Diabetes gestacional y obstrucción de la labor de parto por macrosomía fetal, estudio a realizarse en el Hospital Universitario de Guayaquil año 2016
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2017
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
La Diabetes Gestacional es un tipo de diabetes que se desarrolla exclusivamente durante el embarazo debido a los cambios fisiológicos que ocurren en la mujer durante esta etapa, dicha enfermedad tiene un considerable impacto no solo para la madre sino también notables riesgos para el feto en cuanto de desenlaces adversos durante la conclusión del embarazo y aun posterior a este. Esto ha generado nuevos estudios acerca de la relación entre el aumento de la glucemia y la conclusión del embarazo, dado que la diabetes gestacional es un factor de trascendental importancia en la génesis de la macrosomia fetal, es por ello que surge la necesidad de desarrollar pautas, planes, guías en cuanto al control y manejo de dicho grupo de pacientes en riesgo. El desarrollo del actual trabajo se estimó como una investigación retrospectiva de tipo analítica y observacional para establecer dicha relación. En la cual se demostró mediante una matriz de correlación la relación lineal directa entre ambas variables, es decir, que a mayor el trastorno glucémico mayor será el peso del producto al nacer impidiendo así la progresión normal de la labor del parto y por tanto mayor será el porcentaje de finalización del parto por vía abdominal, esto sin lugar a dudas eleva la mortalidad materno fetal.
Gestational Diabetes is a type of diabetes that develops exclusively during pregnancy due to the physiological changes that occur in the woman during this stage, this disease has a considerable impact not only for the mother but also notable risks to the fetus in terms of Adverse outcomes during and after pregnancy termination. This has generated new studies on the relationship between increased blood glucose and pregnancy termination, given that gestational diabetes is a major factor in the genesis of fetal macrosomia, which is why there is a need to develop guide, Plans, guidelines regarding the control and management of this group of patients at risk. The development of the present work was considered as a retrospective research of analytical and observational type to establish this relation. In which the direct linear relationship between both variables was demonstrated by means of a correlation matrix, that is, the greater the glycemic disorder the greater the weight of the product at birth, thus preventing the normal progression of labor and, therefore, the percentage of completion of labor by the abdominal route, this undoubtedly raises maternal fetal mortality.
Gestational Diabetes is a type of diabetes that develops exclusively during pregnancy due to the physiological changes that occur in the woman during this stage, this disease has a considerable impact not only for the mother but also notable risks to the fetus in terms of Adverse outcomes during and after pregnancy termination. This has generated new studies on the relationship between increased blood glucose and pregnancy termination, given that gestational diabetes is a major factor in the genesis of fetal macrosomia, which is why there is a need to develop guide, Plans, guidelines regarding the control and management of this group of patients at risk. The development of the present work was considered as a retrospective research of analytical and observational type to establish this relation. In which the direct linear relationship between both variables was demonstrated by means of a correlation matrix, that is, the greater the glycemic disorder the greater the weight of the product at birth, thus preventing the normal progression of labor and, therefore, the percentage of completion of labor by the abdominal route, this undoubtedly raises maternal fetal mortality.
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Diabetes gestacional, Trabajo de parto, Macrosomía fetal, Hospital Universitario de Guayaquil, Cantón Guayaquil, Ecuador