Desfechos neonatais associados à pré-eclâmpsia: influência do momento de desenvolvimento da doença
Pre-eclampsia is a multifactorial syndrome characterized by high blood pressure after the 20th week of pregnancy, whether or not associated with proteinuria. The disease significantly impacts maternal and neonatal health. Early diagnosis proved crucial, highlighting the importance of careful moni...
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| Formato: | bachelorThesis |
| Idioma: | pt_BR |
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Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/56890 |
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| Resumo: | Pre-eclampsia is a multifactorial syndrome characterized by high blood pressure after
the 20th week of pregnancy, whether or not associated with proteinuria. The disease
significantly impacts maternal and neonatal health. Early diagnosis proved crucial,
highlighting the importance of careful monitoring in high-risk pregnant women. This
study had a longitudinal, prospective and observational methodology carried out at
Maternidade Escola Januário Cicco (MEJC), Universidade Federal do Rio Grande do
Norte (UFRN), between January and October 2022, the objective was to analyze
neonatal outcomes associated with pre-eclampsia (PE), distinguishing between early
PE (n = 21) and late PE (n = 11) groups. The study population included pregnant
women over 18 years of age, diagnosed with PE, and their newborns (NB). The study
showed marked differences in neonatal outcomes between the early and late PE
groups, highlighting the heterogeneity of the condition. The results indicated that early
PE was more severe, associated with complications such as low birth weight, high rate
of admission to the NICU, sepsis and neonatal death. Severe respiratory distress
syndrome and the need for ventilatory support were more prevalent in the early PE
group, reflecting additional clinical challenges faced by newborns. The research
emphasizes the importance of interdisciplinary collaboration between healthcare
professionals to provide comprehensive and integrated care. The findings provide
valuable information to improve early detection, clinical management and neonatal
care. Recognizing limitations such as sample size and the retrospective nature of the
data, it is suggested that future research benefit from prospective cohorts and broader
sampling. Therefore, we conclude that the most serious neonatal outcomes were
directly associated with early-onset PE. The study contributes to a comprehensive
understanding of the complexities associated with PE and its impacts on neonatal
outcomes. |
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