Epidemiology of artherial hypertension in pregnants

Abstract

Objective To investigate the epidemiological data of hypertension in pregnant women, as well as to identify its possible associated events.Methods Data collection was performed at the high-risk prenatal outpatient clinic and in the maternity ward at a public hospital in the São Paulo city, during the morning and afternoon periods, from October 2015 to July 2016. A questionnaire with 22 questions prepared by the researchers was used. The margin of error was 5% and the confidence level was 95%. For the calculation, the two-proportion equality, Pearson correlation and ANOVA tests were used.Results Among the interviewees, 43% had chronic hypertension, 33.3% presented with up to 20 weeks of gestation, 23.7% presented after the 20th week of gestation, 62.3% were between 18 and 35 years of age, 78.1% had a family history of hypertension, and among those aged 36 to 45 years, 11.4% were in the first gestation, and 26.3% in the second gestation. Considering the associated conditions, diabetes prevailed with 50%; obesity with 22.2%, and the most selected foods for consumption among pregnant women, 47.5% had high energy content (processed/ultraprocessed).Conclusion After an epidemiological analysis of the prevalence of hypertension, pregnant women with chronic hypertension, preexisting hypertension diagnosed during pregnancy, and hypertensive disease of pregnancy were identified. Regarding the possible factors associated with arterial hypertension, higher age, family history of hypertension, preexistence of hypertension, late pregnancies, diabetes, obesity and frequent consumption of processed/ultraprocessed foods were found.

Newborns in intensive care: Apgar score predicts in fifth minute

“…HDP refers to a diastolic blood pressure of at least 90 mmHg or systolic blood pressure of at least 140 mmHg over a period of at least 6 h. [10][11][12]. This relationship has been observed in previous studies [10][11][12][13]. The presence of polycythemia is a determining factor for the higher incidence of birth asphyxia [10].…”

Perfil do acompanhamento das pacientes com hipertensão arterial sistêmica, diabetes mellitus e obesidade num serviço de referência em pré-natal de alto risco do Estado de Sergipe / Profile of follow-up of patients with systemic arterial hypertension, diabetes mellitus and obesity in a high risk prenatal care reference service in the State of Sergipe

“…Na pesquisa de Kerber, et al (2017), foi encontrado resultado similar, onde as gestantes apresentaram média de 29 anos. Além disso, a HAS foi a doença de maior incidência na história familiar pregressa, seguida por DM, confirmando assim o que foi mostrado na pesquisa de Sousa, et al (2020) O estudo concluiu que os dados referentes as características epidemiológicas das pacientes são insuficientes, haja vista que nem todos os prontuários estavam preenchidos corretamente. Tal fato dificulta triar de forma confiável a escolaridade e a situação conjugal.…”

Hipertensão arterial: Uma revisão sistemática / Hypertension: A systematic review

“…Dentre elas, 78,1% tinham em sua família casos de hipertensão e cerca de 62,3% estavam na faixa etária entre 18 e 35 anos. Analisando doenças associadas, foi descoberto que 50% das portadoras de HAS possuíam diabetes e 22% eram obesas (SOUSA et al, 2020).…”