Produção Nacional
[229-POS]
2015; Elsevier BV; Volume: 5; Issue: 1 Linguagem: Inglês
10.1016/j.preghy.2014.10.235
ISSN2210-7797
AutoresMaria Luísa Diaz Cunha David, Veridiana Andrade Pires de Campos, P.S. Rahe, Michelle Louise Rodrigues Barbosa da Silva, Fernanda Marques, Vivian Macedo Gomes Marçal, José Marcelo Garcia, Maria Renata Lopes Natale Paltronieri, Maurício Saito, Sérgio Toledo, Rogério Gomes dos Reis Guidoni, Francisco Lázaro Pereira de Sousa,
Tópico(s)Pregnancy and preeclampsia studies
ResumoIdentify maternal and perinatal outcome of vaginal parturition in pregnant women with Chronic Arterial Hypertension (CAH). A transversal and retrospective study was performed involving all pregnant women who were attended at Hospital Guilherme Álvaro’s Prenatal Service for Women with Hypertension or Nephropathies in Santos–SP/Brazil in the period (January 2012–December 2013) and that had obstetric resolution by vaginal delivery, totaling 31 pregnant women. A descriptive and exploratory analysis of the collected data through frequency tables and graphics was performed. The most frequent expression of CAH found was the mild form (diastolic arterial blood pressure 90–100 mmHg) with a 93.55% share of all cases studied. VariableResultVariableResultMaternal ageAverage of 33.29 years oldUterine atony on the puerperiumTwo patients (6.45%)Number of gestationsAverage of 3.84Average duration of maternal hospitalization5.45 daysNumber of paritiesAverage of 2.19Prematurity16.13%Interrelation with co-morbiditiesObesity (41.94%) and diabetic (35.48%)Weight of newborn ⩾ 2500 g87.10%Association with preeclampsia38.71%Apgar score at 5 min ⩾ 793.55%Most used diagnosis method of PEProteinuria/24-h (58.33%)Meconium amniotic fluid at deliveryNoneAdministration of magnesium sulfate and hypotensorOne patientPerinatal complicationsIsolated birth injury (46.67%) Birth injury and respiratory distress (26.67%) Isolated respiratory distress (20%) and neonatal anoxia (6.66%)Most used method for the inductionMisoprostol followed by Oxytocin (52.17%)Admission in neonatal Intensive Care Unit03 newborns (9.68%)Admission in Intensive maternal Care UnitOne patient (3.23%)Neonatal deathOne (3.23%) Maternal intercurrences are not related to via of delivery and perinatal complications when present did not correlate with the CAH. Despite the small sample on the study, there were no maternal and perinatal adverse outcomes that contraindicate vaginal delivery in patients with Chronic Arterial Hypertension. M. David: None. V. de Campos: None. P. Rahe: None. M. da Silva: None. F. Marques: None. V. Marçal: None. J. Garcia: None. M. Paltronieri: None. M. Saito: None. S. de Toledo: None. R. Guidoni: None. F. Sousa: None.
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