Hipertensión inducida por el embarazo y peso de los productos al nacer

• Autores: Nicolás Padilla Raygoza, Rosalina Díaz Guerrero, María Laura Ruiz Paloalto, Cantlin Canfield, Alejandro A. Avecilla Hernández
• Localización: Acta Universitaria, ISSN-e 2007-9621, ISSN 0188-6266, Vol. 23, Nº. 1, 2013, págs. 3-8
• Idioma: español
• Enlaces
  • Texto completo
• Resumen
  • español

    Objetivo. Medir la asociacion que existe entre la hipertension inducida por el embarazo y el peso al nacer de los neonatos, en el Hospital General de Celaya. Tipo de estudio. Observacional, transversal y analitico. Sujetos: 1) Registros de mujeres embarazadas (n = 5 478), admitidas para su resolucion obstetrica, en el Hospital General de Celaya durante el ano 2008, y 2) registros del peso al nacer de los neonatos de estas mujeres. Variables: 1) Hipertension inducida por el embarazo (presion arterial de 140/90 mmHg o mayor despues de la semana 20 de gestacion), la cual se sub-clasifico en hipertension gestacional (presion arterial de 140/90 mmHg o mayor sin proteinuria) y preclampsia/eclampsia (presion arterial de 140/90 mmHg o mayor con proteinuria); 2) peso al nacer (< 2 500 g, 2 500 g . 3 499 g, . 3 500 g).

    Analisis estadistico: se calculo el Analisis de Varianza (ANOVA) entre estatus de hipertension arterial y peso al nacer, ajustada por edad gestacional. Resultados. Del 100% de la muestra (n = 5 478 registros), 14.73% (n = 807) tuvieron hipertension inducida por el embarazo, y de ellos, 10.92% (n = 598) fue hipertension gestacional y 3.82% (n = 209) preclampsia/ eclampsia. Los neonatos tuvieron media de peso 3 049.27 �} 600.22 g de madres hipertensas y 3 104.94 �} 502.57 g de madres normotensas, ANOVA F = 1.49, p = 0.00001: ajustado por edad gestacional F = 1.52, p = 0.0168. Conclusion. Hubo diferencias de los pesos al nacer de los neonatos de madres normotensas e hipertensas gestacionales; edad gestacional actuo como confusor

  • English

    Objective. The objective of this work was to measure the existing association between pregnancy- induced hypertension and birthweight at the Celaya General Hospital. Study design.

    Cross-sectional, observational, analytic study. Subjects: Registries of women admitted to the Celaya General Hospital for delivery during 2008. Variables: Pregnancy-induced hypertension (blood pressure of 140/90 mmHg or higher after 20 weeks of gestation), sub-classified as gestational hypertension (blood pressure of 140/90 mmHg or higher without proteinuria) and toxemia (blood pressure of 140/90 mmHg or higher with proteinuria); birthweight (< 2 500 g, 2 500 g � 3 499 g, > 3 500 g). Statistical analysis: it was calculated the Analysis of Variance (ANOVA) test was performed between the status of arterial hypertension and birthweight, and was adjusted using gestational age. Results. From the sample of 5 478 registries, 14.73% (n = 807) of women had pregnancy-induced hypertension; from them, 10.92% (n = 598) had gestational hypertension and 3.82% (n = 209) preclampsia/eclampsia. Newborns from hypertensive mothers had an average birthweight of 3 049.27 ± 600.22 g, while the birthweight of newborns from normotensive mothers was 3 104.94 ± 502.57 g, considering:

    ANOVA F = 1.49, p = 0.00001: adjusted by gestational age, F = 1.51, p = 0.0168. Conclusion.

    Newborns of normotensive and gestational hypertensive mothers showed differences in birthweight; gestational age acted as a confounder.