Resumen

GANFONG ELIAS, Angel et al. Hypertension during pregnancy and its impact on some perinatal results in Dr. Agostinho Neto Hospital , Guantanamo. Rev Cubana Obstet Ginecol [online]. 2007, vol.33, n.3, pp. 0-0. ISSN 1561-3062.

Hypertension during pregnancy is associated with an increase of the  risk of some obstetric and perinatal complications that contribute to the rise of the maternal and perinatal morbimortality rates. Objective: To determine the influence of the hypertensive gravid woman on some perinatal results on our environment, comparing them with those found in nonhypertensive patients and in patients with no other associated affections. Method: A retrospective case-control study was conducted among the pregnant women that gave birth at the maternity service of Dr. Agostinho NetoGeneral Teaching Hospital, in Guantánamo, during 2006. 97 hypertensive and 194 nonhypertensive pregnant women were chosen by simple randomized selection in order to compare them. Age, parity, infants birth weight, Apgar score at the 5th minute, maternal and neonatal complications, type of delivery, and fetal and neonatal mortality were determined. Results: Low birth weight had an OR = 3.28 (95 % CI = 1.20 9.17), caesarean was more frequent in the hypertensive with an OR = 90.95 (95 % CI = 37.48 227.67), low Apgar at the 5th minute was higher among the hypertensive with an OR = 11.39 (95 % CI = 4.50 30.07), and the postpartum bleeding was more common in the hypertensive with an OR = 5.85 (95 % CI = 1.86 19.49). Neonatal sepsis, IUGR and respiratory distress were  statistically more frequent in the hypertensive. Conclusions: Arterial hypertension during pregnancy exert a negative influence on a series of perinatal parameters in our environment.

Palabras clave : Arterial hypertension; pregnancy; perinatal results.

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