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Prevalence of Preeclampsia in Brazil: An Integrative Review

Authors :
José Paulo de Siqueira Guida
Beatriz Gadioli de Andrade
Luis Gabriel Ferreira Pissinatti
Bruna Fagundes Rodrigues
Caio Augusto Hartman
Maria Laura Costa
Source :
Revista Brasileira de Ginecologia e Obstetrícia, Vol 44, Iss 7, Pp 686-691 (2022)
Publication Year :
2022
Publisher :
Federação Brasileira das Sociedades de Ginecologia e Obstetrícia, 2022.

Abstract

Abstract Objective To review literature and estimate the occurrence of preeclampsia and its complications in Brazil. Methods We performed an integrative review of the literature, and included observational studies published until August 2021 on the SciELO and PubMed databases that evaluated preeclampsia among pregnant women in Brazil. Other variables of interests were maternal death, neonatal death, hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome, and eclampsia. Three independent reviewers evaluated all retrieved studies and selected those that met inclusion criteria. A metanalysis of the prevalence of preeclampsia and eclampsia was also performed, to estimate a pooled frequency of those conditions among the studies included. Results We retrieved 304 studies after the initial search; of those, 10 were included in the final analysis, with a total of 52,986 women considered. The pooled prevalence of preeclampsia was of 6.7%, with a total of 2,988 cases reported. The frequency of eclampsia ranged from 1.7% to 6.2%, while the occurrence of HELLP syndrome was underreported. Prematurity associated to hypertensive disorders ranged from 0.5% to 1.72%. Conclusion The frequency of preeclampsia was similar to that reported in other international studies, and it is increasing in Brazil, probably due to the adoption of new diagnostic criteria. The development of a national surveillance network would be essential to understand the problem of hypertensive disorders of pregnancy in Brazil.

Details

Language :
English, Portuguese
ISSN :
01007203
Volume :
44
Issue :
7
Database :
Directory of Open Access Journals
Journal :
Revista Brasileira de Ginecologia e Obstetrícia
Publication Type :
Academic Journal
Accession number :
edsdoj.6b5b1e7cfd1c4afb8e51acc1f361b345
Document Type :
article
Full Text :
https://doi.org/10.1055/s-0042-1742680