Curettage as supportive therapy in reducing hypertensive disease induced by pregnancy

Abstract

Introduction: Hypertensive pregnancy status is one of the obstetrical most important unsolved problems. Pregnancy can induce specific tensional elevation and kidney damage. There have been some studies describing changes in blood pressure throughout pregnancy. In countries where prenatal care is not adequate, preeclampsia causes 40 and 80 % of maternal deaths. 50 000 deaths per year are estimated.
Objective: Evaluate how the evolution of blood pressure in the immediate postpartum period in patients undergoing curettage procedure is presented due to pregnancy-induced hypertensive disease.
Methods: A comparative study with an intervention group and a control group was conductedat Dr. Sanchez Joaquin Valley University Hospital, in Torreon, Coahuila, Mexico. The intervention consisted of carrying out the process of trans-cesarean curettage in patients with pregnancy-induced hypertensive disease. The main readings were the analysis of medical records, complete biochemical profile, and pressure figures.
Result: Most patients who come to the service of Gynecology and Obstetrics are teenagers 14-20 years. There was significant improvement in systolic blood pressure at 8 and 16 h, and decreased to 24 in systolic and diastolic blood pressure in patients undergoing the procedure of curettage.
Conclusions: The use of curettage procedure after cesarean section in patients with hypertensive disease induced by pregnancy significantly lowers blood pressure. The use of this procedure is suggested in patients undergoing cesarean section at suggested "Dr. Joaquín del Valle Sánchez" University Hospital and other health centers.