Evaluación de los factores de riesgos de la ruptura prematura de membranas en embarazos pretérmino y resultante materno neonatal. Hospital Gineco-Obstétrico Enrique C. Sotomayor periodo 2014-2015
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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La ruptura prematura de membranas en embarazos pretérmino (RPMPt) es la pérdida de la solución de continuidad espontánea de la membrana corioamniótica con la salida del líquido amniótico de más de una hora antes de desencadenarse el trabajo de parto. Las infecciones vaginales son consideradas los agentes causales más comunes para la RPMPt. En países en vías de desarrollo, entre ellos Ecuador y particularmente en las pacientes que son atendidas en el Hospital Gineco-Obstétrico “Enrique C. Sotomayor” en el año 2014 hubo 1117 casos de RPMPt de los cuales solo un 3.6% fueron pretérminos. En el 2015 a la fecha actual es del 2.1%. El objetivo del presente estudio fue determinar los factores de riesgos de la RPMPt. Este proyecto fue de tipo descriptivo y observacional, y de diseño no experimental y transversal. Se llevó a cabo en el Servicio de Tocoquirúrgico planta baja en las áreas de preparto, parto 1 y parto 2 (embarazo de alto riesgo) del Hospital Gineco-Obstétrico Enrique C. Sotomayor. Para el efecto se tomó una muestra 100 casos de pacientes embarazadas complicadas con RPMPt. Para cada caso se reclutó un control que consistió en una embarazada con una gestación única a término pareado con los casos por edad materna y paridad. A todas las pacientes se les brindó información precisa relacionada con el estudio y sus objetivos. De los casos estudiados el 42% de aquellas que tenían RPMPt tenían una edad comprendida entre 20 a 29 años. Hubo mayor porcentaje de gestantes provenientes de áreas rurales entre las que tenían RPMPt. Así mismo el número promedio de controles prenatales fue menor en los casos que en los controles
Premature rupture of membranes in pregnancy preterm labor is lost of continuities spontaneous membrane sweep with the departure of amniotic fluid for more than one hour before trigger labor. Vaginal infections are considered the most common causative agents for the RPMPt. Countries in developing, including Ecuador and particularly in patients that are handled in the Hospital Gineco-obstetrical "Enrique C. Sotomayor" in 2014 there were 1117 RPMPt of which only a 3.6% were preterm. In 2015 the current date is 2.1%.The objective of the present study is to determine the factors of risk of premature rupture of membranes, preterm. This project will be of type descriptive and observational, and not experimental and cross design. Will be held in the service of Tocoquirúrgico ground floor in the areas of prepartum, parto 1and childbirth 2 (high-risk pregnancy) Hospital Gineco-obstetrical Enrique C. Sotomayor. For this purpose it shall take as shown in 100 cases of pregnant patients complicated with RPMPt. For each case you will recruit a control consisting of a pregnant woman with a single pregnancy to term paired with cases by maternal age and parity. Will be provided to all patients’ accurate information related to the study and its objectives. Of the cases studied, 42% of those who had RPMPt were aged between 20 to 29 years. There was a higher percentage of pregnant women from rural areas among those with RPMPt. Likewise, the average number of prenatal visits was lower in cases than in controls
Premature rupture of membranes in pregnancy preterm labor is lost of continuities spontaneous membrane sweep with the departure of amniotic fluid for more than one hour before trigger labor. Vaginal infections are considered the most common causative agents for the RPMPt. Countries in developing, including Ecuador and particularly in patients that are handled in the Hospital Gineco-obstetrical "Enrique C. Sotomayor" in 2014 there were 1117 RPMPt of which only a 3.6% were preterm. In 2015 the current date is 2.1%.The objective of the present study is to determine the factors of risk of premature rupture of membranes, preterm. This project will be of type descriptive and observational, and not experimental and cross design. Will be held in the service of Tocoquirúrgico ground floor in the areas of prepartum, parto 1and childbirth 2 (high-risk pregnancy) Hospital Gineco-obstetrical Enrique C. Sotomayor. For this purpose it shall take as shown in 100 cases of pregnant patients complicated with RPMPt. For each case you will recruit a control consisting of a pregnant woman with a single pregnancy to term paired with cases by maternal age and parity. Will be provided to all patients’ accurate information related to the study and its objectives. Of the cases studied, 42% of those who had RPMPt were aged between 20 to 29 years. There was a higher percentage of pregnant women from rural areas among those with RPMPt. Likewise, the average number of prenatal visits was lower in cases than in controls
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EMBARAZO, ROTURA PREMATURA DE MEMBRANAS FETALES, PARTO PREMATURO, EPIDEMIOLOGIA DESCRIPTIVA, HOSPITAL GINECO-OBSTETRICO ENRIQUE C. SOTOMAYOR, CANTON GUAYAQUIL, ECUADOR