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Objectives To characterize the profile of pregnant women with hypertensive syndromes classified as severe maternal morbidity (SMM) and near-miss (NM). Methods Longitudinal prospective descriptive study conducted at Guilherme Alvaro Hospital, Santos/SP-Brazil (June/2013–May/2014). Women during pregnancy, childbirth or postpartum period, showed some hypertensive syndrome (NHBPEP-2000) and were classified as MMG/NM were studied according of criteria Santos, classification adapted by the authors from the definitions of Waterstone et al. (2001) Mantel et al. (1998) and World Health Organization (2009), in which, NM were patients admitted to ICU, followed by records and interview in which maternal status variables were evaluated: age, body mass index (BMI), average diastolic blood pressure (DBP) at admission. Results There are 49 patients with Hypertensive Syndromes with defining criteria and MMG/NM, according to clinical, laboratory and data management, 19 were older than 35 years (38.7%); aged between 20 and 35 corresponded to 59.1% of the sample (29 patients); Mean BMI of 38.0. The mean DBP at admission was 87.8 mmHg, 13 patients (26.0%) of them had chronic hypertension (CH). Of the 23 patients who had pre-eclampsia (PE) superimposed, seven (14.2%) did not associate with other complication, 14 (28.5%) were associated with severe PE, one with eclampsia, while another associated to the HELLP syndrome. Six patients were admitted to ICU and all were diagnosed with severe PE; three (5.5%) had HELLP syndrome; and two had eclampsia. Table 1. Distribution of hypertensive disorders according to the criteria of severe maternal morbidity. PE CH Superimposed PE Severe PE Eclampsia HELLP SD N + − − − − − 1 + − − + − − 10 − − + − − − 7 − − + + − − 14 − − + + + − 1 − − + − + + 1 + − − + + + 1 − + − − − − 13 − − − − − + 1 Conclusions Considering the maternal age most affected and prevalence of obese pregnant, realizes the importance of pre-conception advice for this group. Also, recognize that the diagnosis of pre-eclampsia is more common among women affected by near-miss/severe maternal morbidity justifying skilled care for pregnant women with this disorder. Disclosures N. da Silva: None. L. Maruoka: None. M. Imad: None. L. Leme: None. S. Sashida: None. V. Alonso Neto: None. J. Sato: None. N. Miyashita: None. M. Mesquita: None. R. de Morais: None. E. de Souza: None. F. Sousa: None. |
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