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2014, Number 2

Revista Cubana de Obstetricia y Ginecología 2014; 40 (2)

Epidemiological and perinatal profile of preeclampsia patients

Sáez CVC, Pérez HMT

Language: Spanish
References: 27
Page: 155-164
PDF size: 92.54 Kb.


ABSTRACT

Introduction: preeclampsia is a major obstetric problem that carries significant morbidity and maternal and perinatal mortality due to associated systemic disorders.
Objective: to compare maternal and perinatal outcomes in pregnant women who had preeclampsia in their different clinical presentations.
Methods: a prospective, descriptive, cross-sectional study was conducted at Enrique Cabrera hospital from January 1st, 2010 to December 31st 2011. Out of the pregnant women with hypertensive disorders (n = 293), those with preeclampsia (n = 89) were chosen; and they were divided into three groups, mild preeclampsia (n = 30), severe preeclampsia (n = 48) and superimposed preeclampsia (n = 11). Epidemiological, obstetric, and perinatal variables were processed by the SPSS-11, 5 statistical systems, using descriptive statistics, comparison of proportions by Chi-square test and the estimated mean of quantitative variables with ANOVA-Eta, considering the statistically significant difference p ≤ 0.05.
Results: the adolescents had more severe preeclampsia (25 %) and ≥ 35 year old patients in the superimposed preeclampsia (p = 0.002), obesity also prevailed in the superimposed preeclampsia (54.5 %, p = 0.01). Most of the patients in the mild PE group (60 %) and severe preeclampsia (64.6 %) were nulliparous, p = 0.009. Prematurity index of severe preeclampsia (43.8 %, p = 0.005) was significant; cesarean delivery was high in all groups, mainly in severe preeclampsia (93.8 %, p = 0.000). The mean birth weight was significantly lower in severe preeclampsia (2 451 g, p = 0.01).
Conclusions: there were no major differences in perinatal outcomes among patients who were enrolled with various degrees of preeclampsia severity.


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