Morbimortalidad materna en la preeclampsia complicada.

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    • Alternate Title:
      Maternal morbidity and mortality related to complicated preeclampsia.
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    • Abstract:
      Hypertensive disorders include many vascular alterations appearing before or during pregnancy, delivery and/or puerperium. Together with hemorrhage and infection they are the more lethal triad of human medicine. We made a cross-sectional and descriptive study to characterize maternal morbidity and mortality secondary to a complicated pre-eclampsia in "Ana Betancourt de Mora" Gynecology and Obstetrics Provincial Hospital from January 2006 to September 2007. Sample included 312 pregnants presenting with some hypertensive disorder. We selected a sample including 82 pregnants diagnosed with complicated pre-eclampsia fulfilling inclusion and exclusion criteria. There was a predominance of severe pre-eclampsia (89,02 %), aged under 20 (31,71%), and nullipara with 51 ladies. Most of pregnants (48) was assessed as of normal weight, whereas 27 showed an exaggerated weight gain. Plain wave of arterial tension incidence was of 57, 32%. In 96,34% of pregnants we performed a cesarean section, from these, in a 70% in a elective way. There was not maternal death. Characterization of maternal morbidity and mortality of a complicated pre-eclampsia in our practice allow us to make proposal aimed to collect a series of risk factors influencing in care quality and its results in care to these complicated pregnants. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Los trastornos hipertensivos incluyen diversas perturbaciones vasculares que aparecen antes o durante el embarazo, el parto y/o el puerperio. Junto a la hemorragia y la infección constituyen la tríada más letal de la medicina humana. Se realizó un estudio descriptivo transversal para caracterizar la morbimortalidad materna secundaria a preeclampsia complicada en el Hospital Provincial Ginecobstétrico "Ana Betancourt de Mora" desde enero 2006 _ septiembre 2007. El universo estuvo conformado por 312 gestantes que presentaron algún trastorno hipertensivo. Se seleccionó una muestra de 82 embarazadas con diagnóstico de preeclampsia complicada que cumplieron los criterios de inclusión y exclusión. Predominó la preeclampsia grave (89,02%), las menores de 20 años (31,71%) y las nulíparas con 51 señoras. El mayor número de gestantes (48) fueron evaluadas como normopeso, mientras que 27 evidenciaron un aumento exagerado de este. La curva plana de tensión arterial incidió con 57,32%. Al 96,34% de las gestantes se les practicó cesárea, de éstas, a un 70% de forma electiva. No se reportó muerte materna. La caracterización de la morbimortalidad materna de la preeclampsia complicada en nuestro medio nos permitió realizar propuestas encaminadas a correlacionar un grupo de factores que influyen en la calidad del cuidado y sus resultados en la atención a estas gestantes complicadas. [ABSTRACT FROM AUTHOR]
    • Abstract:
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