A systematic delivery approach in pregnant women diagnosed with preeclampsia could avoid risks to both mother and newborn. A study about these outcomes could guide this practice.
Evaluate ...epidemiological characteristics and compare maternal and neonatal outcomes in gestations with and without preeclampsia.
Prospective study with 40 women was developed in Guilherme Álvaro Hospital- Santos/São Paulo/Brazil (December/2015–May/2016). Study group: 20 women with preeclampsia according to NHBPEP – National High Blood Pressure Education Program (2000), >37weeks. Control group: 20 pregnant women with single and live fetus, >38weeks, without comorbidities. Exclusion criteria for study group: twin pregnancy, fetal anomalies and gestational age under 37weeks. Control group exclusion criteria: twin pregnancy, gestational age under 38weeks, cesarean/ forceps/ induced vaginal delivery and comorbidities. Maternal variables: age, gestational age at delivery, previous pregnancy history, body mass index (BMI), comorbidities, length of hospital stay, intensive care unit admission, previous preeclampsia and delivery route. Neonatal variables: birth weight, adequacy weight for gestational age, Apgar score, meconium fluid at delivery, intensive care unit admission, acute respiratory distress syndrome, cardiopulmonary arrest, jaundice, oxygen therapy and intrahospital mortality. The statistical comparisons were made using Fisher’s exact test and Tukey multiple comparisons method. Data analysis was performed by calculating odds ratio adoption hypothesis and the rejection level of 0,05.
Comparison between preeclampsia and normal pregnancies in maternal and neonatal outcomes (*=p<0,05): Display omitted
Preeclampsia is more often associated with maternal and neonatal adverse outcomes when compared to the healthy pregnancies. Women diagnosed with preeclampsia appears to be older, have higher body mass index, longer hospital stay (including intensive care unit) and have previous preeclampsia more often than those without this comorbidity. There is a lack of significance in comparing neonatal outcomes between the systematic delivery approach at 37weeks and the control groups.
Introduction A systematic delivery approach in pregnant women diagnosed with preeclampsia could avoid risks to both mother and newborn. A study about these outcomes could guide this practice. ...Objectives Evaluate epidemiological characteristics and compare maternal and neonatal outcomes in gestations with and without preeclampsia. Methods Prospective study with 40 women was developed in Guilherme Álvaro Hospital- Santos/São Paulo/Brazil (December/2015–May/2016). Study group: 20 women with preeclampsia according to NHBPEP – National High Blood Pressure Education Program (2000), > 37 weeks. Control group: 20 pregnant women with single and live fetus, > 38 weeks, without comorbidities. Exclusion criteria for study group: twin pregnancy, fetal anomalies and gestational age under 37 weeks. Control group exclusion criteria: twin pregnancy, gestational age under 38 weeks, cesarean/ forceps/ induced vaginal delivery and comorbidities. Maternal variables: age, gestational age at delivery, previous pregnancy history, body mass index (BMI), comorbidities, length of hospital stay, intensive care unit admission, previous preeclampsia and delivery route. Neonatal variables: birth weight, adequacy weight for gestational age, Apgar score, meconium fluid at delivery, intensive care unit admission, acute respiratory distress syndrome, cardiopulmonary arrest, jaundice, oxygen therapy and intrahospital mortality. The statistical comparisons were made using Fisher’s exact test and Tukey multiple comparisons method. Data analysis was performed by calculating odds ratio adoption hypothesis and the rejection level of 0,05. Results Comparison between preeclampsia and normal pregnancies in maternal and neonatal outcomes (* = p < 0 , 05 ): Conclusions Preeclampsia is more often associated with maternal and neonatal adverse outcomes when compared to the healthy pregnancies. Women diagnosed with preeclampsia appears to be older, have higher body mass index, longer hospital stay (including intensive care unit) and have previous preeclampsia more often than those without this comorbidity. There is a lack of significance in comparing neonatal outcomes between the systematic delivery approach at 37 weeks and the control groups.
To characterize the profile of pregnant women with hypertensive syndromes classified as severe maternal morbidity (SMM) and near-miss (NM).
Longitudinal prospective descriptive study conducted at ...Guilherme Álvaro Hospital, Santos/SP-Brazil (June/2013–May/2014). Women during pregnancy, childbirth or postpartum period, showed some hypertensive syndrome (NHBPEP-2000) and were classified as MMG/NM were studied according of criteria Santos, classification adapted by the authors from the definitions of Waterstone et al. (2001) Mantel et al. (1998) and World Health Organization (2009), in which, NM were patients admitted to ICU, followed by records and interview in which maternal status variables were evaluated: age, body mass index (BMI), average diastolic blood pressure (DBP) at admission.
There are 49 patients with Hypertensive Syndromes with defining criteria and MMG/NM, according to clinical, laboratory and data management, 19 were older than 35years (38.7%); aged between 20 and 35 corresponded to 59.1% of the sample (29 patients); Mean BMI of 38.0. The mean DBP at admission was 87.8mmHg, 13 patients (26.0%) of them had chronic hypertension (CH). Of the 23 patients who had pre-eclampsia (PE) superimposed, seven (14.2%) did not associate with other complication, 14 (28.5%) were associated with severe PE, one with eclampsia, while another associated to the HELLP syndrome. Six patients were admitted to ICU and all were diagnosed with severe PE; three (5.5%) had HELLP syndrome; and two had eclampsia.
Table 1. Distribution of hypertensive disorders according to the criteria of severe maternal morbidity.PECHSuperimposed PESevere PEEclampsiaHELLP SDN+−−−−−1+−−+−−10−−+−−−7−−++−−14−−+++−1−−+−++1+−−+++1−+−−−−13−−−−−+1
Considering the maternal age most affected and prevalence of obese pregnant, realizes the importance of pre-conception advice for this group. Also, recognize that the diagnosis of pre-eclampsia is more common among women affected by near-miss/severe maternal morbidity justifying skilled care for pregnant women with this disorder.
N. da Silva: None. L. Maruoka: None. M. Imad: None. L. Leme: None. S. Sashida: None. V. Alonso Neto: None. J. Sato: None. N. Miyashita: None. M. Mesquita: None. R. de Morais: None. E. de Souza: None. F. Sousa: None.
Objectives To characterize the profile of pregnant women with hypertensive syndromes classified as severe maternal morbidity (SMM) and near-miss (NM). Methods Longitudinal prospective descriptive ...study conducted at Guilherme Álvaro Hospital, Santos/SP-Brazil (June/2013–May/2014). Women during pregnancy, childbirth or postpartum period, showed some hypertensive syndrome (NHBPEP-2000) and were classified as MMG/NM were studied according of criteria Santos, classification adapted by the authors from the definitions of Waterstone et al. (2001) Mantel et al. (1998) and World Health Organization (2009), in which, NM were patients admitted to ICU, followed by records and interview in which maternal status variables were evaluated: age, body mass index (BMI), average diastolic blood pressure (DBP) at admission. Results There are 49 patients with Hypertensive Syndromes with defining criteria and MMG/NM, according to clinical, laboratory and data management, 19 were older than 35 years (38.7%); aged between 20 and 35 corresponded to 59.1% of the sample (29 patients); Mean BMI of 38.0. The mean DBP at admission was 87.8 mmHg, 13 patients (26.0%) of them had chronic hypertension (CH). Of the 23 patients who had pre-eclampsia (PE) superimposed, seven (14.2%) did not associate with other complication, 14 (28.5%) were associated with severe PE, one with eclampsia, while another associated to the HELLP syndrome. Six patients were admitted to ICU and all were diagnosed with severe PE; three (5.5%) had HELLP syndrome; and two had eclampsia. Table 1 . Distribution of hypertensive disorders according to the criteria of severe maternal morbidity. PE CH Superimposed PE Severe PE Eclampsia HELLP SD N + − − − − − 1 + − − + − − 10 − − + − − − 7 − − + + − − 14 − − + + + − 1 − − + − + + 1 + − − + + + 1 − + − − − − 13 − − − − − + 1 Conclusions Considering the maternal age most affected and prevalence of obese pregnant, realizes the importance of pre-conception advice for this group. Also, recognize that the diagnosis of pre-eclampsia is more common among women affected by near-miss/severe maternal morbidity justifying skilled care for pregnant women with this disorder. Disclosures N. da Silva: None. L. Maruoka: None. M. Imad: None. L. Leme: None. S. Sashida: None. V. Alonso Neto: None. J. Sato: None. N. Miyashita: None. M. Mesquita: None. R. de Morais: None. E. de Souza: None. F. Sousa: None.
