Factores de riesgo y elementos primitivos en el desarrollo de síndromes hipertensivos en la atención prenatal: revisión integradora
DOI:
https://doi.org/10.5902/2179769267098Palabras clave:
Mujeres embarazadas, Hipertensión inducida por el embarazo, Proceso de enfermería, Atención prenatal, Enfermería de atención primariaResumen
Objetivo: identificar los factores de riesgo y elementos primitivos asociados a los síndromes hipertensivos en gestantes durante la atención prenatal. Método: revisión integradora en las bases de datos: MEDLINE, SCOPUS, WoS, CINAHL, BDENF y LILACS de septiembre a octubre de 2020. Se utilizó la herramienta Poronto para extraer los datos. Resultados: Se incluyeron 47 estudios, en los que se identificaron 30 conceptos primitivos interrelacionados que alertan a las necesidades de las gestantes. Las investigaciones permitieron identificar la edad de 18 a 50 años, la raza negra, la vulnerabilidad socioeconómica, la baja escolaridad y el bajo peso al nacer como factores de riesgo sensibles para la identificación en atención primaria. Conclusión: la literatura presenta factores relevantes respecto al desarrollo del síndrome hipertensivo permitiendo aclarar los elementos primitivos y factores de riesgo. Además, subvenciona la atención y apunta al desarrollo de investigación que desarrolle instrumentos dirigidos al público estudiado.
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Malik R, Kumar V. Hypertension in pregnancy. Adv Exp Med Biol. 2017;956:375-93. doi: 10.1007/5584_2016_150
Ananth CV, Duzyj CM, Yadava S, Schwebel M, Tita ATN, Joseph KS. Changes in the prevalence of chronic hypertension in pregnancy, United States, 1970 to 2010. Hypertension. 2019;74(5):1089-95. doi: 10.1161/HYPERTENSIONAHA.119.12968
Leal MC, Esteves-Pereira AP, Viellas EF, Domingues RMSM, Gama SGN. Prenatal care in the Brazilian public health services. Rev Saúde Pública. 2020;54:08. doi: 10.11606/s1518-8787.2020054001458
Amanak K, Sevil Ü, Karacam Z. The impact of prenatal education based on the roy adaptation model on gestational hypertension, adaptation to pregnancy and pregnancy outcomes. J Pak Med Assoc [Internet]. 2019 [cited 2022 Feb 23];69(1):11-7. Available from: https://jpma.org.pk/PdfDownload/8992
Falcão PMK, Antunes PCT, Feitosa ANAF, Victor EG, Sousa MNA, Abreu LC, et al. Association between hypertension and quality of life in pregnancy. Hypertens Pregnancy. 2016;35(3):306-14. doi: 10.3109/10641955.2016.1143485
Lei F, Liu D, Shen Y, Zhang L, Li S, Liu X, et al. Study on the influence of pregnancy-induced hypertension on neonatal birth weight. J Investig Med. 2018;66(6):1008-14. doi: 10.1136/jim-2017-000626
Miranda EF, Silva AMN, Mandú ENT. Approaching health needs by nurse in prenatal consultation. Rev Pesq Cuid Fundam. 2018;10(2):524-33. doi: 10.9789/2175-5361.2018.v10i2.524-533
Aziz A, Zork N, Aubey JJ, Baptiste CD, Alton MED, Emeruwa UN, et al. Telehealth for high-risk pregnancies in the setting of the COVID-19 pandemic. Am J Perinatol. 2020;37(8):800-8. doi: 10.1055/s-0040-1712121
Lopes FBT, Bezerra APF, Moraes MS, França AMB. Aspectos relacionados à morte de gestantes por síndromes hipertensivas. Cad Grad Ciênc Biol Saúde [Internet]. 2017 [acesso em 2022 fev 23];4(1):163-74. Disponível em: https://periodicos.set.edu.br/fitsbiosaude/article/view/4495
Monteiro PV, Almeida ANS, Pereira MLD, Freitas MC, Guedes MVC, Silva LF. Quando cuidar do corpo não é suficiente: a dimensão emocional do cuidado de enfermagem. Rev Rene. 2016;20:e957. doi: 10.5935/1415-2762.20160026
Rivas FJP, Martín-Iglesias S, Cerro JLP, Arenas CM, García Lopes M, Lagos MB. Effectiveness of nursing process use in primary care. Int J Nurs Knowl. 2015;27(1):43-8. doi:10.1111/2047-3095.12073
Sousa MG, Lopes RGC, Rocha MLTLF, Lippi UG, Costa ES, Santos CMP. Epidemiology of artherial hypertension in pregnants. Einstein (São Paulo). 2019;18:1-7. doi: 10.31744/einstein_journal/2020AO4682
Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs. 2005;52(5):546-53. doi: 10.1111/j.1365-2648.2005.03621.x
Ministério da Saúde (BR), Secretaria de Vigilância em Saúde. Diretrizes metodológicas: elaboração de revisão sistemática e metanálise de estudos observacionais comparativos sobre fatores de risco e prognóstico [Internet]. Brasília (DF): Ministério da Saúde; 2014 [acesso em 2022 fev 23]. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/diretrizes_metodologicas_fatores_risco_prognostico.pdf
Zahra FM, Carvalho DR, Malucelli A. Poronto: ferramenta para construção semiautomática de ontologias em português. J Health Inform [Internet]. 2013 [acesso em 2022 fev 25];5(2):52-9. Disponível em: http://www.jhi-sbis.saude.ws/ojs-jhi/index.php/jhi-sbis/article/view/232
Stillwell BSB, Fineout-overholt E, Melnyk BM, Williamson KM. Evidence-based practice, step by step: searching for the evidence. Am J Nurs. 2010;110(5):41-7. doi: 10.1097/01.NAJ.0000372071.24134.7e
Hou Y, Yun L, Zhang L, Lin J, Xu R. A risk factor-based predictive model for new-onset hypertension during pregnancy in Chinese Han women. BMC Cardiovasc Disord. 2020;20(1):155. doi: https://doi.org/10.1186/s12872-020-01428-x
Berhe AK, Ilesanmi AO, Aimakhu CO, Mulugeta A. Effect of pregnancy induced hypertension on adverse perinatal outcomes in Tigray regional state, Ethiopia: a prospective cohort study. BMC Pregnancy Childbirth. 2019:20(1):7. doi: 10.1186/s12884-019-2708-6
Maducolil MK, Al-Obaidly S, Olukade T, Salama H, Alqubaisi M, Al Rifai H. Maternal characteristics and pregnancy outcomes of women with chronic hypertension: a population-based study. J Perinat Med. 2020;48(2):139-43. doi: 10.1515/jpm-2019-0293
Ndwiga C, Odwe G, Pooja S, Ogutu O, Osoti A, Warren CE. Clinical presentation and outcomes of preeclampsia and eclampsia at a national hospital, Kenya: a retrospective cohort study. PLoS One. 2020;15(6):e0233323. doi: 10.1371/journal.pone.0233323
Jacob LMS, Santos AP, Lopes MHBM, Shimo AKK. Socioeconomic, demographic and obstetric profile of pregnant women with Hypertensive Syndrome in a public maternity. Rev Gaúcha Enferm. 2020;41:e20190180. doi: 10.1590/1983-1447.2020.20190180
Mekie M, Mekonnen W, Assegid M. Cohabitation duration, obstetric, behavioral and nutritional factors predict preeclampsia among nulliparous women in West Amhara Zones of Ethiopia: age matched case control study. PLoS One. 2020;15(1):e0228127. doi: 10.1371/journal.pone.0228127
Laine K, Murzakanova G, Sole KB, Pay AD, Heradstveit S, Raïsänen S. Prevalence and risk of pre-eclampsia and gestational hypertension in twin pregnancies: a population-based register study. BMJ Open. 2019;9(7):e029908. doi: 10.1136/bmjopen-2019-029908
Jieyu L, Yingying C, Tian G, Jiaxiang W, Jiawen L, Yingjie G, et al. Visit-to-visit blood pressure variability is associated with gestational hypertension and pre-eclampsia. Pregnancy Hypertens. 2019;18:126-31. doi: 10.1016/j.preghy.2019.09.009
Vonck S, Staelens AS, Lanssens D, Tomsin K, Oben J, Bruckers L, et al. Development of a biophysical screening model for gestational hypertensive diseases. J Biomed Sci. 2019;26(1):38. doi: 10.1186/s12929-019-0530-0
Vandenberk T, Lanssens D, Storms V, Thijs IM, Bamelis L, Grieten L, et al. Relationship between adherence to remote monitoring and patient characteristics: observational study in women with pregnancy-induced hypertension. JMIR MHealth UHealth. 2019;7(8):e12574. doi: 10.2196/12574
Hu H, Xiao H, Zheng Y, Yu B (Bonnie). A Bayesian spatio-temporal analysis on racial disparities in hypertensive disorders of pregnancy in Florida, 2005-2014. Spat Spatiotemporal Epidemiol. 2019;29:43-50. doi: 10.1016/j.sste.2019.03.002
Sheikh S, Najam R, Raza F, Memon J, Ahmed I, Vidler M, et al. Self-reported maternal morbidity: results from the community level interventions for pre-eclampsia (CLIP) baseline survey in Sindh, Pakistan. Pregnancy Hypertens. 2019;17:113-20. doi: 10.1016/j.preghy.2019.05.016
Wang V, Mueller A, Minhas R, Yan J, Guo J, Rana S. Understanding and comparing practices of managing patients with hypertensive disorders of pregnancy in urban China and the United States. Pregnancy Hypertens. 2019;17:253-60. doi: 10.1016/j.preghy.2019.07.007
Pealing LM, Tucker KL, Mackillop LH, Crawford C, Wilson H, Nickless A, et al. A randomised controlled trial of blood pressure self-monitoring in the management of hypertensive pregnancy. OPTIMUM-BP: a feasibility trial. Pregnancy Hypertens. 2019;18:141-9. doi: 10.1016/j.preghy.2019.09.018
Poniedziałek-Czajkowska E, Mierzyński R, Dłuski D, Leszczyńska-Gorzelak B. Adipokines and endothelium dysfunction markers in pregnant women with gestational hypertension. Int J Hypertens. 2019;2019:7541846. doi: 10.1155/2019/7541846
Sandström A, Snowden JM, Höijer J, Bottai M, Wikström AK. Clinical risk assessment in early pregnancy for preeclampsia in nulliparous women: a population based cohort study. PLoS One. 2019;14(11):e0225716. doi: 10.1371/journal.pone.0225716
Kalafat E, Leslie K, Bhide A, Thilaganathan B, Khalil A. Pregnancy outcomes following home blood pressure monitoring in gestational hypertension. Pregnancy Hypertens. 2019;18:14-20. doi: 10.1016/j.preghy.2019.07.006
Grum T, Hintsa S, Hagos G. Dietary factors associated with preeclampsia or eclampsia among women in delivery care services in Addis Ababa, Ethiopia: a case control study. BMC Res Notes. 2018;11(1):683. doi: 10.1186/s13104-018-3793-8
Perry H, Sheehan E, Thilaganathan B, Khalil A. Home blood-pressure monitoring in a hypertensive pregnant population. Ultrasound Obstet Gynecol. 2018;51(4):524-30. doi: 10.1002/uog.19023
Kim SA, Lee JD, Park JB. Differences in visit-to-visit blood pressure variability between normotensive and hypertensive pregnant women. Hypertens Res. 2019;42(1):67-74. doi: 10.1038/s41440-018-0112-7
Shen M, Smith GN, Rodger M, White RR, Walker MC, Wen SW. Comparison of risk factors and outcomes of gestational hypertension and pre-eclampsia. PLoS One. 2017;12(4):e0175914. doi: 10.1371/journal.pone.0175914
Chen KH, Seow KM, Chen LR. Progression of gestational hypertension to pre-eclampsia: a cohort study of 20,103 pregnancies. Pregnancy Hypertens. 2017;10:230-7. doi: 10.1016/j.preghy.2017.10.001
Shi L, MacLeod KE, Zhang D, Wang F, Chao MS. Travel distance to prenatal care and high blood pressure during pregnancy. Hypertens Pregnancy. 2017;36(1):70-6. doi: 10.1080/10641955.2016.1239733
Amorim FCM, Neves ACN, Moreira FS, Oliveira ADS, Nery IS. Profile of pregnant women with pre-eclampsia. Rev Enferm UFPE On Line. 2017;11(4):1574-82. doi: 10.5205/reuol.9763-85423-1-SM.1104201703
Barbosa IRC, Silva WBM, Cerqueira GSG, Novo NF, Novo JLVG, Almeida FA. Maternal and fetal outcome in women with hypertensive disorders of pregnancy: the impact of prenatal care. Ther Adv Cardiovasc Dis. 2015;9(4):140-6. doi: 10.1177/1753944715597622
Chandi A, Sirohiwal D, Malik R. Association of early maternal hypertriglyceridemia with pregnancy-induced hypertension. Arch Gynecol Obstet. 2015;292(5):1135-43. doi: 10.1007/s00404-015-3706-1
Ayala DE, Hermida RC. Ambulatory blood pressure monitoring for the early identification of hypertension in pregnancy. Chronobiol Int. 2013;30(1-2):233-59. doi: 10.3109/07420528.2012.714687
Dane B, Dane C, Kiray M, Koldas M, Cetin A. A new metabolic scoring system for analyzing the risk of hypertensive disorders of pregnancy. Arch Gynecol Obstet. 2009;280(6):921-4. doi: 10.1007/s00404-009-1029-9
Assis TR, Viana FP, Rassi S. Study on the major maternal risk factors in hypertensive syndromes. Arq Bras Cardiol. 2008;91(1):11-7. doi: 10.1590/s0066-782x2008001300002
Carvalho RCM, Campos HH, Bruno ZV, Mota RMS. Fatores preditivos de hipertensão gestacional em adolescentes primíparas: análise do pré-natal, da MAPA e da microalbuminúria. Arq Bras Cardiol. 2006;87(4):487-95. doi: 10.1590/S0066-782X2006001700014
Ferrão MHL, Pereira ACL, Gersgorin HCTS, Paula TAA, Corrêa RRM, Castro ECC. Efetividade do tratamento de gestantes hipertensas. Rev Assoc Med Bras. 2006;52(6):390-4. doi: 10.1590/S0104-42302006000600016
Liu C, Chang S, Cheng P. Comparison of referral and non-referral hypertensive disorders during pregnancy: an analysis of 271 consecutive cases at a tertiary hospital. Chang Gung Med J [Internet].2005 [cited 2022 Mar 04];28(5):326-34. Available from: http://cgmj.cgu.edu.tw/2805/280507.pdf
Esseme NBPT, Mbondji E. Association between cardiovascular diseases and pregnancy-induced hypertensive disorders in a population of Cameroonian women at Yaounde: a case-control study. PLoS One. 2019;14(12):e0225591. doi: 10.1371/journal.pone.0225591
Antwi E, Amoakoh-Coleman M, Vieira DL, Madhavaram S, Koram KA, Grobbee DE, et al. Systematic review of prediction models for gestational hypertension and preeclampsia. PLoS One. 2020;15(4):e0230955. doi: 10.1371/journal.pone.0230955
Magee LA, Von Dadelszen P, Rey E, Ross S, Asztalos E, Murphy KE, et al. Less-tight versus tight control of hypertension in pregnancy. N Engl J Med. 2015;372(5):407-17. doi: 10.1056/NEJMoa1404595
Ukah UV, Silva DA, Payne B, Magee LA, Hutcheon JA, Brown H, et al. Prediction of adverse maternal outcomes from pre-eclampsia and other hypertensive disorders of pregnancy: a systematic review. Pregnancy Hypertens. 2018;11:115-23. doi: 10.1016/j.preghy.2017.11.006
Walle TA, Azagew AW. Hypertensive disorder of pregnancy prevalence and associated factors among pregnant women attending ante natal care at Gondar town health Institutions, North West Ethiopia 2017. Pregnancy Hypertens. 2019;16:79-84. doi: 10.1016/j.preghy.2019.03.007
Xiong T, Chen P, Mu Y, Li X, Di B, Li J, et al. Association between ambient temperature and hypertensive disorders in pregnancy in China. Nat Commun. 2020;11(1):2925. doi: 10.1038/s41467-020-16775-8
Nkamba DM, Ditekemena J, Wembodinga G, Bernard P, Tshefu A, Robert A. Proportion of pregnant women screened for hypertensive disorders in pregnancy and its associated factors within antenatal clinics of Kinshasa, Democratic Republic of Congo. BMC Pregnancy Childbirth. 2019;19(1):297. doi: 10.1186/s12884-019-2435-z
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