Resultados maternos e perinatais de gestantes com eclâmpsia em uma unidade de referência em Maceió, Alagoas
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2024.213116Palavras-chave:
Pré-eclâmpsia, Complicações na gravidez, Mortalidade materna, Convulsões, Cuidados intensivos obstétricosResumo
Objetivo: Analisar os desfechos maternos e perinatais de gestantes com diagnóstico de eclâmpsia em uma unidade de referência em Maceió, Alagoas. Métodos: Estudo observacional e retrospectivo com coleta de dados dos prontuários de gestantes diagnosticadas com eclâmpsia, admitidas na unidade de terapia intensiva da Maternidade Escola Santa Mônica (MESM). Resultados: A amostra consistiu em 70 pacientes, predominantemente adolescentes, afrodescendentes, primigestas com baixa escolaridade, e provenientes do interior do estado. As principais complicações maternas associadas à eclâmpsia foram a síndrome HELLP parcial e distúrbios hidroeletrolíticos. A análise dos desfechos perinatais mostrou que aproximadamente 26,2% dos recém-nascidos apresentaram índice de Apgar ≤ 6 no 1º minuto, e 8,1% no 5º minuto. Foi observada uma incidência de 37,1% de prematuridade, embora a maioria dos recém-nascidos (62,2%) tenha nascido com peso adequado. Entre os principais efeitos adversos perinatais, destacaram- se a ocorrência da Síndrome do Desconforto Respiratório Agudo em 27,14% dos casos e a internação em unidade de terapia intensiva em 31,5% dos casos. Conclusões: Os resultados reforçam a importância do pré-natal adequado e do acompanhamento neonatal para melhorar os desfechos maternos e perinatais. É crucial incentivar a interiorização do atendimento obstétrico especializado, para evitar a sobrecarga da unidade de referência do estado e garantir o atendimento emergencial adequado às parturientes.
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Copyright (c) 2024 Jadiele Mariana da Silva Santos, Lucas Emanuel de Oliveira Silva, Telmo Henrique Barbosa
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
