Proteinúria nas síndromes hipertensivas da gestação: prognóstico materno e perinatal

Abstract

The presence of proteinuria in the hipertensives syndromes during gestation and the elevation of their levels increase the risks of maternal complications, especially HELLP syndromes and eclampsia. Besides, it was observed a significative incidence of premature birth, newborn with Apgar < 7, weight < 2500g, IUGR, stillborn and neonatal deaths.

Estudo dos principais fatores de risco maternos nas síndromes hipertensivas da gestação

“…As regards the risk factors, in this study, age above 30 years was a risk factor for PESCH, independently of obesity and previous preeclampsia; it was also a protective factor for PE. In the population studied, this demonstrates the presence of pregestational chronic hypertension (CH), which was a significant risk factor for superimposed preeclampsia in this study, thus corroborating the findings from other studies 10,13,15,22 . This is an important finding, since in the current social setting a growing number of women who become pregnant after 30 years of age is observed, which increases the probability of their having CH or developing PESCH during pregnancy 24 .…”

“…Other studies also showed that women older than 30 years are more subject to diseases such as chronic hypertension prior to pregnancy 9,13,15,17,22,23 .…”

“…Most of the pregnant women attended seven or more visits. This fact is relevant for the obstetric care, considering that the manual of the Ministry of Health and the Administrative Rules 569 and 570 recommend that all pregnant women should attend at least six visits during pregnancy, preferably in the first trimester, to allow timely interventions during this period 13 .…”

“…This shows that not only the number but also the quality of the prenatal visits should be considered, thus enabling a proper identification of risk factors for HSP and its early diagnosis, which are fundamental in the secondary prevention 11,13,23,24 . As regards the risk factors, in this study, age above 30 years was a risk factor for PESCH, independently of obesity and previous preeclampsia; it was also a protective factor for PE.…”

“…This is an important finding, since in the current social setting a growing number of women who become pregnant after 30 years of age is observed, which increases the probability of their having CH or developing PESCH during pregnancy 24 . In these cases, preconceptional advice and a high quality prenatal care are essential 13 .…”