Factores de riesgos asociados a desgarros vulvoperineales en nulíparas Maternidad Matilde de Procel período de enero - septiembre 2017
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2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
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Con la presente investigación vamos a determinar, Los factores de riesgos por lo que se presenta un desgarro vulvoperineal en nulíparas entre los cuales tenemos: determinar la influencia del tamaño y peso del feto en el desarrollo de los desgarros vulvoperineales, establecer las causas del periodo expulsivo precipitado en la presentación de los desgarros, definir las consecuencias de no realizar la episiotomía sobre el suelo pélvico y periné de las gestantes nulíparas, en el Hospital Materno Infantil Dra. Matilde Hidalgo de Procel. Se realizó un estudio descriptivo, retrospectivo de secuencia longitudinal de un universo basado en 100 historias clínicas, la recolección de datos se realizó por medio de una ficha estructurada, y su tabulación por medio del programa Microsoft Excel 2017. De los resultados obtenidos se presentó como principal factor de riesgo en el desarrollo de desgarros vulvoperineales al peso fetal con un 50 %, con respecto a la práctica de la episiotomía en momento del expulsivo el mayor porcentaje es de 80 % pacientes que presentaron un desgarro perineal y un 20 % que no presentaron ninguna lesión. La práctica de la episiotomía en el momento del expulsivo de las pacientes que se atendieron su parto el mayor porcentaje es de 53% corresponde aquellas que si se les realizo episiotomía medio lateral y 47% a las cuales no se llevó a cabo dicho procedimiento. Las gestantes añosas que van desde los 35 año en adelante se presentó un 11 %. Determinando así a la edad como un factor asociado a la presencia de desgarro ya que en los 15 casos de primigestas añosas se presentó un desgarro perineal en la mayoría.
With the present investigation we are going to determine, the risk factors for what presents a vulvoperineal tear in nulliparous among which we have: to determine the influence of the size and weight of the fetus in the development of the vulvoperineal tears, to establish the causes of the expulsive period precipitated in the presentation of the tears, to define the consequences of not performing the episiotomy on the pelvic floor and perineum of the nulliparous pregnant women, in the Materno Infantil Hospital Dra. Matilde Hidalgo de Procel. A descriptive, retrospective study of the longitudinal sequence of a universe based on 100 clinical histories was carried out, the data collection was done through a structured record, and its tabulation through the Microsoft Excel 2017 program. From the results obtained, it was presented as Main risk factor in the development of vulvoperineal tears at fetal weight with 50%, with respect to the practice of episiotomy at the time of the expulsive, the highest percentage is 80% patients who presented a perineal tear and 20% who did not present no injury The practice of episiotomy at the moment of the expulsive of the patients who attended their delivery the greater percentage is of 53% corresponds those that if they were made lateral middle episiotomy and 47% to which this procedure was not carried out. The elderly pregnant women who go from 35 years old onwards presented 11%. Thus determining age as a factor associated with the presence of tear since in the 15 cases of elderly primigraves there was a perineal tear in the majority.
With the present investigation we are going to determine, the risk factors for what presents a vulvoperineal tear in nulliparous among which we have: to determine the influence of the size and weight of the fetus in the development of the vulvoperineal tears, to establish the causes of the expulsive period precipitated in the presentation of the tears, to define the consequences of not performing the episiotomy on the pelvic floor and perineum of the nulliparous pregnant women, in the Materno Infantil Hospital Dra. Matilde Hidalgo de Procel. A descriptive, retrospective study of the longitudinal sequence of a universe based on 100 clinical histories was carried out, the data collection was done through a structured record, and its tabulation through the Microsoft Excel 2017 program. From the results obtained, it was presented as Main risk factor in the development of vulvoperineal tears at fetal weight with 50%, with respect to the practice of episiotomy at the time of the expulsive, the highest percentage is 80% patients who presented a perineal tear and 20% who did not present no injury The practice of episiotomy at the moment of the expulsive of the patients who attended their delivery the greater percentage is of 53% corresponds those that if they were made lateral middle episiotomy and 47% to which this procedure was not carried out. The elderly pregnant women who go from 35 years old onwards presented 11%. Thus determining age as a factor associated with the presence of tear since in the 15 cases of elderly primigraves there was a perineal tear in the majority.
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Nulíparas, Factores de riesgo, Hospital Materno Infantil Dra. Matilde Hidalgo de Procel, Cantón Guayaquil, Ecuador, Desgarros perineales