CONDUCTS ADOPTED FOR PRE-ECLAMPSIA CASES IN SECONDARY CARE: EVOLUTION OVER THE LAST TWENTY YEARS

• DOI: 10.22533/at.ed.1593952316114

• Palavras-chave: Pre-eclampsia, Secondary care, Medical management.

• Keywords: Pre-eclampsia, Secondary care, Medical management.

• Abstract:

  Introduction: Pre-eclampsia is a multifactorial disease specific to pregnancy, which can compromise multiple systems. Manifesting itself after the twentieth week of pregnancy, it can significantly increase the chances of premature birth and increase perinatal morbidity and mortality rates, being one of the main causes of maternal mortality. In the last 20 years, several concepts have been updated, making it necessary to carry out a thorough analysis of the main medical approaches adopted throughout this period in secondary care. Methodology: In this review article, works written between the years 2000 and 2023 published by the ``Revista Brasileira de Ginecologia e Obstetrícia`` and the magazine Scientific Eletronic Library Online (ScieELO) were analyzed with the aim of identifying changes in the conduct adopted for cases of pre- eclampsia in secondary hospitals. 

  Results: During the 2000s, pre-eclampsia was seen exclusively as an outpatient condition because hospitalization was not seen as a factor in improving this situation. However, since 2011, hospitalization has been increasingly useful in preventing severe cases of the disease and essential for maintaining maternal and fetal health, demonstrating the relevance of continued secondary care in these cases. Currently, a vigilant approach is adopted depending on maternal-fetal conditions, aiming to avoid extreme premature births, introducing lung maturation therapies and prevention of convulsive episodes, antihypertensive treatment and maternal rest. Furthermore, since 2021 monitoring practices have been implemented that contribute to reducing the rates of complications resulting from prematurity. 

  Conclusion: In this sense, the changes implemented in the last twenty years in the diagnosis and treatment of pre-eclampsia have played a preponderant role in offering a more comprehensive and protected health approach, where hospitalization has emerged as a vital component in containing more serious forms. of the disease and brought positive results to the affected group.