Complicaciones frecuentes de preeclampsia y eclampsia en menores de 19 años
No hay miniatura disponible
Fecha
2019
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
La Preeclampsia (PE) es un trastorno hipertensivo del embarazo humano que suele manifestarse a partir de las 20 semanas de gestación, en el Ecuador los trastornos hipertensivos del embarazo es la primera causa de muerte materna, datos del Ministerio de Salud Pública. Por lo cual se planteó realizar un estudio cuantitativo, retrospectivo, observacional de corte transversal, descriptivo y analítico, cuyo problema es estudiar las complicaciones más frecuentes materno – fetales en mujeres menores de 19 años que presentaron preeclampsia – eclampsia, el mismo a realizarse en el Hospital Matilde Hidalgo de Procel durante el periodo de Enero a Junio del 2018, obteniendo información mediante una ficha recolectora de datos, tomando en cuenta los criterios de inclusión y exclusión, cuyos resultados fueron un total de 47 pacientes ingresadas por emergencia, el grupo etario predominantes fue adolescentes tardías de 15 a 19 años, primigestas con un embarazo simple, que se diagnosticaron PE severa mayor de las 34 semanas de gestación con un score mama mayor de 5 puntos y riesgo obstétrico 3, con antecedentes personales de hipertensión gestacional, diabetes gestacional y obesidad; entre los antecedentes familiares la diabetes mellitus e hipertensión arterial, la mayoría de mujeres terminaron su embarazo por cesárea y entre las complicaciones maternas se pudo observar parto pretérmino, desprendimiento prematuro de placenta y síndrome de Hellp en orden de frecuencia, y las complicaciones fetales hipoxia fetal aguda, bajo peso al nacer, prematuridad, macrosomía fetal y óbito fetal.
The Preeclampsia is a hypertensive disorder of human pregnancy that usually manifests it self from 20 weeks of gestation. In Ecuador the Hypertensive disorders of pregnancy are leading cause of maternal death, according to data from the Ministry of Public Health. Therefore, a quantitative study is proposed, retrospective, observational cross section, description and analytic, whose purpose is to study the complications of more frequent maternal - fetal problems in women under 19 years old who had Preeclampsia. The study is be done in the Hospital Matilde Hidalgo de Procel during the periodic of January 2018, obtaining information through a data collection car, taking into consideration the criteria of inclusion and exclusion. Whose results were a total of 47 patients admitted with emergency. The predominant age group was late adolescence from 15 to 19 years, primigestas with a simple pregnancy, that were diagnosed with several PE after 34 weeks of gestation with a major mama score of 5 points and obstetric risk of 3, with personal records antecedents, of gestational hypertensive, gestational diabetes, obesity and family history of diabetes mellitus and arterial hypertensive. Arterial. The majority of women finished their pregnancy by caesarean section and among the maternal complications were able to observe preterm delivery, placental abruption and Hellp syndrome in order of frequency, and fetal complications, acute fetal hypoxia, low birth weight, prematurity, fetal macrosomia and fetal death.
The Preeclampsia is a hypertensive disorder of human pregnancy that usually manifests it self from 20 weeks of gestation. In Ecuador the Hypertensive disorders of pregnancy are leading cause of maternal death, according to data from the Ministry of Public Health. Therefore, a quantitative study is proposed, retrospective, observational cross section, description and analytic, whose purpose is to study the complications of more frequent maternal - fetal problems in women under 19 years old who had Preeclampsia. The study is be done in the Hospital Matilde Hidalgo de Procel during the periodic of January 2018, obtaining information through a data collection car, taking into consideration the criteria of inclusion and exclusion. Whose results were a total of 47 patients admitted with emergency. The predominant age group was late adolescence from 15 to 19 years, primigestas with a simple pregnancy, that were diagnosed with several PE after 34 weeks of gestation with a major mama score of 5 points and obstetric risk of 3, with personal records antecedents, of gestational hypertensive, gestational diabetes, obesity and family history of diabetes mellitus and arterial hypertensive. Arterial. The majority of women finished their pregnancy by caesarean section and among the maternal complications were able to observe preterm delivery, placental abruption and Hellp syndrome in order of frequency, and fetal complications, acute fetal hypoxia, low birth weight, prematurity, fetal macrosomia and fetal death.
Descripción
PDF
Palabras clave
Preeclampsia, Eclampsia, Hipertensión inducida en el embarazo, Complicaciones del embarazo, Embarazo en adolescencia, Hospital Materno Infantil Dra. Matilde de Hidalgo de Procel, Cantón Guayaquil, Ecuador