“…The cesarean rate among pregnant women with hypertension is very high in Brazil. This rate can reach 76.7%, [33][34][35] and it is similar to the incidence in the hypertension group of our study (77.6%).…”
We observed that aggressive procedures had been adopted for patients with PHS. These resulted in immediate interruption of pregnancy, with elevated cesarean rates and preterm delivery. Such decisions need to be reviewed, in order to reduce the cesarean rate and the incidence of preterm delivery.
“…The cesarean rate among pregnant women with hypertension is very high in Brazil. This rate can reach 76.7%, [33][34][35] and it is similar to the incidence in the hypertension group of our study (77.6%).…”
We observed that aggressive procedures had been adopted for patients with PHS. These resulted in immediate interruption of pregnancy, with elevated cesarean rates and preterm delivery. Such decisions need to be reviewed, in order to reduce the cesarean rate and the incidence of preterm delivery.
“…3) The mother had been undergoing the treatment for at least 2 weeks before the delivery (a previous study with pregnant women showed a statistically significant reduction in the blood pressure levels in a week after the beginning of the use of drugs. 10 Also, the group that received only the diet intervention must have been on the low sodium diet for a minimum period of 2 weeks);…”
The results suggest a similar effect of the 3 types of treatment upon newborn glycemia. The correlation analysis suggests that isradipine could have effects upon newborn glycemia only after birth (correlation only in umbilical cord blood), whereas atenolol could act earlier (there was no correlation at any moment). The results also point to the need for glycemic control from the first hour postpartum of newborns of hypertensive mothers whether they have or have not undergone treatment with antihypertensive drugs.
“…Uma outra contribuição sobre comparação de efeitos sobre o feto com a utilização de um bloqueador de canais de cálcio foi dada por Alves 25 , que em tese de doutorado comparou a isradipina com o atenolol. Os resultados desse importante trabalho nacional na área mostraram melhora no fluxo placentário medido pela dopplervelocimetria de vasos maternos e fetais no grupo submetido à isradipina.…”
Section: Poucos Dados Disponíveis Permitam Reforçar a Utilização Dounclassified
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