Hypertensive disorders of pregnancy in adolescents

Original Article

Authors

Keywords:

Pregnancy, Pre-eclampsia, Eclampsia, Adolescence, HELLP

Abstract

Introduction: pregnancy-induced hypertension is one of the most common complications of pregnancy and is responsible for a significant percentage of both maternal and perinatal morbidity and mortality. Materials and methods: The present is a descriptive, correlational, retrospective study with the aim of describing hypertensive disorders and their most frequent complications that occur during adolescent pregnancy. Results: It was found that of the 13-17 age group, 29% of the cases attended in the emergency and hospitalisation areas were able to receive emergency care in the hospital areas, while 71% received timely referral and care in tertiary hospital units. Conclusions: 92% of the screened cases were diagnosed as pre-eclampsia in its different variants, 7% of the cases were admitted as gestational hypertension and only 1% of the cases attended were registered as eclampsia.

Author Biographies

Stanley Farfán Cano, MD. Mprof., University of Guayaquil

University of Guayaquil, Guayaquil - Ecuador.

MSP - Sagrado Corazón de Jesús Hospital, Quevedo - Ecuador.

Rey Juan Carlos University, Madrid - Spain.

Harold Reynaldo Farfán Cano, University of Guayaquil

 

University of Guayaquil, Guayaquil - Ecuador

MSP - Martin Ycaza Hospital, Babahoyo - Ecuador

Diana Carolina Altamirano Rodas, Catholic University of Santiago of Guayaquil

Catholic University of Santiago of Guayaquil, Guayaquil - Ecuador

Roxana Marcela Quinde Zambrano, University of Guayaquil

University of Guayaquil, Guayaquil - Ecuador.

Wilson Loor MD., Catholic University of Santiago of Guayaquil

Medical Doctor, Catholic University of Santiago de Guayaquil

José Luis Damaso Zambrano Velasquez MD. Gyn-Obst, University of Guayaquil

Professor at the School of Medicine of the University of Guayaquil.

Specialist in Gynaecology and Obstetrics.

Evelyn América Cuadrado Suárez, MD., Catholic University of Santiago of Guayaquil

Medical Doctor, Universidad Católica de Santiago de Guayaquil, Guayaquil - Ecuador.

Medical auditor, Labomédica Medical Centre, Guayaquil - Ecuador.

References

Farfán Cano S. Trastornos Hipertensivos Durante El Embarazo En Adolescentes Y Sus Complicaciones, Hospital “Sagrado Corazón De Jesús. [Tesis de Grado] [Quevedo]: Universidad de Guayaquil; 2017. http://repositorio.ug.edu.ec/handle/redug/32129

Cunningham FG, Williams JW, e-libro C. Williams obstetricia. M??xico, D.F.: McGraw-Hill Interamericana; 2011. https://elibro.net/ereader/elibrodemo/101896 [Accessed 30th March 2022].

Duverges C, Schwarcz R, Fescina R. Enfermedades maternas inducidas por el embarazo o que lo complican. In: Obstetricia. 7a ed. Buenos Aires: El Ateneo; 2016. p. 301–313.

Fescina RH, Schwarcz RL, Duverges CA. Obstetricia. 2016.

González Merlo J, Lailla Vicens JM, Fabre Gonz??lez E, González Bosquet E. Obstetricia. Philadelphia: Elsevier; 2018. https://public.ebookcentral.proquest.com/choice/publicfullrecord.aspx?p=5554099 [Accessed 30th March 2022].

Ministerio de salud pública. Trastornos hipertensivos del embarazo: guía de práctica clínica. Quito: Ministerio de Salud Pública; 2013.

Ministerio de Salud. GUÍA PARA EL DIAGNÓSTICO Y TRATAMIENTO DE LA HIPERTENSIÓN EN EL EMBARAZO.. 2a ed. Argentina: Ministerio de Salud; 2010.

INEC. Base de datos del instituto nacional de estadisticas y censos. 2010.

National High Blood Pressure Education Program Working Group on High Blood Pressure in Pregnancy. Report of the National High Blood Pressure Education Program Working Group on High Blood Pressure in Pregnancy. American Journal of Obstetrics and Gynecology. 2000;183(1): s1–s22. https://doi.org/10.1067/mob.2000.107928.

National Guideline Alliance (Great Britain), National Institute for Health and Care Excellence (Great Britain). Hypertension in pregnancy: diagnosis and management. 2019. https://www.ncbi.nlm.nih.gov/books/NBK546004/ [Accessed 30th March 2022].

ACOG. ACOG Issues Updated Hypertension Guidance, Discusses New ACC/AHA Criteria. Washington; 2018. www.acog.org

Lowe S, Bowyer L, Lust K, McMahon L, Morton M, North R, et al. Guideline for the management of Hypertensiove Disorders of Pregnancy.. 2014th ed. Society of Obstetric Medicine of Australia and New Zealand; 2014. https://www.somanz.org/content/uploads/2020/07/HTguidelineupdatedJune2015.pdf

Magee LA, Pels A, Helewa M, Rey E, von Dadelszen P, Magee LA, et al. Diagnosis, Evaluation, and Management of the Hypertensive Disorders of Pregnancy: Executive Summary. Journal of Obstetrics and Gynaecology Canada. 2014;36(5): 416–438. https://doi.org/10.1016/S1701-2163(15)30588-0.

SEGO. Trastornos hipertensivos del embarazo. Madrid; 2006. https://sego.es/documentos/gap/61-Trastornos-Hipertensivos-del-Embarazo1.pdf

SEGO. Trastornos hipertensivos en la gestación. Guía de Asistencia Práctica. Prog Obstet Ginecol. 2020;63: 244–272.

Hospital Sant Joan de Déu. Protocolo: Hipertensión y gestación. Barcelona, España; s.f. https://medicinafetalbarcelona.org/protocolos/es/patologia-materna-obstetrica/hipertensi%C3%B3n%20y%20gestaci%C3%B3n.pdf

Bellart J, Comino R, Gatacrós E, Sociedad Española de Ginecología y Obstetricia. Estados Hipertensivos del Embarazo. Sociedad Española de Ginecología y Obstetricia. 2007;

Magee LA, Dadelszen P von, Stones W, Mathai M. The FIGO textbook of pregnancy hypertension: an evidence-based guide to monitoring, prevention and management?: incorporating the key findings of the PRE-EMPT global studies. 2016.

Duley L, Meher S, Jones L. Drugs for treatment of very high blood pressure during pregnancy. Cochrane Pregnancy and Childbirth Group (ed.) Cochrane Database of Systematic Reviews. 2013; https://doi.org/10.1002/14651858.CD001449.pub3.

Abalos E, Duley L, Steyn DW, Gialdini C. Antihypertensive drug therapy for mild to moderate hypertension during pregnancy. Cochrane Pregnancy and Childbirth Group (ed.) Cochrane Database of Systematic Reviews. 2018;2018(10). https://doi.org/10.1002/14651858.CD002252.pub4.

From the middle of the world

Published

2022-04-05

How to Cite

Farfán-Cano, S. G., Farfán-Cano, H. R., Altamirano-Rodas, D. C., Quinde-Zambrano, R. M., Loor-Parada, W. F., Zambrano-Velasquez, J. L. D., & Cuadrado Suárez, E. A. (2022). Hypertensive disorders of pregnancy in adolescents: Original Article. Ciencia Ecuador , 4(1), 22-34. Retrieved from https://www.cienciaecuador.com.ec/index.php/ojs/article/view/60

Issue

Section

Health, Life and Biological Sciences

Most read articles by the same author(s)