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Abstract(s)
Introdução: Os distĂșrbios hipertensivos da gravidez sĂŁo responsĂĄveis por quase 18% de todas as mortes maternas em todo o mundo e, atualmente sĂŁo divididos em quatro categorias: hipertensĂŁo crĂłnica, hipertensĂŁo gestacional, prĂ©-eclĂąmpsia/eclĂąmpsia, hipertensĂŁo crĂłnica com prĂ©-eclĂąmpsia sobreposta.
MĂ©todos: Estudo observacional, descritivo, analĂtico, transversal e retrospetivo, realizado com base na consulta dos processos clĂnicos das gestantes com distĂșrbios hipertensivos diagnosticados entre Janeiro de 2011 a 31 de Dezembro de 2013 no Centro Hospitalar Cova da Beira. EPE (CHCB). Para o tratamento estatĂstico utilizaram-se o Statistical Package for the Social Sciences Statistics versĂŁo 21 e Microsoft Office Excel 2010. Na anĂĄlise dos dados, recorreu-se Ă estatĂstica descritiva e analĂtica. Resultados: A amostra em estudo incluiu 127 gestantes com distĂșrbios hipertensivos durante a gravidez do universo de 1770 grĂĄvidas com partos assistidos no CHCB. A prevalĂȘncia dos distĂșrbios hipertensivos na população estudada foi de 7%, a maioria desenvolveu hipertensĂŁo gestacional (3%), ao passo que 1% apresentou hipertensĂŁo crĂłnica, 2% prĂ©-eclĂąmpsia e 1% prĂ©-eclĂąmpsia complicada por sĂndrome de HELLP. Neste estudo os resultados obtidos revelaram uma relação estatĂstica significativa entre o diagnĂłstico destes distĂșrbios e as variĂĄveis idade, nĂșmero de plaquetas, e nĂveis de TGO e de TGP (p-value <0,05). De facto, das gestantes com mais de 35 anos a maioria apresentou HTA crĂłnica (45,5%), enquanto 10,8% desenvolveu prĂ©-eclĂąmpsia. No entanto, ao contrĂĄrio das conclusĂ”es de outros estudos internacionais e nacionais, nĂŁo se obteve associação entre o diagnĂłstico de distĂșrbios hipertensivos e as variĂĄveis nĂșmero de partos, gestação mĂșltipla, diabetes gestacional e Diabetes mellitus. DiscussĂŁo: Os distĂșrbios hipertensivos da gravidez sĂŁo a principal causa de morbilidade materno-fetal no mundo desenvolvido, ocorrendo em cerca de 8-10% das gestantes em todo o mundo. Nos paĂses industrializados, as taxas de prĂ©-eclampsia, hipertensĂŁo gestacional e hipertensĂŁo crĂŽnica tĂȘm aumentado nos Ășltimos anos, enquanto as taxas de eclĂąmpsia diminuĂram drasticamente. No CHCB, a prevalĂȘncia de distĂșrbios hipertensivos diagnosticados durante a gravidez Ă© inferior Ă relatada na maioria dos paĂses.
Introduction: The hypertensive disorders of pregnancy are responsible for almost 18% of all maternal deaths worldwide and are currently divided into four categories: chronic hypertension, gestational hypertension, preeclampsia/eclampsia, chronic hypertension with superimposed preeclampsia. Methods: The present work is an observational, descriptive, analytical, cross-sectional and retrospective, based on reviwing the medical records of pregnant women with hypertensive disorders diagnosed between January 2011 to 31 December 2013 at the Hospital Cova da Beira, EPE (CHCB). For the statistical analysis we used both the Statistical Package for the Social Sciences (SPSS) version 21 Statistics and the Microsoft Office Excel 2010. Data analysis was made by using descriptive and analytical statistics. Results: The sample included 127 pregnant women with hypertensive disorders during pregnancy from a total of 1770 pregnant women delivered at CHCB. The prevalence of hypertensive disorders found in this population was 7%, the majority presenting gestational hypertension (3%), while 1% had chronic hypertension, 2% preeclampsia and 1% preeclampsia complicated by HELLP syndrome. A statistically significant relationship between the diagnosis of these disorders and age, platelet counts, AST and ALT levels was found (p-value <0.05). In fact, pregnant women over 35 years most had chronic hypertension (45,5%), while 10.8% developed preeclampsia. However, unlike the findings of other international and national studies, an association between the diagnosis of hypertensive disorders and variable number of deliveries, multiple pregnancy, gestational diabetes and diabetes mellitus was not found. Discussion: The hypertensive disorders of pregnancy are the leading cause of maternal and fetal morbidity in the developed world, occurring in about 8-10% of pregnant women worldwide. In industrialized countries, preeclampsia rates, gestational hypertension and chronic hypertension have increased in recent years, while eclampsia rates decreased dramatically. In CHCB, the diagnosed prevalence of hypertensive disorders during pregnancy appears to be lower than that reported in most countries.
Introduction: The hypertensive disorders of pregnancy are responsible for almost 18% of all maternal deaths worldwide and are currently divided into four categories: chronic hypertension, gestational hypertension, preeclampsia/eclampsia, chronic hypertension with superimposed preeclampsia. Methods: The present work is an observational, descriptive, analytical, cross-sectional and retrospective, based on reviwing the medical records of pregnant women with hypertensive disorders diagnosed between January 2011 to 31 December 2013 at the Hospital Cova da Beira, EPE (CHCB). For the statistical analysis we used both the Statistical Package for the Social Sciences (SPSS) version 21 Statistics and the Microsoft Office Excel 2010. Data analysis was made by using descriptive and analytical statistics. Results: The sample included 127 pregnant women with hypertensive disorders during pregnancy from a total of 1770 pregnant women delivered at CHCB. The prevalence of hypertensive disorders found in this population was 7%, the majority presenting gestational hypertension (3%), while 1% had chronic hypertension, 2% preeclampsia and 1% preeclampsia complicated by HELLP syndrome. A statistically significant relationship between the diagnosis of these disorders and age, platelet counts, AST and ALT levels was found (p-value <0.05). In fact, pregnant women over 35 years most had chronic hypertension (45,5%), while 10.8% developed preeclampsia. However, unlike the findings of other international and national studies, an association between the diagnosis of hypertensive disorders and variable number of deliveries, multiple pregnancy, gestational diabetes and diabetes mellitus was not found. Discussion: The hypertensive disorders of pregnancy are the leading cause of maternal and fetal morbidity in the developed world, occurring in about 8-10% of pregnant women worldwide. In industrialized countries, preeclampsia rates, gestational hypertension and chronic hypertension have increased in recent years, while eclampsia rates decreased dramatically. In CHCB, the diagnosed prevalence of hypertensive disorders during pregnancy appears to be lower than that reported in most countries.
Description
Keywords
Gravidez Hipertensão Crónica Hipertensão Crónica Com Pré-Eclùmpsia Sobreposta Hipertensão Gestacional Pré-Eclùmpsia/Eclùmpsia