Incidencia y causas del aborto incompleto en mujeres de 25 – 35 años del Hospital Gineco Obstétrico Enrique C. Sotomayor de la ciudad de Guayaquil
Fecha
2013
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
Resumen
La OMS define al aborto como la interrupción espontánea o provocada del embarazo
antes de las 20 semanas de gestación y/o el feto que pesa menos de 500 gramos. La tasa
de pérdida clínica es del 10 al 15% de las gestaciones y más del 80% de abortos ocurren
antes de las 12 semanas. Dentro de la clasificación tenemos al aborto incompleto que se
lo define como la expulsión parcial del producto de la concepción, en la que quedaron
restos dentro de la cavidad uterina tales como membranas ovulares o restos placentarios,
por lo cual amerita su posterior tratamiento con un legrado uterino. El presente estudio
se realizó en el Hospital Gineco – Obstétrico Enrique C. Sotomayor de la Ciudad de
Guayaquil en el área de emergencia, desde noviembre del 2012 hasta abril del 2013, en
100 casos con el diagnóstico de aborto incompleto y que es uno de las patologías más
frecuentes atendidas en este lugar, en mujeres de cualquier edad en etapa reproductiva,
observando así un alto índice de legrados instrumentales como tratamiento definitivo.
El objetivo principal de la investigación fue determinar la incidencia y las causas del
aborto incompleto en pacientes de 25 - 35 años en esta casa de salud. El tipo de
investigación fue prospectivo, descriptivo, aplicando los métodos analítico- sintético,
para realizar el análisis de datos así como su interpretación; de acuerdo a los resultados
las causas más frecuentes que desencadeno el aborto fue el uso inadecuado de la
administración del misoprostol con un 27 %, diversos formas de traumatismo en un
22%, y en 13% por infecciones como IVU, toxoplasmosis y sífilis.
WHO defines abortion as spontaneous or induced termination of pregnancy before 20 weeks gestation and / or fetus weighing less than 500 grams? The medical loss ratio is 10 to 15% of pregnancies and more than 80% of abortions occur before 12 weeks. Within the classification have the incomplete abortion is defined as the partial expulsion of products of conception, which were residues within the uterine cavity such as egg membranes or placental remnants, for which warrants further treatment with curettage cancer. This study was conducted at the Hospital OB - Obstetrician Enrique C. Sotomayor Guayaquil City in the emergency area, from November 2012 to April 2013, in 100 cases with the diagnosis of incomplete abortion and that is one of the most common diseases treated in this place, in women of any age reproductive stage, looking like a high level of instrumental curettage as definitive treatment. The main objective of the research was to determine the incidence and causes of incomplete abortion patients 25-35 years in this nursing home. The research was a prospective, descriptive, using the analytic-synthetic methods to perform data analysis and interpretation, according to the results the most common causes that unleashed the abortion was the misuse of misoprostol administration 27%, various forms of trauma in 22%, and 13% as UTI infections, toxoplasmosis and syphilis. Incomplete abortion
WHO defines abortion as spontaneous or induced termination of pregnancy before 20 weeks gestation and / or fetus weighing less than 500 grams? The medical loss ratio is 10 to 15% of pregnancies and more than 80% of abortions occur before 12 weeks. Within the classification have the incomplete abortion is defined as the partial expulsion of products of conception, which were residues within the uterine cavity such as egg membranes or placental remnants, for which warrants further treatment with curettage cancer. This study was conducted at the Hospital OB - Obstetrician Enrique C. Sotomayor Guayaquil City in the emergency area, from November 2012 to April 2013, in 100 cases with the diagnosis of incomplete abortion and that is one of the most common diseases treated in this place, in women of any age reproductive stage, looking like a high level of instrumental curettage as definitive treatment. The main objective of the research was to determine the incidence and causes of incomplete abortion patients 25-35 years in this nursing home. The research was a prospective, descriptive, using the analytic-synthetic methods to perform data analysis and interpretation, according to the results the most common causes that unleashed the abortion was the misuse of misoprostol administration 27%, various forms of trauma in 22%, and 13% as UTI infections, toxoplasmosis and syphilis. Incomplete abortion
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Aborto incompleto, Hospital Gineco-Obstétrico Enrique C. Sotomayor, Canton Guayaquil, Ecuador, Causalidad, Incidencia