Factores de riesgo de complicaciones materno fetales en embarazadas mayores de 35 años, estudio a realizar en el Hospital Alfredo Noboa Montenegro de Guaranda, período comprendido de septiembre del 2015 a marzo del 2016
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
El presente trabajo de titulación tiene como propósito determinar los diferentes factores de riesgo de complicaciones materno – fetales en embarazadas mayores de 35 años en el hospital Alfredo Noboa Montenegro de Guaranda, periodo comprendido de Septiembre del 2015 a Marzo del 2016. Luego de concluir el proceso de investigación guiado y tabulado con Excel determinamos y confirmamos que de 787 pacientes atendidas de diferentes edades, 103 casos (13%) corresponden a embarazadas mayores de 35 años.
Entre los factores de riesgo que presentaron las mujeres embarazadas mayores de 35 años encontramos con mayor frecuencia la hipertensión con 37 casos (36%), seguido de los embarazos múltiples con 32 casos (31%), luego gestantes con diabetes con 28 casos (27%), y finalmente tenemos que de las gestantes en estudio solo 6 casos de estas no presentaron factores de riesgo equivalente al 6% de los casos y con un total de 103 casos que fueron los de estudio.
Y las complicaciones que presentaron lasa pacientes en estudio durante el periodo establecido y tenemos con un mayor porcentaje los partos por cesárea con 36 casos (17%), luego tenemos las pacientes que presentaron placenta previa con 24 casos (12%), luego las pacientes que tuvieron aborto espontaneo con 16 casos (8%), luego tenemos las pacientes que tuvieron parto prematuro con 15 casos (7%), seguido de mujeres que presentaron óbito fetal con 4 casos (2%), y finalmente las pacientes en estudio que no presentaron complicaciones alguna que fueron 8 casos (4%), y asi analizamos que el número de pacientes sin complicaciones mayores de 35 años es bajo con un 4%.
The purpose of the present titration work is to determine the different risk factors of maternal - fetal complications in pregnant women over 35 years of age in the Alfredo Noboa Montenegro de Guaranda hospital, from September 2015 to March 2016. After completing the process of guided and tabulated research with Excel we determined and confirmed that of 787 patients attended of different ages, 103 cases (13%) correspond to pregnant women over 35 years. Among the risk factors presented by pregnant women older than 35 years, hypertension was more frequent with 37 cases (36%), followed by multiple pregnancies with 32 cases (31%), then pregnant women with diabetes with 28 cases (27 %), and finally we have that of the pregnant women in the study only 6 cases of these did not present risk factors equivalent to 6% of the cases and with a total of 103 cases that were the study ones. And the complications presented by the patients in the study during the established period and we have a higher percentage of cesarean deliveries with 36 cases (17%), then we have the patients who had placenta previa with 24 cases (12%), then the patients that had spontaneous abortion with 16 cases (8%), then we have patients who had premature delivery with 15 cases (7%), followed by women who presented fetal death with 4 cases (2%), and finally the patients in the study who there were no complications that were 8 cases (4%), and so we analyzed that the number of patients without complications over 35 years is low with 4%.
The purpose of the present titration work is to determine the different risk factors of maternal - fetal complications in pregnant women over 35 years of age in the Alfredo Noboa Montenegro de Guaranda hospital, from September 2015 to March 2016. After completing the process of guided and tabulated research with Excel we determined and confirmed that of 787 patients attended of different ages, 103 cases (13%) correspond to pregnant women over 35 years. Among the risk factors presented by pregnant women older than 35 years, hypertension was more frequent with 37 cases (36%), followed by multiple pregnancies with 32 cases (31%), then pregnant women with diabetes with 28 cases (27 %), and finally we have that of the pregnant women in the study only 6 cases of these did not present risk factors equivalent to 6% of the cases and with a total of 103 cases that were the study ones. And the complications presented by the patients in the study during the established period and we have a higher percentage of cesarean deliveries with 36 cases (17%), then we have the patients who had placenta previa with 24 cases (12%), then the patients that had spontaneous abortion with 16 cases (8%), then we have patients who had premature delivery with 15 cases (7%), followed by women who presented fetal death with 4 cases (2%), and finally the patients in the study who there were no complications that were 8 cases (4%), and so we analyzed that the number of patients without complications over 35 years is low with 4%.
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Complicaciones del embarazo, Factores de riesgo, Mujeres añosas, Hospital General Alfredo Noboa Montenegro, Cantón Guaranda, Ecuador, Complicaciones fetales, Complicaciones maternas, Embarazo