To determine the percentage of patients with preeclampsia, that persists to chronic hypertension after 12 weeks postpartum.
Patients and methods: We performed a prospective longitudinal study. There were included 153 pregnant women between 18 and 45 years old, diagnosed with preeclampsia at delivery. A follow up appointment was scheduled at 12 weeks postpartum, and women with blood pressure over 140/90 mm Hg, were diagnosed as having chronic hypertension. The data were analyzed using descriptive statistics with arithmetic mean, standard error and percentage values. For comparison of variables χ2 and Student t test were used and the logistic regression analysis, an alpha value was set at 0.05.
Results: Seventeen patients (11.1%) diagnosed with preeclampsia persisted to chronic hypertension. It was found that multiparity (p = 0.019) was significantly associated with persistence with chronic hypertension.
Conclusions: A high percentage of women with preeclampsia persist to chronic hypertension. The only variable associated with this persistence is multiparity.


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