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Revista del Nacional (Itauguá)
Print version ISSN 2072-8174
Abstract
SEGOVIA VAZQUEZ, María Raquel and ALVAREZ, Carmen. Severity criteria for hypertensive pregnancy disease. Rev. Nac. (Itauguá) [online]. 2018, vol.10, n.2, pp.105-120. ISSN 2072-8174. https://doi.org/10.18004/rdn2018.0010.02.105-120.
Introduction:
hypertensive disorders of pregnancy are still a cause of maternal morbidity and mortality, preeclampsia is a disease with multisystemic affectation with organ dysfunction.
Objectives:
To identify the frequency of criteria of severity in patients with hypertensive disorders during pregnancy or puerperium who attend the National Hospital of Itauguá during the years (2012-2013), (2016-2017).
Methodology:
descriptive, cross-sectional, observational study. The population consisted of pregnant or puerperal women with hypertensive disorders of pregnancy treated in Hospital Nacional de Itauguá years (2012-2013), (2016-2017). Probabilistic sampling of consecutive cases, the main variables studied are clinical or laboratory criteria of organ dysfunction.
Results:
317 patients with severe hypertensive disorders were studied
The average age was 28 ± 7.3 years, they come from the interior of the country, they presented severe preeclampsia with clinical criteria of organ failure renal, hepatic pulmonary and brain dysfunction; by laboratory studies the most affected was the liver and kidneys. A total of 11 patients were admitted to the intensive care unit.
Conclusion:
the most frequent clinical form of presentation was neurological dysfunction. In terms of laboratorial abnormalities the most affected organ was the liver.
Keywords : preeclampsia; eclampsia; HEELP syndrome; platelet count; thrombocytopenia.