Hemorragia del primer trimestre en primigestas en el Hospital Universitario entre 2015-2016
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2017
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
A nivel mundial, cada año medio millón de mujeres fallece durante el embarazo y parto debido a estas complicaciones. Desafortunadamente, un número significativo de las urgencias obstétricas ocurre en pacientes sin factores de riesgo, por lo que la prevención, identificación precoz e intervención a tiempo de estos eventos juegan un rol fundamental para contrarrestar un resultado perinatal adverso. el 25% de las mujeres embarazadas podían presentar hemorragia del primer trimestre del embarazo y que la mitad terminaría en aborto (Goldstein, 1994).
Este estudio se lo realizo en el area de Gineco Obstetricia del Hospital Universitario de la ciudad de Guayaquil, en el cual se revisaron 420 carpetas de pacientes que ses les había diagnosticado hemorragia del primer trimestre de embarazo, en el periodo comprendido del 1 de Enero de 2015 a 30 de Diciembre de 2016. El objetivo general fue determinar la prevalencia de hemorragia en el primer trimestre en primigestas, entre 2015-2016 por medio de la observación indirecta en el Hospital Universitario de la ciudad de Guayaquil, además de los objectivos específicos 1.-Cuantificar a la metrorragia del primer trimestre en la población de estudio 2.-Describir la edad de las mujeres primigestas de la población de estudio que presentaron hemorragias uterinas del tercer trimestre. 3.-Establecer las posibles causas que provocaron las hemorragias uterinas del primer trimestre de embarazo en primigestas 4.-Determinar la procedencia y nivel de escolaridad de las primigestas que presentaron hemorragia en el primer trimestre de embarazo en la población de estudio
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La mayoría de pacientes de este estudio eran multigestas tenían menos de 20 años eran multigestas, provenían del área urbana marginal , tenían entre 7 a 10 semanas de embarazo, presentaron sangrado genital , les diagnosticaron aborto incompleto
Ninguno de los centros de salud cuenta con un medio de transporte para asegurar el traslado de las pacientes, ni tampoco una red de comunicación adecuada.
Globally, every year half a million women die during pregnancy and childbirth because of these complications. Unfortunately, a significant number of obstetric emergencies occur in patients without risk factors, so prevention, early identification and timely intervention of these events play a key role in counteracting an adverse perinatal outcome. 25% of pregnant women could have hemorrhage in the first trimester of pregnancy and half of them would end up in abortion (Goldstein, 1994). This study was carried out in the Obstetrics Gynecology area of the University Hospital of the city of Guayaquil, in which 420 files of patients who had been diagnosed with hemorrhage during the first trimester of pregnancy were examined in the period from January 1 2015 to December 30, 2016. The overall objective was to determine the prevalence of first-trimester hemorrhage in primigravidae, between 2015-2016 through indirect observation at the University Hospital of the city of Guayaquil, in addition to the specific objectives 1.-Quantify the metrorrhagia of the first Trimester in the study population 2.-Describe the age of the primigravida women of the study population who had uterine hemorrhages of the third trimester. 3.- Establish the possible causes that caused the uterine hemorrhage of the first trimester of pregnancy in primigravidae 4.- Determine the origin and level of schooling of the primigravidae who presented hemorrhage in the first trimester of pregnancy in the study population The majority of patients in this study were multi-stage, were younger than 20 years of age, were multigested, were from the marginal urban area, had 7 to 10 weeks of pregnancy, had genital bleeding, were diagnosed with incomplete abortion None of the health centers has a means of transport to ensure the transfer of patients, nor an adequate communication network
Globally, every year half a million women die during pregnancy and childbirth because of these complications. Unfortunately, a significant number of obstetric emergencies occur in patients without risk factors, so prevention, early identification and timely intervention of these events play a key role in counteracting an adverse perinatal outcome. 25% of pregnant women could have hemorrhage in the first trimester of pregnancy and half of them would end up in abortion (Goldstein, 1994). This study was carried out in the Obstetrics Gynecology area of the University Hospital of the city of Guayaquil, in which 420 files of patients who had been diagnosed with hemorrhage during the first trimester of pregnancy were examined in the period from January 1 2015 to December 30, 2016. The overall objective was to determine the prevalence of first-trimester hemorrhage in primigravidae, between 2015-2016 through indirect observation at the University Hospital of the city of Guayaquil, in addition to the specific objectives 1.-Quantify the metrorrhagia of the first Trimester in the study population 2.-Describe the age of the primigravida women of the study population who had uterine hemorrhages of the third trimester. 3.- Establish the possible causes that caused the uterine hemorrhage of the first trimester of pregnancy in primigravidae 4.- Determine the origin and level of schooling of the primigravidae who presented hemorrhage in the first trimester of pregnancy in the study population The majority of patients in this study were multi-stage, were younger than 20 years of age, were multigested, were from the marginal urban area, had 7 to 10 weeks of pregnancy, had genital bleeding, were diagnosed with incomplete abortion None of the health centers has a means of transport to ensure the transfer of patients, nor an adequate communication network
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Hemorragia uterina, Primigesta, Control prenatal, Complicaciones obstétricas, Hospital Universitario de Guayaquil, Cantón Guayaquil, Ecuador, Primer trimestre del embarazo