Factores de riesgo y complicaciones del desprendimiento prematuro de planceta normoinserta en pacientes atendidas en Hospital Gineco Obstétrico Enrique C. Sotomayor durante el período de enero a diciembre del 2014
Fecha
2015
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Mèdicas. Escuela de Medicina
Resumen
Introducción: desprendimiento prematuro de membranas normo-inserta (DPPNI) separación completa o parcial de la placenta (normalmente implantada) de la pared del útero a las 20 semanas o más de la gestación.
Métodos y materiales: se realizó un estudio observacional indirecto, verbal y descriptivo a 192 pacientes con diagnóstico de DPPNI en el hospital Gineco-Obstétrico Enrique C. Sotomayor de enero 2014 a enero 2015, para el análisis estadístico se empleó el paquete que nos ofrece Microsoft Excel. Resultados: Los factores de riesgo en primer lugar fueron las infecciones con un 26% seguida de la Hipertensión arterial con un 24,5% y la rotura prematura de membranas con un 18,8%. El grupo etario con mayor predominio fue entre las edades de 25 a 28 años con un 28% así como en edades entre 33 y 36 años, en cuanto a los antecedentes gineco-obstetricos, el 84% de las pacientes eran multigestas, en nuestras gestantes el 41,1% tenía entre 1 a 2 hijos y el 29,2% entre 3 a 4 hijos. El 59,4% solo tuvieron entre 1 y 2 controles prenatales durante todo el embarazo y entre 3 y 4 controles en un 30,2%. El 46,9% se dio entre la semana 37-39 de gestación y el 33,9% entre la semana 33-36 de gestación. El 42% hipertonía uterina seguida del 14% con Shock hipovolémico. Conclusiones: presente investigación aporta datos importantes sobre los factores de riesgo y las complicaciones de las gestantes con DPPNI son parecidos a los otros estudios investigativos.
Introduction: premature detachment of membranes normal-insert complete or partial separation of the placenta (normally implanted) in the wall of the uterus at 20 weeks or more of gestation. Methods and materials: A descriptive observational study indirect, verbal and performed 192 patients with a diagnosis of placentae abruptio in Obstetric-Gynecologic Hospital Enrique C. Sotomayor from January 2014 to January 2015, for statistical analysis package that was used Microsoft offers us Excel. Results: Risk factors were first infections with 26% followed by arterial hypertension with 24.5% and premature rupture of membranes with 18.8%. The age group with the highest prevalence was between the ages of 25-28 years and 28% aged between 33 and 36 years, in terms of gynecological and obstetric history, 84% of patients were multiparous, in our pregnant 41.1% were between 1-2 children and 29.2% among 3-4 children. Only 59.4% had between 1 and 2 prenatal checkups throughout pregnancy and between 3 and 4 controls 30.2%. 46.9% occurred between weeks 37-39 of gestation and 33.9% between weeks 33-36 of gestation. 42% hypertonic uterine followed by 14% with hypovolemic shock. Conclusions: This study provides important data on risk factors and complications of pregnant women with abruptio placentae are similar to other research studies.
Introduction: premature detachment of membranes normal-insert complete or partial separation of the placenta (normally implanted) in the wall of the uterus at 20 weeks or more of gestation. Methods and materials: A descriptive observational study indirect, verbal and performed 192 patients with a diagnosis of placentae abruptio in Obstetric-Gynecologic Hospital Enrique C. Sotomayor from January 2014 to January 2015, for statistical analysis package that was used Microsoft offers us Excel. Results: Risk factors were first infections with 26% followed by arterial hypertension with 24.5% and premature rupture of membranes with 18.8%. The age group with the highest prevalence was between the ages of 25-28 years and 28% aged between 33 and 36 years, in terms of gynecological and obstetric history, 84% of patients were multiparous, in our pregnant 41.1% were between 1-2 children and 29.2% among 3-4 children. Only 59.4% had between 1 and 2 prenatal checkups throughout pregnancy and between 3 and 4 controls 30.2%. 46.9% occurred between weeks 37-39 of gestation and 33.9% between weeks 33-36 of gestation. 42% hypertonic uterine followed by 14% with hypovolemic shock. Conclusions: This study provides important data on risk factors and complications of pregnant women with abruptio placentae are similar to other research studies.
Descripción
Palabras clave
Factores de riesgo, Complicaciones del embarazo, Epidemiología descriptiva, Hospital Gineco-Obstetrico Enrique C. Sotomayor, Cantón Guayaquil, Ecuador, Desprendimiento prematuro de la placenta normoinserta