The evolution of the blood pressure in relation to the gestational age and the body mass index in pregnant women enrolled in the program of prenatal control in an entity of the first level of attention in Manizales; Colombia; 2010:2013
Evolución de la tensión arterial durante la gestación, en gestantes sanas inscritas en el programa de control prenatal de una entidad del primer nivel de atención en manizales, colombia, 2010:2013
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Objective: Describe the changes in the blood pressure of pregnant woman in relation to the gestational age and to the body mass index in a sample of pregnant women controlled in ASSBASALUD ESE (Manizales, Caldas, Colombia) between the years 2010-2013. Materials and methods: The medical records of 1,923 healthy pregnant woman have been consulted. Analysis has been carried out on a weekly, monthly, and quarterly basis. Results: The relation of the mean arterial pressure with each month showed a decline in all pressure measurements. The decline is higher in relation to the diastolic and mean arterial pressure. The decline is showed until the fifth gestational
month and goes up to 102mmHg for PAS and 62mmHg for PAD in average to begin it’s rise until the end of the gestation obtaining the highest numbers in the tenth month with values of 106 mmHg and 67,5 mmHg for PAS and PAD in average respectively. Quarterly, there was no significant difference between the first and the second trimester for the systolic pressure, but it was found for the diastolic pressure, with a strong rise in the last trimester reaching 65mmHg average. When it was compared on a weeklybase, quadratic and cubic curvilinear estimates for the three pressures were made, resulting in all significant at p = 0.000 for both global regressions, as for the intercept and coefficients. Conclusion: It was found that the blood pressure has the same behavior as the global population; both pressures have a Sigma curve behavior, but they behave with an inferior average compared to the studies done in Europe, not like those in Latin America which numbers are also low.
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