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Revista Cubana de Pediatría

versión impresa ISSN 0034-7531versión On-line ISSN 1561-3119

Resumen

SARMIENTO PORTAL, Yanett et al. Morbidity and mortality related to infants of toxemic mothers. Rev Cubana Pediatr [online]. 2009, vol.81, n.3. ISSN 0034-7531.

INTRODUCTION: Pre-eclampsia-eclampsia is characterized by edema, high blood pressure and proteinuria present between the twentieth weeks of pregnancy up to 14 postpartum. Aim of present research was to analyze morbidity and mortality in infants of toxemic mothers at "Abel Santamiría Cuadrado' Hospital, Pinar del Río province. METHODS: A observational, ambispective, longitudinal and descriptive study was made from January 1, 2006 to December 31, 2007. A total of 129 neonates were studied whose mothers had hypertension during pregnancy. Following variants were analyzed: type of hypertension, birth route, prematurity, Apgar score, intrauterine development, morbidity and mortality. RESULTS: There was predominance of pregnancy-induced high blood pressure (HBP) and by cesarean section birth (74,4%). The chronic HBP and with presence of an added toxemia was related to higher percentages of prematurity, late intrauterine development, and low Apgar score. Predominant morbidity was the birth hypoxia (22,5%) followed by necrotizing enterocolitis (12,4%), and respiratory difficulty syndrome (10,8%). Rate mortality was of 1,3 by 1000 newborns, and lethality increased to 31 by 100 cases. CONCLUSIONS: High blood pressure during pregnancy influences negatively on a series of perinatal parameters among which, in our daily practice, is significant the cesarean section increase, the low birth weight, late intrauterine development, and birth hypoxia among other.

Palabras clave : Pregnancy high blood pressure; toxemia; morbidity; mortality..

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