Velocimetría doppler de arterias uterinas como factor predictor de restricción del crecimiento intrauterino y preeclampsia resultante materno-fetal
Fecha
2019
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
Se desarrolló la presente investigación cuya finalidad fue relacionar los resultados de la ecografía doppler de arterias uterinas en embarazos entre 11 a 14 semanas de embarazo evaluando su valor predictivo para preeclampsia y restricción del crecimiento intrauterino. Por el tipo y diseño de investigación se realizó un estudio de tipo: Analítico, correlacional, retrospectivo, no experimental de corte longitudinal. Los resultados obtenidos demostraron la validez de la hipótesis afirmativa que indica existe un grado de correlación estadísticamente significativo con un p valor de 0.021 para RCIU, 0.001 para preeclampsia, 0.015 para resultante materno y 0.012 para resultante neonatal. La incidencia observada fue del 41.05 %. La edad gestacional promedio para desarrollo de preeclampsia fue de 31.1 semanas y RICU de 30.2 semanas. Los valores promedios de IP de arterias uterinas medidos fue de: 2.31 con una desviación estándar de 0.27. Los resultantes maternos fueron: Preeclampsia 82.11
%, Eclampsia 5.26 %, Síndrome HELLP 1.05 %. Los resultantes neonatales fueron: RCIU 50.82 %, Distrés respiratorio del recién nacido 27.87 %. Anemia neonatal 19.67
% y muerte neonatal 1.64 %. La sensibilidad fue de 66.32 % para preeclampsia y de
60.78 % para RCIU. La especificidad observada fue del 88.24 % para preeclampsia y
91.36 36 % para RCIU. Los valores predictivos positivos fueron de 80.8 % para Preeclampsia y 83.51 % para Restricción del crecimiento intra-uterino
(RCIU).
Doppler ultrasound of uterine arteries, Preeclampsia, Intrauterine growth restriction 80.8% for Preeclampsia and 83.51% for intra-uterine growth restriction (IUGR). 88.24% for preeclampsia and 91.36% for IUGR. The positive predictive values were was 66.32% for preeclampsia and 60.78% for IUGR. The specificity observed was newborn 27.87%. Neonatal anemia 19.67% and neonatal death 1.64%. The sensitivity 1.05%. The neonatal outcomes were: IUGR 50.82%, Respiratory distress of the maternal results were: Preeclampsia 82.11%, Eclampsia 5.26%, HELLP´s syndrome values of uterine arteries measured were: 2.31 with a standard deviation of 0.27. The development of preeclampsia was 31.1 weeks and RICU of 30.2 weeks. The mean PI outcome. The incidence observed was 41.05%. The mean gestational age for for IUGR, 0.001 for preeclampsia, 0.015 for maternal outcome and 0.012 for neonatal indicates there is a statistically significant degree of correlationwith a p value of 0.021 longitudinal. The results obtained proved the validityof the affirmative hypothesis that was carried out: Analytical, correlational, retrospective, non-experimental pregnancy. intrauterine growth. For the type and design of the research, a type study pregnancy, evaluating its predictive value for preeclampsia and restriction of Doppler measurement of uterine arteries in pregnancies between 11 to 14 weeks of The present investigation was developed whose purpose was to relate the results of
Doppler ultrasound of uterine arteries, Preeclampsia, Intrauterine growth restriction 80.8% for Preeclampsia and 83.51% for intra-uterine growth restriction (IUGR). 88.24% for preeclampsia and 91.36% for IUGR. The positive predictive values were was 66.32% for preeclampsia and 60.78% for IUGR. The specificity observed was newborn 27.87%. Neonatal anemia 19.67% and neonatal death 1.64%. The sensitivity 1.05%. The neonatal outcomes were: IUGR 50.82%, Respiratory distress of the maternal results were: Preeclampsia 82.11%, Eclampsia 5.26%, HELLP´s syndrome values of uterine arteries measured were: 2.31 with a standard deviation of 0.27. The development of preeclampsia was 31.1 weeks and RICU of 30.2 weeks. The mean PI outcome. The incidence observed was 41.05%. The mean gestational age for for IUGR, 0.001 for preeclampsia, 0.015 for maternal outcome and 0.012 for neonatal indicates there is a statistically significant degree of correlationwith a p value of 0.021 longitudinal. The results obtained proved the validityof the affirmative hypothesis that was carried out: Analytical, correlational, retrospective, non-experimental pregnancy. intrauterine growth. For the type and design of the research, a type study pregnancy, evaluating its predictive value for preeclampsia and restriction of Doppler measurement of uterine arteries in pregnancies between 11 to 14 weeks of The present investigation was developed whose purpose was to relate the results of
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Velocimetría doppler de las arterias uterinas, Preeclampsia, Retardo del crecimiento fetal, Epidemiología analítica, Hospital de la Mujer Afredo G. Paulson, Cantón Guayaquil, Ecuador