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Revista Médica Electrónica

On-line version ISSN 1684-1824

Abstract

MEDINA-RODRIGUEZ, Deyris et al. Clinical characterization of chronic hypertensive pregnant women. Provincial Teaching Gynecobstetric Hospital José Ramón López Tabrane. Rev.Med.Electrón. [online]. 2022, vol.44, n.3, pp. 560-572.  Epub June 30, 2022. ISSN 1684-1824.

Introduction:

chronic arterial hypertension during pregnancy is associated with an increase in obstetric and perinatal complications.

Objective:

to characterize chronic hypertensive pregnant women at Provincial Teaching Gynecobstetric Hospital José Ramón Lopez Tabrane.

Materials and methods:

descriptive-prospective study carried out by reviewing the medical records, interviews and examination of pregnant women who were admitted to the Provincial teaching Gynecobstetric Hospital José Ramón López Tabrane, between September 2020 and September 2021, with a diagnosis of chronic arterial hypertension. Eight variables were identified and their prevalence was estimated using absolute and relative frequencies.

Results:

126 pregnant women were studied, 86 of whom were 35 years old or older, most classified as mild hypertensive. In 89 cases, some associated disease was present. 25.4 % presented normal weight gain. In 81 % of patients, cesarean section was used as a way to end the pregnancy. The main complications were: preterm delivery (27.1 %), preeclampsia (16.7 %), oligohydramnios (16.7 %) and intrauterine growth restriction (13.5 %). Four neonatal deaths occurred. Postpartum evolution was unsatisfactory in 24 cases.

Conclusions:

the hypertensive pregnant woman was generally older than 35 years, with anemia as an associated entity. Chronic mild arterial hypertension prevailed, with excessive weight gain. The way of ending pregnancy of choice was cesarean section, which prevailed in full-term pregnancies. The main complications were pre-term deliveries and overadded preeclampsia, oligohydramnios and intrauterine growth restriction.

Keywords : chronic arterial hypertension; pregnancy.

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