Modeling risk factors in preeclampsia for late pregnancies using fuzzy cognitive maps
DOI:
https://doi.org/10.56294/sctconf2024.777Keywords:
pregnant women, risks, hypertensive disorders, advanced agesAbstract
As women delay motherhood, concerns arise about the risks associated with pregnancy at advanced ages. Pregnant women aged 35 and older face an increased likelihood of complications, such as spontaneous abortions and preexisting conditions that can complicate pregnancy, such as hypertension and diabetes. The incidence of hypertensive disorders, such as preeclampsia, also significantly increases in this age group, which can lead to a higher use of cesarean sections and instrumental deliveries, as well as an increase in neonatal morbidity and mortality. This study aims to model the risk factors for preeclampsia in late pregnancies using fuzzy cognitive maps, seeking a better understanding of the complexity of this condition and facilitating the early identification of women at risk. Data collection will be conducted through the review of clinical records and structured interviews with participants, which will complement the existing clinical information. The identification of risk factors, such as obesity and a history of hypertension, is crucial for optimizing prenatal care and improving maternal-fetal outcomes. Additionally, prevention strategies are proposed that include education about the risks, promoting healthy lifestyle habits, and ensuring access to adequate prenatal care, in order to reduce the incidence of preeclampsia and its associated complications in pregnant women aged 35 and older
References
1. Venkatanarayanan N, Walker KF. Evidence around early induction of labor in women of advanced maternal age and those using assisted reproductive technology. Best Pract Res Clin Obstet Gynaecol. 2021;77:42–52. https://www.sciencedirect.com/science/article/abs/pii/S1521693421001218
2. Shekari M, Shirzadfardjahromi M, Ranjbar A, Mehrnoush V, Darsareh F, Roozbeh N. Advanced maternal age and adverse obstetrical and neonatal outcomes of singleton pregnancies. Gynecol Obstet Clin Med [Internet]. 2022;2(4):175–80. Available from: https://www.sciencedirect.com/science/article/pii/S2667164622000902
3. Cabrera Ramos SG. Complicaciones obstétricas y edad materna avanzada. Rev Peru Ginecol y Obstet [Internet]. 2023;69(3):1–12. Available from: http://www.scielo.org.pe/scielo.php?pid=S2304-51322023000300012&script=sci_arttext&tlng=pt
4. Hawani Sasmaya P, Fitrah Khalid A, Anggraeni D, Irianti S, Rizki Akbar M. Differences in maternal soluble ST2 levels in the third trimester of normal pregnancy versus preeclampsia. Eur J Obstet Gynecol Reprod Biol X [Internet]. 2022;13:100140. Available from: https://www.sciencedirect.com/science/article/pii/S259016132100020X
5. Paredes García JI, Salcedo Cuadrado JJ, Maldonado Rengel R. Factores de riesgo predisponentes al desarrollo de preeclampsia y eclampsia en el embarazo. Perinatol y Reprod humana [Internet]. 2023;37(2):72–9. Available from: https://www.scielo.org.mx/scielo.php?pid=S0187-53372023000200072&script=sci_arttext
6. Martell Claros N, Asenjo de la Fuente JE, Abad Cardiel M, García Donaire JA, Herráiz MA. [Role of the renin-angiotensin system in pregnancy and preeclampsia]. Hipertens y riesgo Vasc [Internet]. 2020;37(2):72–7. Available from: https://pubmed.ncbi.nlm.nih.gov/32147515/
7. Enríquez A, Ortuño Villagómez D, Sacoto MFM. Adolescentes mujeres y jóvenes adultas frente a los temas de embarazo y aborto:¿ Percepciones diferentes según la edad? Estudio realizado en Quito, Ecuador (2017). Psicol Conoc y Soc [Internet]. 2019;9(1):5–25. Available from: http://www.scielo.edu.uy/scielo.php?pid=S1688-70262019000100005&script=sci_arttext
8. Pereira Calvo J, Pereira Rodríguez Y, Quirós Figueroa L. Actualización en preeclampsia. Rev médica Sinerg [Internet]. 2020;5(1):e340–e340. Available from: https://www.revistamedicasinergia.com/index.php/rms/article/view/340
9. Yanquem Robles O, Becerra Chauca N, Nieto Gutiérrez W, Alegría Guerrero R, Uriarte Morales M, Valencia Vargas W, et al. Clinical practice guideline for the prevention and management of hypertensive disorders of pregnancy. Rev Colomb Obstet Ginecol [Internet]. 2022 Mar;73(1):48–141. Available from: https://pubmed.ncbi.nlm.nih.gov/35503297/
10. Kupka E, Roberts JM, Mahdy ZA, Escudero C, Bergman L, De Oliveira L. Aspirin for preeclampsia prevention in low- and middle-income countries: mind the gaps. AJOG Glob Reports [Internet]. 2024;4(2):100352. Available from: https://www.sciencedirect.com/science/article/pii/S2666577824000467
11. Dávila Flores JX, Montenegro Morán EE, Macías Gaytán ÁM, Tayupanda Martinez JL. Impacto del aumento de la preeclampsia, eclampsia y síndrome de Hellp, en el mundo y en el Ecuador, manejo, prevención y tratamiento. Mortalidad. RECIMUNDO [Internet]. 2023;7(2):49–62. Available from: https://www.recimundo.com/index.php/es/article/view/2025
12. Infante Moro A, Infante Moro JC, Gallardo Pérez J. Los mapas cognitivos difusos y su aplicación en la investigación de las ciencias sociales: estudio de sus principales problemáticas. Educ Knowl Soc. 2021;22(e26380):e26380–e26380. Available from: https://revistas.usal.es/tres/index.php/eks/article/view/26380
13. Mar Cornelio O, Arias Santos L, Bron Fonseca B, Díaz Hernández K. Sistema para la gestión de información como de apoyo al diagnóstico médico basado en mapa cognitivo difuso. Rev Científica Arbitr Multidiscip PENTACIENCIAS [Internet]. 2023;5(2):145–58. Available from: https://editorialalema.org/index.php/pentaciencias/article/view/606
14. Galarza Soledispa GL. Intervención de enfermería en la prevención de preeclampsia. [Trabajo de Titulación previo a la obtención del título de Magister en Gestión del Cuidado]. Universidad Estatal Del Sur De Manabí. Jipijapa-Unesum; 2022. Available from: https://repositorio.unesum.edu.ec/handle/53000/4183
15. Loor Cedeño LA, Pincay Cardona LD, Yumbo Santana YS, Reyna Valdiviezo GD, Villacreses Cantos KL, Delgado Molina JB. Preeclampsia y complicaciones materno-fetales. Polo del Conoc Rev científico-profesional [Internet]. 2021;6(2):101–9. Available from: https://dialnet.unirioja.es/servlet/articulo?codigo=9548854
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Copyright (c) 2024 Nazate Chuga Zuly Rivel , Jesly Vanessa Chamorro Nazate, Paola Estefania Guerrero Morán (Author)
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