Document Detail


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
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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
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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


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