Resumo

CANCIANO CHIRINO, Ernesto; CRUZ SUAREZ, Diuveidys; CALERO DE LA OSA, María Isabel  e  RAPADO VIERA, Martín. Epileptic pregnants, final course and other risk variables assessed in regional interdisciplinary consultation. Rev Cubana Obstet Ginecol [online]. 2009, vol.35, n.4, pp.51-57. ISSN 0138-600X.

Epilepsy is the second more frequent neurologic entity during pregnancy with prevalences of 3-4 / 1 000 pregnancies, its management often is ineffective in primary care. OBJECTIVES: to describe the epidemiological variables able to influence in final course of epileptic pregnant. In assessment are included: age, previous pregnants according children number, other associated pathologies, and labor date considering the final obstetric course. METHODS: the was a 5-years cohort in the clinical/obstetrical regional consultation of San Antonio de los Baños, Havana province; according criteria two groups of 50 patients each were sampled, A: epileptic, B; healthy. RESULTS: in group A the 70% was aged between 30-35 for a mean of 33,5 with a right trend according Gauss' distribution. The 64% of that non-epileptic had more of three previous pregnancies; the 70% of A group had a only child without association among variables by Chi ². There were not differences among the groups regards the pathologies associated to pregnancy with a predominance of gestational high blood pressure as a whole (27%) with a discrete trend in A group to appear early during the third trimester. Both groups of patients had a good final course of pregnancy; the great number of epileptic gave birth before the 40 weeks without a solid level of evidence justifying this situation. CONCLUSIONS: pregnant have fewer pregnancies and belatedly, have fewer children with significant differences regards associated pathologies limiting the normal pregnancy development; there is a trend to shorten the gestational period without a basis demonstrated according evidences.

Palavras-chave : Epilepsy; pregnancy; obstetric course; evidences.

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