Resumo

LUGONES BOTELL, Miguel  e  QUINTANA RIVERON, Tania Yamilé. Value of the postional changes test in the prediction of gestational hypertension in primary health care. Rev Cubana Obstet Ginecol [online]. 1996, vol.22, n.1. ISSN 0138-600X.

A study is performed on the pregnant women being attended by the basic work group No. 4 of the "26 de Julio" educational policlinic; between September 1990 and April 1992, both included, which gave birth at the "Eusebio Hernández" Gyneco-Obstetric Educational Hospital, and to whom the positional changes test was applied between 24 and 28 weeks of gestation age. Such test consists in placing the pregnant woman in left lateral recumbent position and measuring her arterial blood pressure until stable. Once the pressure was steady, the pregnant women were placed in dorsal recumbent position and arterial blood pressure was measured again, at one and at five minutes. The test was considered positive when the diastolic pressure increased 20 Hg mm or more in dorsal recumbent position related to the measure obtained in the lateral recumbent position. It is concluded that the test is highly effective in predicting the gestational hypertensive disease, as well as that the nulliparous patients and those with predisposing factors, as the extreme ages of life and obesity, among others, are highly predisposed to suffer from this entity.

Palavras-chave : BLOOD PRESURE DETERMINATION [methods]; PREGNANCY COMPLICATIONS, CARDIOVASCULAR [diagnosis]; PRIMARY HEALTH CARE; PROSPECTIVE STUDIES.