medigraphic.com
SPANISH

Ginecología y Obstetricia de México

Federación Mexicana de Ginecología y Obstetricia, A.C.
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2019, Number 05

<< Back Next >>

Ginecol Obstet Mex 2019; 87 (05)

Factors associated with severe preeclampsia in pregnant women seen in two hospitals in Huánuco, Peru

Checya-Segura J, Moquillaza-Alcántara VH
Full text How to cite this article

Language: Spanish
References: 29
Page: 295-301
PDF size: 231.99 Kb.


Key words:

Severe preeclampsia, Preeclampsia, Risk factors, Pregnancy, Maternal age.

ABSTRACT

Objective: Identify the predisposing factors of severe preeclampsia.
Materials and Methods: Observational, analytical study of cases and controls, carried out in patients attended, from January to December 2017, at the Hermilio Valdizan and Tingo María Contingency Hospitals of the Huánuco region. Factors associated with preeclampsia were considered: pre-conception, maternal and environmental factors. For the association between variables, a multivariate analysis was performed using the logistic regression model, calculating the odds ratio and 95% confidence intervals.
Results: We included 136 cases (severe preeclampsia) and 272 controls. Among the predisposing factors of severe preeclampsia were: preeclampsia (p ‹0.001, OR = 13.28), age of the mother over 35 years (p ‹0.001, OR = 3.93), obesity (p = 0.001, OR= 3.66), pregnancy with a new sexual partner (p ‹0.001; OR = 7.15) and twin pregnancy (p = 0.01; OR = 9.57).
Conclusion: The history of preeclampsia, maternal age over 35 years, obesity, pregnancy of a new sexual partner and twin pregnancy are risk factors for severe preeclampsia.


REFERENCES

  1. The American College of Obstetricians and Gynecologists. Hypertension in pregnancy. Practice guideline. Washington, Estados Unidos, 2014. https://www.acog.org/~/media/ Task%20Force%20and%20Work%20Group%20Reports/ public/HypertensioninPregnancy.pdf

  2. Kharaghani R, et al. Prevalence of Preeclampsia and Eclampsia in Iran. Arch Iran Med. 2016; 19(1):64-71. http:// dx.doi.org/0161901/AIM.0012

  3. Kerber GF, Melere C. Prevalência de síndromes hipertensivas gestacionais em usuárias de um hospital no sul do Brasil. Revista Cuidarte. 2017; 8(3):1899-906. http://dx.doi. org/10.15649/cuidarte.v8i3.454

  4. Torrez F, Añez C. Morbimortalidad materna asociadas a preeclampsia en la Unidad de Cuidados Intensivos del HMIGU. Gaceta Médica Boliviana. 2016; 39(2). http://www. scielo.org.bo/scielo.php?script=sci_arttext&pid=S1012- 29662016000200006&lang=pt

  5. Ministerio de Salud del Perú. Boletín epidemiológico. Dirección General de Epidemiología. Volumen 24, semana epidemiológica número 4. 2016. http://www.dge.gob.pe/ portal/docs/vigilancia/boletines/2016/04.pdf

  6. Lisonkova S, Joseph KS. Incidence of preeclampsia: risk factors and outcomes associated with early- versus lateonset disease. Am J Obstet Gynecol. 2013; 209(6):544. http://dx.doi.org/10.1016/j.ajog.2013.08.019

  7. Lecarpentier E, et al. Angiogenic Factor Profiles in Pregnant Women With a History of Early-Onset Severe Preeclampsia Receiving Low-Molecular-Weight Heparin Prophylaxis. Obstet Gynecol. 2018; 131(1):63-69. http://dx.doi. org/10.1097/AOG.0000000000002380

  8. Miller EC, et al. Risk Factors for Pregnancy-Associated Stroke in Women with Preeclampsia. Stroke. 2017; 48(7):1752-59. http://dx.doi.org/10.1161/STROKEAHA. 117.017374

  9. Loustaunau-Soto LR, y col. Hipomagnesemia en el embarazo: ¿factor de riesgo de preeclampsia severa? Ginecol Obstet Mex. 2017;85(12):819-24. https://doi.org/10.24245/ gom.v85i12.1445

  10. Lopera J, Rocha E. Preeclampsia: su asociación con infecciones periodontales y urinarias según trimestre del embarazo. Revista CES. 2016; 30(1). http://revistas.ces.edu. co/index.php/medicina/article/view/3402/2591

  11. Bobic MV, Habek D, Habek JC. Perinatal epidemiological risk factors for preeclampsia. Acta Clin Croat. 2015; 54(1):9-13. https://www.researchgate.net/publication/278045910_ Perinatal_Epidemiological_Risk_Factors_for_Preeclampsia

  12. Iwama N, et al. Association between alcohol consumption during pregnancy and hypertensive disorders of pregnancy in Japan: the Japan Environment and Children’s Study. Hipertension Research. 2019; 42:85-94. https://www.nature. com/articles/s41440-018-0124-3#Bib1

  13. Cerón-Mireles P, et al. Risk factors for pre-eclampsia/ eclampsia among working women in Mexico City. Paediatr Perinat Epidemiol. 2001; 15(1):40-6. https://www.ncbi. nlm.nih.gov/pubmed/11237114

  14. Briceño-Pérez C, et al. Prediction and prevention of preeclampsia. Hypertens Pregnancy. 2009; 28(2):138-55. http:// dx.doi.org/10.1080/10641950802022384

  15. Dekker G, Sibai B. Primary, secondary, and tertiary prevention of pre-eclampsia. Lancet. 2001; 357(9251):209-15. ftp://ftp.ufv.br/dns/especializ_dns/disciplinas/nutricao_ na_gestacao_e_lactacao/preeclampsia2.pdf

  16. Bañuelos-Martínez IE, y col. Dislipidemia y embarazo: prevalencia y evidencia actual. Clínica e Investigación en Ginecología y Obstetricia. 2016;45(3):109-13. https://doi. org/10.1016/j.gine.2016.07.008

  17. Instituto Nacional de Salud. Tablas peruanas de composición de alimentos. Centro Nacional de Alimentación y Nutrición, Instituto Nacional de Salud. Lima, Perú. 2009. http://www.ins.gob.pe/insvirtual/images/otrpubs/pdf/ Tabla%20de%20Alimentos.pdf

  18. Ministerio de Salud del Perú. Norma técnica de salud: Atención Integral de Salud Materna. Resolución Ministerial 827-2013/MINSA. Lima, Perú. 2 0 1 3 . htt p s : / /c d n .w w w. g o b . p e / u p l o a d s / d o c u - ment/file/202170/198935_RM827_2013_MINSA. pdf20180926-32492-1iuyz6n.pdf

  19. Morgan-Ortiz F, y col. Factores de riesgo asociados con preeclampsia: estudio de casos y controles. Ginecol Obstet Mex. 2010;78(3):153-59.

  20. Martel LM, Ovejero SC, Gorosito IC. Preeclampsia y factores de riesgo en embarazadas en el Instituto de Maternidad y Ginecología Nuestra Señora de las Mercedes en Tucumán. Intra Med Journal. 2012; 1(3). http://journal.intramed.net/ index.php/Intramed_Journal/article/view/179

  21. Moreno Z, y col. Obesidad pregestacional como factor de riesgo asociado a preeclampsia. An Fac Med. 2003; 64(2). http://www.scielo.org.pe/scielo.php?script=sci_arttext& pid=S1025-55832003000200004

  22. Emanuel M, Butt S. Frequency and factors leading to recurrent pre-eclampsia. J Pak Med Assoc. 2015;65(11):1173-7. https://www.ncbi.nlm.nih.gov/pubmed/26564287

  23. Tovar-Rodriguez JM, y col. Características clínicas de pacientes con enfermedad trofoblástica gestacional complicada con enfermedad hipertensiva. Ginecol Obstet Mex. 2013: 81(10): 578-86. http://nietoeditores.com.mx/ nieto/Ginecologia/2013/femego10-13/art.original_caracteristicas. pdf

  24. Torrez-Ruiz S. Factores de riesgo para preeclampsia en un hospital de la amazonia peruana. Casus. 2016;1(1). http:// casus.ucss.edu.pe/index.php/casus/article/view/11

  25. Cabeza J. Factores de riesgo para el desarrollo de preeclampsia atendidas en el Hospital de Apoyo Sullana 2013. Tesis de grado, Universidad Privada Antenor Orrego. Trujillo, Perú. 2014. http://repositorio.upao.edu.pe/handle/upaorep/473

  26. Levine LD, et al. Factors associated with postpartum followup and persistent hypertension among women with severe preeclampsia. J Perinatol. 2016; 36(12):1079-82. http:// dx.doi.org/10.1038/jp.2016.137

  27. Matías R. Factores predisponentes de la preeclampsia en mujeres de 13 a 20 años en el Hospital gineco obstétrico Enrique C. Sotomayor desde setiembre del 2012 a febrero del 2013. Tesis de grado, Universidad de Guayaquil. Guayaquil, Ecuador. 2013. http://repositorio.ug.edu.ec/ handle/redug/2037

  28. Ashin M, Bilenko N, Friger M, Sergienko R, Sheiner E. Exposure to traffic noise and ambient air pollution and the risk for preeclampsia. American Journal of Obstetrics and Gynecology. 2018; supplement to January. https://www. ajog.org/article/S0002-9378(17)31478-3/pdf

  29. Kordi M, et al Anxiety during Pregnancy and Preeclampsia: A Case-Control Study. Journal of Midwifery and Reproductive Health. 2017; 5(1):814-20.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Ginecol Obstet Mex. 2019;87