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.

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