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

Authors

DOI:

https://doi.org/10.33448/rsd-v10i2.8913

Keywords:

Protocols; Pregnancy-induced hypertension; Pre-eclampsia and eclampsia; HELLP syndrome; Postpartum period.

Abstract

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.

Author Biographies

Mariéle dos Santos Dutra Rech, Hospital Moinhos de Vento

Master in Clinical Research from Hospital de Clínicas de Porto Alegre and Federal University of Rio Grande do Sul. Graduation in Nursing from Federal University of Rio Grande do Sul / UFRGS. Postgraduate in cardiology for nurses Unyleya / RJ, Teaching in nursing from Faculdade Unyleya / RJ, specialization course in Pediatric Nursing at PUCRS. Work developed in nursing care in the areas of mother and child and Cardiology. She currently works as a nursing professor at the Institute of Education and Research at Hospital Moinhos de Vento in Porto Alegre.

Caroline Nespolo de David, Hospital de Clínicas de Porto Alegre

PhD in progress by PPG Epidemiologia UFRGS. Master in Cardiovascular Sciences from UFRGS (2015). Specialization in Health of the elderly by the Multiprofessional Residency Program of Hospital São Lucas da PUCRS (2012). Nutritionist graduated from PUCRS (2009). Interest in the areas of Clinical and Social Nutrition, Health of the Elderly, Public Health, Epidemiology, Cardiovascular Diseases, Telehealth, Evidence-Based Health and Clinical Research.

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Published

15/02/2021

How to Cite

RECH, M. dos S. D. .; DAVID, C. N. de . Profile of pregnant women with gestational hypertensive disturbances and development of instrument to qualify hospital service. Research, Society and Development, [S. l.], v. 10, n. 2, p. e2701028913, 2021. DOI: 10.33448/rsd-v10i2.8913. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/8913. Acesso em: 19 apr. 2024.

Issue

Vol. 10 No. 2

Section

Health Sciences

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Copyright (c) 2021 Mariéle dos Santos Dutra Rech; Caroline Nespolo de David

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