Preeclampsia: Prevalence and perinatal repercussions in a University Hospital in Rio de Janeiro, Brazil

Rezende, Karina Bilda de Castro; Bornia, Rita Guérios; Esteves, Ana Paula Vieira dos Santos; Cunha, Antônio José Lêdo Alves da; Amim, Joffre

doi:10.1016/j.preghy.2016.08.229

Cited by 20 publications

(13 citation statements)

References 13 publications

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“…This study aimed to describe the epidemiology of preeclampsia and eclampsia in Ecuador, and the influence of demographic factors, geographical location, altitude, and ethnic background. While some similar studies had been reported previously in other Latin-American countries like Peru [5,[11][12][13], Chile [5], Brazil [5,14,15] and Argentina [5,16,17], in Ecuador, this is the first epidemiological study covering these aspects.…”

Section: Introductionsupporting

confidence: 80%

“…The increment over this period can be associated with improvement in clinical diagnosis as well as database annotation. The incidence obtained, which should be between 5.11 (CI 5.05-5.18) and 6.23 (CI 6.16-6.30) is higher than other values reported in US [3,26], Australia [27] but similar to those found in Argentina, Mexico, Chile [5] and even Brazil [14]. These differences could be associated with several socioeconomic factors and gestational age at delivery or even the interval between gestations [4,14].…”

Section: Discussioncontrasting

confidence: 47%

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A population-based study of preeclampsia and eclampsia in Ecuador: ethnic, geographical and altitudes differences

Tejera

Sánchez

Henríquez-Trujillo

et al. 2021

BMC Pregnancy Childbirth

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Background In Ecuador eclampsia and preeclampsia were identified as the third cause of maternal death. Like other Latin-American countries, Ecuador has human settlements living from 0 to more than 4000 m of altitude and comprising a wide ethnic-diversity across all these altitude changes. These characteristics offer the possibility to study a wide variety of possible risk factors for preeclampsia and eclampsia. Methods We conducted a population-based retrospective study of all deliveries in Ecuador from 2015 through 2017. The main variables analyzed were: altitude, ethnic self-identification, geographic location, and maternal age. The data comes from the Ecuadorian National Institute of Statistics and Census (INEC) and the Ecuadorian Ministry of Health. Data information regarding maternal parity and socioeconomic status was not available from official records. Logistic regression analysis was used to study the relationship between preeclampsia and eclampsia with the variable of interest. Geospatial statistical analysis was done to identify statistically significant spatial clusters of preeclampsia and eclampsia cases. Results The incidence of preeclampsia was estimated between 5.11 (5.05–5.18) and 6.23 (6.16–6.30), and 0.25 (0.23–0.26) for eclampsia. Native American have a lower incidence regarding preeclampsia compared to other ethnic groups. High altitude has a significant odds ratio (OR = 2.31, 1.93–2.78) of preeclampsia. Montubio residing in middle altitude (1500–3500 m) have the highest risk of preeclampsia (OR = 18.13, 9.53–34.50). Afro-Ecuadorians also have an increased risk of preeclampsia associated with altitude (OR = 2.36, 1.78–3.14). Ethnicity was not identified as a risk factor for eclampsia. Early and older maternal age was associated with an increased risk of preeclampsia and eclampsia. Women living more than 20 km from the obstetric unit have an OR = 2.61 (2.32–2.95, p-value< 0.01) and OR = 1.87 (1.82–1.92, p-value< 0.01) of developing eclampsia and preeclampsia respectively. Conclusions Preeclampsia is widespread across low and high-altitude areas, while eclampsia is mostly located at lower altitudes. Montubios living at middle or high altitudes represents the ethnic group with a higher risk of preeclampsia. No ethnic effect was identified as a potential risk factor for eclampsia. Moreover, in eclampsia the associated risk of young women seems to be higher than in preeclampsia.

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Section: Introductionsupporting

confidence: 80%

Section: Discussioncontrasting

confidence: 47%

A population-based study of preeclampsia and eclampsia in Ecuador: ethnic, geographical and altitudes differences

Tejera

Sánchez

Henríquez-Trujillo

et al. 2021

BMC Pregnancy Childbirth

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“…The prevalence of pre-eclampsia observed in the present study was higher than that reported in the same maternity hospital for all the pregnant women ( n = 4,464) evaluated in 2011 and 2012, for whom the prevalence was 6.74%. 14 This higher rate was already expected since women with DM are two to six times more likely to present with pre-eclampsia. 30…”

Section: Discussionmentioning

confidence: 80%

Impact of Carbohydrate Counting Method during Pregnancy in Women with Pregestational Diabetes Mellitus: A Controlled Clinical Trial

Oliveira

Belfort

Padilha

et al. 2022

Rev Bras Ginecol Obstet

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Objective To evaluate the effect of the carbohydrate counting method (CCM) on glycemic control, maternal, and perinatal outcomes of pregnant women with pregestational diabetes mellitus (DM). Methods Nonrandomized controlled clinical trial performed with 89 pregnant women who had pregestational DM and received prenatal care in a public hospital in Rio de Janeiro, state of Rio de Janeiro, Brazil, between 2009 and 2014, subdivided into historic control group and intervention group, not simultaneous. The intervention group (n = 51) received nutritional guidance from the carbohydrate counting method (CCM), and the historical control group (n = 38), was guided by the traditional method (TM). The Mann-Whitney test or the Wilcoxon test were used to compare intra- and intergroup outcomes and analysis of variance (ANOVA) for repeated measures, corrected by the Bonferroni post-hoc test, was used to assess postprandial blood glucose. Results Only the CCM group showed a reduction in fasting blood glucose. Postprandial blood glucose decreased in the 2nd (p = 0.00) and 3rd (p = 0.00) gestational trimester in the CCM group, while in the TM group the reduction occurred only in the 2nd trimester (p = 0.015). For perinatal outcomes and hypertensive disorders of pregnancy, there were no differences between groups. Cesarean delivery was performed in 82% of the pregnant women and was associated with hypertensive disorders (gestational hypertension or pre-eclampsia; p = 0.047). Conclusion Both methods of nutritional guidance contributed to the reduction of postprandial glycemia of women and no differences were observed for maternal and perinatal outcomes. However, CCM had a better effect on postprandial glycemia and only this method contributed to reducing fasting blood glucose throughout the intervention. ReBEC Clinical Trials Database The present study was registered in the ReBEC Clinical Trials Database (Registro Brasileiro de Ensaios Clínicos, number RBR-524z9n).

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“…(7) The incidence of preeclampsia also varies among different countries and regions. (8)(9)(10)(11)(12) This makes it di cult to estimate the disease burden of HDP.…”

Section: Introductionmentioning

confidence: 99%

Epidemiological Trends of Maternal Hypertensive Disorders of Pregnancy at the Global, Regional, and National Levels: A Population-Based Study

Wang

Xie

Yuan

et al. 2021

Preprint

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Background. To report the cause-specific prevalence and trends of hypertensive disorders of pregnancy at global, regional and national levels from 1990 to 2019 by age and sociodemographic index.Methods. For hypertensive disorders of pregnancy, point prevalence, annual incidence, and years lived with disability numbers and age standardized rates per 100,000 population were compared across regional and national levels by age and sociodemographic index using data from the global Burden of Disease 2019 Study. Estimates are reported with uncertainty intervals.Results. The incidence of hypertensive disorders of pregnancy increased from 16.30 million to 18.08 million globally, with a total increase of 10.92% from 1990 to 2019. The age-standardized incidence rate decreased, with an estimated annual percentage change of -0.68 (95% CI -0.49 to -0.86). The number of deaths due to hypertensive disorders of pregnancy was approximately 27.83 thousand in 2019. This was a 30.05% decreased from 1990. Based on the incidence and prevalence, the number of deaths and years lived with disability were highest in the group aged 25-29 years, followed by the groups aged 30-34 and 20-24 years, while the estimated incidence rate was lowest in the group aged 25-29 years and higher in the youngest and oldest groups. Positive associations between incidence and sociodemographic index and human development index were found for all countries and regions in 2019. Age-standardized incidence rates were higher in countries/regions with lower sociodemographic indices and human development indices.Conclusion. Our study provides a comprehensive overview of the global burden of hypertensive disorders of pregnancy. The death and incidence burdens are decreasing in most countries and all regions except low-sociodemographic and -human development index areas. This is mainly because attention to prenatal examinations and health education has increased. Further investigations should focus on forecasting the global disease burden of specific hypertensive disorders of pregnancy and modifiable risk factors.

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Preeclampsia: Prevalence and perinatal repercussions in a University Hospital in Rio de Janeiro, Brazil

Cited by 20 publications

References 13 publications

A population-based study of preeclampsia and eclampsia in Ecuador: ethnic, geographical and altitudes differences

A population-based study of preeclampsia and eclampsia in Ecuador: ethnic, geographical and altitudes differences

Impact of Carbohydrate Counting Method during Pregnancy in Women with Pregestational Diabetes Mellitus: A Controlled Clinical Trial

Epidemiological Trends of Maternal Hypertensive Disorders of Pregnancy at the Global, Regional, and National Levels: A Population-Based Study

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