Incidência de pré-eclâmpsia no Rio Grande do Norte e fatores de risco
Hypertensive disorders of pregnancy are a group of illnesses that have high morbidity and mortality, both for the mother and the fetus. Environmental factors such as weight gain during pregnancy and infections appear to be associated with an increased risk of developing those diseases. Women more...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
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Brasil
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| Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/26674 |
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| Resumo: | Hypertensive disorders of pregnancy are a group of illnesses that have high morbidity
and mortality, both for the mother and the fetus. Environmental factors such as weight
gain during pregnancy and infections appear to be associated with an increased risk of
developing those diseases. Women more lower socioeconomic level have a higher risk
of hypertensive disorders and their complications, including higher mortality. This study
aimed to evaluate the incidence of hypertensive disorders of pregnancy (pre-eclampsia
and eclampsia) in Brazil and in the state of Rio Grande do Norte, considering a time
series, and to evaluate risk factors for disease, considering data from a reference center
for high-risk pregnancy. Data were collected from the DATASUS from 2008 to 2014. The
data of the reference service (Maternity Hospital Januário Cicco in Natal) were obtained
for the period 2001 to 2014. The data for risk factors family were obtained through
interviews with pregnant women. The incidence of hypertensive disorders of pregnancy
was 3.9% for Brazil, while for the State of Rio Grande do Norte was 9.5% (p <0.05). In
turn, the incidence of eclampsia was 0.4% in Brazil and 1.0% in the state of Rio Grande
do Norte (p<0.05). The incidence of eclampsia has remained stationary in Brazil as a
whole (p=0.560), and the state of Rio Grande do Norte, despite the magnesium sulfate
use. Mortality due to hypertensive disease in Brazil was 0.48%, while mortality from
eclampsia was 2.4%. Risk factors for preeclampsia in the state of Rio Grande do Norte
included higher body mass index and maternal history of hypertension and
preeclampsia. Family history of hypertension and pre-eclampsia indicates a genetic
trend associated with risk of disease. In summary, hypertensive disorders of pregnancy
remain an important health problem with implications for both women and children born
of a preeclampsia pregnancy. There are preventable factors such as lower body mass
index prior to pregnancy, weight control during pregnancy and better quality of the diet
that decrease risk of hypertensive disorders of pregnancy and-or their complications. |
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