Revista da Associacao Medica Brasileira (1992) · 2006
[Treatment effectiveness of hypertension during pregnancy].
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Ferrão Mauro Henrique de Lima, Pereira Ana Carolina Lúcio, Gersgorin Heloísa Cristina Torres Soares, Paula Thales Antônio Abra de, Corrêa Rosana Rosa Miranda, Castro Eumenia Costa da Cunha
Аннотация
OBJECTIVE: To compare the maternal-fetal clinical intercurrences and the effectiveness of treatment in the different clinical forms of hypertensive syndromes during pregnancy (HSP).
METHODS: Medical records of 200 pregnant women with HSP were reviewed to appraise fetal intercurrences, classification of the hypertensive syndrome and use of antihypertensives.
RESULTS: Of the 200 patients analyzed, 85 (42.5%) were controls; 32 (16%) presented gestational hypertension (GH), 67 (33.5%) had Pre-eclampsia (PE), 6 (3%) had chronic hypertension and 10 (5%) cases had PE superimposed chronic hypertension (PSCH). The lowest values for gestational age, weights of the newborn and for the Apgar index were observed in the patients with PE and PSCH. Treatment did not alter the Apgar index in relation to control and non-treated GH patients. Patients with PE presented the lowest gestational age and the smallest Apgar index when compared to controls.
CONCLUSION: Introduction of an antihypertensive therapy during gestation was of fundamental importance for health improvement and pressure control of the pregnant woman with HSP. Nevertheless, it has been of little help for prevention of perinatal intercurrences. This was substantiated by the absence of improvement in the gestational conditions between the treated group when compared to the non-treated. Medication did not significantly improve the maternal-fetal blood flow and consequently in the birth condition of the child.
METHODS: Medical records of 200 pregnant women with HSP were reviewed to appraise fetal intercurrences, classification of the hypertensive syndrome and use of antihypertensives.
RESULTS: Of the 200 patients analyzed, 85 (42.5%) were controls; 32 (16%) presented gestational hypertension (GH), 67 (33.5%) had Pre-eclampsia (PE), 6 (3%) had chronic hypertension and 10 (5%) cases had PE superimposed chronic hypertension (PSCH). The lowest values for gestational age, weights of the newborn and for the Apgar index were observed in the patients with PE and PSCH. Treatment did not alter the Apgar index in relation to control and non-treated GH patients. Patients with PE presented the lowest gestational age and the smallest Apgar index when compared to controls.
CONCLUSION: Introduction of an antihypertensive therapy during gestation was of fundamental importance for health improvement and pressure control of the pregnant woman with HSP. Nevertheless, it has been of little help for prevention of perinatal intercurrences. This was substantiated by the absence of improvement in the gestational conditions between the treated group when compared to the non-treated. Medication did not significantly improve the maternal-fetal blood flow and consequently in the birth condition of the child.