Preeclampsia, Severe Preeclampsia
Conditions
Keywords
Excess base, Severe preeclampsia, Arterial blood gases
Brief summary
The study's primary goal is to compare the base excess (BE) values-an indicator of metabolic changes-in two groups of patients at Santo Tomás Hospital: those with severe preeclampsia and healthy, pregnant individuals. Researchers will measure these values using an arterial blood gas test before delivery or surgery. This is a prospective cohort study. The researchers will analyze various blood gas parameters, including pH, lactate, and BE, and then correlate the BE values with clinical variables and negative maternal outcomes. The expected outcome is that a abnormal BE values will be linked to a greater severity of preeclampsia. If this association is confirmed, BE could serve as an additional marker for predicting the severity of the condition and may lay the groundwork for future research on diagnostic and therapeutic standards based on blood gas analysis.
Interventions
Determination of Excess Base in arterial blood gases before delivery / termination of pregnancy
Sponsors
Study design
Intervention model description
Both groups will have a blood sample taken for arterial blood gases. This test is not always indicated in severe preeclampsia and very rarely in normal patients. This is he reason we consider the study interventional.
Eligibility
Inclusion criteria
* Gestational age: 24-40 weeks * Cases: Diagnosis of severe preeclampsia * Control: Normal blood pressure
Exclusion criteria
* Metabolic conditions that could hinder the results (diabetic ketoacidosis, sepsis, renal failure). * Clinical conditions that could hinder the results (diarrhea, vomit) * Recent use of bicarbonate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Value of excess base | Immediately before delivery | Total measure of excess base measured by gasometry in an arterial blood sample |
| Hypertensive crisis | From admission to day three (3) after delivery | Elevation of the blood pressure above 160 (systolic) and 110 (diastolic). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Lactate | Immediately before delivery | Concentration of lactate measured by gasometry in a sample of arterial blood. |
| Bicarbonate | Immediately before delivery | Concentration of bicarbonate measured by gasometry in arterial blood gases |
Countries
Panama