Preeclampsia Predisposing Factors in Pregnant Women in the Type C Rioverde Healthcare Center

Authors

  • Ángel A. Vásquez Cabello Centro de Salud Tipo C Rioverde

Keywords:

Predisposing factors;, preeclampsia;, pregnant;, Esmeraldas;, Rioverde

Abstract

Background: Preeclampsia is one of the most frequent and severe complications of pregnancy and contributes significantly to maternal and perinatal mortality during childbirth or in the puerperium.

Objective: To analyze the predisposing factors for preeclampsia in pregnant women in the labor and recovery unit of the Rioverde Type C Health Center in the period from April to December 2020.

Method: Quantitative, cross-sectional study with a descriptive approach. The sample of typical cases was made up of 36 patients. The methods used were measurement, observation, analysis and synthesis, and deductive. As techniques, a survey, document review and body mass index calculation were used.

Results: In maternal factors, maternal age showed the highest incidence, followed by hypertensive disease of pregnancy in a previous pregnancy. Of the predisposing paternal factors, the most important was 73.3% who had a new sexual partner; Chronic hypertensive disease had a higher incidence in the factor on pre-existing diseases. The predisposing factor related to pregnancy showed a high presence of urinary infections (79.2%). Among the maternal complications, placental abruption and postpartum hemorrhage stood out; and of the perinatal ones, there were 8 deaths, and several newborns were premature.

Conclusion: The importance of carrying out adequate prenatal controls for pregnant women with risk factors is confirmed, since preeclampsia is one of the pathologies that entails serious complications. Most of the predisposing factors are non-modifiable, so careful prenatal care is required to ensure early diagnosis and timely management of this entity.

References

Sibai BM, Caritis S, Hauth J. Diagnosis, controversies and management of the síndrome of hemolysis, elevated liver enzymes and low platelet count. Obstet Gynecol. 2014 May; 103:981-91.

Flores-Loayza ER, Rojas-López FA, Valencia-Cuevas DJ, Correa-López LE. Preeclampsia Y Sus Principales Factores De Riesgo [Internet]. 1.ª ed. Lima, Perú: Revista de la Facultad de Medicina Humana, Universidad Ricardo Palma.; 2017 [citado 16 febrero 2020]. Disponible en: http://repositorio.urp.edu.pe/bitstream/handle/urp/1059/Evelyn_Flores.pdf?sequence=1&isAllowed=y

Ministerio de Salud Pública.Trastornos hipertensivos del embarazo. Guía de Práctica Clínica (GPC). [Internet]. 2.ª ed. Quito-Ecuador: Dirección Nacional de Normatización; 2016 [citado 17 febrero 2020]. Disponible en: https://www.salud.gob.ec/wp-content/uploads/2017/03/MSP_Trastornos-hipertensivos-del-embarazo-con-portada-3

Leyda Pineda R, Orejana García AM, Fernández Garrido J. Determinación de los factores predisponentes de la enfermedad de Sever. Revista española de podología, 30 (1, Extra 1); 2019. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=7346004

MedinePlus. Índice de masa corporal. Enciclopedia médica. U.S. National Library of Medicine (Citado el 24 mayo 2020). https://medlineplus.gov/spanish/ency/article/007196.htm

Izci-Balserak B, Pien GW. Sleep-disordered breathing and pregnancy: potential mechanisms and evidence for maternal and fetal morbidity. Curr Opin Pulm Med [Internet]. 2015 Nov [citado 5 dic 2020]; 16(6):574–82. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/20859210

Zeng X, Sun Y, Yan HX, Li D, Li YX, Liao QP. Plasma level of soluble c-Met is tightly associated with the clinical risk of preeclampsia. Am J Obstet Gynecol [Internet]. 2019 Dic [citado 6 dic 2020]; 201(6): 618.e1-7. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/19766985

Suárez González JA, Cabrera Delgado MR, Gutiérrez Machado M, Corrales Gutiérrez A, Cairo González V, Rodríguez Royelo L. Resultados de la atención a pacientes con riesgo de preeclampsia-eclampsia. Rev Cubana Obstet Ginecol [Internet]. 2012 [citado 21 dic 2020]; 38(3): [aprox. 8 p.]. Disponible en: http://scielo.sld.cu/pdf/gin/v38n3/gin03312.pdf

Infante Ricardo Y, Avello Faura M, Apiao Brito S, Pérez Piñeda M, Isaac González M. Hipertensión arterial en el embarazo. Algunos aspectos epidemiológicos. 2do semestre del 2014. Rev Electrón (Las Tunas) [Internet]. 2015 [citado 17 Dic 2020]; 32(1): [aprox. 11p.]. Disponible en: http://www.ltu.sld.cu/revista/index_files/articles/2007/enemarz07/ene- ar2007_5.htm

Cabal Giner MA, Hernández Oviedo G, Torres Díaz G, Guerra Marín M. Alteraciones del estado nutricional y la tensión arterial como señales tempranas de aterosclerosis en adolescentes. Rev Cubana Med Gen Integr [Internet]. 2015 [citado 18 Jul 2020]; 26(2): [aprox. 6 p.]. Disponible en: http://scielo.sld.cu/scielo.php?pid=S0864-21252010000200005&script=sci_arttext

Pacheco J. Ginecología y Obstetricia. 2da ed. Lima: MAD Corp SA; 2006.

Morgan Ortiz F, Calderón Lara SA, Martínez Félix JI, González Beltrán A, Quevedo Castro E. Factores de riesgo asociados con preeclampsia: estudio de casos y controles. Ginecol Obstet Mex [Internet]. 2010 [citado 20 Dic 2020];78(3):153-9. Disponible en: http://www.medigraphic.com/pdfs/ginobsmex/gom- 2010/gom103b.pdf

National High Blood Pressure Education Program Coordinating Committee, January 21, 2018. Report of the National High Blood Pressure Education Program Working Group on High Blood Pressure in Pregnancy. Am J Obstet Gynecol 2018; 183. DOI: https://doi.org/10.1067/mob.2000.107928

Kupfermic MJ, Eldor A, Steinman N, Many A, Bar-am A, Jaffa A. Increased frecuency of genetic trombophilia in women with complications of pregnancy. N Eng J Med. 2009; 340(1):9-13.

Cruz-Martínez R, Figueras F, Hernández-Andrade E, Oros D, Gratacos E. Fetal brain Doppler to predict cesarean delivery for nonreassuring fetal status in term small-for gestational-age fetuses. 3 p. Obstet Gynecol [Internet]. 2011 [citado 30 dic 2020]; 117(3):618-26. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/21343765

Dragun D, Haase-Fielitz A. Low catechol-O-methyltransferase and 2- methoxyestradiol in pre-eclampsia: more than a unifying hypothesis. Nephrol Dial Transplant [Internet]. 2019 [citado 19 nov 2020]; 24:31-3. Disponible en: http://ndt.oxfordjournals.org/content/24/1/31.full.pdf

Reyes Balseiro ES, Vilallonga Recino P, Reyes Balseiro N, Viñas Sifontes L. Enfermedad vascular hipertensiva en Nuevitas durante un quinquenio. Archivo Médico de Camagüey. 2016;10(1). Disponible en: http://www.amc.sld.cu/amc/2016/v10n1- 2016/2018.htm

Valdés Yong M, Hernández Núñez J. Factores de riesgo para preeclampsia. Revista Cubana de Medicina Militar. 2014;43(3):307-316. Disponible en: http://scielo.sld.cu

Kanasaki K, Kalluri R. The biology of preeclampsia. Kidney Int [Internet]. 2019 [citado 2020 Dic 20];76(8):831-7. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/19657323

Chesley LC, Annitto JE, Cosgrove RA. The familial fac- tor in toxemia of pregnancy. Obstet Gynecol. 1968;32: 303-11.

Curiel E, Prieto MA, Mora J. Factores relacionados con el desarrollo de preeclampsia. Revisión de la bibliografía. Unidad de Cuidados Intensivos Maternales. Hospital Materno Infantil. Complejo Hospitalario Carlos Haya. Málaga. España.

Álvarez Ponce VA, Martos Benítez FD. El sobrepeso y la obesidad como factores de riesgo para la preeclampsia. Rev Cuba Obstetr Ginecol [Internet]. 2017 [citado 3 marzo 2021]; 43(2). Disponible en: http://www.revginecobstetricia.sld.cu/index.php/gin/article/view/208

Jasovic-Siveska E, Jasovic V, Stoilova S. Previous pregnancy history, parity, maternal age and risk of pregnancy induced hypertension. Bratisl Lek Listy [Internet]. 2019 [citado 2020 Dic 20];112(4):188-91. Disponible en: http://www.bratislleklisty.sk/2011/11204-07.pdf

López-Carbajal M, Manríquez-Moreno, J, Gálvez- Camargo M E, Ramírez-Jiménez D. Factores de riesgo asociados con preeclampsia. Revista Médica del Instituto Mexicano del Seguro Social, 50 (5, septiembre-octubre, 2012): 471-476. Disponible en: http://www. redalyc.org/articulo.oa?id=457745497004

Robillard PY, Hulsey TC, Perianin J, Janky E, Miri EH, Papiernik E. Association of pregnancy-induced hypertension with duration of sexual cohabitation before conception. Lancet. 1994; 344:973-5.

Einarsson JI, Sangi-Haghpeykar H, Gardner MO. Sperm exposure and development of preeclampsia. Am J Obstet Gynecol. 2003; 188:1241-3.

Smith GN, Walker M, Tessier JL, Millar KG. Increased incidence of preeclampsia in women conceiving by intrauterine insemination with donor versus partner sperm for treatment of primary infertility. Am J Obstet Gynecol. 1997; 177:455-8.

Rosell Juarte E, Brown Bonora R, Hernández PA. Factores de riesgo de la enfermedad hipertensiva del embarazo. Archivo Médico de Camagüey. 2006;10(5). Disponible en: http://www.amc.sld.cu/amc/2006/v10n5-2006/2114.htm

Pacheco-Romero J. Preeclampsia en la gestación múltiple. Revista Peruana de Ginecología y Obstetricia [Internet]. 2015; 61(3):269-280. Recuperado de: https://www.redalyc.org/articulo.oa?id=323442608010

Parra M, San Martín A, Valdés E, Hasbún J, Quiroz L, Schepeler M, Pérez S, Rau C, Miranda JP. Espectro clínico de la preeclampsia: estudio comparativo de sus diversos grados de severidad. Rev Chil Obstet Ginecol. 2017;72(3). Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717- 75262007000300007&lng=es&nrm=iso

Vázquez Niebla JC, Vázquez Cabrera J, Namfantche J. Asociación entre la hipertensión arterial durante el embarazo, bajo peso al nacer y algunos resultados del embarazo y el parto. Rev Cubana Obstet Ginecol. 2013;29(1). Disponible en: http://bvs.sld.cu/revistas/gin/vol29_1_03/gin05103.htm

Published

2022-07-19

How to Cite

Vásquez Cabello, Ángel A. . (2022). Preeclampsia Predisposing Factors in Pregnant Women in the Type C Rioverde Healthcare Center. Revista Científica Hallazgos21, 7(2), 133–149. Retrieved from https://revistas.pucese.edu.ec/hallazgos21/article/view/572

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