{"id":2524,"date":"2009-03-05T18:31:52","date_gmt":"2009-03-05T18:31:52","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/ginpre\/"},"modified":"2025-05-14T19:10:52","modified_gmt":"2025-05-14T19:10:52","slug":"ginpre","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/ginpre\/","title":{"rendered":"Criterios Diagn\u00f3stico para Preeclampsia"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><\/p>\n<div class=\"Section1\">\n<p style=\"font-weight: 400;\"><strong>Preeclampsia:<\/strong><\/p>\n<p style=\"font-weight: 400;\">Para el diagn\u00f3stico de preeclampsia, tanto la hipertensi\u00f3n como la proteinuria deben estar presentes.<\/p>\n<p><!--more--><\/p>\n<ul style=\"font-weight: 400;\">\n<li>Presi\u00f3n arterial: Sist\u00f3lica de 140 mm Hg o m\u00e1s, o diast\u00f3lica de 90 mm Hg o m\u00e1s despu\u00e9s de la semana 20 de gestaci\u00f3n en una mujer con presi\u00f3n arterial previamente normal. Incremento de la presi\u00f3n sist\u00f3lica &gt; 30 mm Hg o incremento de la presi\u00f3n diast\u00f3lica &gt; 15 mm Hg en una paciente con hipertensi\u00f3n arterial cr\u00f3nica preexistente.<\/li>\n<li>Proteinuria: 0,3 g o m\u00e1s de prote\u00ednas en orina de 24 horas (normalmente se corresponde con 1+ o m\u00e1s en una prueba de orina con dipstick)<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><strong>Preeclampsia severa:<\/strong><\/p>\n<ul style=\"font-weight: 400;\">\n<li>Presi\u00f3n arterial: Sist\u00f3lica de 160 mm Hg o m\u00e1s, o diast\u00f3lica de 110 mm Hg o m\u00e1s en 2 ocasiones separadas como m\u00ednimo por 6 horas con la paciente en reposo<\/li>\n<li>Proteinuria: 5 g o m\u00e1s de prote\u00ednas en orina de 24 horas o 3+ o m\u00e1s en una prueba de orina con dipstick de 2 muestras de orina separadas por al menos 4 horas<\/li>\n<li>Otras caracter\u00edsticas: oliguria (menos de 500 mL de orina en 24 horas), trastornos cerebrales o visuales, edema pulmonar o cianosis, dolor epig\u00e1strico o en el cuadrante superior derecho, alteraci\u00f3n de la funci\u00f3n hep\u00e1tica, trombocitopenia, retardo del crecimiento intrauterino<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><strong>Factores de Riesgo para Preeclampsia<\/strong><\/p>\n<p style=\"font-weight: 400;\">Factores asociados al embarazo<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Anormalidades cromos\u00f3micas<\/li>\n<li>Mola hidatidiforme<\/li>\n<li>Hidrops fetal<\/li>\n<li>Embarazo multifetal<\/li>\n<li>Donaci\u00f3n de oocito o inseminaci\u00f3n de dador<\/li>\n<li>Anormalidades cong\u00e9nitas estructurales<\/li>\n<li>Infecci\u00f3n\u00a0del\u00a0tracto urinario<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">Factores espec\u00edficos maternos<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Edad\u00a0mayor de 35\u00a0a\u00f1os<\/li>\n<li>Edad menor\u00a0de 20\u00a0a\u00f1os<\/li>\n<li>Raza negra<\/li>\n<li>Historia\u00a0familiar de\u00a0preeclampsia<\/li>\n<li>Nuliparidad<\/li>\n<li>Preeclampsia en un embarazo previo<\/li>\n<li>Condiciones m\u00e9dicas espec\u00edficas: diabetes gestacional, diabetes tipo I, obesidad, hipertensi\u00f3n cr\u00f3nica, enfermedad renal, trombofilias<\/li>\n<li>Stress<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">Factores espec\u00edficos paternos<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Primera paternidad<\/li>\n<li>Paternidad previa con un embarazo preecl\u00e1mptico en otra mujer<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\"><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol style=\"font-weight: 400;\">\n<li>ACOG Committee on Obstetric Practice. ACOG practice bulletin. Diagnosis and management of preeclampsia and eclampsia. Number 33, January 2002. American College of Obstetricians and Gynecologists. Int J Gynaecol Obstet. 2002 Apr;77(1):67-75. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12094777\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Report of the National High Blood Pressure Education Program Working Group on High Blood Pressure in Pregnancy. Am J Obstet Gynecol. 2000 Jul;183(1):S1-S22. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/10920346\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\">Creado: Sep 02, 2005<\/p>\n<\/div>\n<p><\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Preeclampsia: Para el diagn\u00f3stico de preeclampsia, tanto la hipertensi\u00f3n como la proteinuria deben estar presentes.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[87],"tags":[16,15,14,13,1484,88],"class_list":["post-2524","post","type-post","status-publish","format-standard","hentry","category-obstetrics-gynecology","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-gynecology","tag-preeclampsia"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2524","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2524"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2524\/revisions"}],"predecessor-version":[{"id":9132,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2524\/revisions\/9132"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2524"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2524"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2524"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}