Embarazo en adolescentes preeclámpticas de 13 a 18 años en Hospital Gineco-Obstétrico Enrique C. Sotomayor. Programa preventivo-educativo
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Durante el embarazo, ocurren modificaciones hormonales, metabólicas e inmunológicas, producto de las cuales pueden agravarse algunas afecciones previas, o presentarse patologías propias del embarazo, tal es el caso de la preeclampsia. Por tanto, el objetivo de este estudio es diseñar un Programa preventivo-educativo para el manejo adecuado del Embarazo de Adolescentes Preeclámpticas de 13 a 18 años en el Hospital Gineco-Obstetrico Enrique C. Sotomayor para mejorar la resultante materno-neonatal. La preeclampsia, es reconocida como una de las principales causas de morbilidad y mortalidad materno-fetal, constituyendo un problema de salud pública en los países de tercer mundo. Uno de los principales factores de riesgo para padecer esta enfermedad es el embarazo en la adolescencia. El estudio se realizó utilizando la metodología cualitativa, determinando datos de filiación, factores de riesgo, complicaciones, el universo son todas las gestantes con preeclampsia que ingresaron en el año 2015 y la muestra serán las gestantes adolescentes cuyas edades oscilen entre 13 a 18 años, complicadas con preeclampsia grave. Los resultados fueron tabulados para señalar conclusiones y recomendaciones, además de diseñar un programa preventivo. Entre los principales resultados obtenidos destacan que el principal factor de riesgo para producirse complicaciones graves es la falta de control prenatal, además que esto conlleva a que la principal vía de finalización del embarazo sea la cesárea y que un porcentaje de estos afecta al producto siendo la prematurez la principal complicación neonatal. Con esta investigación debemos tener en cuenta que se requiere un estricto control no solo materno sino también prenatal para mejorar el pronóstico de ambos.
During pregnancy, hormonal, metabolic and immunological changes, the result of which may be aggravated some previous conditions, or develop own pregnancy pathologies occur, as in the case of pre-eclampsia. Therefore, the aim of this study is to design a protocol for the proper handling Teen Pregnancy preeclamptic 13 to 18 at the Obstetric-Gynecologic Hospital Enrique C. Sotomayor to improve maternal and neonatal resulting. Preeclampsia is recognized as one of the leading causes of maternal and fetal morbidity and mortality, constituting a public health problem in the countries of the Third World. One of the main risk factors for this disease is teenage pregnancy. The study was conducted using qualitative methodology, determining personal data, risk factors, complications, the universe will all pregnant women with preeclampsia who entered in 2015 and the sample will be pregnant teenagers whose ages oscillate between 13 to 18, complicated with severe preeclampsia. The results will be tabulated and used to point out conclusions and recommendations, as well as design a preventive program. Among the main findings highlight the main risk factor for severe complications occur is the lack of prenatal care, well that this leads to the main route of termination of pregnancy be caesarean section and that a percentage of these affect the product being prematurity main neonatal complications. With this research we must consider not only that strict maternal prenatal but also required to improve the prognosis of both.
During pregnancy, hormonal, metabolic and immunological changes, the result of which may be aggravated some previous conditions, or develop own pregnancy pathologies occur, as in the case of pre-eclampsia. Therefore, the aim of this study is to design a protocol for the proper handling Teen Pregnancy preeclamptic 13 to 18 at the Obstetric-Gynecologic Hospital Enrique C. Sotomayor to improve maternal and neonatal resulting. Preeclampsia is recognized as one of the leading causes of maternal and fetal morbidity and mortality, constituting a public health problem in the countries of the Third World. One of the main risk factors for this disease is teenage pregnancy. The study was conducted using qualitative methodology, determining personal data, risk factors, complications, the universe will all pregnant women with preeclampsia who entered in 2015 and the sample will be pregnant teenagers whose ages oscillate between 13 to 18, complicated with severe preeclampsia. The results will be tabulated and used to point out conclusions and recommendations, as well as design a preventive program. Among the main findings highlight the main risk factor for severe complications occur is the lack of prenatal care, well that this leads to the main route of termination of pregnancy be caesarean section and that a percentage of these affect the product being prematurity main neonatal complications. With this research we must consider not only that strict maternal prenatal but also required to improve the prognosis of both.
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Embarazo en adolescencia, Preeclampsia, Hipertensión inducida en el embarazo, Morbilidad, Mortalidad materna, Atención prenatal, Hospital Gineco-Obstétrico Enrique C. Sotomayor, Cantón Guayaquil, Ecuador, Programas educativos