Urinary abnormalities and renal function in pregnant women with chronic hypertension

Silva, Guilherme Santos da; Moreira, Silvia; Nishida, Sônia K.; Sass, Nelson; Kirsztajn, Gianna Mastroianni

doi:10.5935/0101-2800.20160028

Cited by 2 publications

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“…An overall prevalence of 4.1% and 0.5% of renal impairment was observed in the hypertensive women using CKD-EPI and MDRD equations respectively. In a case-control study, Junior et al [6] applying the CKD-EPI equation, reported a 2% prevalence of renal impairment among Brazilian women. From this study, women with preeclampsia had a higher prevalence of renal impairment as compared to those with Gestational Hypertension using both equations (Table 4).…”

Section: Discussionmentioning

confidence: 99%

“…Pregnancy-Induced Hypertension is the main cause of renal impairment especially acute kidney injury in late pregnancy, with reported incidence of between 2% and 11.3% in preeclampsia and eclampsia patients [5,6]. Chronic kidney disease (CKD) is a common complication of hypertensive patients in Ghana, with a prevalence ranging between 22%-46.9% among the general population [7,8].…”

Section: Introductionmentioning

confidence: 99%

“…It is one of the major causes of pregnancy-related maternal deaths in the United States [3]. In Ghana, PIH contributes 40% of all maternal deaths [4] and one of the commonest pregnancy related complication encountered in Ghanaian hospitals.Pregnancy-Induced Hypertension is the main cause of renal impairment especially acute kidney injury in late pregnancy, with reported incidence of between 2% and 11.3% in preeclampsia and eclampsia patients [5,6]. Chronic kidney disease (CKD) is a common complication of hypertensive patients in Ghana, with a prevalence ranging between 22%-46.9% among the general population [7,8].…”

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CKD-EPI is a Better Tool for Detecting Renal Dysfunction in Hypertensive Pregnancy: A Case-Control Study in Ghana

Fondjo¹,

Wkba²,

Sakyi³

et al. 2018

Vasc Med Surg

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BackgroundPregnancy-Induced Hypertension (PIH) is a universal problem and its global incidence is estimated between 5-14% of all pregnancies [1,2]. It is one of the major causes of pregnancy-related maternal deaths in the United States [3]. In Ghana, PIH contributes 40% of all maternal deaths [4] and one of the commonest pregnancy related complication encountered in Ghanaian hospitals.Pregnancy-Induced Hypertension is the main cause of renal impairment especially acute kidney injury in late pregnancy, with reported incidence of between 2% and 11.3% in preeclampsia and eclampsia patients [5,6]. Chronic kidney disease (CKD) is a common complication of hypertensive patients in Ghana, with a prevalence ranging between 22%-46.9% among the general population [7,8]. Kidney disease and preeclampsia however, are caused by similar factors; both disorders have been linked to hypertension, obesity, insulin resistance and endothelial dysfunction [9][10][11][12][13][14][15].A strong correlation exists between the incidence of preeclampsia and later incidence of kidney disease; moreover, preeclampsia further increases the risk for developing End-Stage Renal Disease (ESRD) [16]. Screening for renal impairment in pregnant women is not performed routinely during antenatal visits as such there is scanty information on this condition in these categories of women.Renal equations have been widely accepted for use in the general population to offset the challenges associated with the use of the collection of 24-hour urine for the calculation of creatinine clearance.However, the use of these equations in pregnant women still requires validation from large sample size and across different populations.This study thus, assessed renal function in women presenting with hypertensive pregnancy using renal equations, which eliminates the cumbersome nature of requesting for 24-hour urine, with the aim of providing preliminary data that could influence the early diagnosis and management of CKD in women presenting with hypertensive pregnancy in Ghana and to encourage the adoption of these equations for routine renal assessment in women with hypertensive pregnancy. Materials and Methods Study design and settingThis Hospital-based case-control study was conducted at the Abstract Background: Pregnant women with hypertension are at an increased risk of renal impairment. This study assessed the use of CKD-EPI and 4v-MDRD for early diagnosis of renal impairment in pregnant women with hypertension.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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CKD-EPI is a Better Tool for Detecting Renal Dysfunction in Hypertensive Pregnancy: A Case-Control Study in Ghana

Fondjo¹,

Wkba²,

Sakyi³

et al. 2018

Vasc Med Surg

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“…Silva Junior e colaboradores em estudo realizado no Ambulatório de Pré-Natal do Departamento de Obstetrícia de Gravidez de Alto Risco da Universidade Federal de São Paulo (UNIFESP) avaliaram 103 gestantes portadoras de hipertensão arterial crônica. Os autores identificaram que 64% das mulheres eram multíparas, 7,8% possuía história prévia de doença renal, 72% encontrava-se em sobrepeso ou obesidade, e 97% apresentava história familiar de hipertensão arterial (SILVA JUNIOR et al, 2016).…”

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Gestantes em Cruzeiro do Sul, Acre: características demográficas e socioeconômicas, ocorrência e fatores associados aos distúrbios hipertensivos na gravidez

Damasceno¹

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Introduction:Pregnancy is a period of several physiological, anatomical, psychological and social changes in a woman's life. Pregnant women and their babies need specific care.Adequate health care during the gestational period is essential for the prevention or reduction of maternal and child health problems. Objective: a) To identify the available evidence on the role of nursing in assisting pregnant women with hypertensive syndromes during pregnancy (Article 1); b) To analyze the agreement between data on pregestational weight, gestational weight gain, height, and systolic (SBP) and diastolic (DBP) blood pressure data recorded both in the prenatal care card and in the information obtained in the MINA-Brazil study (Article 2); c) To investigate the occurrence and factors associated with hypertensive disorders in pregnancy (HDP) and neonatal complications in women living in the Brazilian Western Amazon (Article 3); d) To investigate the socioeconomic and obstetric characteristics of adolescent parturients and their complications on maternal and neonatal health among participants of the MINA-Brasil birth cohort in the municipality of Cruzeiro do Sul, Acre ( Article 4). Methods: Baseline data from the MINA-Brazil cohort study were analyzed. Between February 2015 and May 2016, pregnant women enrolled in prenatal care in the urban area were screened and two evaluations were performed: 1st evaluation in the second trimester and the 2nd evaluation in the third trimester of pregnancy. Information on socioeconomic and demographic conditions, health and lifestyle history, and anthropometric measurements were obtained by the research team. Subsequently, between July 2015 and June 2016, a daily record of admissions for childbirth was carried out in the only maternity hospital in the municipality, starting the population-based birth cohort of the MINA-Brazil study.First, an integrative literature review was performed (Article 1), following data analyzes of agreement between anthropometric and blood pressure measurements recorded in the prenatal care card and measured by the MINA-Brazil study team (Article 2). Multiple Poisson regression models with robust variance were also used to assess factors associated with hypertensive disorders at childbirth (Article 3), and factors associated with adolescent parturients (Article 4). The level of statistical significance adopted was p <0.05. Results: In Article 1, overall 13 studies were selected for analysis, divided into 3 categories: 1. Nursing professionals' knowledge about hypertensive syndromes during pregnancy; 2. Nursing care for pregnant women with hypertensive syndromes during pregnancy and their newborns; 3. The systematization of nursing care in the care of hypertensive syndromes during pregnancy. In Article 2, data from 428 pregnant women were analyzed. There was moderate agreement between the information for self-reported pre-pregnancy weight (0.935) and height (0.913), and substantial agreement for the pregnant woman's weight in the second (0.993) and third (0.988) trim...

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Urinary abnormalities and renal function in pregnant women with chronic hypertension

Cited by 2 publications

References 0 publications

CKD-EPI is a Better Tool for Detecting Renal Dysfunction in Hypertensive Pregnancy: A Case-Control Study in Ghana

CKD-EPI is a Better Tool for Detecting Renal Dysfunction in Hypertensive Pregnancy: A Case-Control Study in Ghana

Gestantes em Cruzeiro do Sul, Acre: características demográficas e socioeconômicas, ocorrência e fatores associados aos distúrbios hipertensivos na gravidez

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