Complicações intercorrentes nas gestações e os resultados perinatais das mulheres com hemoglobinopatias acompanhadas no serviço de gestação de alto risco

Abstract

To study the intercurrent complications during pregnancy and the perinatal outcome of patients with hemoglobinopathies. Methodology: a cross-sectional study involving pregnant women attending the clinic for pregnant women at risk of NHU / UFMS in the period March-July 2010. Results: of 110 pregnancies, there were no association between the presence or absence of hemoglobinopathies and the variables parity, abortion, Two or more miscarriages in the past obstetric, stillbirths past obstetric, newborn weighing less than 2.500g, fetal growth restriction and changes in oligohydramnios, the fifth minute Apgar score <7, DMG, RN PIG and puerperal infection. An association was seen between the presence or absence of hemoglobinopathy and obstetrical variables: preterm labor, 17 times more prevalent; premature ruptured of membranes, four times; pregnancy-induced hypertension, 12 times; and fetal death, 12 times. An association was also seen between all clinical variables and the presence or absence of hemoglobinopathies: urinary tract infection were two times more prevalent; acute chest syndrome / pneumonia was 12 % higher; painful crisis, 39 times; cardiac insufficiency, 12 times; severe anemia, 9 times more prevalent in women suffering from hemoglobinopatias than in those who did not. There was association between the presence or absence of hemoglobinopathy and variables in the perinatal period; operative delivery, 62%, fetal death 12, stillbirths, 9, Newborns of women with hemoglobinopathies were 12 times more frequently admitted to intensive care units; neonatal infection, 39 times; times more prevalent. Conclusion: The associations found in clinical, obstetrical and perinatal variables investigated in this study showed that women and newborns with hemoglobinopathies showed a higher prevalence of these complications when compared with those who lacked it.