Procedimientos emergentes en la amenaza de aborto
Fecha
2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
Según la Organización Mundial de la Salud, en un estudio realizado a nivel mundial llego a la conclusion que existen 529.000 muertes anuales producidas por complicaciones en el embarazo y parto. Por tal motivo se propone diseñar un modelo de atencion obstetrica en pacientes con amenaza de aborto aplicado a usuarias que acuden a la consulta privada.En esta investigacion se aplicó un mètodo cuantitativo donde se analizaron los factores maternos, sanitarios y socioeconomicos de las pacientes que han presentado amenaza de aborto. Obteniendo como resultados, la edad mayores de 30 años, mayor riesgo de amenaza de aborto. Pacientes con instrucción secundaria fueron las que menos presentaron esta patologia, el estado civil, las casadas son las que tienen menor riesgo en la amenaza de aborto. El control prenatal es un parametro digno de ser investigado, y podemos observar que las pacientes no acuden a dichos controles, complicando la evolucion del embarazo, en los antecedentes obstetricos, las pacientes que presentan mayor gestaciones, mayor es la incidencia de amenaza de aborto, y la dosificacion de progesterona que fue un parámetro de mayor interés y que considero la novedad en el presente trabajo, los niveles bajos de progesterona al inicio del embarazo estan directamente relacionados con la presencia de amenaza de aborto, estudios realizados en diferentes paises y con diferentes muestras no dieron la importancia necesaria a este factor. Como conclusion del presente estudio recomiendo revisar la dosificación en sangre de progesterona cuantitativa a pacientes que acuden con amenaza de aborto.
According to the World Health Organization, in a worldwide study I concluded that there are 529,000 annual deaths caused by complications in pregnancy and childbirth. For this reason, it is proposed to design a model of obstetric care in patients with a threat of abortion applied to users who attend the private consultation. In this research a qualitative method was applied in which the maternal, health and socioeconomic factors of the patients who had Presented threat of abortion. Getting results, age over 30 years, increased risk of miscarriage. Patients with secondary education were the ones who presented the least pathology, marital status, married women are those who have lower risk in the threat of abortion. Prenatal control is a worthy parameter to be investigated, and we can observe that the patients do not go to these controls, complicating the evolution of pregnancy, in the obstetrical history, the patients with the highest gestations, the greater the incidence of threatened abortion, And the dosage of progesterone that was a parameter of greater interest and which I consider the novelty in the present study, low levels of progesterone at the beginning of pregnancy are directly related to the presence of threatened abortion, studies conducted in different countries and with different Samples did not give the necessary importance to this factor. As a conclusion of the present study I recommend reviewing the quantitative progesterone blood dosage in patients who come with threatened abortion
According to the World Health Organization, in a worldwide study I concluded that there are 529,000 annual deaths caused by complications in pregnancy and childbirth. For this reason, it is proposed to design a model of obstetric care in patients with a threat of abortion applied to users who attend the private consultation. In this research a qualitative method was applied in which the maternal, health and socioeconomic factors of the patients who had Presented threat of abortion. Getting results, age over 30 years, increased risk of miscarriage. Patients with secondary education were the ones who presented the least pathology, marital status, married women are those who have lower risk in the threat of abortion. Prenatal control is a worthy parameter to be investigated, and we can observe that the patients do not go to these controls, complicating the evolution of pregnancy, in the obstetrical history, the patients with the highest gestations, the greater the incidence of threatened abortion, And the dosage of progesterone that was a parameter of greater interest and which I consider the novelty in the present study, low levels of progesterone at the beginning of pregnancy are directly related to the presence of threatened abortion, studies conducted in different countries and with different Samples did not give the necessary importance to this factor. As a conclusion of the present study I recommend reviewing the quantitative progesterone blood dosage in patients who come with threatened abortion
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Amenaza de aborto, Clínica Inglaterra, Cantón Quito, Ecuador, Atención prenatal