Prevalencia de la hemorragia obstétrica del primer trimestre del embarazo en el Hospital Verdi Cevallos Balda de la ciudad de Portoviejo, propuesta de manejo terapéutico. Desde septiembre del 2012 a febrero del 2013
Archivos
Fecha
2013
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Obstetricia
Resumen
Tradicionalmente, el embarazo es considerado un evento fisiológico. Sin embargo, cerca de un 20% de las embarazadas desarrolla patologías obstétricas que se asocian a mortalidad materna y perinatal. A nivel mundial, cada año medio millón de mujeres fallece durante el embarazo y parto debido a estas complicaciones. Desafortunadamente, un número significativo de las urgencias obstétricas ocurre en pacientes sin factores de riesgo, por lo que la prevención, identificación precoz e intervención a tiempo de estos eventos juegan un rol fundamental para contrarrestar un resultado perinatal adverso. Este estudio se lo realizo en el proceso de Gineco Obstetricia del Hospital Verdi Cevallos Balda de la ciudad de Portoviejo, en el cual se revisaron 179 carpetas de pacientes que se les había diagnosticado hemorragia del primer trimestre de embarazo, en el periodo comprendido del 1 de Septiembre de 2012 a 29 de Febrero de 2013.El objetivo general fue conocer las principales causas de hemorragias en el primer trimestre del embarazo en el Hospital Verdi Cevallos de la ciudad de Portoviejo, para ello fue necesario 1.- Detectar las causas de hemorragias del primer trimestre 2.-Aplicar la evidencia científica disponible para el manejo de las hemorragias.3.-Conocer la incidencia de metrorragia del primer trimestre en el Hospital Verdi Cevallos y 4.- Conocer las recomendaciones para evitar estas complicaciones La mayoría de pacientes de este estudio tenían menos de 20 años eran multigestas, provenían del área urbana marginal , tenían entre 7 a 10 semanas de embarazo , presentaron sangrado genital , les diagnosticaron aborto incompleto
Ninguno de los centros de salud cuenta con un medio de transporte para asegurar el traslado de las pacientes, ni tampoco una red de comunicación adecuada
Traditionally , pregnancy is considered a physiological event . However, about 20 % of pregnant women develop obstetric pathologies that are associated with maternal and perinatal mortality . Globally, each year half a million women die during pregnancy and childbirth due to these complications. Unfortunately , a significant number of obstetric emergencies occur in patients without risk factors , so that prevention, early identification and intervention in time of these events play a vital role to counter adverse perinatal outcome . This study was conducted as in the process of Obstetrics Gynecology Hospital Verdi Cevallos Balda Portoviejo city , which were revised in folders 179 patients were diagnosed with bleeding in the first trimester of pregnancy , in the period 1 September 2012-29 February 2013.El overall objective was to determine the main causes of bleeding in the first trimester of pregnancy at the Hospital Verdi Cevallos Portoviejo city , for it was necessary 1. - Identify the causes of bleeding from 2. - Apply first quarter scientific evidence for the management of hemorragias.3. - to determine the incidence of first-trimester metrorrhagia Verdi Cevallos Hospital and 4. - Know the recommendations to avoid these complications most patients in this study were younger than 20 years were multiparous , were from the urban marginal , were between 7-10 weeks of pregnancy , vaginal bleeding presented , were diagnosed with incomplete abortion None of the health centers has a transport means for ensuring the transfer of patients , nor a suitable communication network
Traditionally , pregnancy is considered a physiological event . However, about 20 % of pregnant women develop obstetric pathologies that are associated with maternal and perinatal mortality . Globally, each year half a million women die during pregnancy and childbirth due to these complications. Unfortunately , a significant number of obstetric emergencies occur in patients without risk factors , so that prevention, early identification and intervention in time of these events play a vital role to counter adverse perinatal outcome . This study was conducted as in the process of Obstetrics Gynecology Hospital Verdi Cevallos Balda Portoviejo city , which were revised in folders 179 patients were diagnosed with bleeding in the first trimester of pregnancy , in the period 1 September 2012-29 February 2013.El overall objective was to determine the main causes of bleeding in the first trimester of pregnancy at the Hospital Verdi Cevallos Portoviejo city , for it was necessary 1. - Identify the causes of bleeding from 2. - Apply first quarter scientific evidence for the management of hemorragias.3. - to determine the incidence of first-trimester metrorrhagia Verdi Cevallos Hospital and 4. - Know the recommendations to avoid these complications most patients in this study were younger than 20 years were multiparous , were from the urban marginal , were between 7-10 weeks of pregnancy , vaginal bleeding presented , were diagnosed with incomplete abortion None of the health centers has a transport means for ensuring the transfer of patients , nor a suitable communication network
Descripción
Palabras clave
Hemorragia uterina, Primer trimestre del embarazo, Estudios retrospectivos, Hospital Provincial de Portoviejo Dr. Verdi Cevallos Balda, Ecuador, Cantón Portoviejo