Factores asociados al incremento de la morbimortalidad materno fetales en embarazos con preeclampsia severa
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2017
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Antecedentes: La elevación de presión arterial y proteinuria después de la vigésima
semana gestación se denomina preeclampsia, sus complicaciones constituyen la
primera causa de mortalidad en nuestro país, el principal motivo de ingreso materno en
la Unidad de Cuidados Intensivos.Objetivo general: establecer factores asociados al
incremento de morbimortalidad materno fetal en gestantes con Preeclampsia que
acudieron al área de Emergencia del Hospital Liborio Panchana Sotomayor durante el
1 de septiembre del 2016 al 31 de agosto del 2017.Metodología: Se utilizó un enfoque
cuantitativo para proceder analizar y verificar las diferencias de correlación existente
entre las variables del objeto de estudio seleccionadas para demostrar el perfil en forma
gráfica de la problemática existente.Resultados: el 71% de las gestantes correspondió
al grupo de 20-34 años, el 46% fue primigesta y el 54% multípara, el 46 % presento 4
o menos controles prenatales y el 54% de las gestantes tuvieron 5 o más controles
prenatales los antecedentes patológicos familiares de las gestantes , el 26% manifestó
que algún familiar padecía diabetes mellitus, el 17 % hipertensión arterial, en relación
a los antecedentes patológicos personales el 12 % de las gestantes tenía antecedentes
de hipertensión arterial, el 6% de embarazadas diabetes mellitus, 3% gastritis, y 2%
hipotiroidismo Conclusiones: factores entre los cuales citamos la paridad, edad,
número de controles prenatales, antecedentes patológicos familiares o en la gestante
están relacionados con el desarrollo de preeclampsia grave en las gestantes atendidas
con este diagnóstico en el área de emergencia del Hospital Liborio Panchana
Sotomayor.
Background: Elevated blood pressure and proteinuria after the twentieth week gestation are called preeclampsia; its complications are the leading cause of mortality in our country, the main reason for maternal admission in the Intensive Care Unit. Objective general: establish associated factors to the increase in maternal fetal morbidity and mortality in pregnant women with preeclampsia who attended the Emergency Room of the Liborio Panchana Sotomayor Hospital during the period from September 1, 2016 to August 31, 2017. Methodology: A quantitative approach was used to analyze and verify the differences in correlation between the study object variables selected to demonstrate the graphical profile of the existing problem. Results: 71% of the pregnant women corresponded to the group of 20-34 years old, 46% were primigravida and 54% were multiparous, 46% had 4 or fewer prenatal controls and 54% of pregnant women there were 5 or more prenatal controls of the family history of the pregnant women, 26% said that one family member had diabetes mellitus, 17% had arterial hypertension, and 12% of the pregnant women had a history of hypertension , 6% of pregnant diabetes mellitus, 3% of gastritis, and 2% of hypothyroidism. Conclusions: factors such as parity, age, number of prenatal controls, family or pregnant pathology are related to the development of severe preeclampsia in the pregnant women treated with this diagnosis in the emergency area of the Hospital Liborio Panchana Sotomayor.
Background: Elevated blood pressure and proteinuria after the twentieth week gestation are called preeclampsia; its complications are the leading cause of mortality in our country, the main reason for maternal admission in the Intensive Care Unit. Objective general: establish associated factors to the increase in maternal fetal morbidity and mortality in pregnant women with preeclampsia who attended the Emergency Room of the Liborio Panchana Sotomayor Hospital during the period from September 1, 2016 to August 31, 2017. Methodology: A quantitative approach was used to analyze and verify the differences in correlation between the study object variables selected to demonstrate the graphical profile of the existing problem. Results: 71% of the pregnant women corresponded to the group of 20-34 years old, 46% were primigravida and 54% were multiparous, 46% had 4 or fewer prenatal controls and 54% of pregnant women there were 5 or more prenatal controls of the family history of the pregnant women, 26% said that one family member had diabetes mellitus, 17% had arterial hypertension, and 12% of the pregnant women had a history of hypertension , 6% of pregnant diabetes mellitus, 3% of gastritis, and 2% of hypothyroidism. Conclusions: factors such as parity, age, number of prenatal controls, family or pregnant pathology are related to the development of severe preeclampsia in the pregnant women treated with this diagnosis in the emergency area of the Hospital Liborio Panchana Sotomayor.
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Embarazo, Preeclampsia, Morbilidad, Mortalidad materna, Mortalidad fetal, Hospital General Dr. Liborio Panchana Sotomayor, Cantón Santa Elena, Ecuador