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PP.32.293
PP.32.294
A. Molina Ordas1, A. Rodriguez Gomez, M. Heras Benito, M.J. FernandezReyes Luis, R. Sanchez Hernandez, F. Alvarez-Ude Cotera. 1Hospital
General de Segovia, Segovia, Spain
Gestational hypertension is not an uncommon situation. Previous studies
have shown up hypertensive disorders complicate 5 to 10 percent of
pregnancies. Multiple risk factors in gestational hypertension development have been described, just as: previous obstetrical preeclampsia
history, first pregnancy, age, hypertension family history, obesity, multiple
gestation. . . We have collected all gestational hypertension cases and its
clinical and laboratory findings from our hospital between 1st January 2003
and 31st December 2009. We have evaluated 46 women. As a result of, we
have found out the hypertension beginning was of 24.02 / 12.36 weeks.
The gestation ending was of 36.65 / 2.70 weeks [5% women by
caesarean section]. 15 women [32.6%] had developed hypertension in
previous pregnancy and 17 [37%] had hypertension familiar history. Only 6
women [15.9%] were diabetic or had developed gestational diabetes. The
most frequent antihypertensive treatment was Captopril [85.4%] followed
by nifedipine [34,8%], labetalol [30.4%], and methyldopa [15.2%]. The
most frequent laboratory findings were low levels of albumin [3.18 /
0.53], proteinuria [1.20 / 1.82] and a rise level in LDH [520.65 /
408], uric [6.02 / 1.7], and AST [44.13 / 87.36], ALT [44.35 /
72.06]. Hypertension familiar history patients have a bigger proteinuria
[p 0.06]. It was more frequent the hypertension development of a
previous gestation [p 0.024] and hypertension beginning after gestation
[p 0.014]. The gestational hypertension beginning was earlier in women
with a previous pregnancy hypertension history [p 0.001]. Finally,
patients who required methyldopa treatment ended their pregnancy
before the others [p 0.039].