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Prevalencia de trastornos hipertensivos del embarazo y estresores psicosociales asociados, en el Hospital Vicente Corral Moscoso, Cuenca-Ecuador 2012

Abstract:

Background: Hypertensive disorders of pregnancy are the leading cause of maternal death in developed countries and the third countries in Route of development .En regarding the importance of the psychosocial environment during pregnancy, psychosocial stressors, such as stress and family dysfunction have proven to be a factor associated with morbidity regarding maternal and perinatal ity. Objective: To determine the frequency of hypertensive disorders and associated psychosocial stressors in parturients Vicente Corral Moscoso Hospital, Cuenca, Ecuador,2012. Methods: A cross sectional study of prevalence in pregnant women attending the Hospital Vicente Corral Moscoso. Information was collected using a data collection form, stressful events was assessed by Holmes and Rahe scale and functionality through the family APGAR test, data were processed in SPSS 15 for Windows. Hypothesis: The hypertensive disorders of pregnancy occur more often when associated psychosocial stressors such as financial problems, stressful events and depression, presence of physical or sexual violence, psychological violence, illness and hospitalization of a family member, a relative migration , family dysfunction, that in the absence of these. Results: The prevalence of hypertensive disorders of pregnancy was 31.9% corresponding to 50.9% gestational hypertension, preeclampsia and eclampsia 47.4% to 1.7%. Psychosocial stressors that are associated with hypertensive disorders of pregnancy were domestic violence (OR 1.47 95% CI 1.13 to 1.93) and a P value of 0.004; stressful events and / or depression (OR 2.4, 95% CI 1.87 - 3.07) and a P value of 0.000, a relative migration (PR 1.45 95% CI 1.14 to 1.85) and a P value of 0.004 and family dysfunction (OR 2.51 95% CI 2.00 to 3.13) and a P value of 0.000. Conclusions: Hypertensive disorders of pregnancy in our population have a higher prevalence than that reported in the international literature, and associated psychosocial with estresores. DeCs: PREECLAMPSIA; HYPERTENSION INDUCED IN THE PREGNANCY; PSYCHOLOGICAL STRESS; REGIONAL HOSPITAL VICENTE CORRAL MOSCOSO; CUENCA - ECUADOR