Abstract

TORRES-TABOADA, Estela et al. Maternal-perinatal complications in patients admitted with hypertensive disorders of pregnancy in a reference hospital in Paraguay. Rev. cient. cienc. salud [online]. 2025, vol.7, e7120.  Epub Oct 31, 2025. ISSN 2664-2891.  https://doi.org/10.53732/rccsalud/2025.e7120.

Introduction. Hypertensive disorders of pregnancy constitute one of the leading reasons for serious morbidity, which can cause maternal and perinatal death. Objective. To describe the frequency of maternal-perinatal complications in patients hospitalized with hypertensive disorders of pregnancy in the Department of Gynecology and Obstetrics of the National Hospital of Itauguá, period September 2024 to February 2025. Materials and Method. Observational, descriptive-analytical cross-sectional study of consecutive sampling. Pregnant women with hypertensive disorders admitted to the National Hospital from September 2024 to February 2025 were included. Results. A total of 95 patients were studied with a mean age of 28 ± 7 years and a mean gestational age of 35.6 ± 3.9 weeks; 78.9% were from Central department and 72.6% had secondary education. Comorbidities were present in 29.5% predominantly chronic arterial hypertension (75%). Pregnancy-induced hypertension developed 77.9% of the cases and pre-eclampsia 60.8%. Intensive care admission was required in 8.4% and maternal mortality was 4.2%. Among newborns, 34% had low birth weight, 36.8% were premature and 7.4% had intrauterine growth restriction. Fetal mortality was 7.4%. Conclusion. The high frequency of preeclampsia and low birth weight or premature newborns reflects the impact of these complications on maternal and fetal health. The observed mortality underlines the urgent need to strengthen prenatal care, early detection, and comprehensive management of pregnant women with risk factors.

Keywords : pregnancy; health; mortality.

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