Morbimortalidad del Sindrome Hellp y su resultante neonatal. Unidad de Cuidados Intensivos. Hospital Gineco-Obstétrico Enrique C. Sotomayor. 2013-2015
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
El Síndrome HELLP representa una progresión evolutiva de la preeclampsia grave, cuyo substrato patológico es una microangiopatía generalizada que clínicamente se manifiesta después de las 20 semanas de gestación. Esta patología es de etiología desconocida y es caracterizada por alteraciones bioquímicas que evidencian hemolisis, elevación de enzimas hepáticas y plaquetopenía. En nuestro medio es considerado como una de las primeras causa de mortalidad materna que tiene gran impacto en la sociedad y es considerado como un problema de salud pública. La mortalidad materna se define como aquellas gestantes sobrevivientes a una complicación que amenaza su vida, por causas relacionadas al embarazo y que sufren alguna complicación médica u obstétrica durante el embarazo, parto y puerperio. El objetivo del presente estudio fue determinar la morbimortalidad del Síndrome HELLP para dilucidar las causas involucradas en esta patología y evitar las secuelas irreversibles en la paciente obstétrica, con el fin de disminuir la tasa de mortalidad materna y neonatal. Este proyecto fué de tipo descriptivo, correlacional, de diseño no experimental y retrospectivo que se realizó en la Unidad de Cuidados Intensivos del Hospital Gineco-Obstétrico Enrique C. Sotomayor en el periodo de Enero del 2013 a Diciembre del 2015. Para su efecto se analizaron 100 registros médicos de pacientes obstétricas ingresadas en dicha institución con esta patología.
HELLP Syndrome represents an evolutionary progression of severe preeclampsia, whose pathological substrate is a generalized microangiopathy manifested clinically after 20 weeks of gestation. This condition is of unknown etiology and is characterized by biochemical alterations that show hemolysis, elevated liver enzymes and low platelet count. In our environment it is regarded as one of the first cause of maternal mortality that has great impact on society and is considered a public health problem. Maternal mortality is defined as the surviving pregnant to a life-threatening complication, related to pregnancy and suffering from any medical or obstetric complications during pregnancy, childbirth and postpartum causes. The aim of this study was to determine the morbidity and mortality of HELLP syndrome to elucidate the causes involved in this disease and avoid irreversible consequences in the obstetric patient, in order to reduce maternal and neonatal mortality. This project was descriptive, correlational, not experimental and retrospective design was carried out in the Intensive Care Unit of the Obstetric-Gynecologic Hospital Enrique C. Sotomayor in the period January 2013 to December 2015. For its effect analyzed obstetric medical records of 100 patients admitted to the institution with this condition.
HELLP Syndrome represents an evolutionary progression of severe preeclampsia, whose pathological substrate is a generalized microangiopathy manifested clinically after 20 weeks of gestation. This condition is of unknown etiology and is characterized by biochemical alterations that show hemolysis, elevated liver enzymes and low platelet count. In our environment it is regarded as one of the first cause of maternal mortality that has great impact on society and is considered a public health problem. Maternal mortality is defined as the surviving pregnant to a life-threatening complication, related to pregnancy and suffering from any medical or obstetric complications during pregnancy, childbirth and postpartum causes. The aim of this study was to determine the morbidity and mortality of HELLP syndrome to elucidate the causes involved in this disease and avoid irreversible consequences in the obstetric patient, in order to reduce maternal and neonatal mortality. This project was descriptive, correlational, not experimental and retrospective design was carried out in the Intensive Care Unit of the Obstetric-Gynecologic Hospital Enrique C. Sotomayor in the period January 2013 to December 2015. For its effect analyzed obstetric medical records of 100 patients admitted to the institution with this condition.
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Embarazo, Síndrome de Hellp, Indicadores de morbimortalidad, Resultante neonatal, Epidemiología descriptiva, Hospital Gineco-Obstétrico Enrique C. Sotomayor, Cantón Guayaquil, Ecuador