Abstract

CASTILLO FERNANDEZ, Frank Alberto  and  NAVAS ABALOS, Noris. Pregnancy complicating serious arterial hipertensión. AMC [online]. 2006, vol.10, n.1, pp.53-63. ISSN 1025-0255.

Background: A prospective, longitudinal case control study was conducted at the Ana Betancourt de Mora maternity hospital from january 2004 to december 2004 to assess morbimortality as caused by serious arterial hypertension. The universe was chosen from 72 pregnant women diagnosed for serious preeclampsia, chronic arterial hypertension with added preeclampsia-eclampsia and /or eclampsia. Each puerperal with a normal arterial tension and a normal parturition was also included. Clinically, what prevailed was serious preeclampsia followed by chronic hypertension plus added preeclampsia-eclampsia and them eclampsia. Average age of hypertensives was 25.6 ± 6.4. Nuliparity prevailed in both groups 45 had a condition, 42 were healthy. Anemia was the most frequent of associated diseases (27 cases), whereas delayed intrauterine growth (21 cases) and oligohydramnios (12 cases) were the most frequent proper diseases. 13 patients had bronchial asthma, 12 patients had delayed intrauterine growth, and 12 had oligohydrammnios. Out of 52 cesarean sections, 45 were performed on nuliparae and 7 on iteratives. Causes of prerinatal morbility were low birth weigh (33).respiratory distress (9) and congenital pneumonia (7). Only 2 fetal deaths occurred, no mother died. With data from patient obstetric record, from  hospital clinic records, and from  hospital clinic records, and from hospital newborn records, a survey sheet with variables in response is research goals was filled in data were processed  in an IBM compatible PC through the Microstat system that applied descriptive statistics and square chic. Statistics probability results and shown in tables. Incidence of serious hypertension associated to pregnancy was accounted for as well as associated fetomaternal mortality. Cesarean section was the most frequent fetus delivery technique in preeclampsia patients.

Keywords : HYPERTENSION; PREECLAMPSIA [complications]; ECLAMPSIA [complications].

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