Comportamiento de la presión arterial en una población de embarazadas normales de la ciudad de Cuenca. Cuenca. 2015

Abstract

Antecedent: the normal pregnant woman has changes in her blood pressure that do not exceed the expected limits within the physiological changes, any elevation above normal is a cause of morbidity and mortality. In practice, we use the values of the Practice Guide on Hypertensive Disorders of Pregnancy adapted from the Society of Obstetricians and Gynecologists of Canada because we do not have a blood pressure curve for our pregnant women.

Objective: to determine the variability of blood pressure in a population of normal pregnant women in the city of Cuenca.

Methodology: descriptive, longitudinal study; Carried out in the external consultation of 8 centers of the National Health System of Cuenca. The pressure was measured from the 12th to the 40th week. A blood pressure curve was drawn: systolic, diastolic and mean.

Results: 338 pregnant women were studied in which the systolic blood pressure was 96.24 ± 8.36 Torr units (range 70 - 122), diastolic 60.18 ± 7.35 (range 40 - 81) and mean 72.12 ± 6.92 (range 50 - 93). The systolic blood pressure curve shows a rise up to the 38a week, while the diastolic blood pressure curve shows an irregular behavior that ends up ascent until the end of the 40a week and the mean arterial pressure curve shows a more noticeable behavior until week 38a.

Conclusion: The systolic, diastolic and mean blood pressure averages show a progressive increase with respect to the end of the pregnancy that agrees with what the theoretical basis indicates, but, limits lower than those established as reference standard