Health profile of the patients with pre-eclampsia in a referral hospital in the Amazon region

•Patients admitted due to pre-eclampsia had mean age 27 years and were mostly parda.•Their medical history showed chronic hypertension.•The obstetric profile revealed multigravid without previous pregnancy hypertension.•They had less than 6 prenatal consultations.•Most of them had no clinical manife...

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Published in:Pregnancy hypertension Vol. 27; pp. 134 - 137
Main Authors: Neto, Giovana Fischer, do Espírito Santo, Andreza Cristina Souza, Ferraz, Rebeca Andrade, Botelho, Nara Macedo
Format: Journal Article
Language:English
Published: Netherlands Elsevier B.V 01-03-2022
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Summary:•Patients admitted due to pre-eclampsia had mean age 27 years and were mostly parda.•Their medical history showed chronic hypertension.•The obstetric profile revealed multigravid without previous pregnancy hypertension.•They had less than 6 prenatal consultations.•Most of them had no clinical manifestations beyond hypertension and proteinuria. To describe the epidemiological and clinical profile of the patients with preeclampsia in a hospital in the Amazon region. Observational descriptive cross-sectional study, performed at Fundação Santa Casa de Misericórdia do Pará, a maternity hospital in Pará, Brazil. The pregnant patients admitted between July 1st and December 31st 2018 due to pre-eclampsia had their medical records researched to describe their epidemiological profile, medical history, obstetric profile and clinical manifestations of pre-eclampsia. Patients with incomplete data were not included in the missing variable’s rate. 3450 pregnant patients were admitted, and 381 of them due to pre-eclampsia, revealing a 11.04% prevalence. Both arithmetic mean and median of maternal age were approximately 27 years. 94.25% of the participants were parda. Regarding medical history, 50.27% had chronic hypertension, and 37.23% had urinary tract infection during pregnancy. The obstetric profile revealed that 42.26% were primigravid, and 30% of the multigravid participants had already manifested pregnancy hypertension. 78.1% of the participants attended less than 6 prenatal consultations, and 10.03% used chemical substances during pregnancy. Twin pregnancy had a 3.14% prevalence. Beyond hypertension and proteinuria, scotoma was the most frequent (28.57%) clinical manifestation. 2.36% of the patients developed seizures, mostly (55.55%) before 37 weeks of pregnancy. The profile of the participants was mean age 27 years, parda race, with chronic hypertension, single fetus, multigravid without previous pregnancy hypertension, with less than 6 prenatal consultations, no use of chemical substances and without any manifestations of pre-eclampsia beyond hypertension and proteinuria.
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ISSN:2210-7789
2210-7797
DOI:10.1016/j.preghy.2022.01.001