
Se examinan los resultados de la atención de 74 pacientes con Hipertensión inducida por el Embarazo hallados en 18,369 partos atendidos en el Hospital de Tingo María entre el 1° de Enero de 1971 al 31 de Diciembre de 1984, dando una incidencia de 0.4% (preeclampsia 0,32% y eclampsia 0.08); nulíparas 78,38%, adolescentes 48,69%, promedio edad 22.45 años, edad gestacional 37.12 semanas, paridad 0.95 y promedio peso de los productos 2945 gramos. El parto se resolvió por vía vaginal 87.84% y por cesárea 12.16%. Mortalidad materna 6.25% y fetal 18.75%. El tratamiento debe realizarse con paciente internada, por personal competente con sulfato de magnesio. Usamos hipotensores cuando la mínima se eleva de 120 mm/Hg. y no hacemos descender a menos de 90 mm/Hg. No usamos diuréticos ni restringimos agua ni sales. Con feto a término aceleramos el parto. Utilizamos la cesárea solamente por indicaciones obstétricas. El control prenatal es fundamental para disminuir la morbimortalidad materno fetal.
The outcomes of care of 74 patients with pregnancy induced hypertension found in 18,369 births in the Hospital of Tingo Maria from 1 January 1971 to December 31, 1984 are discussed, giving an incidence of 0.4% (preeclampsia 0.32% and 0.08 eclampsia); nulliparous 78.38% 48.69% adolescents, average age 22.45 years, 37.12 weeks gestational age, parity 0.95 and average weight of 2945 grams products. Birth vaginally resolved 87.84% and 12.16% cesarean. Maternal and fetal mortality 6.25% 18.75%. Treatment should be done with hospitalized patient, competent staff with magnesium sulfate. We use hypotensive when the minimum rises of 120 mm / Hg. and do not drop below 90 mm / Hg. We do not use water or diuretics or restrict sales. With term fetus we accelerate the delivery. We use only for obstetric cesarean indications. Prenatal care is essential to reduce maternal-fetal morbidity and mortality.
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