Gestational hypertensive disease and cardiac conditions during pregnancy in a tertiary-level public maternity hospital: A temporal analysis
DOI:
https://doi.org/10.33448/rsd-v13i8.44138Keywords:
Gestational hypertensive disorder; Heart disease; Women's health; Pre-eclampsia; Eclampsia.Abstract
Introduction: Ministry of Health data demonstrate that gestational hypertensive disorders have an incidence of 1 to 4% of pregnancies, being the main cause of maternal morbidity and mortality. Regarding heart diseases, the rate of pregnant women affected reaches 4.2%, eight times higher than the international average. Objectives: To study the epidemiological profile of pregnant women admitted to a high-risk maternity ward with gestational hypertensive disorders and/or congenital or acquired heart diseases and analyze possible favorable and unfavorable predictors of maternal and newborn risk. Methods: From January 2022 to June 2023, 282 medical records of pregnant women admitted to Nossa Senhora de Lourdes Maternity Hospital, Aracaju, Sergipe, with a diagnosis of gestational hypertensive syndrome (GHS) and congenital or acquired heart diseases accompanied by obstetrics and cardiology services of the institution were evaluated. A quantitative, descriptive, retrospective, and documentary study was conducted. Results: Of the 282 medical records evaluated, the median age of pregnant women was 30 [IQR 24-36] years. The median gestational age was 37 [IQR 33-38] weeks. Cesarean section (69.1%) was the prevalent delivery method. It was observed that 79.4% of patients had GHS, and 34% had some type of heart disease. There was one maternal death (0.3%) and 13 (4.6%) newborn deaths. The prevalent pathology associated with newborn deaths was GHS. Conclusion: After this epidemiological analysis, a low maternal mortality rate is evident, highlighting the importance of the cardio-obstetric team and the need for improvement in records and workflows.
References
Avila, W. K., Ribeiro, V. M., Rossi, E. G., Binotto, M. A., Bortolotto, M. R., Testa, C., Francisco, R., Hajjar, L. A., & Miura, N. (2019). Gravidez em portadoras de cardiopatias congênitas complexas: um constante desafio. Arq Bras Cardiol, 113(6), 1062-1069.
Betancur-Pizarro, A. M., Arévalo-Guerrero, E. F., Fortich-Hoyos, F. M., & Senior-Sánchez, J. M. (2020). Risk factors for cardiac, obstetric, and neonatal complications in patients with heart disease during pregnancy. Arch. Cardiol. Méx., 90(2), 849-942. 10.24875/ACME.M20000128
Dorner, A., Ribeiro, C. C. F. S., Moraes, A., & Schimiguel, A. D. (2023). Perfil clínico e epidemiológico de mulheres que receberam diagnóstico de síndrome hipertensiva na gestação. Arquivos de Ciências da Saúde da UNIPAR, 27(9), 4989-5003.
De Carvalho, B. D., Mendanha, T. S., Vasconcelos, M. B. C. N., De Farias, T. B., De Oliveira, L. G., Brito, L. M., & Manzo, G. C. (2023). Mecanismos fisiopatológicos das síndromes hipertensivas gestacionais. Research, Society and Development, 12(9), e10712943319-e10712943319.
De Moura Santos, I., & Almeida-Santos, M. A. (2023). Perfil epidemiológico da mortalidade materna por síndromes hipertensivas gestacionais. Research, Society and Development, 12(4), e21712441307-e21712441307.
De Olegário, W. J. R., Barbudo, G. S., Gomes, M. A. L., Santos, B. S. S., Ramos, J. A., Jacobsen, G., & Prado, C. D. (2023). Distúrbio hipertensivo gestacional: uma gravidez de alto risco. RECIMA21-Revista Científica Multidisciplinar, 4(2), e422727-e422727.
Henriques, K. G. G., De Souza, E. C., Da Silva, A. P. L., Dos Passos Meguins, K. C., Pinto, L. M., Amaral, P. L., & De Oliveira, L. V. (2022). Fatores de risco das síndromes hipertensivas específicas da gestação: revisão integrativa da literatura. Research, Society and Development, 11(5), e43911527981-e43911527981.
Lins, E. V. D., Oliveira, G. S., Quental, O. B., Santana, J. D., Elias, K. L., Souza, A. C., Santos, R. C. P., Souza, K. C., & Medeiros, R. L. S. F. M. (2022). Hipertensão gestacional e o risco de pré-eclâmpsia. Research, Society and Development, 11(8), e29111831197.
Moura, M. D. R. D. (2022). Síndrome hipertensiva gestacional e desfecho neonatal em prematuros.
Moura, M. D. R., Castro, M. P., Margotto, P. R., & Rugolo, L. M. S. S. (2011). Hipertensão arterial na gestação - importância do seguimento materno no desfecho neonatal. Com. Ciências Saúde, 22(1), S113-S120.
Oliveira, G. M. M., Almeida, M. C. C., Marques-Santos, C., Costa, M. E. N. C., Carvalho, R. C. M., Freire, C. M. V., ... & Alexandre, E. R. G. (2022). Posicionamento sobre a saúde cardiovascular nas mulheres – 2022. Arq Bras Cardiol, 119(5), 815-882.
Peixoto, R. S. B. (2022). Morbimortalidade em gestantes e puérperas atendidas por doenças hipertensivas na cidade de Salvador–Bahia no período de 2011 a 2020.
Pereira, A. S. et al. (2018). Metodologia de pesquisa. UFSM.
Ramlakhan, K. P., Johnson, M. R., & Roos-Hesselink, J. W. (2020). Pregnancy and cardiovascular disease. Nat Rev Cardiol, 17(11), 718-731. doi:10.1038/s41569-020-0390-z
Ramlakhan, K. P., Malhamé, I., Marelli, A., Rutz, T., Goland, S., Franx, A., ... & Roos-Hesselink, J. W. (2022). Hypertensive disorders of pregnant women with heart disease: the ESC EORP ROPAC Registry. European Heart Journal, 43(38), 3749-3761.
Resende, M. S. D. A. B., Santana, D. C., de Almeida, L. M. G. F., Aragão, G. L. B., Xavier, L. F. F., & Xavier, B. M. F. (2022). Perfil epidemiológico da mortalidade materna por doenças hipertensivas gestacionais no Brasil e em Sergipe, de 2010-2020. Brazilian Journal of Development, 8(6), 48365-48377.
Rodrigues, P. F., Araujo, A. C. G., Pereira, A. C., Viana, B. L. A., Cavalcante, I. S., Mendes, I. P. G., & Magalhães Neto, E. C (2017). (Revista Eletrônica Acervo Saúde / Electronic Journal Collection Health | ISSN 2178-2091).
Sbardelotto, T., de Brito Pitilin, É., Schirmer, J., Lentsck, M. H., Tavares de Resende e Silva, D., & Tombini, L. H. (2018). Características definidoras e fatores associados à ocorrência das síndromes hipertensivas gestacionais. Cogitare Enfermagem, 23(2).
Simon, C. M., Wippel, C. S., Quoos, C. R., & Stringuini, C. O. (2019). Doença hipertensiva gestacional: resultados maternos e perinatais em gestantes hipertensas. Rev. Bras. de Iniciação Científica (RBIC), 6(6), 126-138.
Silva, W. P. D. (2023). Pré-eclâmpsia-síndrome hipertensiva gestacional-uma revisão.
Sliwa, K., Bauersachs, J., Arany, Z., Spracklen, T. F., & Hilfiker-Kleiner, D. (2021). Peripartum cardiomyopathy: from genetics to management. European Heart Journal, 42, 3094–3102.
Xavier, C. A., Xavier, L. A., & Sousa, S. G. D. (2022). Doenças hipertensivas específicas da gravidez: perfil clínico e epidemiológico de gestantes com idade inferior a 17 anos. Brazilian Journal Of Health Review, 5(3), 9883-9900.
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Copyright (c) 2024 Julia Nataline Oliveira Barbosa; Roseane Lima Santos Porto; Mikaela Rodrigues Silva; Thallita Vasconcelos das Graças; Sílvia Alice Falcão dos Anjos; Celi Marques-Santos
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