Abstract

CANCIANO CHIRINO, Ernesto; QUINONES DUVERGER, Griselda; VALDES BUSQUET, Sunaidy  and  MENESES RODRIGUEZ, Franklin. Post-treatment hypotension in severe pre-eclampsia, a simple and effective way to prevent it. Rev Cubana Obstet Ginecol [online]. 2010, vol.36, n.3, pp. 344-351. ISSN 1561-3062.

The worse pre-eclampsia includes for its handling several medications, in pregnant women many needy times of Cesarean operation of urgency, being the arterial hypotension a frequent and potentially avoidable complication with the administration of a previous hydrate. It was carried out a cohort study analyzing the utility of the hydrate with electrolytes, before the surgical intervention, as prevention of the hypotension post-treatments in worse pre-eclampsia women's s Cesarean assisted in Unit of Perinatal Cares (UCP) of the Hospital Ivan Portuondo, San Antonio de los Baños City during two years. It selected aleatorally to 2 groups with 45 patients, Group A (it used of 5-10 ml/Kg of physiologic saline solution) and B (without hydrate). Determining: fail organic, immediate complications according to postoperative time of recovery, demurrage in UCP for each group, besides more frequent perinatal complications. Kidney was the affected organ (64.3 % of the total) without significant differences of the complementary ones among groups. The patients of the group B had more postoperative complications (55 % lowers expense) needing a more lingering time to recover. 82 % of the group A it was given of high in UCP before the 24 hours, while in the patients of the group B the demurrage was more lingering. The newly born ones with under weight in the Group A it was of 35%, prevailed in B the Syndrome of Breathing Difficulty and deaths were not reported. Conclusions: In pregnancy women with serious preeclampsia and Caesareans operation indications, the use preservative of solutions electrolytic improvement the clinical evolution, the maternal-fetal presage and it reduces the hospital demurrage.

Keywords : Worse pre-eclampsia; cesarean; complications/obstetrics.

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