Profile of pregnant women with gestational hypertensive disturbances and development of instrument to qualify hospital service

• Autor(a) principal: Rech, Mariéle dos Santos Dutra
• Data de Publicação: 2021
• Outros Autores: David, Caroline Nespolo de
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Research, Society and Development
• Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/8913
• topic: Protocolos; Hipertensióninducida por elembarazo; Preeclampsia y eclampsia; Síndrome de HELLP; Período posparto.; Protocolos; Hipertensão induzida pela gravidez; Pré-eclâmpsia e eclampsia; Síndrome HELLP; Período pós-parto.; Protocols; Pregnancy-induced hypertension; Pre-eclampsia and eclampsia; HELLP syndrome; Postpartum period.

DHG are the main causes of maternal death, and it is necessary to standardize and qualify assistance. Objective: to describe the profile of pregnant women with DHG and to develop instruments for qualifying care. Methods: it was developed in a private institution in southern Brazil. Period from January to December 2017. Variables: BP, IG, length of stay, previous pregnancy, prematurity, readmission, hospitalization in ICU. Protocol and discharge card elaborated. Steps: Team, literary review, needs; prototype; settings; approval and implementation. Results: 3,458 pregnant women hospitalized in 2017, 684 (19.78%) had high BP and 120 (3.47%) developed DHG. The changes (n = 684), mean age 31.6 years; GA at average delivery 37.7 weeks, primiparous (n = 377; 55.2%). The protocol included: Standardization of BP Measurement; Conduct; Diagnosis; Classification; Predisposing factors; Criterion for hospitalization; Management; Interruption of pregnancy; Discharge and medication. The card presents guidelines for the puerperium. Conclusion: Complications of gestational SAH extend to the puerperium. Products qualify for service.