medigraphic.com
ISSN 1029-3043 (Electronic)

2013, Number 1

<< Back Next >>

Medicentro 2013; 17 (1)

Resultados de la atención a gestantes con preeclampsia grave en Villa Clara (2009-2010)

Suárez GJA, Corrales GA, Cabrera DMR, Gutiérrez MM, Milián EI, Ojeda BJC

Language: Spanish
References: 13
Page:
PDF size: 198.04 Kb.


ABSTRACT

Introduction: Preeclampsia represents a risk for the mother and for the product of the conception.
Objectives: To describe the results of the expectant women´s care with severe preeclampsia in Villa Clara during 2009 and 2010 years.
Methods: A descriptive study of transversal type was carried out in 238 expectant women admitted at the special perinatal care´s ward of the Gynecological and Obstetric University Hospital “Mariana Grajales”, who were diagnosed with severe preeclampsia between January, 2009 and December, 2010.
Results: A number of 109 women (71,0 %), between 20 and 35 years old was diagnosed with severe preeclampsia. The average age was of 27, 3 years and nulliparity predominated (60,51 %). The 47,90 % of expectant women gave birth before the 37 weeks of pregnancy and the 43,27 % had newly born with a weight inferior to 2500 g; 15 of them weight less than 1000 grams (6,30 %).There were no considerable maternal and perinatal complications. The main maternal complications were persistent hypertension during puerperium (13,02 %) and retroplacental hematoma (9,24 %); as well as, main neonatal complications were low birth weight in 43,27 %, hypocalcaemia in 17,64 % and sepsis in 8,40 %. During this period there were not reported maternal deaths in the province.
Conclusions: Severe preeclampsia care resulted in a minimum of maternal and perinatal complications and it was an important factor for the preservation of mother´s life with this suffering.


REFERENCES

  1. Cruz Laguna GM, Uribasterra Campos A, González Balmaseda A, Martín Cuayo A. Comportamiento del bajo peso al nacer. Hospital Docente Vladimir I. Lenin. 1999-2003. Correo Cient Méd Holguín [Internet]. 2005 [citado 2 feb. 2012];9(2):[aprox. 4 p.]. Disponible en: http://www.cocmed.sld.cu/no92/n92ori8.htm

  2. Espinoza J. Uteroplacental ischemia in early- and late-onset pre-eclampsia: a role for the fetus?. Ultrasound Obstet Gynecol. 2012;40:373-82.

  3. Kahlert P, Al-Rashid F, Weber M, Wendt D, Heine T, Kottenberg E, et al. Vascular access site complications after percutaneous transfemoral aortic valve implantation. Herz. 2009;34(5):398- 408.

  4. Ordaz-Martínez KY, Rangel R, Hernández-Girón C. Factores de riesgo asociados con mortalidad maternal en el Estado de Morelos. México. Ginecol Obstet Mex. 2010;78(7):357-64.

  5. Zambrano Estrada JM, Herrera Villalobos JE, Mendoza Hernández F, Adaya Leythe EA, Morales Quispe JA, Díaz Moreno LA. Gasto cardíaco materno como predictor del síndrome de preeclampsia - eclampsia. CorSalud [Internet]. 2012 [citado 6 jul. 2012];4(2):[aprox. 5 p.]. Disponible en: http://www.corsalud.sld.cu/sumario/2012/v4n2a12/gastocardiaco.htm

  6. Hawfield A, Freedman BI. Pre-eclampsia: the pivotal role of the placenta in its pathophysiology and markers for early detection. Ther Adv Cardiovasc Dis. 2009;3:65-73.

  7. Dragun D, Haase-Fielitz A. Low catechol-O-methyltransferase and 2-methoxyestradiol in preeclampsia: more than a unifying hypothesis. Nephrol Dial Transplant. 2009;24:31-3.

  8. Winn VD, Gormley M, Paquet AC, Kjaer-Sorensen K, Kramer A, Rumer KK, et al. Severe Preeclampsia-Related Changes in Gene Expression at the Maternal-Fetal Interface Include Sialic Acid-Binding Immunoglobulin-Like Lectin-6 and Pappalysin-2. Endocrinology. 2009;150:452-62.

  9. Maynard SE, Thadhani R. Pregnancy and the Kidney. J Am Soc Nephrol. 2009;20:14-22.

  10. Faye-Petersen OM, Crombleholme TM. Twin-to-Twin Transfusion Syndrome: Part 1. Types and Pathogenesis. NeoReviews. 2008;9:e370-e9.

  11. Sandrim VC, Palei CT, Metzger IF, Gomes VA, Cavalli RC, Tanus-Santos JE. Nitric Oxide Formation Is Inversely Related to Serum Levels of Antiangiogenic Factors Soluble Fms-Like Tyrosine Kinase-1 and Soluble Endogline in Preeclampsia. Hypertension. 2008;52:402-7.

  12. Álvarez Toste M, Salvador Álvarez S, González Rodríguez G, Raúl Pérez D. Caracterización de la morbilidad materna extremadamente grave. Rev Cubana Hig Epidemiol [Internet]. 2010 sep.-dic. [citado 22 jul. 2012];48(3):[aprox. 8 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561- 30032010000300010&lng=es&nrm=iso

  13. Suárez González JA, Gutiérrez Machado M, Corrales Gutiérrez A, Benavides Casal ME, Carlos Tempo A. Algunos factores asociados a la morbilidad obstétrica extremadamente grave. Rev Cubana Obstet Ginecol [Internet]. 2010 abr.-jun. [citado 3 ago. 2012];36(2):[aprox. 5 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138- 600X2010000200002&lng=es&nrm=iso




2020     |     www.medigraphic.com