Manejo y tratamiento de la enfermedad respiratoria aguda: asma bronquial y sus crisis durante el embarazo en la Maternidad Sotomayor del 1 de noviembre del 2012 al 30 de abril del 2013
Fecha
2013
Autores
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Obstetricia
Resumen
Este trabajo de investigación comprende el estudio del manejo y tratamiento de la
enfermedad respiratoria aguda: Asma bronquial y sus crisis durante el embarazo en el
Hospital Gineco Obstétrico Enrique C. Sotomayor, trabajo que se realizó con las pacientes
ingresadas al área de hospitalización que presentaron la patología antes mencionada.
Toda la información necesaria para llevar a cabo mi trabajo de investigación la solicité
previo una autorización de la dirección general en el área de estadística de dicha institución,
información con la cual realicé un estudio de corte transversal, y de tipo descriptivo,
obteniendo como resultados una totalidad de 47 pacientes gestantes afectadas con dicha
patología, pudiendo observar que el tratamiento aplicado a cada una de ellas no cumplía
con el protocolo de la institución, afectando tanto a la madre con presencia de ruptura
prematura de membranas, como al recién nacido con retardo del crecimiento intrauterino
aumentando así la tasa de morbilidad de ambos por el mal manejo.
Teniendo en cuenta lo anterior se propone un esquema farmacológico en el manejo de la
crisis asmáticas que se adapta a las normas Gina 2010 y que se complementa al protocolo
ya utilizado en el Hospital Gineco Obstétrico Enrique C Sotomayor y que pueda ser
administrado por el personal capacitado incluyendo al Cuerpo de Obstetras con el fin de
evaluar las complicaciones del asma bronquial en el embarazo determinando grados de
complejidad de la misma, para una atención eficaz, eficiente y efectiva cumpliendo así con
las normativas del sistema nacional de salud
This research includes the study of the management and treatment of acute respiratory disease: Bronchial asthma and seizures during pregnancy in Obstetrics and Gynecology Hospital Henry C. Sotomayor, work that was performed with the patients admitted to the hospital area that presented above pathology. All necessary information to carry out my research work the requested prior authorization from the general direction in the area of statistics of that institution, information which did a cross-sectional study, and descriptive, obtaining as results over total of 47 pregnant patients affected with this disease, being able to observe that the treatment applied to each one of them did not meet the protocol of the institution, affecting both the mother and the presence of premature rupture of membranes, and newborn with delayed intrauterine growth thereby increasing both morbidity rate due to poor management. Considering the above scheme is proposed pharmacological management of asthma attacks that suits Gina standards 2010 and complemented the protocol and used in Obstetric and Gynecology Hospital Enrique C. Sotomayor and can be administered by trained personnel including Obstetricians Corps in order to assess complications of bronchial asthma in pregnancy determining degrees of complexity of it, for effective care, efficient and effective compliance with regulations and the national health system.
This research includes the study of the management and treatment of acute respiratory disease: Bronchial asthma and seizures during pregnancy in Obstetrics and Gynecology Hospital Henry C. Sotomayor, work that was performed with the patients admitted to the hospital area that presented above pathology. All necessary information to carry out my research work the requested prior authorization from the general direction in the area of statistics of that institution, information which did a cross-sectional study, and descriptive, obtaining as results over total of 47 pregnant patients affected with this disease, being able to observe that the treatment applied to each one of them did not meet the protocol of the institution, affecting both the mother and the presence of premature rupture of membranes, and newborn with delayed intrauterine growth thereby increasing both morbidity rate due to poor management. Considering the above scheme is proposed pharmacological management of asthma attacks that suits Gina standards 2010 and complemented the protocol and used in Obstetric and Gynecology Hospital Enrique C. Sotomayor and can be administered by trained personnel including Obstetricians Corps in order to assess complications of bronchial asthma in pregnancy determining degrees of complexity of it, for effective care, efficient and effective compliance with regulations and the national health system.
Descripción
Palabras clave
Asma, Embarazo, Broncodilatadores, Hospital Gineco-Obstétrico Enrique C. Sotomayor, Cantón Guayaquil, Ecuador, Enfermedades respiratorias