{"id":85881,"date":"2000-12-07T00:00:00","date_gmt":"2000-12-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/morbilidad-y-factores-de-riesgo-asociados-a-la-hipertension-cronica-en-el-embarazo\/"},"modified":"2000-12-07T00:00:00","modified_gmt":"2000-12-07T00:00:00","slug":"morbilidad-y-factores-de-riesgo-asociados-a-la-hipertension-cronica-en-el-embarazo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/morbilidad-y-factores-de-riesgo-asociados-a-la-hipertension-cronica-en-el-embarazo\/","title":{"rendered":"Morbilidad y factores de riesgo asociados a la hipertensi\u00f3n cr\u00f3nica en el embarazo"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Arencibia Molina Andr\u00e9s Jos\u00e9 <\/strong><\/h2>\n<p>Introduccion  existe controversia de cu\u00e1l es el impacto que sobre el embarazo tiene la hipertensi\u00f3n cr\u00f3nica.  objetivos  investigar la asociaci\u00f3n entre hipertensi\u00f3n cr\u00f3nica y el resultado materno y perinatal.  material y m\u00e9todos  se realiz\u00f3 para ello un estudio prospectivo con el seguimiento de una cohorte de 358 gestantes expuestas a hipertensi\u00f3n cr\u00f3nica, tomando como punto de comparaci\u00f3n a la poblaci\u00f3n obst\u00e9trica general durante el mismo per\u00edodo de estudio de cuatro a\u00f1os.  resultados  la preValencia de hipertensi\u00f3n cr\u00f3nica y gestaci\u00f3n fue 1,4%. La edad media (31 vs 28; p&lt;0,001), obesidad (67% vs 16%; or:110,01), estado civil m\u00e1s estable, antecedentes familiares de hipertensi\u00f3n fueron significativamente mayores que en la poblaci\u00f3n hipertensa, menor abuso de tabaco y un nivel de formaci\u00f3n inferior al de la poblaci\u00f3n obst\u00e9trica general. El tratamiento antihipertensivo se instaur\u00f3 en el 68% de las hipertensas y fue necesario aumentar la dosis en el 46% de ellas. El subgrupo de hipertensas tratadas pro indicaci\u00f3n m\u00e9dica desarroll\u00f3 preeclampsia en un 12,3%, y aquellas que no precisaron tratamiento desarroll\u00f3 preeclampsia un 14,9%, los niveles de \u00e1cido \u00farico fueron mayores al final de la gestaci\u00f3n entre las hipertensas (5,07 vs 4,24; p&lt;0,004). La incidencia de complicaciones maternas como preeclampsia sobrea\u00f1adida (rrajustado de 2,36), desprendimiento de placenta (rrajustado de 4,4), estancia hospitalaria (10,3+- 11vs 9,0+-9,9) y diabetes gestacional (rrajustado de 2,36) fue mayor en la cohorte expuesta en tanto que la gancia excesiva de peso se mostr\u00f3 inferior a la poblaci\u00f3n obst\u00e9trica general (6,6% vs 13,6%; reajustado de 0,45; p&lt;0,02). La valoraci\u00f3n del estado fetal con resultado patol\u00f3gico fue de 7,2%. La tasa de induciones y de ces\u00e1reas fue significativamente mayor en la cohorte expuesta con un rrbruto de 2,1 y 2,7 respectivamente. La puntuaci\u00f3n de apgar inferior a 7 a los cinco m<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Morbilidad y factores de riesgo asociados a la hipertensi\u00f3n cr\u00f3nica en el embarazo<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Morbilidad y factores de riesgo asociados a la hipertensi\u00f3n cr\u00f3nica en el embarazo <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Arencibia Molina Andr\u00e9s Jos\u00e9 <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Palmas de gran canaria<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 12\/07\/2000<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Antonio Cabrera De Leon<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Garc\u00eda hern\u00e1ndez Jos\u00e9 angel <\/li>\n<li>radhames Hernandez mejia (vocal)<\/li>\n<li>cristobalina Rodr\u00edguez \u00e1lvarez (vocal)<\/li>\n<li>buenaventura Su\u00e1rez rivero (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Arencibia Molina Andr\u00e9s Jos\u00e9 Introduccion existe controversia de cu\u00e1l es el impacto que sobre el embarazo tiene [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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