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Prevalencia de trastornos hipertensivos del embarazo y factores epidemiológicos asociados, Hospital Vicente Corral Moscoso, enero-junio 2012

Abstract:

Background: Hypertensive disorders of pregnancy are a public health problem, is the leading cause of maternal death in developed countries and the third in developing countries (1,2). Objective: To determine the prevalence of hypertensive disorders of pregnancy and associated factors in Vicente Corral Moscoso Hospital. Methods: Cross-sectional study of prevalence in 940 patients attending the Obstetrics and Gynecology Service Vicente Corral Moscoso Hospital during the period January to June 2012. Hypothesis: Hypertensive disorders of pregnancy are more common when associated with factors such as, age less than 19 or greater than 34 years, obesity, nulliparity, intergenesic long, personal or family history of chronic hypertension or preeclampsia, which in the absence of these factors. Results: The prevalence of hypertensive disorders of pregnancy in the study sample was 13.8%. The 50.8% had severe preeclampsia, 26.9% mild preeclampsia, gestational hypertension 15.4%, 3.9% Eclampsia and only 3% more chronic hypertension preeclampsia. According to the factors associated with hypertensive disorders of pregnancy, the highest in 34 years RP of 2.53 (95% : 1.71-3.6) p of 0000, history of preeclampsia in previous pregnancy RP of 8.23 (95% CI 6.67-8.79) p in 0000, a history of antiphospholipid antibody syndrome of 5.93 (95% CI 2.75-7.19) p of 0.002. History of family history of hypertensive disorders of pregnancy RP of 7.53 (95% CI: 5.90-8.59) p of 0000, the change of sexual partner RP of 5.55 (95% CI: 4.0 - 6.96) p of 0000, the long period between births RP of 2.73 (95% CI: 1.67 - 4.37) p 0.000. Conclusions: The prevalence of hypertensive disorders of pregnancy in the study sample was 13.8%. Factors associated with hypertensive disorder of pregnancy with statistical significance high to low strength of association were: personal history of preeclampsia, family history of hypertensive disorders of pregnancy, personal history of chronic hypertension, antiphospholipid syndrome, sexual partner change, intergenesic long, age over 34, obesity, nulliparity and finally being overweight. DeCS: PREVALENCE, HYPERTENSIVE DISORDERS OF PREGNANCY, EPIDEMIOLOGICAL FACTORS.