PP100. Pre-eclampsia: Risk factors and outcomes - A two-year study.

Area of Science:

• Obstetrics and Gynecology
• Maternal-Fetal Medicine
• Hypertensive Disorders of Pregnancy

Background:

• Pre-eclampsia (PE) is a significant cause of maternal and fetal morbidity and mortality.
• Predicting PE remains a clinical challenge despite known risk factors.

Purpose of the Study:

• To determine the incidence of pre-eclampsia.
• To identify associated risk factors for PE.
• To evaluate maternal and fetal outcomes in PE cases.

Main Methods:

• Retrospective review of clinical records for pregnant women diagnosed with pre-eclampsia.
• Data collected from January 2008 to December 2009 at Prof. Fernando Fonseca's Hospital.
• Statistical analysis performed using Excel 2007.

Main Results:

• PE occurred in 1.1% of pregnant women (90 cases out of 308 hypertensive disorders).
• Associated risk factors included chronic hypertension (24.4%), maternal age >35 (16.67%), age <20 (14.44%), and prior PE (8.89%).
• Maternal complications led to ICU admission in 18.89% of cases, including 3.33% with HELLP syndrome; 61.1% experienced preterm delivery.

Conclusions:

• Pre-eclampsia is a recurrent hypertensive disorder with severe potential, often linked to preterm delivery and significant maternal morbidity.
• Confirmed adverse outcomes include ICU admissions, HELLP syndrome, and end-organ failure.
• Identified risk factors reinforce the need for vigilant monitoring and management in high-risk pregnancies.