Produção Nacional
[144-POS]
2015; Elsevier BV; Volume: 5; Issue: 1 Linguagem: Inglês
10.1016/j.preghy.2014.10.150
ISSN2210-7797
AutoresMaria Luísa Diaz Cunha David, P.S. Rahe, Veridiana Andrade Pires de Campos, Michelle Louise Rodrigues Barbosa da Silva, Fernanda Marques, Kátia de Cássia Dom Bosco, José Roberto del Sant, José Marcelo Garcia, Maria Renata Lopes Natale Paltronieri, Maurício Saito, S.F. Toledo, Rogério Gomes dos Reis Guidoni, Nelson Sass, Francisco Lázaro Pereira de Sousa,
ResumoCompare the maternal and perinatal outcomes of vaginal parturition among pregnant women with chronic arterial hypertension (CAH) and normotensive pregnant women. A transversal, retrospective and comparative study was performed involving 31 pregnant women with CAH that were accepted on the Hospital Guilherme Álvaro’s Prenatal Service for Expecting Women with Hypertension or Nephropathies in Santos-SP/Brazil (January 2012–December 2013) and that had obstetric resolution by vaginal delivery. For the control group were selected pregnant women without hypertension or any other comorbidities who have had obstetric resolution by vaginal delivery subsequently to the pathological pregnant women. To compare the groups the Student’s t test and Fisher’s exact test were used. The groups differ with regard to the following variables: age (hypertensives, in average, 7.6 years older; p < 0.05), gestational age at moment of delivery (hypertensives, in average, has its births 2 weeks before the control group; p < 0.05), maternal hospitalization days (hypertensives require, in average, 3 more days of hospitalization; p < 0.05), type of delivery (induced in 74.2% of the hypertensive pregnant women and spontaneous in 80% of the pregnant women on the control group; p < 0.05), and presence of meconium amniotic fluid at delivery (0.0% in hypertensive pregnant women, 22.6% on control group; p < 0.05). There was no significant difference (p > 0.05) when compared the variables APGAR on 1′ and 5′, maternal complications, perinatal complications, birth weight and need for Neonatal Intensive Care Unit hospitalization. In order to reduce the high rate of cesarean sections in chronic hypertensive women, strategies could be adopted to encourage vaginal delivery in these pregnant women, considering that on the study, maternal and perinatal outcomes were favorable. Despite the small sample in this study, there were no adverse maternal and perinatal outcomes that contraindicate vaginal delivery in patients with chronic arterial hypertension. M. David: None. P. Rahe: None. V. de Campos: None. M. da Silva: None. F. Marques: None. K. Dom Bosco: None. J. Del Sant: None. J. Garcia: None. M. Paltronieri: None. M. Saito: None. S. de Toledo: None. R. Guidoni: None. N. Sass: None. F. Sousa: None.
Referência(s)