Factores de riesgo de la ruptura prematura de membranas causada por vaginosis bacteriana en pacientes atendidas en la Maternidad Mariana de Jesús durante el período de mayo a febrero 2016-2017
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2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
Resumen
La ruptura prematura de membranas fetales se define como la perdida de la
integridad de las membranas fetales que ocurre previo al inicio del trabajo de
parto. La información de cada paciente fue obtenida mediante las historias clínicas
en la cual se obtuvieron datos de 74 pacientes con ruptura prematura de
membranas ocasionada por vaginosis bacteriana. La tesis tiene como Objetivo
principal “Determinar los factores de riesgo de la ruptura prematura de
membranas causada por vaginosis bacteriana en las pacientes atendidas”
realizando un estudio de tipo prospectivo y descriptivo para determinar el grado de
asociación y comportamiento de la vaginosis bacteriana en la ruptura prematura
de membrana. Los resultados de la investigación indican: complicaciones se
presentó endometritis en un 13.5%, amnionitis 5.5%, sin complicación 81%;
complicaciones neonatales deprimido 13.6%, respiratorio 18.9%, sepsis 1.4%,
ninguno 66.1%; edad menos de 18 años 16%, 19-23 años 26%, 24-28 años 23%,
29-33 años 22%, más de 34 años 13%; controles prenatales; ninguno 13.51%, 3
controles 36.48%, 4-5 controles 27%, más de 5 controles 22.9%, antecedentes
obstétricos; primigestas 17.6%, secundigestas 48.6%, multípara 21.6%, gran
multípara 12.2%. Incentivar a las mujeres embarazadas para que acudan a las
unidades de salud; para que tengan un buen control prenatal y evitar estas
complicaciones. Informar a las mujeres embarazadas los factores de riesgos que
llevan a una ruptura prematura de membranas.
The premature rupture of fetal membranes is defined as the loss of integrity of the fetal membranes that occurs prior to the onset of labor. The information of each patient was obtained through the clinical histories in which data of 74 patients with premature rupture of membranes caused by bacterial vaginosis were obtained. The thesis has as main objective "To determine the risk factors of premature rupture of membranes caused by bacterial vaginosis in the patients attended" by performing a prospective and descriptive study to determine the degree of association and behavior of bacterial vaginosis in the rupture premature membrane. The results of the investigation indicate: complications occurred endometritis in 13.5%, amnionitis 5.5%, without complication 81%; neonatal complications depressed 13.6%, respiratory 18.9%, sepsis 1.4%, none 66.1%; age less than 18 years 16%, 19-23 years 26%, 24- 28 years 23%, 29-33 years 22%, more than 34 years 13%; prenatal check-ups; none 13.51%, 3 controls 36.48%, 4-5 controls 27%, more than 5 controls 22.9%, obstetric history; primitive 17.6%, secondaries 48.6%, multiparous 21.6%, large multiparous 12.2%. Encourage pregnant women to go to health units; so that they have a good prenatal control and avoid these complications. Inform pregnant women of the risk factors that lead to premature rupture of membranes.
The premature rupture of fetal membranes is defined as the loss of integrity of the fetal membranes that occurs prior to the onset of labor. The information of each patient was obtained through the clinical histories in which data of 74 patients with premature rupture of membranes caused by bacterial vaginosis were obtained. The thesis has as main objective "To determine the risk factors of premature rupture of membranes caused by bacterial vaginosis in the patients attended" by performing a prospective and descriptive study to determine the degree of association and behavior of bacterial vaginosis in the rupture premature membrane. The results of the investigation indicate: complications occurred endometritis in 13.5%, amnionitis 5.5%, without complication 81%; neonatal complications depressed 13.6%, respiratory 18.9%, sepsis 1.4%, none 66.1%; age less than 18 years 16%, 19-23 years 26%, 24- 28 years 23%, 29-33 years 22%, more than 34 years 13%; prenatal check-ups; none 13.51%, 3 controls 36.48%, 4-5 controls 27%, more than 5 controls 22.9%, obstetric history; primitive 17.6%, secondaries 48.6%, multiparous 21.6%, large multiparous 12.2%. Encourage pregnant women to go to health units; so that they have a good prenatal control and avoid these complications. Inform pregnant women of the risk factors that lead to premature rupture of membranes.
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Rotura prematura de membranas fetales, Factores de riesgo, Vaginosis bacteriana, Complicaciones del embarazo, Hospital Especializado Mariana de Jesús, Cantón Guayaquil, Ecuador