Preclampsia en el Hospital Mariana de Jesús, entre 2014-2015
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2017
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
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Introducción: La preeclampsia es un trastorno multisistémico que se caracteriza por la nueva aparición de hipertensión y proteinuria o disfunción orgánica o ambos al final de la mitad del embarazo. El aumento de la morbilidad perinatal en la preeclampsia es debido a un retardo de crecimiento intrauterino, parto pretérmino y/o asfixia perinatal. Objetivo: Determinar la prevalencia y los factores de riesgo asociados a preeclampsia en mujeres embarazadas en el HOSPITAL MARIANA DE JESÚS, durante el período 2014-2015. Métodos: Es un estudio documental con las historias clínicas del Hospital Mariana de Jesús en los años 2014 – 2015. Investigación descriptiva, observacional, retrospectiva y transversal. Resultados: De las 458 pacientes con Preeclampsia atendidas en el Hospital Mariana de Jesús durante el periodo de Enero2014 a Diciembre 2015 el 26% corresponden a mujeres de <18 años y >40 años, mientras el 74% corresponde a pacientes entre 18-39 años. Por lo tanto la muestra es de 119 pacientes. Conclusión: Por lo que se concluye que el reconocimiento de los factores de riesgo que predisponen a padecer preeclampsia en mujeres embarazadas contribuye de una forma directa para detectar y clasificar el riesgo que en conjunto con controles prenatales tanto en los centros de salud y Hospitales, valoración de la curva de evolución de la presión arterial, control de proteinuria en especial en el último trimestre de gestación; permitirá detectar la enfermedad precozmente, para aplicar el manejo terapéutico adecuado y así evitar las graves complicaciones en madre-feto.
Introduction: Preeclampsia is a multisystem disorder characterized by the new occurrence of hypertension and proteinuria or organic dysfunction or both at the end of mid-pregnancy. The increase in perinatal morbidity in preeclampsia is due to intrauterine growth retardation, preterm delivery and / or perinatal asphyxia. Objective: To determine the prevalence and risk factors associated with preeclampsia in pregnant women in the MARIANA DE JESÚS HOSPITAL, during the period 2014-2015. Methods: It is a documentary study with the clinical histories of the Hospital Mariana de Jesus in the years 2014 - 2015. Descriptive, observational, retrospective and transversal research. Results: Of the 458 patients with preeclampsia attended at the Mariana de Jesus Hospital during the period January2014 to December 2015, 26% corresponded to women aged <18 years and> 40 years, while 74% were patients aged 18-39 years . Therefore, the sample is 119 patients. Conclusion: It is concluded that the recognition of risk factors predisposing to preeclampsia in pregnant women contributes directly to detect and classify the risk that together with prenatal controls in both health centers and hospitals, assessment Of the curve of evolution of the blood pressure, control of proteinuria especially in the last trimester of gestation; Will allow the detection of the disease early, to apply the appropriate therapeutic management and thus avoid serious complications in mother-fetus.
Introduction: Preeclampsia is a multisystem disorder characterized by the new occurrence of hypertension and proteinuria or organic dysfunction or both at the end of mid-pregnancy. The increase in perinatal morbidity in preeclampsia is due to intrauterine growth retardation, preterm delivery and / or perinatal asphyxia. Objective: To determine the prevalence and risk factors associated with preeclampsia in pregnant women in the MARIANA DE JESÚS HOSPITAL, during the period 2014-2015. Methods: It is a documentary study with the clinical histories of the Hospital Mariana de Jesus in the years 2014 - 2015. Descriptive, observational, retrospective and transversal research. Results: Of the 458 patients with preeclampsia attended at the Mariana de Jesus Hospital during the period January2014 to December 2015, 26% corresponded to women aged <18 years and> 40 years, while 74% were patients aged 18-39 years . Therefore, the sample is 119 patients. Conclusion: It is concluded that the recognition of risk factors predisposing to preeclampsia in pregnant women contributes directly to detect and classify the risk that together with prenatal controls in both health centers and hospitals, assessment Of the curve of evolution of the blood pressure, control of proteinuria especially in the last trimester of gestation; Will allow the detection of the disease early, to apply the appropriate therapeutic management and thus avoid serious complications in mother-fetus.
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Preeclampsia, Epidemiología descriptiva, Estudios retrospectivos, Hospital Especializado Mariana de Jesús, Cantón Guayaquil, Ecuador, Registros médicos, Factores de riesgo