Factores de riesgo y complicaciones de las hemorragias durante el primer trimestre de embarazo estudio a realizar en el Hospital Materno Infantil Dra. Matilde Hidalgo de Procel período 2015
Fecha
2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
Introducción: La hemorragia obstétrica y sus complicaciones constituyen la segunda causa de mortalidad materna en nuestro país, siendo las más frecuentes el aborto incompleto, aborto diferido y huevo anembrionado, muchas mujeres pueden tener sangrado en la implantación que es mínimo y no produce síntomas adversos de consulta urgente en diversos centros de salud. Materiales y métodos: Estudio observacional, indirecta, no experimental, cualitativo, corte transversal descriptivo. Se realizó la recolección de datos por medio de historias clínicas de las pacientes. Se tabuló la información en una hoja de datos Excel y su posterior análisis se desarrolló en la plataforma estadística SPSS. Resultados: se analizó 100 historias clínicas en donde las hemorragias del primer trimestre correspondieron a un 66% aborto incompleto, el 12% aborto diferido, el 11% huevo anembrionado, el 4% embarazo ectópico, el 4% embarazo molar y el 3% aborto en curso. Se asociaron significativamente con ciertas variables como numero de gestaciones de la mujer. Conclusión: se realiza este estudio por las altas tasas de ingresos observadas en emergencia del Hospital Matilde Hidalgo de Procel durante el período 2015, para poder conocer sus factores, complicaciones como podrá repercutir en la madre y los riesgos que representaría durante su etapa de embarazo, todo esto sería beneficioso para un manejo más acorde y prevenir los factores que desencadenarían la hemorragia durante el primer trimestre de embarazo y disminuyendo la morbilidad y mortalidad que en los actuales momentos es elevado.
Introduction: Obstetric hemorrhage and its complications are the second cause of maternal mortality in our country, the most frequent incomplete abortion, I missed abortion and anembryonic egg, many women may have bleeding in the implementation that is minimal and no adverse symptoms urgent consultations in various health centers. Materials and Methods: Observational, indirect, non-experimental, qualitative, descriptive cross-sectional. Data collection was performed using medical records of patients, information was tabulated in an Excel data and further analysis was developed in the SPSS statistical platform. Results: 100 medical records where bleeding the first quarter was 66% incomplete abortion, 12% deferred abortion, 11% anembryonic egg, 4% ectopic pregnancy, 4% molar pregnancy and 3% abortion was analyzed in progress. They were associated significantly with certain variables as the number of pregnancies of women. Conclusion: This study is conducted by high rates of income observed in emergency Matilde Hidalgo Hospital during the period 2015 to meet its factors, complications can impact the mother and the risks they represent during their pregnancy, all this would be beneficial for a more consistent management and prevent the factors that would trigger bleeding during the first trimester of pregnancy and reducing morbidity and mortality at the present time is high.
Introduction: Obstetric hemorrhage and its complications are the second cause of maternal mortality in our country, the most frequent incomplete abortion, I missed abortion and anembryonic egg, many women may have bleeding in the implementation that is minimal and no adverse symptoms urgent consultations in various health centers. Materials and Methods: Observational, indirect, non-experimental, qualitative, descriptive cross-sectional. Data collection was performed using medical records of patients, information was tabulated in an Excel data and further analysis was developed in the SPSS statistical platform. Results: 100 medical records where bleeding the first quarter was 66% incomplete abortion, 12% deferred abortion, 11% anembryonic egg, 4% ectopic pregnancy, 4% molar pregnancy and 3% abortion was analyzed in progress. They were associated significantly with certain variables as the number of pregnancies of women. Conclusion: This study is conducted by high rates of income observed in emergency Matilde Hidalgo Hospital during the period 2015 to meet its factors, complications can impact the mother and the risks they represent during their pregnancy, all this would be beneficial for a more consistent management and prevent the factors that would trigger bleeding during the first trimester of pregnancy and reducing morbidity and mortality at the present time is high.
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Primer trimestre de embarazo, Hemorragia, Aborto, Factores de riesgo, Epidemiología descriptiva, Hospital Materno Infantil Dra.Matilde Hidalgo de Procel, Cantón Guayaquil, Ecuador