Trastornos hipertensivos durante el embarazo y complicaciones perinatales durante las 48 horas. Hospital Vicente Corral Moscoso. Cuenca 2014

Abstract

Objective: Determine how the hypertensive disorders of pregnancy influence on the development of complications in the newborn in the first 48 hours of life, at the Vicente Corral Moscoso Hospital.

Methodology: This is an analytical, prospective, longitudinal or cohort study, Using dates of 160 mothers and their products assigned to two cohorts, the first with hypertensive disorders of pregnancy and the other without this pathology; demographics and complications in the newborn were collected, the analysis is performed in the SPSS data are presented in simple and double-entry tables using relative risk (RR) for analysis.

Results: The average age stood at 26.73 years, the frequency of hypertensive disorders of pregnancy was 61,25% Preeclampsia was becoming the most common hypertensive pregnancy disorders; followed by patients with gestational hypertension with 21,25%; In the population it was found THE frequency of perinatal complications were: prematurity 16,25%; low birth weight 40%; neonatal depression 20%; neonatal asphyxia 2.5%; RCIU 40 % and 1.25% neonatal death. THE increase the risk of prematurity RR 12 (1.5 to 90.12); LBW RR 4.4 (2 to 9.4); RR 5 neonatal depression (1.5 to 16.6) and IUGR RR 5.8 (2.5-13).

Conclusion: The most common hypertensive disorder of pregnancy was preeclampsia. The preeclampsia increase the risk of prematurity, low birth weight, neonatal depression, neonatal asphyxia and RCIU. While the high hypertension increase the risk of prematurity and RCIU. Also the risk of being hospitalized for 48 hours was higher for newborns of mothers with hypertensive disorders of pregnancy.