Factores de riesgo para ruptura prematura de membranas en gestantes juveniles, Hospital Materno-Infantil Dra. Matilde Hidalgo de Procel de julio a diciembre del 2015
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
La Rotura Prematura de Membrana es una complicación usual en la práctica obstétrica, esta puede aumentar la incidencia en la morbilidad y mortalidad materna – fetal, múltiples estudios se están llevando a cabo para poder dilucidar completamente su fisiopatología, lo cual se hace cada vez más necesario para poder aplicar estos conceptos en la práctica clínica, la evidencia actual indica que la Ruptura Prematura de Membrana es un proceso que puede ser afectado por factores: bioquímicos, fisiológicos, patológicos y ambientales. Según los datos estadísticos del 2011 del Ministerio de Salud Pública del Ecuador la rotura prematura de membrana tiene una prevalencia del 10% de los embarazos, el 20% ocurre en el tercer trimestre de la gestación, es responsable de un tercio de los casos de parto prematuro y del 10% de las muertes perinatales, se la asocia también a un aumento en la morbilidad materna infecciosa ocasionada por la corioamnionitis e infección puerperal. Esta investigación de tipo descriptivo, de diseño no experimental, tiene como objetivo determinar los factores de riesgo para la ruptura prematura de membranas en mujeres gestantes juveniles, que ingresaron en el Hospital Materno Infantil “Dra. Matilde Hidalgo de Procel” de Julio a Diciembre del 2015. Los resultados de esta investigación me permitieron determinar que la secreción vaginal en el 60%, la primiparidad al 60%, la unión libre con el 48%, la gestación sobre las 31 semanas con el 72% y los deficiente controles prenatales registrados en las historias clínicas son factores que inciden en la morbilidad materno-fetal y del recién nacido de las Ruptura Prematura de Membrana en las pacientes investigadas
The Premature Rupture of Membrane is a usual complication in obstetric practice, this may increase the incidence of morbidity and mortality in maternal - fetal, multiple studies are underway to fully elucidate its pathophysiology, which is increasingly necessary to apply these concepts in clinical practice, current evidence suggests that premature rupture of membrane is a process that can be affected by factors: biochemical, physiological, pathological and environmental. According to the 2011 statistics of the Ministry of Public Health of Ecuador premature rupture of membrane has a prevalence of 10% of pregnancies, 20% occurs in the third trimester of pregnancy, is responsible for one third of the cases of birth premature and 10% of perinatal deaths, also is associated with an increase in maternal infectious morbidity caused by chorioamnionitis and puerperal infection. This research is a descriptive, non- experimental design, aims to determine the prevalence of premature rupture of membranes in pregnant women who were admitted to the Maternity Hospital Dra Matilde Hidalgo de Procel of July 2015 to December 2015. The results of this research allowed me to determine that the vaginal discharge in 60%, 60% primiparity, self binding with 48%, gestation over 31 weeks with 72% and poor prenatal registered in stories Clinical factors affecting maternal-fetal morbidity and newborn Premature Rupture of Membrane in patients investigated
The Premature Rupture of Membrane is a usual complication in obstetric practice, this may increase the incidence of morbidity and mortality in maternal - fetal, multiple studies are underway to fully elucidate its pathophysiology, which is increasingly necessary to apply these concepts in clinical practice, current evidence suggests that premature rupture of membrane is a process that can be affected by factors: biochemical, physiological, pathological and environmental. According to the 2011 statistics of the Ministry of Public Health of Ecuador premature rupture of membrane has a prevalence of 10% of pregnancies, 20% occurs in the third trimester of pregnancy, is responsible for one third of the cases of birth premature and 10% of perinatal deaths, also is associated with an increase in maternal infectious morbidity caused by chorioamnionitis and puerperal infection. This research is a descriptive, non- experimental design, aims to determine the prevalence of premature rupture of membranes in pregnant women who were admitted to the Maternity Hospital Dra Matilde Hidalgo de Procel of July 2015 to December 2015. The results of this research allowed me to determine that the vaginal discharge in 60%, 60% primiparity, self binding with 48%, gestation over 31 weeks with 72% and poor prenatal registered in stories Clinical factors affecting maternal-fetal morbidity and newborn Premature Rupture of Membrane in patients investigated
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Rotura prematura de membranas fetales, Complicaciones del embarazo, Embarazo en adolescencia, Hospital Materno Infantil Dra. Matilde Hidalgo de Procel, Cantón Guayaquil, Ecuador, Factores de riesgo