Alteraciones del bienestar fetal en gestantes con estados hipertensivos Hospital Matilde Hidalgo de Procel de Guayaquil 2018 - 2019
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2019
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
Resumen
Es un estudio de enfoque cuantitativo, de diseño no experimental, de tipo descriptivo, retrospectivo y transversal, que tiene como objetivo principal la identificación de las principales consecuencias que presentan los neonatos de las pacientes con estados hipertensivos valorados por medio de la escala de apgar, analizando de forma indirecta las historias clínicas aplicando el método científico, haciendo uso de un documento de recolección de datos como herramienta de investigación.
Se estudió a 143 pacientes de sexo femenino, gestantes que han sido diagnosticadas con algún trastorno hipertensivo o sus complicaciones a quienes se les atendió su parto por vía vaginal o cesárea en el Hospital Matilde Hidalgo de Procel., determinando que el 73% de las pacientes fueron sometidas a cesárea y solo el 9% de recién nacidos presentó complicación que se reflejaban con un bajo o nulo puntaje de apgar siendo 6% de los casos en donde el neonato tuvo puntaje de menor a 7 y un 3% de los casos el puntaje fue 0, los mismos que fueron causados por desprendimiento prematuro de placenta normoinserta en algunos casos de eclampsia.
Como propuesta para reducir el impacto de que conllevan los estados hipertensivos y sus complicaciones se plantea la realización de un plan de promoción y prevención en salud sobre los factores causales de trastornos hipertensivos en el embarazo en el primer nivel de atención en donde el principal objetivo es realizar asesoramiento nutricional y control de signos de alarma en mujeres que planeen embarazarse o que cursen con embarazo en sus inicios, en el nivel primario de atención en salud.
This is a quantitative, non-experimental, descriptive, retrospective and crosssectional study, whose main objective is the identification of the main consequences of neonates of patients with hypertensive conditions evaluated through the apgar scale. Analyzing indirectly the clinical histories applying the scientific method, making use of a data collection document as a research tool. We studied 143 female patients, pregnant women who have been diagnosed with a hypertensive disorder or its complications who were attended vaginal delivery or cesarean section in the Hospital Matilde Hidalgo of Procel, Determining that 73% of patients were submitted to cesarean section and only 9% of newborns presented complications that were reflected with a low or no score of apgar being 6% of cases where the newborn had a score of less than 7 and 3% of the cases the score was 0, the same ones that were caused by DPPNI in some cases of eclampsia. As a proposal to reduce the impact of the hypertensive states and their complications, a plan for the promotion and prevention of health on the causal factors of hypertensive disorders in pregnancy at the first level of care is proposed, where the main objective is carry out nutritional counseling and control of warning signs in women planning to become pregnant or who are pregnant at the beginning, at the primary level of health care.
This is a quantitative, non-experimental, descriptive, retrospective and crosssectional study, whose main objective is the identification of the main consequences of neonates of patients with hypertensive conditions evaluated through the apgar scale. Analyzing indirectly the clinical histories applying the scientific method, making use of a data collection document as a research tool. We studied 143 female patients, pregnant women who have been diagnosed with a hypertensive disorder or its complications who were attended vaginal delivery or cesarean section in the Hospital Matilde Hidalgo of Procel, Determining that 73% of patients were submitted to cesarean section and only 9% of newborns presented complications that were reflected with a low or no score of apgar being 6% of cases where the newborn had a score of less than 7 and 3% of the cases the score was 0, the same ones that were caused by DPPNI in some cases of eclampsia. As a proposal to reduce the impact of the hypertensive states and their complications, a plan for the promotion and prevention of health on the causal factors of hypertensive disorders in pregnancy at the first level of care is proposed, where the main objective is carry out nutritional counseling and control of warning signs in women planning to become pregnant or who are pregnant at the beginning, at the primary level of health care.
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Hipertensión inducida en el embarazo, Mujeres embarazadas, Bienestar fetal, Embarazo, Hospital Materno Infantil Dra. Matilde Hidalgo de Procel, Cantón Guayaquil, Ecuador