350. Profile of pregnant women affected by severe preeclampsia

2018 
Introduction The clinical expression of severe preeclampsia is associated to the worst maternal and neonatal outcomes. Identify the profile of women with this condition may target the adoption of care effectively. Objective Analyze the profile and major complications of pregnant women affected by severe preeclampsia. Method transversal study. Location: Complexo Hospitalar dos Estivadores/Instituto Social Hospital Alemao Oswaldo Cruz-Santos/Brazil (November/2017–March/2018). The study include 43 pregnat women admitted with the diagnosis of severe PE according to the criteria of NHBPEP (2000), as: blood pressure ⩾160/110 mmHg, proteinuria 2.0 g/24 h or +2 dipstick, serum creatinine >1.2 mg/dl (new onset), platelets Results They were identified 43 women with serious preeclampsia. Average maternal age: 29,49 years, history of previous gestations (55.81%). The prenatal had more than six appointments for 30 women (69.8%). Cessarian labor: 65,1%. Evolution to complications: HELLP syndrome (16.3%), Eclampsia (4.6%), used magnesium sulfate (93%) and admission in Intensive Care Unit (37.2%). Discussion A gravity recognized condition reaches in this priority area women in productive phase with potential socioeconomic impact, often multiparous and at least 30% not prenatal care with lots of appropriate appointmets probably for early admission. The frequency of complications and caesarean sections also leads to the need for recognition of the problem of public life, as the need for appropriate guidance and access to qualified services for it attendance.
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