Chronic Hypertension

Chronic Hipertenso is the arterial pressure above of 140×90 mmHg before the twentieth week of gestation. The DHEG is characterized, beyond rise of the sanguineous pressricos levels, by the presence of proteinria and edema generalized, initiates after 20 week of gestation, and with these symptoms is classified as daily pay-eclmpsia (Valadares Grandson et al, 2000). When irritability of Sistema Nervoso Central occurs (SNC) has as consequncia the convulsions it eats and it, being then called eclmpsia (Arajo et al, 1998; Alencar Jr, 2000). Alencar Jnior (2000) divides the daily pay-eclmpsia in: Light Daily pay: characterized for bigger or equal arterial pressure 140×90 mmHg, or 30 increase of mmHg in the sistlica pressure, or still 15 increase of mmHg in the diastlica pressure; edema that it does not yield to the rest and proteinria. Serious Daily pay: 160×110 is characterized for bigger or equal arterial pressure mmHg, or with appearance of any another premunitrio signal of eclmpsia. Alencar Jnior (2000) points, still, the premunitrios signals of eclmpsia: Chronic headache, mental confusion, confusion of the vision, epigastralgia or pain in the right hipocndrio; Syndrome HELLP (anemia hemoltica? H? ; raised hepticas enzymes? el? ; trombocitopenia, or plaquetas below of 100.000/mm? ' ' lp); Proteinria (3g or more in 24h); Oligria (less than 450 ml/24h); Pulmonary Edema, cianose; Hemoconcentrao. The modified pressricos levels, when perceived for the health team, must be confirmed in, at least, two measures, with the gestante in rest (Schirmer et al, 2000). Orra, Silva and Muniz (1994) show that in atypical pictures they can be found hemlise, hepticas enzyme trombocitopenia and rise, characterizing Syndrome HELLP, above cited, that it means I aggravate for the deteriorizao of the organic functions maternas, demanding immediate resolution of the gestation. According to Cabral, Costa and Cabral Jr (2003), the childbirth Caesarean type passed to be used in order to diminish the indices of infantile morbimortalidade materna and in the case of the DHEG and other complications.