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Int J Gynaecol Obstet. 2017 Sep;138(3):335-339. doi: 10.1002/ijgo.12237. Epub 2017 Jul 3.

Blood pressure in adolescent patients with pre-eclampsia and eclampsia.

Author information

1
Hospital Universitario Hernando Moncaleano Perdomo, Neiva Huila, Colombia.
2
Universidad Libre, Cali, Colombia.
3
Caja de Seguro Social, Panama City, Panama.

Abstract

OBJECTIVE:

To compare variables among adolescent and adult patients diagnosed with severe pre-eclampsia or eclampsia.

METHODS:

The present cross-sectional study enrolled patients with severe pre-eclampsia or eclampsia treated at an intensive care unit in Neiva, Colombia, between January 1 and November 30, 2014. Patients were stratified using age (younger than 20 years [adolescents] and aged at least 20 years [adults]) and patient variables were compared between groups. Maternal age, pregnancy duration at delivery, eclampsia, blood pressure, severe hypertension, maternal organ damage, HELLP syndrome, obstetric hemorrhage, laboratory findings, need for blood transfusion and fetal data were analyzed by group.

RESULTS:

There were 171 patients enrolled; 154 (90.1%) with severe pre-eclampsia and 17 (9.9%) with eclampsia. There were 46 (26.9%) adolescent patients and 125 (73.1%) adults, and 13 (28.3%) and 4 (3.2%) patients had eclampsia in the adolescent and adult groups, respectively (P=0.001). The systolic (P=0.081), diastolic (P=0.174), and mean (P=0.102) blood pressure did not differ significantly between the groups but were higher in the adult group. The incidence of severe hypertension was significantly higher among adult patients (P=0.037).

CONCLUSION:

The blood pressure used in defining pre-eclampsia and eclampsia should differ for adolescent patients in comparison with the rest of the population.

KEYWORDS:

Eclampsia; Pregnancy in adolescence; Severe pre-eclampsia; Systolic blood pressure

PMID:
28602034
DOI:
10.1002/ijgo.12237
[Indexed for MEDLINE]

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