Mortalidade materna: fatores de risco e conduta na pré-eclâmpsia grave

Abstract

Pregnancy is a physiological event; however, pregnant women may be carriers of some underlying disease, or face some aggravation and develop complications. Therefore, hypertensive diseases specific to pregnancy deserve special attention when reflecting on the impact on public health and the repercussion caused to women's health. Preeclampsia and eclampsia are pathologies that affect both the mother and the fetus, and still do not have a well understoodetiology, but should be avoided and treated appropriately, given the high morbidity and mortality of the binomial involved. Considering the physiopathology, the best conduct is the termination of pregnancy, either vaginal delivery or cesarean delivery; however,there is the intention to maintain the pregnancy as long as there is a safe clinical picture for both. In this sense, this literature review of hypertensive complications in pregnancy highlightsknowledge gaps in the understanding of the relevance of this medical emergency. At the end ofthis study, it is expected to guide the conduct of health professionals regarding the importance of a specific anamnesis and physical examination during prenatal care, aiming at identifying predisposing factors to preeclampsia and the ideal clinical and hospital management for these women.