| Título: |
Hypertension associated with pregnancy. Epidemiologic study of 311 consecutive cases. Hipertensão associada à gravidez. Estudo epidemiológico de 311 casos consecutivos. |
| Autores: |
Machado, M H; Serviço de Obstetrícia e Ginecologia, Hospital de Santa Maria/ Faculdade de Medicina de Lisboa. Clode, N Graça, L M Cardoso, C G |
| Fecha: | 1996-01-31 |
| Publicador: | Ordem dos Médicos |
| Fuente: |
Ver documento |
| Tipo: |
article article |
| Tema: | No aplica |
| Descripción: |
The epidemiologic aspects of 311 consecutive cases of hypertension associated with pregnancy seen in the Department of Obstetrics and Gynecology, Hospital de Santa Maria/University of Lisbon Medical School between January 1st 1988 and December 31st 1992, are reviewed. Seventeen cases were multifetal pregnancies. Using the criteria proposed by the American College of Obstetricians and Gynecologists the cases were classified as follows: Mild preeclampsia, 64 cases (7 in twins); severe preeclampsia 50 cases (5 in twins); chronic hypertensive disease, 81 (1 in twins); chronic hypertension with superimposed preeclampsia, 16 (all singleton pregnancies); transient hypertension of pregnancy, 84 (4 in twins); unclassified hypertension, 16 cases of singleton pregnancies. No maternal deaths occurred. The most frequent maternal complications (eclampsia, HELLP syndrome, abruptio placentae and acute renal failure) were seen in preeclampsia (mild and severe forms). Only 2 significant maternal complications were observed in the cases of superimposed preeclampsia on chronic hypertensive disease. In the other groups maternal complications were seldom seen. Excepting in transient hypertension, perinatal morbidity and mortality were frequent in all groups, specially in severe preeclampsia and superimposed preeclampsia, when the delivery occurred before 34 weeks; after that time of pregnancy there were no neonatal deaths in any of the groups and intrauterine growth retardation and fetal distress were the most common fetal complications in all groups. In the whole, uncomplicated chronic hypertension and transient hypertension of pregnancy were the clinical situations in which maternal and perinatal complications were milder and less frequent. No perinatal problems were found in the group of unclassified hypertension. The epidemiologic aspects of 311 consecutive cases of hypertension associated with pregnancy seen in the Department of Obstetrics and Gynecology, Hospital de Santa Maria/University of Lisbon Medical School between January 1st 1988 and December 31st 1992, are reviewed. Seventeen cases were multifetal pregnancies. Using the criteria proposed by the American College of Obstetricians and Gynecologists the cases were classified as follows: Mild preeclampsia, 64 cases (7 in twins); severe preeclampsia 50 cases (5 in twins); chronic hypertensive disease, 81 (1 in twins); chronic hypertension with superimposed preeclampsia, 16 (all singleton pregnancies); transient hypertension of pregnancy, 84 (4 in twins); unclassified hypertension, 16 cases of singleton pregnancies. No maternal deaths occurred. The most frequent maternal complications (eclampsia, HELLP syndrome, abruptio placentae and acute renal failure) were seen in preeclampsia (mild and severe forms). Only 2 significant maternal complications were observed in the cases of superimposed preeclampsia on chronic hypertensive disease. In the other groups maternal complications were seldom seen. Excepting in transient hypertension, perinatal morbidity and mortality were frequent in all groups, specially in severe preeclampsia and superimposed preeclampsia, when the delivery occurred before 34 weeks; after that time of pregnancy there were no neonatal deaths in any of the groups and intrauterine growth retardation and fetal distress were the most common fetal complications in all groups. In the whole, uncomplicated chronic hypertension and transient hypertension of pregnancy were the clinical situations in which maternal and perinatal complications were milder and less frequent. No perinatal problems were found in the group of unclassified hypertension. |
| Idioma: | No aplica |
1 Health Science Research: The Role of Translation,Investigação em Ciência da Saúde: O Papel da Translação por Sobrinho Simões, Manuel; Instituto de Patologia e Imunologia Molecular da Universidade do Porto (IPATIMUP). Porto. Portugal. | 6 Biomarkers of Cervical Carcinogenesis Associated with Genital HPV Infection,Indicadores de Prognóstico da Carcinogénese do Colo do Útero Associada à Infecção por HPV por Bicho, Maria Clara; Serviço de Ginecologia. Hospital de Santiago. Setúbal. & Serviço de Ginecologia Oncologica. British Medical Hospital. Lisboa. Portugal. |
2 Em destaque na Acta Médica Portuguesa: O que é a “Saúde”,Highlights in Acta Médica Portuguesa: What is “Health” por Marinho, Rui Tato; Editor-Chefe. Acta Médica Portuguesa. Lisboa. & Serviço de Gastroenterologia e Patologia. Hospital de Santa Maria. Centro Hospitalar Lisboa Norte. Lisboa. Portugal. | 7 Suicide in the Elderly: Crucial Not to Forget!,Suicídio nos Mais Velhos: Fundamental Não Esquecer! por Sampaio, Daniel; Serviço de Psiquiatria. Hospital de Santa Maria/Faculdade de Medicina de Lisboa. Lisboa. Portugal.,Telles-Correia, Diogo; Serviço de Psiquiatria. Hospital de Santa Maria/Faculdade de Medicina de Lisboa. Lisboa. Portugal. |
3 Renovando a Acta Médica Portuguesa...,Renovating Acta Médica Portuguesa... por Marinho, Rui Tato; Editor-Chefe. Acta Médica Portuguesa. Lisboa. & Serviço de Gastrenterologia e Hepatologia. Hospital de Santa Maria. Centro Hospitalar Lisboa & Faculdade de Medicina da Universidade de Lisboa. Lisboa. Portugal.,Fernandez-Llimos, Fernando; Editor Associado Acta Médica Portuguesa. Lisboa. & Departamento de Sócio-Farmácia, Faculdade de Farmácia, Universidade de Lisboa. Lisboa. Portugal. | 8 The Integration of Health Promotion and Injuries Prevention on the Physical Exercise Dynamics,A Integração da Promoção da Saúde e da Prevenção das Lesões na Dinâmica do Exercício Físico por Ribeiro, Basil; Serviço de Medicina Desportiva. Centro Hospitalar Vila Nova de Gaia. Gaia. Federação Portuguesa de Futebol. Lisboa. Portugal. |
4 Acta Médica Portuguesa and Peer-review: Quick and Brutal!,Acta Médica Portuguesa e o Peer-review: Quick and Brutal! por Donato, Helena; Editora Associada. Acta Médica Portuguesa. Lisboa. & Serviço de Documentação do Centro Hospitalar e Universitário de Coimbra. Coimbra. Portugal.,Marinho, Rui Tato; Editor-Chefe. Acta Médica Portuguesa. Lisboa. & Serviço de Gastrenterologia e Hepatologia. Hospital de Santa Maria. Centro Hospitalar Lisboa. Lisboa. Portugal. | 9 New Paths for Anatomy,Novos Caminhos Para a Anatomia por Goyri-O'Neill, João; Sociedade Anatómica Portuguesa. Lisboa. Portugal.,Furtado, Ivo A.; Sociedade Anatómica Portuguesa. Lisboa. Portugal. |
5 Originais para Translação!,Originals in Translation! por Marinho, Rui Tato; Editor-Chefe. Acta Médica Portuguesa. Lisboa. & Serviço de Gastrenterologia e Hepatologia. Hospital de Santa Maria. Centro Hospitalar Lisboa. Lisboa. Portugal. | 10 Dementia: Not Only Alzheimer’s disease, an Eye on Frontotemporal Dementia,Demência: Mais do que uma Doença de Alzheimer, um Olhar sobre a Demência Frontotemporal por Galimberti, Daniela; Neurology Unit. Dept. of Pathophysiology and Transplantation. University of Milan. Fondazione IRCCS Cà Granda. Ospedale Policlinico. Milan. Italy.,Scarpini, Elio; Neurology Unit. Dept. of Pathophysiology and Transplantation. University of Milan. Fondazione IRCCS Cà Granda. Ospedale Policlinico. Milan. Italy. |