Abstract
Objectives Identify maternal and perinatal outcome of vaginal parturition in pregnant women with Chronic Arterial Hypertension (CAH). Methods A transversal and retrospective study was performed involving all pregnant women who were attended at Hospital Guilherme Alvaro’s Prenatal Service for Women with Hypertension or Nephropathies in Santos–SP/Brazil in the period (January 2012–December 2013) and that had obstetric resolution by vaginal delivery, totaling 31 pregnant women. A descriptive and exploratory analysis of the collected data through frequency tables and graphics was performed. Results The most frequent expression of CAH found was the mild form (diastolic arterial blood pressure 90–100 mmHg) with a 93.55% share of all cases studied. Variable Result Variable Result Maternal age Average of 33.29 years old Uterine atony on the puerperium Two patients (6.45%) Number of gestations Average of 3.84 Average duration of maternal hospitalization 5.45 days Number of parities Average of 2.19 Prematurity 16.13% Interrelation with co-morbidities Obesity (41.94%) and diabetic (35.48%) Weight of newborn ⩾ 2500 g 87.10% Association with preeclampsia 38.71% Apgar score at 5 min ⩾ 7 93.55% Most used diagnosis method of PE Proteinuria/24-h (58.33%) Meconium amniotic fluid at delivery None Administration of magnesium sulfate and hypotensor One patient Perinatal complications Isolated birth injury (46.67%) Birth injury and respiratory distress (26.67%) Isolated respiratory distress (20%) and neonatal anoxia (6.66%) Most used method for the induction Misoprostol followed by Oxytocin (52.17%) Admission in neonatal Intensive Care Unit 03 newborns (9.68%) Admission in Intensive maternal Care Unit One patient (3.23%) Neonatal death One (3.23%) Conclusions Maternal intercurrences are not related to via of delivery and perinatal complications when present did not correlate with the CAH. Despite the small sample on the study, there were no maternal and perinatal adverse outcomes that contraindicate vaginal delivery in patients with Chronic Arterial Hypertension. Disclosures M. David: None. V. de Campos: None. P. Rahe: None. M. da Silva: None. F. Marques: None. V. Marcal: None. J. Garcia: None. M. Paltronieri: None. M. Saito: None. S. de Toledo: None. R. Guidoni: None. F. Sousa: None.
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