Profile of pregnant women with gestational hypertensive disturbances and development of instrument to qualify hospital service
DOI:
https://doi.org/10.33448/rsd-v10i2.8913Keywords:
Protocols; Pregnancy-induced hypertension; Pre-eclampsia and eclampsia; HELLP syndrome; Postpartum period.Abstract
DHG are the main causes of maternal death, and it is necessary to standardize and qualify assistance. Objective: to describe the profile of pregnant women with DHG and to develop instruments for qualifying care. Methods: it was developed in a private institution in southern Brazil. Period from January to December 2017. Variables: BP, IG, length of stay, previous pregnancy, prematurity, readmission, hospitalization in ICU. Protocol and discharge card elaborated. Steps: Team, literary review, needs; prototype; settings; approval and implementation. Results: 3,458 pregnant women hospitalized in 2017, 684 (19.78%) had high BP and 120 (3.47%) developed DHG. The changes (n = 684), mean age 31.6 years; GA at average delivery 37.7 weeks, primiparous (n = 377; 55.2%). The protocol included: Standardization of BP Measurement; Conduct; Diagnosis; Classification; Predisposing factors; Criterion for hospitalization; Management; Interruption of pregnancy; Discharge and medication. The card presents guidelines for the puerperium. Conclusion: Complications of gestational SAH extend to the puerperium. Products qualify for service.
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