127 Hypertension at an early stage of prenatal is a major risk factor for adverse neonatal outcomes

Abstract

Objective To analyze which of the maternal risk factors for PE is more predictive unfavorable perinatal outcomes between women diagnosed with Severe PE. Methods Over a period of twelve months, (2014–2015), 208 cases of severe preeclampsia were included in a observational and retrospective cohort study. This study was conducted at the Maternity School Assis Chateaubriand in Fortaleza, State of Ceara, Brazil. The maternal risk factors were analized by the Student ’T’ test and logistic regression Results Of the 208 patients analyzed obtained in perinatal outcomes 39 (18%) cases of SGA, 17 (8.17%) cases of intrapartum anoxia and 10 (4.8%) cases of fetal death. Early- and late-onset severe preeclampsia differed from each other remarkably. The increased arterial systolic and diastolic pressure early in the prenatal care was the most important predictive factor to unfavorable perinatal outcomes (OR = 1.13, CI- 1.00 to 1.06; p = 0,03) Conclusion women with Hypertension in the beginning of prenatal care was an important risk factor to early preeclampsia and unfavorable perinatal outcomes; therefore, the Primiparity was protector parameter.