Estudio de utilización de antihipertensivos en el embarazo en el hospital materno neonatal de posadas

hypertensive disorders during pregnancy are a major health problem worldwide, being the leading cause of morbidity and perinatal and maternal mortality. a retrospective study of medical records of patients hospitalized with hypertension during pregnancy was conducted to determine the treatments carried out. twenty one hospitalized patients were analyzed, out of a total of 2,910 during the period under study, who were entered for suffering a hypertensive disorder with an incidence of 0.72%. considering the patients studied, 8 had sympons of eclampsysm. blood pressure on admission was greater than or equal to 140/90 mmhg in 12 patients. the most frequent sign / symptom was the presence of cephalea with some hours of evolution (9 patients) and in all cases hypertension was present. evaluating the treatments used, their dosage and frequency, intravenous magnesium sulfate was the most used (14 cases studied). as far as the oral via is concerned, alpha-methyldopa 500 mg tablets were prescribed to 7 patients. the treatment consisted in the oral prescription of alpha-methyldopa and magnesium sulfate for signs of preeclampsya. the prescription of metalpha-methyldopa as first-choice oral medication was carried out this is not the case for parenteral use in hypertensive emergencies, when the drug of choice is labetalol.