Estudio comparativo entre circular de cordón umbilical y el apgar del recién nacido, en el Hospital Materno Infantil Matilde Hidalgo de Procel, en el período de enero a diciembre del 2017
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2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
Resumen
Debido a evidencia que existe actualmente sobre circulares de cordón en el feto, no se
sostiene de manera estable la relación entre la presencia de circular de cordón y los
resultados perinatales desfavorables, al compararse con fetos sin circulares de cordón. El
presente estudio se realizó en el Hospital Materno Infantil Matilde Hidalgo Prócel ubicado
en la ciudad de Guayaquil, provincia del Guayas. Lo principal de esta investigación es
determinar el porcentaje de presencia de circulares de cordón y la relación que tiene con
el apgar de recién nacidos. Para realizar el estudio se contó con información de partos
correspondiente al periodo de enero a diciembre del 2017, dando un total de 4748 partos
de los cuales se determinaron un total de 910 casos con presencia de circular de cordón
lo cual corresponde al 19.17% del total. Se escogió una muestra representativa la cual
determinó que 81.11% de los casos, corresponde a circulares de cuello. Para el tamaño de
muestra establecido se realizó tabulación con el puntaje Apgar al minuto y 5 minutos de
nacido, obteniéndose un resultado de 86.67% con puntaje mayor a 7 al minuto y 95.56%
con puntaje mayor a 7 a los 5 minutos, viéndose un aumento de porcentaje a los 5
minutos, por lo que se concluye que las condiciones de los recién nacidos han mejorado.
Aplicando métodos de análisis estadísticos para hallar la correlación entre 2 variables. Se
estableció que no existe correlación entre las variables de puntuación Apgar al minuto y
el Tipo de circular de cordón.
Due to evidence that currently exists on cord circulars in the fetus, the relationship between the presence of cord circulation and unfavorable perinatal results is not stably held, when compared with fetuses without cordlets. The present study was carried out at the Matilde Hidalgo Prócel Maternal and Child Hospital located in the city of Guayaquil, province of Guayas. The main thing of this investigation is to determine the percentage of presence of cord circular and the relationship that has with the apgar of newborns. To carry out the study, there was birth information corresponding to the period from January to December 2017, giving a total of 4748 births, of which a total of 910 cases were determined with the presence of cord circulation, which corresponds to 19.17% of the total . A representative sample was chosen which determined that 81.11% of the cases correspond to neck circles. For the established sample size tabulation was made with the Apgar score at minute and 5 minutes of birth, obtaining a result of 86.67% with a score higher than 7 at minute and 95.56% with a score greater than 7 at 5 minutes, showing an increase percentage at 5 minutes, so it is concluded that the conditions of newborns have improved. Applying statistical analysis methods to find the correlation between 2 variables. It was established that there is no correlation between the score variables Apgar at minute and the type of cord circular.
Due to evidence that currently exists on cord circulars in the fetus, the relationship between the presence of cord circulation and unfavorable perinatal results is not stably held, when compared with fetuses without cordlets. The present study was carried out at the Matilde Hidalgo Prócel Maternal and Child Hospital located in the city of Guayaquil, province of Guayas. The main thing of this investigation is to determine the percentage of presence of cord circular and the relationship that has with the apgar of newborns. To carry out the study, there was birth information corresponding to the period from January to December 2017, giving a total of 4748 births, of which a total of 910 cases were determined with the presence of cord circulation, which corresponds to 19.17% of the total . A representative sample was chosen which determined that 81.11% of the cases correspond to neck circles. For the established sample size tabulation was made with the Apgar score at minute and 5 minutes of birth, obtaining a result of 86.67% with a score higher than 7 at minute and 95.56% with a score greater than 7 at 5 minutes, showing an increase percentage at 5 minutes, so it is concluded that the conditions of newborns have improved. Applying statistical analysis methods to find the correlation between 2 variables. It was established that there is no correlation between the score variables Apgar at minute and the type of cord circular.
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Cordón umbilical, Líquido amniótico, Puntaje de apgar, Hospital Materno Infantil Dra. Matilde Hidalgo de Procel, Cantón Guayaquil, Ecuador, Estudio comparativo, Recién nacido