Entrar/Registro  
HOME SPANISH
 
Ginecología y Obstetricia de México
   
MENU

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board






>Journals >Ginecología y Obstetricia de México >Year 2012, Issue 07


Guzmán-Juárez W, Ávila-Esparza M, Contreras-Solís RE, Levario-Carrillo M
Factors Associated with Gestational Hypertension and Preeclampsia
Ginecol Obstet Mex 2012; 80 (07)

Language: Español
References: 15
Page: 461-466
PDF: 828.82 Kb.


Full text




ABSTRACT

Background: Hypertensive complications in pregnancy are a cause of morbidity and mortality. Previous studies have identified similarities and differences in risk factors of hypertensive complications during pregnancy.
Objective: Determine factors associated with gestational hypertension (HTG) and those related to preeclampsia (PEE).
Patients and methods: Case-control study. We included women who completed pregnancy without complications (n = 260) and were diagnosed with HTG (n = 65) and PEE (n = 65). We excluded patients with gestational or pre-pregnancy diabetes, thyroid disease (hypo and hyperthyroidism), autoimmune diseases (lupus erythematosus, rheumatoid arthritis) or diagnosed with heart disease or neuropathy before pregnancy.
Results: There were similarities in the risk factors such as: age over 35 years (OR 8.8, 95% CI 2.91-22.40), previous HTG (OR 64.16 95% CI 13.04-315.57) in case of patients with PEE. But we found a difference in the magnitude of these associations as odds ratios (OR) estimates were higher than in patients with HTG, age over 35 years (OR 3.33, 95% CI 1.03-10.72), and previous HTG (OR 27.27 95% CI 5.60-132.87). First-time pregnant women showed similar associations (OR 3.11 95% CI 1.52-6.38) in case of PEE or HTG (OR 3.14 95% CI 1.65-5.97).
Conclusion: There are similarities in risk factors: maternal age ≥ 35 years, previous gestational hypertension and first-time pregnancy, for the development of gestational hypertension and preeclampsia.


Key words: gestational hypertension, preeclampsia, risk factors.


REFERENCIAS

  1. Velasco V, Navarrete E, Pozos JL, Cardona JA. Características epidemiológicas de la preeclampsia-eclampsia en el IMSS. Rev Méd IMSS 1999;37:325-331.

  2. Villanueva LA, Collado SP. Conceptos actuales sobre preeclampsia-eclampsia. Rev Fac Med IMSS 2007;50:57-61.

  3. López-Llera M, Díaz de León-Ponce M, Rodríguez–Arguelles J, Ayala-Ruiz AR. Preeclampsia-eclampsia: un problema médico diferido. Gac Méd Méx 1999;135:397-405.

  4. Romero G, Muro SA, Ponce AL. Evolución de hipertensión gestacional a hipertensión crónica. Ginecol Obstet Mex 2009;77:401-406.

  5. Velasco V, Pozos JL, Cardona JA. Prevención y tratamiento de la preeclampsia-eclampsia. Rev Méd IMSS 2000;38:139-147.

  6. Cortés S, Pérez F, Gobernado JA, Mora P. Epidemiologia de los estados hipertensivos del embarazo. Clin Invest Ginecol Obstet 2009;36:132-139.

  7. Póvoa A, Costa F, Rodríguez T, Patricio B, Cardoso F. Prevalence of Hypertension During Pregnancy in Portugal. Hypertens Pregnancy 2008;27:279-284.

  8. Balestena JM, Fernández R, Hernández A. Comportamiento de la preeclampsia grave. Rev Cub Obstet Ginecol 2001;27:226-232.

  9. Salonen H, Cnattingius S, Lipworth L. Comparison of Risk Factors for Preclampsia and Gestational Hypertension in Population based Cohort Study. Am J Epiedemol 1998;147:1062-1070.

  10. Chamy V, Madrid E, Aránguiz N, Guerra V, Cárcamo K, Rejas A. Perfil clínico de embarazadas con preeclampsia y embarazos no complicados. Rev Chil Obstet Ginecol 2004;69:361-367.

  11. Cnattingius S, Bergstrom R, Lipworth L, Kramer S. Pregnancy weight and the risk of adverse pregnancy outcomes. N Engl J Med 1998;3:147-152.

  12. Pizano ML, Ramírez MC, Mendoza ME, Tolentino M, Morales RM, Meza C y col. Papel de la preeclampsia en la evolución clínica, antropométrica y bioquímica en el primer año posparto. Perin Reprod Hum 2006;20:52-59.

  13. Sattar N, Clark P, Holmes A, Lean M, Walker I, Greer I. Antenatal waist circumference and hypertension risk. Obstet Gynecol 2001;97:268-271.

  14. Contreras F, Martínez J, Fouillioux C, Betancourt MC,Colmenares Y, Guevara E, y col. Endotelio y trastornos hipertensivos en el embarazo. Rev Fac Med 2002;25:1-12.

  15. Pacora P, Guibovich A, Ingar W, Oliveros M, Huiza L, Baireda A. Factores patogénicos del embarazo complicado por la hipertensión arterial, en una población de Lima, 1991-2006. Rev Per Ginecol Obstet 2007; 53:263-272.






>Journals >Ginecología y Obstetricia de México >Year 2012, Issue 07
 

· Journal Index 
· Links 






       
Copyright 2019