Curetaje como tratamiento de apoyo en la reducción de la enfermedad hipertensiva inducida por el embarazo

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Introduction: Hypertensive pregnancy status is one of the obstetrical most important
unsolved problems. Pregnancy can induce specific tensional elevation and kidney
damage. There have been some studies describing changes in blood pressure
throughout pregnancy. In countries where prenatal care is not adequate, preeclampsia
causes 40 and 80 % of maternal deaths. 50 000 deaths per year are estimated.
Objective: Evaluate how the evolution of blood pressure in the immediate postpartum
period in patients undergoing curettage procedure is presented due to pregnancyinduced hypertensive disease.
Methods: A comparative study with an intervention group and a control group was
conductedat Dr. Sanchez Joaquin Valley University Hospital, in Torreon, Coahuila,
Mexico. The intervention consisted of carrying out the process of trans-cesarean
curettage in patients with pregnancy-induced hypertensive disease. The main readings
were the analysis of medical records, complete biochemical profile, and pressure
figures.
Result: Most patients who come to the service of Gynecology and Obstetrics are
teenagers 14-20 years. There was significant improvement in systolic blood pressure
at 8 and 16 h, and decreased to 24 in systolic and diastolic blood pressure in patients
undergoing the procedure of curettage.
Conclusions: The use of curettage procedure after cesarean section in patients with
hypertensive disease induced by pregnancy significantly lowers blood pressure. The
use of this procedure is suggested in patients undergoing cesarean section at
suggested “Dr. Joaquín del Valle Sánchez” University Hospital and other health centers.

2016 Curetaje como tratamiento de apoyo en la reduccion de la enfermedad hipertensiva inducida por el embarazo


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