Chronic hypertension and pregnancy at a tertiary-care and university hospital.
Hypertens Pregnancy
; 31(3): 350-6, 2012.
Article
em En
| MEDLINE
| ID: mdl-21174579
OBJECTIVE: Analyze maternal and perinatal aspects related to chronic hypertension (CH) in pregnancy. METHODS: Cross-section and retrospective study. Maternal, obstetric, and neonatal variables inserted in a database of the SPSS program, version 16.0, were analyzed. Student's t-test was applied to the continuous variables and the chi-square test to the dichotomous variables, considering as statistically significant a value of p < 0.05. RESULTS: From March 1998 to February 2009 about 15,945 births were observed, 888 (5.5%) being related to pregnant mothers with CH. In the hypertense group, there was a higher percentage of cesarean section, preterm labor during pregnancy, abruptio placentae, small-for-gestational age babies (<2500 g), and the need for treatment in a neonatal intensive care unit (NICU). CONCLUSION: CH in pregnancy was significantly associated with maternal age ≥30 years, nonwhite race, low level of schooling, parity ≥3 children, weight gain ≥16 kg, greater rates of cesarean section, Apgar score at the first and fifth minutes <7, umbilical artery pH ≤7.1, fetal weight ≤2500 g, need for neonatal intensive care, preterm labor during pregnancy, abruptio placentae, birth injury, small-for-gestational age babies and higher rates of preterm babies, fetal and neonatal mortality. It should be emphasized that the variables mentioned are representative or poor birth conditions in the group of chronic hypertense pregnant women.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Hipertensão Induzida pela Gravidez
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Pregnancy
País/Região como assunto:
America do sul
/
Brasil
Idioma:
En
Revista:
Hypertens Pregnancy
Assunto da revista:
ANGIOLOGIA
/
OBSTETRICIA
Ano de publicação:
2012
Tipo de documento:
Article
País de afiliação:
Brasil
País de publicação:
Reino Unido