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Objetivo: validar el cuestionario “Conocimientos y comportamientos de autocuidado de la mujer embarazada ante los trastornos hipertensivos del embarazo - CoNOCiTHE”. Materiales y Métodos: estudio psicométrico de validez y confiabilidad, realizado en el segundo semestre del 2022 en Santander, Colombia, con una muestra de 217 mujeres embarazadas. La consistencia interna se evaluó con el coeficiente alfa de Cronbach, la confiabilidad test-retest a partir del Coeficiente de Correlación Intraclase (CCI). La validez, examinó la validez de criterio convergente y de grupos conocidos. Resultados: La escala con 72 ítems originales, luego de un análisis de correlación condujo a la eliminación de 14 ítems. El instrumento en su versión definitiva evidenció una consistencia interna de 0,67 y una estabilidad test-retest con un CCI de 0,96. La validez convergente demostró una correlación significativa con los resultados conocimiento: proceso de la enfermedad (rho=0,405; p=0,019) y control del riesgo: hipertensión (rho= 0,503; p=0,003). En la validez de grupos conocidos se encontró diferencias en las puntuaciones de mujeres con más de 20 semanas de gestación y menos de 20 (p=0,009). Conclusiones: Las propiedades psicométricas aceptables del cuestionario lo convierten en una herramienta válida para evaluar el conocimiento y los comportamientos de autocuidado ante los trastornos hipertensivos del embarazo en el idioma español y en el contexto colombiano.

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Copyright of Avances en Enfermería is the property of Editorial Universidad Nacional de Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Hypertensive disorders of pregnancy are one of the main causes of maternal and perinatal morbidity and mortality worldwide. Therefore, it is important to have validated materials that strengthen health education activities during the prenatal stage. Objective: To design and validate an educational material to improve the knowledge and self-care behaviors of pregnant women in the face of hypertensive disorders of pregnancy. Materials and methods: Methodological study carried out in two phases: 1) design and 2) technical and population validation of the educational material. The construction incorporated the characteristics for the design of written health education materials. The criteria of attraction, understanding, acceptance, identification and induction to action were evaluated, with the participation of 5 experts and 20 pregnant women. A percentage equal to or greater than 70% in each criterion was considered as a point of approval. Results: The design of the educational booklet was based on the literature and the Theory of Planned Behavior. The technical and population validity showed a positive approval level with an average of 90.58% and 98.07% respectively. The qualitative recommendations provided improvements to the final version of the material in terms of the use of simpler language, more representative illustrations of the content, and the incorporation of reinforcement activities. Conclusions: The booklet met the criteria of efficacy in its validation process; therefore, it can be used as a didactic resource in educational activities aimed at improving the knowledge and self-care behaviors of pregnant women in the face of hypertensive disorders of pregnancy. [ABSTRACT FROM AUTHOR]

Introducción: los trastornos hipertensivos del embarazo representan un problema en la salud materna y perinatal. Por lo tanto, es importante identificar las creencias que preceden a los determinantes de los comportamientos en salud durante el embarazo. Objetivo: identificar las creencias salientes en la intención de comportamientos de autocuidado ante los trastornos hipertensivos por parte de la mujer embarazada. Materiales y métodos: estudio descriptivo de enfoque cuantitativo guiado por la teoría del comportamiento planificado. Se diseñó y evaluó la validez semántica de cada cuestionario. La muestra por conveniencia fue de 114 embarazadas inscritas en el control prenatal de una institución de salud de Piedecuesta, Santander, las cuales respondieron el cuestionario a través de entrevista telefónica, entre enero y febrero de 2022. El análisis de los datos fue descriptivo, utilizando frecuencias absolutas y relativas. Resultados: las creencias conductuales positivas se enfocaron en la adecuada nutrición de la madre; en el sano crecimiento y desarrollo del bebé; la prevención y control de enfermedades durante el embarazo; la relajación y la tranquilidad de la madre; y el control y seguimiento de la presión arterial. En las creencias normativas, el personal de salud, la madre, el esposo y familiares influyen positivamente en cada comportamiento. Entre las creencias de control, se admite que: visitar familiares promueve la práctica del ejercicio; a nivel nutricional existe el hábito por preparaciones bajas en sal; tanto el apoyo familiar y social como el hábito y el gusto favorecen el consumo de frutas, verduras, legumbres y carnes; la falta de hábito evita el consumo de grasas, harinas, azúcares, cafeína, alcohol o cigarrillo; la capacidad económica favorece la ingesta del calcio; tomar una ducha previa promueve el sueño y descanso; y asistir a farmacias permite el control de la presión arterial. Conclusiones: la identificación de las creencias salientes permitió demostrar aquellas que necesitan ser reforzadas, negociadas o reestructuradas en el logro de comportamientos de autocuidado ante los trastornos hipertensivos del embarazo.

Background: Pre-eclampsia is a generalized vasoconstriction state associated with vascular epithelial dysfunction rather than the vasodilation characteristic of pregnancy, characterized by proteinuric hypertension from the 20th week of pregnancy, sometimes associated with edema; it also causes health risks to the mother and fetus. Traditional clinical treatment uses oral antihypertensive drugs, among these labetalol and extended-release nifedipine are included. Objective: To analyze the efficacy of labetalol and nifedipine as an antihypertensive treatment in pre-eclampsia. Methodology: Reference sources found in Google Scholar, Science Direct, SciELO, Pubmed, Medes and Elsevier were used. Out of 211 sources, 31 were selected according to inclusion and exclusion criteria. Conclusions: It has been determined by majority consensus that oral nifedipine is more effective than labetalol in pre-eclampsia treatment.

Introducción: La ruptura de un hematoma subcapsular hepático resulta una rara complicación asociada con trastornos hipertensivos severos del embarazo como la preeclampsia, eclampsia y el Síndrome de Hellp. Objetivo: destacar la relevancia como causa de muerte de la ruptura hepática en el contexto del síndrome de Hellp, a través de un caso clínico. Presentación del caso: Se presenta a una paciente de 33 años, que cursa la semana 39 de gestación, la que acude al Servicio de Emergencias refiriendo dolor abdominal en hipogastrio de 8 horas de evolución, además de náuseas y malestar general. Embarazo de 41 semanas, óbito fetal, preeclamsia con signos de gravedad, Síndrome de Hellp tipo I y ruptura hepática grado IV. La sintomatología se exacerbó y provocó una evolución desfavorable. La observación y posteriores hallazgos diagnósticos motivaron la decisión de resolución quirúrgica. Conclusiones: La identificación temprana de los factores de riesgo durante la gestación es un factor clave en la prevención de enfermedades y sus posibles complicaciones.

Introduction: overweight and obesity are defined as an abnormal or excessive accumulation of fat that may be detrimental to health.Objective: to describe the maternal and perinatal complications associated with obesity. Methods: a narrative review of the available literature was carried out using the synthetic and historical-logical analytical methods, using articles retrieved from the SciELO and Scopus databases. A total of 20 references addressing the main clinical-epidemiological characteristics of the subject in question were selected.Results: gestational obesity is currently considered a public health problem due to its increasing incidence. Gestational hypertension, gestational diabetes, eclampsia, cardiovascular problems share as elements that favor their genesis overweight and obesity, due to poor nutrition of the pregnant woman before, during and after pregnancy.Conclusions: pregnancy in overweight and obese women has an increasing incidence. Overweight and obesity during pregnancy generates maternal problems at the time of delivery and after delivery, which are detrimental to the well-being of both the mother and the newborn.

Introduction: Hypertensive disorders during pregnancy are a global health problem. Health education is a strategy that provides pregnant women with knowledge and skills for self-care. Objective: evaluate the effect of health education interventions on pregnant women's knowledge and self-care practices for hypertensive disorders in pregnancy, compared to standard prenatal care. Materials and Methods: Systematic review and meta-analysis protocol. The study record can be consulted in PROSPERO (CRD42021252401). The search will be conducted in the following databases, PubMed/MEDLINE, CENTRAL, LILACS, CINAHL, EMBASE, and WoS. Additionally, clinical trial records in ClinicalTrials and grey literature in OpenGrey and Google Scholar. The search will include studies of health education intervention in knowledge and self-care practices about hypertensive disorders in pregnancy. All statistical analysis will be carried out with the Review Manager software. Data will be combined using random-effects models, binary data with odds ratios or relative risks, and continuous data using mean differences. Heterogeneity between studies will be assessed using the Q-Cochran test to measure the significance and the l2 statistic to measure magnitude. Discussion: This study will contribute to the knowledge of health interventions that are effective in guiding and educating pregnant women about the disease and self-care practices. Conclusion: The results of this study will be used to provide recommendations in the management of maternal perinatal care, that promote comprehensive care in accordance with the Primary Health Care policy. [ABSTRACT FROM AUTHOR]

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Objetivos: proveer recomendaciones clínicas basadas en evidencia para la prevención y el manejo de la enfermedad hipertensiva del embarazo EHE en EsSalud. Materiales y métodos: se conformó un grupo elaborador de la guía (GEG) que incluyó médicos especialistas y metodólogos. El GEG formuló ocho preguntas clínicas para ser respondidas por la presente Guía de Práctica Clínica (GPC). Se realizaron búsquedas sistemáticas de revisiones sistemáticas y, cuando se consideró pertinente, estudios primarios en PubMed y Central durante 2021. Se seleccionó la evidencia para responder cada una de las preguntas clínicas planteadas. La certeza de la evidencia fue evaluada usando la metodología. En reuniones de trabajo periódicas, el GEG usó la metodología Grading of Recommendations Assessment, Development, and Evaluation (GRADE) para calificar la evidencia y formular las recomendaciones. Además se resentan los puntos de buenas prácticas clínicas (BPC) y los flujogramas de prevención, manejo y seguimiento. Finalmente, la GPC fue aprobada por Resolución 112-IETSI-ESSALUD-2021. Resultados: en la presente GPC se formularon 11 recomendaciones (6 fuertes y 5 condicionales) que respondieron las preguntas clínicas definidas en el alcance de la GPC, acompañadas de 32 BPC y 3 flujogramas que abordan temas de prevención tratamiento y seguimiento de la EHE Conclusiones: como recomendaciones centrales de la guía se dan el uso de sulfato de magnesio para el tratamiento de la preeclampsia severa y la eclampsia. La guía deberá ser actualizada en tres años.

Copyright of Revista Habanera de Ciencias Médicas is the property of Universidad de Ciencias Medicas de La Habana and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introducción: Los trastornos hipertensivos durante el embarazo constituyen un problema de salud a nivel mundial. La educación para la salud es una estrategia que brinda a la mujer embarazada conocimientos y habilidades para el autocuidado. Objetivo: evaluar el efecto de intervenciones en educación para la salud sobre el conocimiento y las prácticas de autocuidado de mujeres embarazadas ante los trastornos hipertensivos en el embarazo, en comparación con la atención estándar del control prenatal. Materiales y Métodos: Protocolo de revisión sistemática y metaanálisis. El registro del estudio puede ser consultado en PROSPERO (CRD42021252401). La búsqueda se realizará en las siguientes bases de datos, PubMed/MEDLINE, CENTRAL, LILACS, CINAHL, EMBASE y WoS. Adicionalmente, registros de ensayos clínicos en ClinicalTrials y literatura gris en OpenGrey y Google Scholar. La búsqueda incluirá estudios de intervenciones en educación para la salud sobre conocimientos y prácticas de autocuidado ante los trastornos hipertensivos del embarazo. Los análisis estadísticos se llevarán a cabo con el software Review Manager. Los datos se combinarán mediante modelos de efectos aleatorios, los datos binarios con odds ratios o riesgos relativos y los datos continuos mediante diferencia de medias. La heterogeneidad entre los estudios se evaluará mediante la prueba Q-Cochran para medir la significancia y el estadístico l2 para medir la magnitud. Discusión: Este estudio aportará en el conocimiento de las intervenciones en salud que son efectivas para orientar y educar a las mujeres embarazadas sobre la enfermedad y prácticas de autocuidado. Conclusión: Los resultados de este estudio servirán para proporcionar recomendaciones en la gestión del cuidado materno perinatal, que promuevan atención integral acorde con la política de Atención Primaria en Salud. Como citar este artículo: Ulloa-Sabogal Iliana Milena, Pérez-Jaimes Giovanny Andrés, Arias-Rojas Edier Mauricio, Cañon-Montañez Wilson. Health education interventions on knowledge and self-care practices for hypertensive disorders during pregnancy: systematic review and meta-analysis protocol. Revista Cuidarte. 2023;14(1):e2495. http://dx.doi.org/10.15649/cuidarte.2495

Objective: To map the diverse scientific evidence on nursing diagnoses and interventions in women with pregnancy hypertensive disorders under Primary Health Care. Materials and method: A scoping review was conducted through nine stages in seven databases and the thesis and dissertation catalog of the Coordinating Office for Improving Higher Education Personnel. The search was performed from January to March 2021. Results: A total of 2,505 articles were retrieved, of which five were included in the final review. Nine primary diagnoses from the 2009-2011 version of NANDA-I were identified. Each diagnosis was classified according to physical, psychological, behavioral, and environmental characteristics. The interventions were related to controlling pain, anxiety, hemodynamic dysfunctions, self-esteem level, fluid replacement, patient/environment hygiene, and sleep-rest ratio. Conclusions: The nursing diagnoses and interventions presented in this study corroborate the clinical practice and aid nursing professionals' reasoning. [ABSTRACT FROM AUTHOR]

Copyright of Revista Argentina de Cardiología is the property of Sociedad Argentina de Cardiologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objectives: To provide clinical recommendations based on evidence for the prevention and management of Hypertensive disorders of pregnancy (HDP) in the Social Health Insurance (EsSalud) of Peru. Materials and methods: A CPG for the the prevention and management of HDP in EsSalud was developed. To this end, a guideline development group (local GDG) was established, including medical specialists and methodologists. The local GDG formulated 8 clinical questions to be answered by this CPG. Systematic searches of systematic reviews and --when it was considered pertinent-- primary studies were searched in PubMed y Central during 2021. The evidence to answer each of the posed clinical questions was selected. The quality of the evidence was evaluated using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology. In periodic work meetings, the local GDG used the GRADE methodology to review the evidence and formulate the recommendations, the points of good clinical practice and flowcharts for the prevention, management and follow-up. Finally, the CPG was approved with Resolution 112-IETSI-ESSALUD-2021. Results: This CPG addressed 8 clinical questions, divided into three topics: prevention, management and follow-up of the HDP. Based on these questions, 11 recommendations (6 strong recommendations and 5 weak recommendations), 32 points of good clinical practice, and 3 flowcharts were formulated. Conclusions: The main recommendations in the guideline are the use of magnesium sulfate for the treatment of severe pre-eclampsia and eclampsia. The guideline must be updated in three years' time. [ABSTRACT FROM AUTHOR]

Objective. To estimate the point prevalence and likely ranges of pregnancy-induced hypertension, preeclampsia, gestational diabetes, low birth weight and preterm delivery in Latin America and the Caribbean, and evaluate the heterogeneity of the estimates. Methods. We conducted a systematic review and meta-analysis of observational studies reporting the prevalence of maternal and perinatal adverse outcomes in populations in Latin American and the Caribbean published between 2000 and 2019 in English, Spanish, or Portuguese. We searched PubMed, Embase, and LILACS. We estimated the point prevalence and evaluated overall heterogeneity and, in sub-group analyses, heterogeneity by study design and level of bias. Results. Of 1087 records retrieved, 50 articles were included in the review: two on hypertensive disorders of pregnancy, 14 on pre-eclampsia, six on gestational diabetes, nine on low birth weight and 19 on preterm birth. No meta-analysis for hypertensive disorders of pregnancy could be done because of the small number of studies. Point prevalence estimates and 95% confidence intervals (CIs) for pre-eclampsia, gestational diabetes, low birth weight, and preterm birth were: 6.6% (95% CI: 4.9%, 8.6%), 8.5% (95% CI: 3.9%, 14.7%), 8.5% (95% CI: 7.2%, 9.8%), and 10.0% (95% CI: 8.0%, 12.0%), respectively. We observed substantial heterogeneity overall and by study design. No major differences in estimates were observed by level of bias. Conclusions. The results of this study provide updated estimates of some of the most prevalent adverse pregnancy and perinatal outcomes in Latin America and the Caribbean. They highlight that important heterogeneity exists in prevalence estimates, which may reflect the diversity of populations in the region. [ABSTRACT FROM AUTHOR]

Background: Preeclampsia is the main cause of morbidity, mortality, maternal and perinatal disability, making its diagnosis and prevention important.Objective: to validate the predictive value of the angiogenic test (sFlt / PIGF ratio) in hypertensive disorders of pregnancy.Methods: a descriptive cross-sectional study was carried out at the Gynecology and Obstetrics Service, Dr. Gustavo Aldereguía Lima Hospital, Cienfuegos, from January 2017 to December 2018. 125 pregnant women with suspected pre-eclampsia, from the Total number of patients admitted with high blood pressure were studied. They were divided into two groups according to the diagnostic values of the Roche angiogenic test (sFlt / PIGF ratio), and perinatal results and maternal complications were compared. The Chi square statistic (p Results: the angiogenic test was positive more frequently in those pregnant women who developed eclampsia preeclamsia, with 90.7% vs. 9.3% in those who did not develop eclampsia preeclamsia (p = 0.000); as well as those less than 34 weeks of gestational age who developed pre-eclampsia (72%), with high sensitivity and specificity. The use of the test in the follow-up of the patients was associated with a tendency to prolong the pregnancy. Its positivity was more related to maternal, fetal and neonatal complications.Conclusion: a positive value of the test implies an increased risk of developing preeclamsia eclampsia and maternal complications, as well as adverse perinatal results. The angiogenic test showed utility in the diagnosis and prognosis of the disease.

Introducción. La preeclampsia es una enfermedad con alta frecuencia a nivel mundial relacionada con la gestación. Las pacientes que la padecen pueden precisar un procedimiento anestésico por diversos motivos, incluidas las complicaciones graves. Objetivo. Realizar una revisión narrativa de la literatura respecto a las pautas principales del tratamiento anestésico de pacientes con preeclampsia. Materiales y métodos. Se realizó una búsqueda estructurada en las bases de datos ProQuest, EBSCO, ScienceDirect, PubMed, LILACS, Embase, Trip Database, SciELO y Cochrane Library con los términos Anesthesia AND pre-eclampsia AND therapeutics; hypertension, Pregnancy-Induced AND anesthesia AND therapeutics; anesthesia AND pre-eclampsia; hypertension, pregnancy induced AND anesthesia. La búsqueda se hizo en inglés con sus equivalentes en español. Resultados. Se encontraron 61 artículos con información relevante para el desarrollo de la presente revisión. Conclusiones. Una valoración preanestésica y la instauración temprana de las técnicas analgésicas y anestésicas pueden mitigar el impacto de complicaciones derivadas del curso de la preeclampsia. Respecto a desenlaces mayores, no existe diferencia significativa entre los distintos tipos de anestesia.

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Introducción. El quiloperitoneo consiste en la presencia de fluido linfático en la cavidad intraabdominal, complicación poco descrita en el embarazo y cuyas repercusiones no están bien establecidas. Reporte de caso. Se presenta el caso de una mujer gestante con embarazo de 36,5 semanas, sin comorbilidades, hospitalizada por presentar cifras tensionales elevadas asociadas a síntomas de encefalopatía hipertensiva y bradicardia fetal sostenida; se le practicó una cesárea urgente en la cual se evidenció corioperitoneo incidental. La tomografía computarizada abdominal de control no demostró alteraciones. Discusión. Se descartaron las principales causas del quiloperitoneo, las cuales son neoplasia maligna y trauma. Se consideró que se trataba de un quiloperitoneo espontáneo posiblemente relacionado con la congestión pélvica propia del embarazo, por vasodilatación secundaria al influjo hormonal, aumento de la presión intraabdominal y contribución del volumen ascítico por la preeclampsia, que genera ruptura traumática de los vasos linfáticos. Conclusión. La ascitis quilosa es una entidad poco frecuente que puede verse asociada con el embarazo. Es fundamental el criterio acertado del ginecoobstetra para determinar tempranamente la etiología.

Background: Preeclampsia is the main cause of morbidity, mortality, maternal and perinatal disability, making its diagnosis and prevention important. Objective: to validate the predictive value of the angiogenic test (sFlt/PIGF ratio) in hypertensive disorders of pregnancy. Methods: a descriptive cross-sectional study was carried out at the Gynecology and Obstetrics Service, Dr. Gustavo Aldereguía Lima Hospital, Cienfuegos, from January 2017 to December 2018. 125 pregnant women with suspected pre-eclampsia, from the Total number of patients admitted with high blood pressure were studied. They were divided into two groups according to the diagnostic values of the Roche angiogenic test (sFlt/PIGF ratio), and perinatal results and maternal complications were compared. The Chi square statistic (p <0.05) was used and the risk ratio (95% CI) was calculated. Results: the angiogenic test was positive more frequently in those pregnant women who developed eclampsia preeclampsia, with 90.7% vs. 9.3% in those who did not develop eclampsia preeclampsia (p = 0.000); as well as those less than 34 weeks of gestational age who developed pre-eclampsia (72%), with high sensitivity and specificity. The use of the test in the follow-up of the patients was associated with a tendency to prolong the pregnancy. Its positivity was more related to maternal, fetal and neonatal complications. Conclusion: a positive value of the test implies an increased risk of developing preeclampsia eclampsia and maternal complications, as well as adverse perinatal results. The angiogenic test showed utility in the diagnosis and prognosis of the disease. [ABSTRACT FROM AUTHOR]

Objective: To identify in the literature the perinatal outcomes in pregnant women with hypertensive syndromes. Method: It is an integrative review with a collection of publications indexed in LILACS, PUBMED, SCOPUS and WEB OF SCIENCE, during January 2017. The descriptors used were: pregnancy-induced hypertension, perinatal and neonatology care. Results: The perinatal outcomes with the highest incidence were: perinatal mortality, prematurity, low APGAR in the 1st and 5th minute of life, newborns small for gestational age, admission to the intensive care unit, intrauterine growth restriction, and cesarean delivery. Among the investigated pathologies, pre-eclampsia stood out (80.6%) and 3% of the articles addressed severe pre-eclampsia. Conclusions: Investigations that analyze the exposure of the fetus/neonate to the maternal condition of severe pre-eclampsia and chronic hypertension overlapped by pre-eclampsia, constitute knowledge gaps. [ABSTRACT FROM AUTHOR]

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RESUMEN Se realizó una intervención educativa en 75 gestantes con riesgo de padecer enfermedad hipertensiva gestacional, pertenecientes a la policlínica 1 Francisca Rivero Arocha de Manzanillo en Granma, desde enero hasta octubre del 2016 a fin de modificar algunos conocimientos sobre esta afección y así mejorar la calidad de vida de estas gestantes. En la casuística se obtuvo predominio de las embarazadas de 35 y más años, con antecedentes personales y familiares de hipertensión arterial crónica, nulípara y con peso normal. Antes de la acción educativa, la mayoría de las afectadas tenían nociones inadecuadas al respecto y después de esta lograron modificarlas positivamente, por lo cual se demostró la efectividad del programa de actividades aplicado. ABSTRACT An educational intervention was carried out on 75 pregnant women at risk of suffering from gestational hypertensive disease, belonging to Polyclinic 1 Francisca Rivero Arocha of Manzanillo in Granma, from January to October 2016 in order to modify some knowledge about this condition and improve the Quality of life of these pregnant women. In the sample, the prevalence of pregnant women aged 35 and over, with a personal and family history of chronic, nulliparous and normal-weight hypertension, was predominant. Before the educational action, the majority of the affected ones had inadequate notions on the subject and after this managed to modify them positively, for which the effectiveness of the program of activities was demonstrated.

Objetivo: Determinar los factores que se asocian con los Trastornos Hipertensivos del Embarazo y la interacción entre ellos con el fin de establecer la dinámica de presentación clínica. Metodología: Estudio Observacional Analítico y Retrospectivo de tipo Casos y Controles con aplicación de Red de Probabilidad Neuronal Multicapa (RPNM). Se utilizó una muestra de 42 mujeres con Trastornos Hipertensivos del Embarazo y 80 mujeres sin THE. Se utilizó el programa SPSS 19® para el análisis descriptivo y aplicación de la RPNM. Para el análisis de casos y controles, se utilizó el programa Vassarstats©. Resultados: Se encontraron factores comunes para la preeclampsia y la hipertensión gestacional, menores de 21 años con mayor prevalencia de THE (p≤0.05). El aborto con un (OR=0.22; (IC: 0.060-0.796) p>0.05), el sobrepeso con un (OR=5.9; (IC: 2.34-14.9) p=0.0001) y el estrés durante el embarazo (OR: 3.85 (IC: 1.63-9.08) p=0.01). Conclusión: Se evidencia la existencia de factores comunes tanto protectores como de riesgo y su interacción para presentar THE.

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Copyright of Nereis is the property of Universidad Catolica de Valencia, San Vicente Martir and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Los estados hipertensivos del embarazo son un conjunto de trastornos que acontecen en gestantes, siendo una de las principales causas de morbimortalidad materna y perinatal. Se clasifican en: hipertensión crónica, hipertensión gestacional, preeclampsia e hipertensión crónica con preclampsia sobreañadida. El adecuado control de la presión arterial es clave para su seguimiento. Objetivos: describir el perfil de los recién nacidos fruto de una gestación con estados hipertensivos y estudiar si existe relación con el tipo de alteración hipertensiva de la madre. Pacientes y Método: estudio de cohortes retrospectivo, que incluye a recién nacidos de gestantes con estados hipertensivos, seguidas en la unidad de hipertensión arterial, y que naciesen entre el 1 de enero de 2009 y el 31 de diciembre de 2015. Resultados: la muestra estuvo formada por 84 sujetos. La edad gestacional fue de 37,1 y el peso al nacer fue de 2.782,7 g. Las menores edades gestacionales y peso al nacer fueron en hijos de gestantes con preeclampsia o hipertensión crónica con preeclampsia sobreañadida (p

Hypertension pregnancy-induced is a public health problem. Objective was to identify the maternal mortality ratio for hypertension in the years 2000 to 2013, in municipalities of the first Health Region of the State of Ceará. This's a descriptive, retrospective and quantitative epidemiological study of secondary data, carried out from maternal deaths due to hypertension occurred between 2000 and 2013, in municipalities of the first Region of Health of the State of Ceará, obtained on the website of the Department of Informatics of the Unified Health System. Data collection took place in January 2016. 76 maternal deaths due to hypertension were identified in municipalities of the first Health Region of the State of Ceará, of which 69 (90.8%) occurred in Fortaleza-CE; 544,618 (94.6%) of the population with the highest number of live births. In 2004, 2006 and 2013, there were more records of maternal deaths due to hypertension, all with 08 cases. Eclampsia was the most prevalent among the deaths, 31 (40.7%). Maternal mortality ratio was higher in 2013, with 20.3 maternal deaths due to hypertension for 100,000 live births. Nurses and health professionals should be trained to promote quality and humanized care and thus reduce maternal morbidity and mortality rates. [ABSTRACT FROM AUTHOR]

Objective: understand the association between maternal health and the newborn's health. Method: a retrospective longitudinal study was carried out in a service of obstetrics during the period of February 27 to June 12, 2017, to 295 singleton pregnancies. Data was obtained through records in the pregnancy health bulletin and in the clinical process of birth registration. Results: women with overweight and pregestational obesity or excessive gestational weight gain had newborns with higher values in most of the parameters evaluated, namely weight, weight percentile, weight z -score, height, height percentile and height z-score. On the other hand, women with gestational diabetes mellitus or arterial hypertension during pregnancy had smaller newborns, considering, namely, the z-score of the weight and the z-score of the body mass index. Conclusion: it was confirmed that women with overweight and pregestational obesity or excessive gestational weight gain had larger newborns, and women with Gestational diabetes mellitus or pregnancy hypertension had smaller newborns. [ABSTRACT FROM AUTHOR]

Copyright of Enfermería Nefrológica is the property of Sociedad Espanola de Enfermeria Nefrologica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introducción: la preeclampsia representa un gran riesgo para la madre y el producto de la concepción. Objetivo: evaluar la repercusión que tiene la hipertensión originada por el embarazo en la gestación, el parto y el recién nacido. Material y método: se realizó una investigación prospectiva, longitudinal y analítica en el Policlínico Universitario "Hermanos Cruz", en el período comprendido entre mayo de 2011 y mayo de 2012; el universo de estudio estuvo conformado por todas las gestantes pertenecientes a dicho policlínico, mientras la muestra se formó con 130 gestantes que se dividieron en dos grupos, el grupo estudio las pacientes a las que se les diagnosticó un preeclampsia (n = 31) y el grupo control gestante sin la enfermedad (n = 93). Se analizaron diferentes variables del parto y el neonato. Los resultados se calcularon a través del test de ji cuadrado con nivel de significación de p < 0,05. Resultados: la prematuridad se presentó en el 22.58 %, la inducción del parto fue utilizada en 19 gestantes, la cesárea se realizó en el 70.97 %, los neonatos con bajo peso se presentaron en el 54.84 % del grupo estudio y el 38.71 % de los recién nacidos tuvieron puntaje de Apgar bajo a los cinco minutos. Todas las variables fueron altamente significativas. Conclusiones: la preeclampsia influye negativamente en el parto y el recién nacido. Además de considerarse como factor de riesgo para que se produzcan eventos nocivos en la madre y el neonato.

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Salud Uninorte is the property of Fundacion Universidad del Norte and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

La hidropesía fetal es un grave proceso de elevada mortalidad perinatal, de etiología multifactorial, caracterizado por un síndrome edematoso generalizado, con o sin acumulación de líquido en las cavidades serosas del organismo fetal. Se presenta un caso de hidropesía fetal no inmunológica en una paciente de sexo femenino, de color de piel blanca y de 20 años de edad con enfermedad hipertensiva grave, diagnosticada mediante ultrasonido, como estudio de bienestar fetal a las 35,1 semanas de gestación, cuando fue remitida desde su área de salud por presentar cifras de tensión arterial de 160/100 mmHg. A su llegada al cuerpo de guardia de ginecobstetricia del hospital Héroes del Baire de la Isla de la Juventud se constataron cifras de 140/90 mmHg, se presentaba asintomática, por lo que se ingresó para estudio y tratamiento. Teniendo en cuenta el examen físico y el resultado del ultrasonido obstétrico, se decidió la interrupción de embarazo por cesárea de urgencia. Se recibió un recién nacido pretérmino de aspecto malformado. Se decide la presentación del caso por lo poco común de esta patología asociada a una enfermedad hipertensiva grave lo que incrementa el riesgo perinatal.

Trata-se de uma pesquisa documental que analisou a produção brasileira da pós-graduação stricto sensu em enfermagem relacionada à hipertensão gestacional. Para tal, utilizou-se como fonte de pesquisa o Banco de Teses e Dissertações da Associação Brasileira de Enfermagem. Identificaram-se 14 estudos produzidos entre 1979-2008, cuja produção concentrou-se na região sudeste, entre 1996-2008. O processo analítico revelou a preocupação com a subjetividade das gestantes e com aspectos voltados à assistência de enfermagem. Mostrou, também, que a maioria dos estudos envolveu metodologia qualitativa e sob sustentação de teorias de enfermagem. A experiência vivida pelas gestantes hipertensas é marcada por sentimentos negativos, por problemas socioeconômicos e é influenciada pela forma de organização familiar. A cultura das gestantes hipertensas é desconsiderada e elas são assistidas em um contexto no qual a doença é prioridade. Conclui-se que, apesar de alguns avanços científicos, o tema não tem despertado o interesse merecido entre os enfermeiros que cursam pós-graduação.

Background: the incidence of hypertensive disorders during pregnancy varies from study to study. Nevertheless, it is generally associated with high maternal morbidity, mostly in cases of pre-eclampsia/eclampsia. Objective: to determine the incidence of hypertensive disorders during pregnancy and to characterize patients from a demographic and obstetric point of view. Method: a cross sectional, analytic and observational study was conducted from January 1st to December 31st, 2010, at the “Enrique Cabrera” General Teaching Hospital, including all patients diagnosed with some hypertensive disorder that gave birth at this hospital. The sample consisted on 108 patients. Data were processed using SPSS-11, 5 statistics program with determination of frequencies, percents, averages comparison and Chi square assessment. Results: the incidence of hypertensive disorders during pregnancy at the “Enrique Cabrera” Hospital during the year 2010 was of 4, 2 %, being chronic hypertension (16, 2 x 1000) the most common disorder. Predominating conditions were primiparity in patients with eclampsia (100 %), pre-eclampsia (75 %) and transitory hypertension (74, 6 %); cesarean and abruptio placentae in patients with pre-eclampsia/eclampsia and the admission at the intensive care of patients with eclampsia (75 %). Conclusion: although the incidence of serious hypertensive disorders during pregnancy was low, complications and surgical delivery in patients with pre-eclampsia /eclampsia were high.