Prevalencia de eclampsia asociada a anemia hemolítica y otras complicaciones en el área de materno infantil del Hospital de Especialidades Dr. Teodoro Maldonado Carbo en el periodo de enero 2012 a diciembre 2016.

Abstract

Objective: To determine the prevalence of eclampsia associated with hemolytic anemia and other complications in the Maternal and Child Health area of the Teodoro Maldonado Carbo Specialty Hospital in the period from January 2012 to December 2016. Methodology: The present study is descriptive, quantitative cross-sectional design. The information was obtained from the clinical r ecords provided by the teaching department of the HTMC, for the data analysis a descriptive statistic was made based on frequency and percentages of the variables: age in years, number of pregnancies, pathological antecedent, gestational age, complications associated with eclampsia, and the therapeutic regimen used. The data was done manually and using the Microsoft Excel program. Results: The prevalence of eclampsia associated with hemolytic anemia and its other complications in the present study was 25.5%. Of the total study sample, the 63.6% had severe preeclampsia in the present pregnancy. Of these, the age that predominated the appearance of these pathologies were between 24-29 years representing 36.3% of the sample. The associated syndromic complications were HELLP syndrome in 36% and Evans syndrome 9%, 36% were classified as an indefinite group due to the absence of the Coombs test. The most frequent complications of eclampsia were 55% of the sample. Only 27% were given the therapeutic regimen recommended in the current international guidelines. Conclusions: The prevalence of eclampsia associated with hemolytic anemia and its other complications was 25.5%. The 18.1% of the sample had a laboratory diagnosis of autoimmune hemolytic anemia, 36% had Hellp syndrome, and only 9%, according to the laboratory analysis, Evans syndrome.