Risks factors for maternal near miss due to spontaneous hepatic rupture in severe preeclampsia

Authors

  • Elías Alexis Valladares Gutiérrez Médico ginecobstetra, Servicio de Emergencia, Departamento de Cuidados Críticos, Instituto Nacional Materno Perinatal, Lima, Perú; Magíster en Docencia e Investigación en Salud

DOI:

https://doi.org/10.31403/rpgo.v65i2202

Abstract

Introduction: Spontaneous hepatic rupture is one of the most feared complications of pregnancy that leads to maternal near miss and death and is mainly associated with severe preeclampsia. Objective: To determine risk factors for spontaneous hepatic rupture in pregnant women with severe preeclampsia. Methods: We performed a cross-sectional, retrospective case-control study during the period January 1, 2006 through December 31, 2018. Thirty-one women with severe preeclampsia who presented hepatic rupture (cases) were compared to sixty-two controls (women with severe preeclampsia without hepatic rupture), in a ratio of two controls per case. Results: Factors significantly associated with hepatic rupture in women with severe preeclampsia were HELLP syndrome (OR = 3.42, 95% CI: 1.51 to 6.17), advanced maternal age (OR = 2.18; 95% CI: 1.13 to 5.02) and eclampsia (OR = 1.94, 95% CI: 1.09 to 4.38). Conclusions: In this study of pregnant women with severe preeclampsia, advanced maternal age was a risk factor for spontaneous hepatic rupture, and HELLP syndrome and eclampsia were associated factors.

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Published

2019-10-02

How to Cite

Valladares Gutiérrez, E. A. (2019). Risks factors for maternal near miss due to spontaneous hepatic rupture in severe preeclampsia. The Peruvian Journal of Gynecology and Obstetrics, 65(4), 443–448. https://doi.org/10.31403/rpgo.v65i2202

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Artículos Originales

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