Eficacia de la progesterona natural micronizada en amenaza de aborto
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Fecha
2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
Resumen
La amenaza de aborto se define como sangrado transvaginal antes de las 20 semanas, sin modificaciones cervicales ocasionando el riesgo de perder el producto. El presente trabajo investigativo se basa en la determinación de la eficacia de la progesterona natural micronizada en la amenaza de aborto atendidas en el consultorio de emergencia de Gineco-Obstetricia del Hospital General Guasmo Sur en el período Noviembre 2017 a Febrero 2018. Es un estudio de tipo retrospectivo basado en la observación clínica, cuantitativa de 349 historias clínicas que cumplan con los criterios de inclusión, y exclusión. Se encontró la mayor incidencia en las gestantes de 18 a 20 años (35%), cuyo principal factor desencadenante fué las infecciones urinarias (73%) y cervicovaginales (30,4%). El 66,5% de gestantes que consumieron progesterona natural micronizada tuvo una progresión exitosa del embarazo, mientras que 33,5% concluyó con aborto. La amenaza de aborto es una emergencia obstétrica que se presenta en pacientes de edad fértil asociado a infecciones uro-genitales, que tras la aplicación de un tratamiento oportuno de progesterona natural micronizada la gestante continuara con su embarazo.
The threat of abortion is defined as transvaginal bleeding before 20 weeks, without cervical changes, causing the risk of losing the product. The present investigative work is based on the determination of the efficacy of the micronized natural progesterone in the threat of abortion attended in the gynecology-obstetrics emergency room of the Guasmo Sur General Hospital from November 2017 to February 2018. It is a study of retrospective type based on clinical, quantitative observation of 349 clinical histories that meet the inclusion criteria, and exclusion. The highest incidence was found in pregnant women aged 18 to 20 years (35%), whose main triggering factor was urinary infections (73%) and cervicovaginal infections (30.4%). 66.5% of pregnant women who consumed micronized natural progesterone had a successful pregnancy progression, while 33.5% concluded with abortion. The threat of abortion is an obstetric emergency that occurs in patients of childbearing age associated with uro-genital infections, that after the application of a timely treatment of micronized natural progesterone, the pregnant woman will continue with her pregnancy.
The threat of abortion is defined as transvaginal bleeding before 20 weeks, without cervical changes, causing the risk of losing the product. The present investigative work is based on the determination of the efficacy of the micronized natural progesterone in the threat of abortion attended in the gynecology-obstetrics emergency room of the Guasmo Sur General Hospital from November 2017 to February 2018. It is a study of retrospective type based on clinical, quantitative observation of 349 clinical histories that meet the inclusion criteria, and exclusion. The highest incidence was found in pregnant women aged 18 to 20 years (35%), whose main triggering factor was urinary infections (73%) and cervicovaginal infections (30.4%). 66.5% of pregnant women who consumed micronized natural progesterone had a successful pregnancy progression, while 33.5% concluded with abortion. The threat of abortion is an obstetric emergency that occurs in patients of childbearing age associated with uro-genital infections, that after the application of a timely treatment of micronized natural progesterone, the pregnant woman will continue with her pregnancy.
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Amenaza de aborto, Progesterona natural micronizada, Embarazo, Hospital Genral Guasmo Sur, Cantón Guayaquil, Ecuador