Oligohidramnios : factores de riesgo y complicaciones perinatales en pacientes ingresadas en la Maternidad Enrique C. Sotomayor
No hay miniatura disponible
Fecha
2017
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
Introducción: El oligohidramnios, es una patología del líquido amniótico que usualmente se presenta en las mujeres embarazadas y que posee etiologías diversas que involucran causas maternas y fetales como las principales.
Las muertes neonatales son del 21.5% en el Ecuador, al estudiar los factores que se asocian a una disminución del líquido amniótico podremos orientar al personal médico a evitar que se vea alterado el normal desarrollo fetal y a la vez aminorar el riesgo de complicaciones perinatales, lo cual podría ayudar a reducir las cifras de mortalidad en el recién nacido.
El propósito de esta investigación es evaluar los factores de riesgo y complicaciones perinatales del oligohidramnios mediante un adecuado control prenatal, que incluya un registro ecográfico confiable, para una mejor detección de anomalías congénitas y prevención de morbimortalidad en el neonato.
La correlación entre edad gestacional, talla y peso demostró que el hecho de presentar oligohidramnios durante la gestación predispone a que le neonato tenga menos medidas antropométricas y peso en gramos, de los que normalmente debería según su edad gestacional al nacimiento.
Materiales y Métodos: Se tomó una muestra de 100 pacientes embarazadas con diagnóstico de oligohidramnios que fueron ingresadas en la Maternidad Enrique C. Sotomayor durante los años 2014 y 2015. Los materiales usados fueron datos recabados de las historias clínicas de las pacientes en un archivo de Excel.
Resultados: El estudio realizado mostró que en la muestra las mujeres con diagnóstico de oligohidramnios presentan en su mayoría preeclampsia, tenían de entre 33 a 37 semanas de gestación, con ruptura prematura de membranas y los neonatos fueron de pequeños y de bajo peso para su edad gestacional. PalabrasOligohidramnios,
Introduction: The oligohydramnios, is an illness of amniotic fluid that is common in pregnant women and have different etiologies that involve maternal and fetal causes and the first ones. Neonatal mortality is of 21,5% at Ecuador, by studying the causes that associates with a diminution of amniotic fluid we can orient medical personnel to avoid affecting the fetal normal development and at the same time low the risk of bad perinatal outcome, which at the same time would help lowering mortality rate of the newborn. The purpose of this investigation is to evaluate the risk factors and perinatal complications of oligohidramnios through a optimal prenatal care, that includes a reliable ultrasound for a better detection of congenital anomalies y prevention of morbidity and mortality in the newborn. The correlation between gestational age, height and weight demonstrate the fact that having oligohidramnios during pregnancy predisposes the newborn to be littler than how it normally should be according to its age. Materials and Methods: A sample of 100 pregnant hospitalized patients with a diagnosis of oligohydramnios was took from the Enrique C. Sotomayor Maternity from the years 2014 and 2015. The materials were data from the clinical records of the patients’ transferred to an Excel archive. Results: This study showed that women with oligohidramnios diagnosis had preeclampsia and 33 to 37 weeks of gestation with premature rupture of membranes and the newborn were little for its gestational age.
Introduction: The oligohydramnios, is an illness of amniotic fluid that is common in pregnant women and have different etiologies that involve maternal and fetal causes and the first ones. Neonatal mortality is of 21,5% at Ecuador, by studying the causes that associates with a diminution of amniotic fluid we can orient medical personnel to avoid affecting the fetal normal development and at the same time low the risk of bad perinatal outcome, which at the same time would help lowering mortality rate of the newborn. The purpose of this investigation is to evaluate the risk factors and perinatal complications of oligohidramnios through a optimal prenatal care, that includes a reliable ultrasound for a better detection of congenital anomalies y prevention of morbidity and mortality in the newborn. The correlation between gestational age, height and weight demonstrate the fact that having oligohidramnios during pregnancy predisposes the newborn to be littler than how it normally should be according to its age. Materials and Methods: A sample of 100 pregnant hospitalized patients with a diagnosis of oligohydramnios was took from the Enrique C. Sotomayor Maternity from the years 2014 and 2015. The materials were data from the clinical records of the patients’ transferred to an Excel archive. Results: This study showed that women with oligohidramnios diagnosis had preeclampsia and 33 to 37 weeks of gestation with premature rupture of membranes and the newborn were little for its gestational age.
Descripción
PDF
Palabras clave
Oligohidramnios, Control prenatal, Anomalías congénitas, Feto, Hospital Gineco-Obstétrico Enrique C. Sotomayor, Cantón Guayaquil, Ecuador, Complicaciones perinatales