| Maternal mortality due to arterial hypertension in São Paulo City (1995-1999). | |
| | |
MedLine Citation:
|
PMID: 18209907 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
AIM: To describe the case profile of maternal death resulting from hypertensive disorders in pregnancy and to propose measures for its reduction. METHODS: The Committee on Maternal Mortality of São Paulo City has identified 609 cases of obstetric maternal death between 1995 and 1999 with an underreporting rate of 52.2% and a maternal mortality rate of 56.7/100,000 live births. Arterial hypertension was the main cause of maternal death, corresponding to 142 (23.3%) cases. RESULTS: Ninety-five (66.9%) of the deaths occurred during the puerperal period and 34 (23.9%) occurred during pregnancy. The time of death was not reported in 13 (9.2%) cases. Seizures were observed in 41 cases and magnesium sulfate was used in four of them. The causes of death were ruled to be cerebrovascular accident (44.4%), acute pulmonary edema (24.6%), and coagulopathies (14.1%). Cesarean section was performed in 85 (59.9%) cases and vaginal delivery in 15 (16.0%). CONCLUSION: Complications of arterial hypertension are responsible for the high rates of pregnancy-related maternal death in São Paulo City. Quality prenatal care and appropriate monitoring of the hypertensive pregnant patient during and after delivery are important measures for better control of this condition and are essential to reduce disorders in pregnancy. |
| | |
Authors:
|
Carlos Eduardo Pereira Vega; Soubhi Kahhale; Marcelo Zugaib |
Related Documents
:
|
20629907 - Cardiovascular conditions and the evaluation of the heart in pregnancy-associated autop... 11300307 - Hidden from view: violent deaths among pregnant women in the district of columbia, 1988... 2761907 - Multiple pregnancy with late death of one fetus. 7132877 - Death from a snake bite: associated with the supine hypotensive syndrome of pregnancy. 4050917 - Elevated maternal glycohemoglobin in early pregnancy and spontaneous abortion among ins... 1932877 - Abstaining for foetal health: the fiction that even light drinking is dangerous. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Clinics (São Paulo, Brazil) Volume: 62 ISSN: 1807-5932 ISO Abbreviation: Clinics (Sao Paulo) Publication Date: 2007 Dec |
Date Detail:
|
Created Date: 2008-01-22 Completed Date: 2009-01-26 Revised Date: 2009-05-20 |
Medline Journal Info:
|
Nlm Unique ID: 101244734 Medline TA: Clinics (Sao Paulo) Country: Brazil |
Other Details:
|
Languages: eng Pagination: 679-84 Citation Subset: IM |
Affiliation:
|
Department of Obstetrics and Gynecology, University Medical School, São Paulo, SP, Brasil. carlosvega@terra.com.br |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Age Distribution Brazil / epidemiology Child Eclampsia / drug therapy, mortality Epidemiologic Methods Female Humans Hypertension / complications, mortality* Maternal Mortality Middle Aged Pre-Eclampsia / drug therapy, mortality Pregnancy Pregnancy Complications, Cardiovascular / mortality*, prevention & control Pregnancy Trimesters Prenatal Care / standards, statistics & numerical data Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Use of vascular Doppler ultrasound to detect acute estradiol vascular effect in postmenopausal women...
Next Document: Anti-endothelial cell antibodies and central nervous system involvement in Behçet's disease.