Abstract
Describe the perinatal outcome of pregnancies affected by hypertensive disorders classified as severe maternal morbidity (SMM) and near-miss (NM). Longitudinal prospective study/descriptive (June/2013-May/2014 - Guilherme Álvaro Hospital, Santos-Brazil), included women with hypertensive disorders by definition (NHBPEP-2000) and at least one of the criteria recommended by the authors (Santos criteria) derived from the definition of MMG and NM (admission ICU) of the World Health Organization (2009), Waterstone et al. (2001), Mantel et al. (1998), followed by records and interview in which maternal status variables were evaluated: economic status/quality of prenatal/instruction on clinical signs of severity in hypertensive pregnant women/type of delivery. Perinatal variables: vitality at birth (live births and stillbirths) in the amount of births, Apgar/Gestational age at delivery, weight less than adequate (SGA), admission in NICU/death neonatal. Forty-two cases of hypertensive disorders, with prevalence of low education, low income; average maternal age of 31.05 years and 23.8% of women above 35 years. Coverage of antenatal care in most of the women was inadequate; they were not warned of danger signals for preeclampsia. 47.61% had superimposed preeclampsia, and 19.04% isolated preeclampsia; 2 cases of eclampsia and 1 HELLP syndrome. 71.42% of deliveries were by cesarean section, with seven cases of stillbirth. Empty CellLive births%Results of perinatal variables of live birthsTotal of live births35100SGA822.95th min Apgar score <7514.2Neonatal ICU1337.1Neonatal death514.3Preterm birth2160 Hypertensive pregnant women presenting with criteria for severe maternal morbidity and near miss develop adverse perinatal outcomes, predominantly with preterm delivery and associated complications such as with frequent admissions to the intensive care unit and inadequate birth weight. Superimposed preeclampsia was associated with all cases of fetal death. Continuing this line of research will broaden the information on the perinatal outcomes in these women. M. Imad: None. L. Maruoka: None. L. Leme: None. N. da Silva: None. S. Sashida: None. V. Alonso Neto: None. J. Garcia: None. S. de Toledo: None. R. Guidoni: None. N. Sass: None. F. Sousa: None.
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