Perinatal outcome of hypertensive pregnant women is related to the severity of preeclampsia
Perinatal outcome of hypertensive pregnant women is related to the severity of preeclampsia
dc.creator | Anselmini, Marciano | |
dc.creator | Kreutz Rodrigues, Lucas | |
dc.creator | Balestrin, Bruna | |
dc.creator | de Paula Santana, Daniel | |
dc.creator | Freitas, Gisely | |
dc.creator | Rodrigues, Leonardo Kreutz | |
dc.creator | Pancich Gallarreta, Francisco Maximiliano | |
dc.creator | Kolling Konopka, Cristine | |
dc.date | 2018-07-19 | |
dc.identifier | https://seer.ufrgs.br/index.php/hcpa/article/view/76514 | |
dc.description | Introduction: Hypertension in pregnancy plays a key role in perinatal morbidity and mortality. This study aims to analyze maternal and perinatal outcomes associated with hypertension in pregnant women.Methods: A prospective longitudinal study was conducted at the University Hospital of Santa Maria, RS, Brazil, involving hypertensive pregnant women admitted for delivery. The results were analyzed using the chi-square test and the Mann-Whitney test.Results: Of the 162 hypertensive pregnant women studied, 61.1% were diagnosed with preeclampsia. Cesarean section was the most frequent mode of delivery (79.6%). Overall, 46.2% of newborns were premature; of these, 23.4% required intensive neonatal care. Preeclampsia and severe preeclampsia were associated with prematurity in 56.2% of cases (p = 0.011) and 75.7% of cases (p = 0.004), respectively. Severe preeclampsia was associated with neonatal complications (45.9%), and no neonatal complications were associated with mild preeclampsia in 78% (p = 0.014) and gestational hypertension in 96% (p = 0.001). Neonatal deaths occurred in 11.1% of cases admitted to the neonatal intensive care unit, corresponding to a neonatal mortality rate of 24 per 1,000 live births.Conclusions: The association of severe preeclampsia with prematurity and adverse perinatal outcomes corroborates the need for care of these laboring women in referral centers with specialized neonatal care.Keywords: Hypertension; pregnancy; pre-eclampsia; perinatal outcome; neonatal complications | en-US |
dc.description | Introduction: Hypertension in pregnancy plays a key role in perinatal morbidity and mortality. This study aims to analyze maternal and perinatal outcomes associated with hypertension in pregnant women.Methods: A prospective longitudinal study was conducted at the University Hospital of Santa Maria, RS, Brazil, involving hypertensive pregnant women admitted for delivery. The results were analyzed using the chi-square test and the Mann-Whitney test.Results: Of the 162 hypertensive pregnant women studied, 61.1% were diagnosed with preeclampsia. Cesarean section was the most frequent mode of delivery (79.6%). Overall, 46.2% of newborns were premature; of these, 23.4% required intensive neonatal care. Preeclampsia and severe preeclampsia were associated with prematurity in 56.2% of cases (p = 0.011) and 75.7% of cases (p = 0.004), respectively. Severe preeclampsia was associated with neonatal complications (45.9%), and no neonatal complications were associated with mild preeclampsia in 78% (p = 0.014) and gestational hypertension in 96% (p = 0.001). Neonatal deaths occurred in 11.1% of cases admitted to the neonatal intensive care unit, corresponding to a neonatal mortality rate of 24 per 1,000 live births.Conclusions: The association of severe preeclampsia with prematurity and adverse perinatal outcomes corroborates the need for care of these laboring women in referral centers with specialized neonatal care.Keywords: Hypertension; pregnancy; pre-eclampsia; perinatal outcome; neonatal complications | pt-BR |
dc.format | application/pdf | |
dc.language | eng | |
dc.publisher | HCPA/FAMED/UFRGS | pt-BR |
dc.relation | https://seer.ufrgs.br/index.php/hcpa/article/view/76514/pdf | |
dc.rights | Copyright (c) 2018 Marciano Anselmini, Cristine Kolling Konopka, Lucas Kreutz Rodrigues, Bruna Balestrin, Daniel de Paula Santana, Leonardo Kreutz Rodrigues, Gisely Freitas, Francisco Maximiliano Panpich Gallarreta | pt-BR |
dc.source | Clinical & Biomedical Research; Vol. 38 No. 2 (2018) | en-US |
dc.source | Clinical and Biomedical Research; v. 38 n. 2 (2018) | pt-BR |
dc.source | 2357-9730 | |
dc.subject | Hypertension | pt-BR |
dc.subject | pregnancy | pt-BR |
dc.subject | pre-eclampsia | pt-BR |
dc.subject | perinatal outcome | pt-BR |
dc.subject | neonatal complications | pt-BR |
dc.subject | Gestação de alto risco | pt-BR |
dc.subject | Hypertension | en-US |
dc.subject | pregnancy | en-US |
dc.subject | pre-eclampsia | en-US |
dc.subject | perinatal outcome | en-US |
dc.subject | neonatal complications | en-US |
dc.title | Perinatal outcome of hypertensive pregnant women is related to the severity of preeclampsia | en-US |
dc.title | Perinatal outcome of hypertensive pregnant women is related to the severity of preeclampsia | pt-BR |
dc.type | info:eu-repo/semantics/article | |
dc.type | info:eu-repo/semantics/publishedVersion | |
dc.type | Peer-reviewed Article | en-US |
dc.type | Avaliado por Pares | pt-BR |