• Rev Assoc Med Bras (1992) · Jan 2023

    Maternal-fetal outcomes of women with hypertensive disorders of pregnancy.

    • Ivete Matias Xavier, Ana Carolina Zimmermann Simões, Ronnier de Oliveira, Yasha Emerenciano Barros, Ayane Cristine Alves Sarmento, MedeirosKleyton Santos deKS0000-0002-4105-7535Universidade Federal do Rio Grande do Norte, Department of Obstetrics and Gynecology - Natal (RN), Brazil.Universidade Federal do Rio Grande do Norte, Health Sciences Center - Natal (RN), Brazil., Ana Paula Ferreira Costa, Henri Korkes, and Ana Katherine Gonçalves.
    • Universidade Federal do Rio Grande do Norte, Postgraduate Program in Applied Sciences to Women's Health - Natal (RN), Brazil.
    • Rev Assoc Med Bras (1992). 2023 Jan 1; 69 (6): e20230060e20230060.

    ObjectiveThe objective of this study was to determine adverse maternal and perinatal outcomes in pregnant women with hypertensive disorders of pregnancy.MethodsAn analytical cross-sectional study was conducted on women admitted with hypertensive disorders of pregnancies to a university maternity hospital from August 2020 to August 2022. Data were collected using a pretested structured questionnaire. Variables associated with adverse maternal and perinatal outcomes were compared using multivariable binomial regression.ResultsOf 501 women with pregnancies, 2, 35, 14, and 49% had eclampsia, preeclampsia, chronic hypertension, and gestational hypertension, respectively. Women with preeclampsia/eclampsia had significantly higher risks of cesarean section (79.4 vs. 65%; adjusted RR, 2,139; 95%CI, 1,386-3,302; p=0.001) and preterm delivery at <34 weeks' gestation (20.5 vs. 6%; adjusted RR, 2.5; 95%CI, 1.19-5.25; p=0.01) than those of women with chronic/gestational hypertension. Risks of prolonged maternal hospitalization (43.9 vs. 27.1%), neonatal intensive care unit admission (30.7 vs. 19.8%), and perinatal mortality (23.5 vs. 11.2%) were higher among women with preeclampsia/eclampsia.ConclusionsWomen with preeclampsia/eclampsia had a higher risk of adverse maternal and neonatal outcomes than those with chronic or gestational hypertension. This major maternity care center requires strategies for preventing and managing preeclampsia/eclampsia to improve pregnancy outcomes.

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