Preeclampsia - eclampsia diagnosis and treatment
DOI:
https://doi.org/10.37135/ee.004.07.09Keywords:
preeclampsia, eclampsia, seizuresAbstract
Preeclampsia - eclampsia is one of the complications that can occur during pregnancy, childbirth or puerperium, these ones increase perinatal and neonatal maternal morbidity and mortality, these pathologies being the rst causes of maternal death in the country and one of the main causes of maternal death around the world. It is characterized by hypertension associated with proteinuria or hypertension, and involvement of white organs with or without proteinuria in the last half of pregnancy. Its timely diagnosis and management will help reduce the risk of complications that may occur such as seizures, stroke, HELLP syndrome and others. The actions taken for diagnosis and proper and timely management can directly inuence the future prognosis of the patient and her child. In this review it has been selected articles in English and Spanish language that were the most relevant on this topic.Downloads
References
Norwitz E. Preeclampsia: Management and prognosis [Internet]. UpToDate. 2018 [actualizado Dic 2018; citado 15 Ene 2019]. Disponible en: https://www.uptodate.com/contents/preeclampsia-management-and-prognosis?search=preeclampsia&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2.
August P, Sibai B. Preeclampsia: Clinical features and diagnosis [Internet]. UpToDate. 2018 [actualizado Jun 2018; citado 15 Ene 2019]. Disponible en: https://www.uptodate.com/contents/preeclampsia-clinical-features-and-diagnosis?search=preeclampsia&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1.
Norwitz ER. Preeclampsia: Management and prognosis [Internet]. UpToDate. 2019 [actualizado Abr 2019; citado 6 May 2019]. Disponible en: https://www.uptodate.com/contents/preeclampsia-management-and-prognosis/print?search=preeclampsia&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2.
Rojas L, Cruz B, Bonilla G, Criollo A, Nina W, Jijón A, et al. Trastornos hipertensivos del embarazo. Guía de Práctica Clínica (GPC). Segunda edición [Internet]. Quito: Dirección Nacional de Normatización. Ministerio de Salud Pública del Ecuador; 2016 [citado2018 Sep 24]. Disponible en: https://www.salud.gob.ec/wp-content/uploads/2017/03/MSP_Trastornos-hipertensivos-del-embarazo-con-portada-3.pdf.
Norwitz E. Preeclampsia: Management and prognosis [Internet]. UpToDate. 2018 [actualizado Agost 2018; citado 23 Sep 2018]. Disponible en: https://www.uptodate.com/contents/preeclampsia-management-and-prognosis?search=preeclampsia&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2.
Norwitz E. Early pregnancy prediction of preeclampsia [Internet]. UpToDate. 2018 [actualizado Jun 2018; citado 9 Jul 2018]. Disponible en: https://www.uptodate.com/contents/early-pregnancy-prediction-of-preeclampsia/print?search=preeclampsia&source=search_result&selectedTitle=6~150&usage_type=default&display_rank=6.
Norwitz ER, Funai E. Expectant management of preeclampsia with severe features. [Internet]. UpToDate. 2015. [actualizado Dic 2015; citado 25 Jun 2016]. Disponible en: http://www.uptodate.com/contents/expectant-management-of-preeclampsia-with-severe-features?source=search_result&search=preeclampsia&selectedTitle=5~150.
Augus P, Sibai B. Preeclampsia: Clinical features and diagnosis [Internet]. UpToDate. 2018 [actualizado Jun 2018; citado 9 Jul 2018]. Disponible en: https://www.uptodate.com/contents/preeclampsia-clinical-features-and-diagnosis/print?search=preeclampsia&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1.
Karumanchi SA, Lim K-H, August P. Preeclampsia: Pathogenesis [Internet]. UpToDate. 2018 [actualizado Jun 2018; citado 9 Jul 2018]. Disponible en: https://www.uptodate.com/contents/preeclampsia-pathogenesis/print?search=preeclampsia&source=search_result&selectedTitle=5~150&usage_type=default&display_rank=5.
August P. Preeclampsia: Prevention. [Internet]. UpToDate. 2016 [actualizado Jun 2016; citado 10 Agost 2016]; Disponible en: http://www.uptodate.com/contents/preeclampsia-prevention?source=search_result&search=preeclampsia&selectedTitle=4~150.
August P, Sibai B. Preeclampsia: Clinical features and diagnosis. [Internet]. UpToDate. 2018 [actualizado Jun 2018; citado 15 Agost 2018]; Disponible en: https://www.uptodate.com/contents/preeclampsia-clinical-features-and-diagnosis?search=preeclampsia&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1.
Calzada E, Méndez M, Ríos B, Romero J, Sepulveda V, Tenorio R, et al. Prevención, diagnóstico y tratamiento de la preeclampsia en segundo y tercer nivel de atención. Evidencias y Recomendaciones [Internet]. México: Secretaría de Salud, CENETEC; 2017 [citado 19 Ene 2019]. Disponible en: http://www.cenetec-difusion.com/CMGPC/S-020-08/ER.pdf.
August P, Sibai B. Preeclampsia: Clinical features and diagnosis [Internet]. UpToDate. 2019 [actualizado Abr 2019; citado 6 May 2019]. Disponible en: https://www.uptodate.com/contents/preeclampsia-clinical-features-and-diagnosis/print?search=preeclampsia&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1.
Khan KS, Wojdyla D, Say L, Gülmezoglu AM, Van Look PFA. WHO analysis of causes of maternal death: a systematic review. Lancet (London, England) [Internet]. 2006 Apr [citado2016 Aug 22]; 367(9516): 1066–1074. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/16581405.
Sibai BM. Prevention of preeclampsia: a big disappointment. Ovid. 1998 Nov; 179(5): 1275–1278.
Gestational Hypertension and Preeclampsia ACOG PRACTICE BULLETIN. Clinical Management Guidelines for Obstetrician-Gynecologists [Internet]. The American College of Obstetricians and Gynecologist. 2019 [citado2018 Dec 22]. Disponible en: https://www.acog.org/-/media/Practice-Bulletins/Committee-on-Practice-Bulletins----Obstetrics/pb202.pdf?dmc=1&ts=20181223T0145434625.
Usiña J, Carrera S. Anuario Nacimientos y Defunciones 2013. Quito: Instituto Nacional de Estadistica y Censos; 2014.
Steegers EA, von Dadelszen P, Duvekot JJ, Pijnenborg R. Pre-eclampsia. Lancet [Internet]. 2010 Aug [citado2019 May 13]; 376(9741): 631–644. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/20598363.
Roberts J, August P, Bakris G, Barton J, Bernstein I, Druzin M. Hypertension in pregnancy [Internet]. The American Collegue of Obstetricians and Gynecologists; 2013. Disponible en: https://www.acog.org/Clinical-Guidance-and-Publications/Task-Force-and-Work-Group-Reports/Hypertension-in-Pregnancy.
Augus P, Sibai B. Preeclampsia: Clinical features and diagnosis. [Internet]. UpToDate. 2018 [actualizado Abr 2019; citado 5 May 2018]. Disponible en: https://www.uptodate.com/contents/preeclampsia-clinical-features-and-diagnosis/print?source=search_result&search=preeclampsia&selectedTitle=1~150.
Magee LA, Pels A, Helewa M, Rey E, von Dadelszen P. Diagnosis, Evaluation, and Management of the Hypertensive Disorders of Pregnancy: Executive Summary. J Obstet Gynaeoclogy Canada [Internet]. 2014 [citado 17 Ene 2019]; 36(5): 416–38. Disponible en: https://sogc.org/wp-content/uploads/2014/05/gui307CPG1405Erev.pdf.
Roberts J, August P, Bakris G, Barton J, Bernstein I, Druzin M, et al. Hypertension in Pregnancy. Report of the American College of Obstetricians and Gynecologists. Executive Summary. 2013; 122(5): 1122–1131.
Thadhani R, Maynard SE. Proteinuria in pregnancy: Evaluation and management [Internet]. UpToDate. 2019 [actualizado Ener 2019; citado 6 May 2019]. p. 1–14. Disponible en: https://www.uptodate.com/contents/preeclampsia-management-and-prognosis/print?search=preeclampsia&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2.
Thadhani R, Maynard S. Proteinuria in pregnancy: Evaluation and management [Internet]. Uptodate. 2016 [actualizado Nov 2015; citado 11 Ener 2017]. Disponible en: https://www.uptodate.com/contents/proteinuria-in-pregnancy-evaluation-and-management?source=search_result&search=preeclampsia&selectedTitle=9~150.
August P, Sibai B. Preeclampsia: Clinical features and diagnosis [Internet]. UpToDate. 2016 [actualizado Ener 2016; citado 11 Ener 2017]. Disponible en: https://www.uptodate.com/contents/preeclampsia-clinical-features-and-diagnosis?source=search_result&search=preeclampsia&selectedTitle=1~150.
Sibai B. HELLP syndrome [Internet]. Uptodate. 2016 [actualizado May 2016; citado 11 Ener 2017]. Disponible en: https://www.uptodate.com/contents/hellp-syndrome?source=search_result&search=preeclampsia&selectedTitle=13~150.
Barry C, Rachel F, Pauline G, Hawdon J, Malhortra S, Milne F, et al. Hypertension in pregnancy : the management of hypertensive disorders during pregnancy the management of hypertensive disorders. NICE Clin Gudeline [Internet]; 2011. Disponible en: http://www.nice.org.uk/nicemedia/live/13098/50418/50418.pdf.
Sibai B. HELLP syndrome. [Internet]. UpToDate. 2018 [actualizado Febr 2018; citado 9 Jul 2018]. Disponible en: https://www.uptodate.com/contents/hellp-syndrome/print?search=preeclampsia&source=search_result&selectedTitle=10~150&usage_type=default&display_rank=10.
Magloire L, Funai E. Gestational hypertension [Internet]. UpToDate. 2018 [actualizado May 2018; citado 9 Jul 2018]. Disponible en: https://www.uptodate.com/contents/gestational-hypertension/print?search=preeclampsia&source=search_result&selectedTitle=9~150&usage_type=default&display_rank=9.
Antenatal Corticosteroid Therapy for Fetal Maturation. ACOG COMMITTEE OPINION. Committee on Obstetric Practice. Am Coll Obstet Gynecol [Internet]. 2017; 102–109. Disponible en: https://www.acog.org/-/media/Committee-Opinions/Committee-on-Obstetric-Practice/co713.pdf?dmc=1&ts=20190508T1821598204.
Cobo T, Ferrero S, Palacio M. PROTOCOLO : Amenaza de Parto Pretérmino. Barcelona: Hosp Clin Barcelona; 2016:1–12.
Guía de intervenciones basada en evidencias que reducen morbilidad y mortalidad perinatal y neonatal [Internet]. Managua: Ministero de Salud; 2014. Disponible en: https://www.researchgate.net/profile/Marianela_Corriols/publication/313793637_Guia_de_intervenciones_basadas_en_evidencia_que_reducen_morbilidad_y_mortalidad_perinatal_y_neonatal/links/58a5f89a4585150402de485d/Guia-de-intervenciones-basadas-en-evidencia-que-reducen-morbilidad-y-mortalidad-perinatal-y-neonatal.pdf.
Medically Indicated Late-Preterm and Early-Term Deliveries. ACOG Committee Opinion. Committee on Obstetric Practice Society for Maternal-Fetal Medicine [Internet]. 2019 [citado2019 May 4]. Disponible en: https://www.acog.org/-/media/Committee-Opinions/Committee-on-Obstetric-Practice/co764.pdf?dmc=1&ts=20190504T1146204819.
USAID. Programa de prevención , detección y manejo de la preeclampsia / eclampsia [Internet]. New York: USAID; 2011. Disponible en: https://www.k4health.org/sites/default/files/PEE Tech brief v2 SPA.pdf
OMS. Recomendaciones de la OMS para la prevención y el tratamiento de la preeclampsia y la eclampsia [Internet]. Vol. 53, New York: Organización Mundial de la Salud; 2014: Disponible en: http://apps.who.int/iris/bitstream/10665/138405/1/9789243548333_spa.pdf.
Shekhar S, Sharma C, Thakur S, Verma S. Oral nifedipine or intravenous labetalol for hypertensive emergency in pregnancy: a randomized controlled trial. Obstet Gynecol. 2013 Nov; 122(5): 1057–1063.
Norwitz E. Eclampsia. [Internet]. UpToDate. 2018 [actualizado Dic 2017; citado 5 May 2018]. Disponible en: https://www.uptodate.com/contents/eclampsia/print?source=search_result&search=preeclampsia&selectedTitle=19~150.
Chávez E, Díaz M, Miranda A, Bautista B, Rios B. Detección, diagnóstico y tratamiento de las enfermedades Hipertensivas del embarazo. Guía de Evidencias y Recomendaciones. Guía de Práctica Clínica [Internet]. México: IMSS Unidad de atención médica; 2017. Disponible en: http://www.imss.gob.mx/sites/all/statics/guiasclinicas/058GER.pdf.
Hawkins J, McQuaid-Hanson E. Anesthesia for the patient with preeclampsia [Internet]. UpToDate. [actualizado Dic 2018; citado 15 Ene 2019]. Disponible en: https://www.uptodate.com/contents/anesthesia-for-the-patient-with-preeclampsia/print?search=preeclampsia&source=search_result&selectedTitle=8~150&usage_type=default&display_rank=8.
Calle J, Ríos P, Yuen Chon V, Rojas L, Rivadeneira J, Pareja C. Score MAMÁ y claves obstétricas. Protocolo. Primera Ed. Quito: Gerencia Institucional de Implementación de Disminución Mortalidad Materna. Ministerio de Salud Pública del Ecuador; 2017.
