The high-risk pregnancy is responsible for 50% of the fetal death. In this context, the
objective of this research was establish the clinical and epidemiological profile of patients
treated in outpatient clinic of high risk pregnancy in the Foundation of Santa Casa de
Misericórdia do Pará. This way, became made a descriptive study, type of cross and was
collected in retrospect way the charts of patients outpatient clinic of high risk of pregnancy in
this foundation, in the period of January to July 2007. After applying the exclusion criterion,
obtained a sample of 549 charts. Was found that 50.1% of these patients were in age from 21
to 30 years; 61.2% had stable union; 36.2% had completed high school and 34.2%, primary
school; 70.9% lived in Belém; 61.2% were caretakers of the home. There was no significant
difference between the number of pregnancies. Regarding parity, there was a higher
percentage among those who never lambed (39.7%) and those that calved only once (33.9%).
Most patients never aborted (61.4%) and 3% of them had prior hydatidiform mole. According
to past obstetric, 24.7% of patients had newborn premature; 12.5%, new death; 10.5%,
stillbirths; 8.5%, fetal macrosomia and 3.7%, fetal malformation. As for the pathological
obstetric history, it was found that 10.2% of patients had pre-eclampsia. The threat of abortion
was the obstetric complications of pregnancy most current incident (24.6%). In relation to
clinical complications of present pregnancy, anemia presented the highest percentage (43.9%)
followed by nephropathy (21.5%), ginecopathy (18.6%) and infectious diseases (11.1%). The
high-risk pregnancy results in higher probability of maternal fetal disease. Through the
effective participation of a multidisciplinary specialized team and adequate hospital facilities
for the care of the pregnant woman and the concept, will be able to reduce the increasing rates
of maternal and perinatal morbidity.
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