Embarazo gemelar como factor de riesgo materno neonatal, Hospital Gineco-Obstétrico Enrique C. Sotomayor 2010-2012
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2013
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Objetivo: Con este estudio investigativo se ha determinado el efecto del Embarazo Gemelar sobre la resultante materno neonatal en el Hospital Gineco - Obstétrico Enrique C. Sotomayor 2010 - 2012 y con ello se establece las principales afecciones en la salud de las Madres y los Neonatos. Además establecer los factores de riesgo asociados al embarazo gemelar, determinar si las pacientes del estudio tuvieron ingresos hospitalarios anteriores y controles prenatales institucionales, logrando establecer nuestra propia estadística.
Materiales: Se realizó un estudio Descriptivo Analítico de corte Transversal; en el que la muestra consto de pacientes con diagnóstico de Embarazo Gemelar confirmado igual o mayor de 28 semanas (406 pacientes). Se estudiaron variables materno – fetales en relación al tema.
Resultados: Este trabajo investigativo concluye arrojando los siguientes resultados: incidencia de Embarazo Gemelar 1% los mismos que tienen vía de parto quirúrgica cesárea 96,3%, siendo sus principales causas el TPP (77%), el RPM (40,8%), distocia de presentación (43,8%) siendo también causas de morbilidad materna: anemia (46%), diabetes gestacional (9,8%), HIE (9%), hemorragia postparto (3%) y preeclampsia (3%), controles prenatales adecuados (20%), hospitalización materna previa (13%). Al igual que lo refiere la literatura los efectos en neonatos causan una estadística de morbi - mortalidad elevada: Prematurez (64%), Bajo peso al nacer (83%), SDR (28%), RI (19%), EMH (9,8%), SEPSIS (7%), hipoxia neonatal al minuto (4%), a los cinco minutos (1%), estancia hospitalaria mayor a siete días (23%), mortalidad neonatal (5%).
Objective: With this research study has determined the effect of twin pregnancy on maternal and neonatal resulting in Obstetric and Gynecology Hospital Enrique C. Sotomayor 2010-2012 and thereby establishes the main health conditions in Mothers and Infants. In addition established risk factors associated with twin pregnancy, it was determined that the study patients had previous hospital admissions and institutional prenatal, managing to establish our own statistics. Materials: We performed a descriptive cross-sectional analytical, in which the sample I consist of patients with confirmed diagnosis of twin pregnancy equal to or greater than 28 weeks of gestation (406 patients). Variables were studied maternal - fetal on the issue. Results: This research paper concludes yielding the following results: incidence of twins 1% thereof having surgical birth via cesarean 96.3%, with the main causes TPP (77%), RPM (40.8%) , presentation dystocia (43.8%) being also causes of maternal morbidity: anemia (46%), gestational diabetes (9.8%), HIE (9%), postpartum hemorrhage (3%) and preeclampsia (3%) , adequate prenatal care (20%), previous maternal hospitalization (13%). As regards the effects literature in neonates statistical cause high morbidity and mortality: prematurity (64%), low birth weight (83%), SDR (28%), RI (19%), EMH (9 , 8%), SEPSIS (7%), neonatal hypoxia per minute (4%), five minutes (1%), hospital stay more than seven days (23%), neonatal mortality (4%).
Objective: With this research study has determined the effect of twin pregnancy on maternal and neonatal resulting in Obstetric and Gynecology Hospital Enrique C. Sotomayor 2010-2012 and thereby establishes the main health conditions in Mothers and Infants. In addition established risk factors associated with twin pregnancy, it was determined that the study patients had previous hospital admissions and institutional prenatal, managing to establish our own statistics. Materials: We performed a descriptive cross-sectional analytical, in which the sample I consist of patients with confirmed diagnosis of twin pregnancy equal to or greater than 28 weeks of gestation (406 patients). Variables were studied maternal - fetal on the issue. Results: This research paper concludes yielding the following results: incidence of twins 1% thereof having surgical birth via cesarean 96.3%, with the main causes TPP (77%), RPM (40.8%) , presentation dystocia (43.8%) being also causes of maternal morbidity: anemia (46%), gestational diabetes (9.8%), HIE (9%), postpartum hemorrhage (3%) and preeclampsia (3%) , adequate prenatal care (20%), previous maternal hospitalization (13%). As regards the effects literature in neonates statistical cause high morbidity and mortality: prematurity (64%), low birth weight (83%), SDR (28%), RI (19%), EMH (9 , 8%), SEPSIS (7%), neonatal hypoxia per minute (4%), five minutes (1%), hospital stay more than seven days (23%), neonatal mortality (4%).
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Embarazo gemelar, Factores de riesgo, Morbilidad materna, Morbilidad neonatal, Epidemiología descriptiva, Epidemiología analítica, Hospital Gineco-Obstétrico Enrique C. Sotomayor, Cantón Guayaquil, Ecuador