Factores de riesgo y complicaciones materno fetales en pacientes con ruptura prematura de membranas antes de las 37 semana de gestación. Estudio a realizarse en el Hospital Universitario de Guayaquil, período 2015
Fecha
2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
La Ruptura Prematura de Membranas es una complicación frecuente en la pericia médica ginecológica obstétrica, esta puede incrementar los factores de riesgos materna – fetal, varios estudios se están llevando a cabo para poder aclarar completamente su fisiopatología, lo cual se hace cada vez más indispensable para poder aplicar estos conceptos en la práctica clínica, la convicción actual indica que la Ruptura Prematura de Membranas es un medio que puede ser afectado por factores: bioquímicos, fisiológicos, patológicos y ambientales. Según los datos estadísticos del 2015 del Ministerio de Salud Pública del Ecuador la ruptura prematura de membranas tiene una prevalencia del 10% de los embarazos, el 20% ocurre en el tercer trimestre de la gestación, es responsable de un tercio de los casos de parto prematuro y del 10% de las muertes perinatales, se la asocia también a un aumento en la morbilidad materna infecciosa ocasionada por la corioamnionitis e infección puerperal. Esta investigación de tipo descriptivo, de campo, no experimental, prospectivo. tiene como objetivo determinar la prevalencia de la ruptura prematura de membranas en mujeres embarazadas de 16 a 35 años, que ingresaron en el Hospital Universitario de Guayaquil en el periodo 2015. Los resultados de esta investigación me permitieron determinar que la secreción vaginal en el 60%, la primiparidad al 60%, la unión libre con el 48%, la gestación sobre las 31 semanas con el 46% y los deficiente controles prenatales registrados en las historias clínicas son factores que inciden en la morbilidad materno-fetal y del recién nacido de las Ruptura Prematura de Membranas en las pacientes investigadas.
Premature Rupture of Membranes is a common complication in obstetric gynecological medical expertise, this can increase the factors of maternal risk - fetal, several studies are underway to fully clarify their pathophysiology, which is increasingly indispensable for to apply these concepts in clinical practice, the current conviction indicates that premature rupture of membranes is a medium that can be affected by factors: biochemical, physiological, pathological and environmental. According to the statistics of 2015 the Ministry of Public Health of Ecuador premature rupture of membranes has a prevalence of 10% of pregnancies, 20% occurs in the third trimester of pregnancy, is responsible for one third of cases of birth premature and 10% of perinatal deaths, it is also associated with an increase in maternal infectious morbidity caused by chorioamnionitis and puerperal infection. This research descriptive, field, not experimental, prospective. aims to determine the prevalence of premature rupture of membranes in pregnant women aged 16 to 35 who were admitted to the University Hospital of Guayaquil in the period 2015. The results of this research allowed me to determine that the vaginal discharge in 60% , primiparity 60%, the free union with 48%, gestation of 31 weeks with 48% and poor prenatal visits recorded in medical records are factors that affect maternal and fetal morbidity and newborn the Premature Rupture of Membranes in patients investigated.
Premature Rupture of Membranes is a common complication in obstetric gynecological medical expertise, this can increase the factors of maternal risk - fetal, several studies are underway to fully clarify their pathophysiology, which is increasingly indispensable for to apply these concepts in clinical practice, the current conviction indicates that premature rupture of membranes is a medium that can be affected by factors: biochemical, physiological, pathological and environmental. According to the statistics of 2015 the Ministry of Public Health of Ecuador premature rupture of membranes has a prevalence of 10% of pregnancies, 20% occurs in the third trimester of pregnancy, is responsible for one third of cases of birth premature and 10% of perinatal deaths, it is also associated with an increase in maternal infectious morbidity caused by chorioamnionitis and puerperal infection. This research descriptive, field, not experimental, prospective. aims to determine the prevalence of premature rupture of membranes in pregnant women aged 16 to 35 who were admitted to the University Hospital of Guayaquil in the period 2015. The results of this research allowed me to determine that the vaginal discharge in 60% , primiparity 60%, the free union with 48%, gestation of 31 weeks with 48% and poor prenatal visits recorded in medical records are factors that affect maternal and fetal morbidity and newborn the Premature Rupture of Membranes in patients investigated.
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Complicaciones del embarazo, Factores de riesgo, Rotura prematura de membranas fetales, Hospital Universitario de Guayaquil, Cantón Guayaquil, Ecuador, Líquido amniótico, Corioamnionitis