Presiones arteriales elevadas, no patológicas, durante el primer trimestre de embarazo como factor de riesgo, resultante obstétrico y perinatal en mujeres de 25 a 35 años de edad que acuden a la consulta del Hospital Alfredo G. Paulson de la ciudad de Guayaquil en 2018-2019.

Abstract

Introduction: Prenatal control is aimed at continuous evaluation of the health status of the mother and the fetus, which is why it is often possible to achieve timely detection and periodic advice on complications in pre and postpartum, managing to anticipate problems and be able to adequately intervene to prevent or minimize maternal-fetal morbidity and mortality. Methods: Retrospective, observational and analytical study. The data was extracted from the database provided by the Alfredo G Paulson hospital. The data obtained were from the outpatient database and the hospital discharge database for 2018 and 2019. Results 597 medical records corresponding to the period January 2018 - November 2019 were reviewed. The median age was 28 years. (minimum age 25, and maximum 35). The median total care was 9, with a minimum of 7 previous care to patients. The independent samples T-test was performed looking for the association between the persistently high values of mean arterial pressure in relation to hypertensive disorders of pregnancy, showing that, despite the adequate diagnosis of hypertensive pathologies, there seems to be no optimal control, since in the At the time of care, high blood pressure values persist, since there are statistically significant differences between these groups. Conclusion: The null hypothesis is approved, since although there are patients who show high pressures during the first trimester of pregnancy, not all of them are diagnosed correctly since not all of them have regular controls, in addition to the number of patients who finally have pathologies hypertensive and possessing the necessary controls are very few in relation to the selected sample.