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CC BY-NC-ND 4.0 · Rev Bras Ginecol Obstet 2017; 39(09): 496-512
DOI: 10.1055/s-0037-1604471
Review Article
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Preeclampsia[*]

Pré-eclâmpsia*
José Geraldo Lopes Ramos
1   Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
,
Nelson Sass
2   Universidade Federal de São Paulo, São Paulo, SP, Brazil
,
Sérgio Hofmeister Martins Costa
1   Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
› Author Affiliations
Further Information

Publication History

05 December 2016

29 March 2017

Publication Date:
09 August 2017 (online)

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Abstract

The authors review hypertensive disease during pregnancy with an academic and practical view, and using the best evidence available. This disease, which is the most important clinical disease in Brazilian pregnant women, may have its incidence reduced with prevention through the use of calcium and aspirin in pregnant women at risk. Previously, it was a disease that presented with hypertension with proteinuria, but it has now been classified with new clinical parameters besides proteinuria. Morbidity and mortality should be reduced in a continental country such as Brazil using protocols for the early treatment of complications by calculating severe outcomes in preeclampsia. The early treatment of acute hypertension, use of magnesium sulfate and early hospitalization in cases of preeclampsia are concepts to pursue the reduction of our pregnant women's mortality.

Resumo

Os autores revisam a doença hipertensiva na gestação com uma visão acadêmica e prática, utilizando as melhores evidências disponíveis. A doença clínica mais importante na gestante brasileira pode ter sua incidência diminuída com a prevenção por meio do uso de cálcio e aspirina em gestantes de risco. Antes uma doença que apresentava hipertensão arterial com proteinúria, agora vem sendo classificada com novos parâmetros clínicos além da proteinúria. A morbidade e mortalidade devem ser diminuídas, em um país continental como o Brasil, utilizando-se protocolos para o tratamento precoce de suas complicações mediante o cálculo de desfechos graves em pré-eclâmpsia. O tratamento precoce da hipertensão arterial, o uso do sulfato de magnésio e a internação precoce em casos de pré-eclâmpsia são conceitos para perseguirmos a diminuição da mortalidade de nossas gestantes.

Keywords

pregnancy arterial hypertension - preeclampsia - HELLP syndrome - high risk pregnancy - pregnancy complications

Palavras-chave

hipertensão arterial na gestação - pré-eclâmpsia - síndrome HELLP - gestação de alto risco - complicações na gravidez

* This review is part of the Series, Guidelines and Recommendations of the Federação Brasileira das Associações de Ginecologia e Obstetrícia – FEBRASGO, and was prepared by the National Specialized Commission for the Hypertension in Pregnancy.


 

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