Embarazo múltiple y su corionicidad en Hospital Teodoro Maldonado, entre julio 2015 a junio 2016
Fecha
2017
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
Antecedentes: La ecografía ha revolucionado el estudio y control prenatal de los embarazos, permitiendo generar una idea futuro de cómo evoluciona el embarazo múltiple y su viabilidad. Objetivo: Identificar como la corionicidad que se presente en un Embarazo Múltiple (monocoriónica, bicoriónica, etc.) produce alteraciones en el crecimiento fetal y las semanas más representativas del término de los mismos. Metodología: El presente proyecto de investigación es de enfoque Cuantitativo, de Análisis de datos, de corte Descriptivo, Transversal, Observacional, Retrospectivo. Resultados: Se han tomado datos del Servicio de Ginecología y Obstetricia del HTMC de la ciudad de Guayaquil entre Julio del 2015 a Junio del 2016 se determinó la prevalencia de Embarazos Múltiples es de 2/10, liderando el Gemelar en un 97% de los casos en contraste a los triples con un 3%. De los neonatos obtenidos en el estudio se determinó que el 65% de ellos nacen con bajo peso y solo un 20% presentan peso adecuado para su edad gestacional y la edad gestacional de obtención de los neonatos en su mayoría fue entre la 35 y 36 SG. Conclusión: La prevalencia de alteraciones en crecimiento fetal esta netamente relacionada a los controles prenatales y el cuidado durante la gestación. Solo un 20% de los neonatos estudiados nacieron con peso adecuado y cumplieron con los controles prenatales.
Background: Ultrasound has revolutionized the study and prenatal control of pregnancies, allowing to generate a future idea of how multiple pregnancy progresses and its viability. Objective: To identify how the chorionicity that is present in a Multiple Pregnancy (monocorionic, bicorionic, etc.) causes alterations in fetal growth and the most representative weeks of the term of the same. Methodology: This research project is a quantitative approach, Data Analysis, Descriptive, Transverse, Observational, and Retrospective. Results: Data were collected from the Gynecology and Obstetrics Service of the city of Guayaquil between July 2015 and June 2016. The prevalence of multiple pregnancies was 2/10, leading to Gemelar in 97% of the cases In contrast to triples with 3%. Of the neonates obtained in the study, it was determined that 65% of them are born with low weight and only 20% present adequate weight for their gestational age and the gestational age of obtaining the infants was mostly between 35 and 36 SG . Conclusion: The prevalence of alterations in fetal growth is clearly related to prenatal controls and care during gestation. Only 20% of the infants studied were born with adequate weight and fulfilled prenatal controls.
Background: Ultrasound has revolutionized the study and prenatal control of pregnancies, allowing to generate a future idea of how multiple pregnancy progresses and its viability. Objective: To identify how the chorionicity that is present in a Multiple Pregnancy (monocorionic, bicorionic, etc.) causes alterations in fetal growth and the most representative weeks of the term of the same. Methodology: This research project is a quantitative approach, Data Analysis, Descriptive, Transverse, Observational, and Retrospective. Results: Data were collected from the Gynecology and Obstetrics Service of the city of Guayaquil between July 2015 and June 2016. The prevalence of multiple pregnancies was 2/10, leading to Gemelar in 97% of the cases In contrast to triples with 3%. Of the neonates obtained in the study, it was determined that 65% of them are born with low weight and only 20% present adequate weight for their gestational age and the gestational age of obtaining the infants was mostly between 35 and 36 SG . Conclusion: The prevalence of alterations in fetal growth is clearly related to prenatal controls and care during gestation. Only 20% of the infants studied were born with adequate weight and fulfilled prenatal controls.
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Embarazo múltiple, Corionicidad, Epidemiología descriptiva, Estudios retrospectivos, Hospital de Especialidades Dr. Teodoro Maldonado Carbo, Cantón Guayaquil, Ecuador, Embarazo gemelar