Revista Matronas

Revista Matronas

SEPTIEMBRE 2019 N° 2 Volumen 7

Critical analysis of the care received by a pregnant woman with severe pre-eclampsia at the maternal ICU

Section: Originales

How to quote

Martínez Martínez E, Olcoz Ruiz A. Análisis crítico del cuidado recibido por una mujer gestante con preeclampsia severa en la UCI maternal. Matronas hoy 2019; 7(2):14-20.


1 Elena Martínez Martínez, 1 Alessandra Olcoz Ruiz


1 Matrona. Unidad de Partos y Urgencias de Obstetricia y Ginecología. Complejo Hospitalario de Navarra-Hospital Materno Infantil Virgen del Camino. Pamplona.

Contact email: elemar99@hotmail.com


Introduction: given that severe pre-eclampsia is one of the most important causes of maternal and perinatal mortality, and that there are no absolute recommendations when this occurs between weeks 26 and 341, this article will describe the care received by a pregnant woman diagnosed with severe pre-eclampsia by a multidisciplinary team and, particularly, the care provided by the team of midwives while the patient stayed at the Maternal Intensive Care Unit (Maternal ICU) at a hospital in the United Kingdom.
Objective: to review the plan of care for a case of severe pre-eclampsia in order to reduce the immediate and subsequent effect on mother and fetus.
Methodology: a descriptive research with contextual critical analysis of the signs and symptoms of this condition, shown in the cardiovascular system, central nervous system, renal and hepatic system; as well as the treatment and care provided by the multidisciplinary team during the hospital stay of the patient over a period of three days. This period started from her hospitalization until 48 hours after the end of pregnancy. In order to meet the objective of the article, only the care received by the patient at the maternal intensive care unit was analyzed.
Conclusions and results: given the positive outcomes in solving the case, it is confirmed that with the plan of care offered to Patient X, in a multidisciplinary manner and with major action by the midwives, it was possible to prevent the evolution from pre-eclampsia to eclampsia, and to end the pregnancy at the most adequate moment in the context of the clinical situation managed, thus reducing the risks for the mother-fetus unit.


severe pre-eclampsia; hypertension; maternal intensive care unitmidwife

Versión en Español


Análisis crítico del cuidado recibido por una mujer gestante con preeclampsia severa en la UCI maternal

Artículo completo no disponible en este idioma / Full article is not available in this language


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