Prevalencia de la ruptura de membrana como consecuencia de amenaza de parto pretérmino en la Maternidad Mariana de Jesús desde septiembre 2012- febrero 2013
Fecha
2013
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
Resumen
La Ruptura Prematura de Membrana constituye un problema de Salud Pública, este
estudio con el objetivo de determinar los resultados obstétricos y perinatales en
embarazadas con ruptura prematura de membrana. A pesar de los avances
tecnológicos y del cuidado neonatal, la prematurez continua siendo la mayor causa
de morbimortalidad neonatal y la responsable del 70% de las muertes neonatales y
del 50% de las secuelas neurológicas del recién nacido. El parto prematuro
espontáneo y la ruptura prematura de membrana son los responsables de
aproximadamente el 80% de los nacimientos pretérmino; el 20% restante se debe a
causas maternas o fetales. Se realizó un estudio retrospectivo de la incidencia de
rotura prematura de membranas en pacientes ingresadas en LA MATERNIDAD
MARIANA DE JESUS en el periodo comprendido entre Septiembre de 2012 hasta
el 28 de Febrero del 2013. La cantidad de pacientes que fueron atendidas en la
emergencia por amenaza de parto pretérmino con un total de 1589 embarazadas, se
evaluaron 41 mujeres con el diagnóstico de ruptura prematura de membrana. Los
resultados del estudio revelan que la ruptura prematura de membrana EN LA
MATERNIDAD MARIANA DE JESUS tuvo una prevalencia del 2,5%. Para los
factores predisponentes a la ruptura prematura de membrana encontramos que los
más importantes fueron: en que se presento era edad menor de 20 años con el 54%.
El nivel de escolaridad primaria con el 51%. La unión libre con el 75%, Las
nulíparas presentó el 54%. A las infecciones previas de vías urinarias el 49%.
PALBRAS CLAVES: ROTURA PREMATURA DE MEMBRANAS, AMENAZA
PARTO PRETERMINO DISTRESS RESPIRATORIO, ENDOMETRIOSIS,
CORIOAMNIONITIS, VAGINOSIS BACTERIANA
Premature Rupture of Membrane is a public health problem, this study aimed to determine the obstetric and perinatal outcomes in pregnant women with premature rupture of membranes. Despite technological advances and neonatal care, prematurity remains the major cause of neonatal morbidity and accounts for 70% of neonatal deaths and 50% of newborn neurological sequelae. Spontaneous preterm birth and premature rupture of membranes are responsible for approximately 80% of preterm births; the remaining 20% is due to maternal or fetal causes. We performed a retrospective study of the incidence of premature rupture of membranes in patients admitted MARIANA DE JESUS MOTHERHOOD in the period from September 2012 until February 28, 2013. The number of patients who were treated in emergency preterm labor for a total of 1589 pregnant women were evaluated 41 women with the diagnosis of premature rupture of membranes. Survey results reveal that premature membrane rupture MOTHERHOOD IN MARIANA DE JESUS had a prevalence of 2.5%. Predisposing factors for premature rupture of membrane found that the most important were: which was presented under 20 years old with 54%. The primary education level to 51%. Cohabitation with 75% Nulliparas introduced the 54%. At previous urinary tract infections 49%.
Premature Rupture of Membrane is a public health problem, this study aimed to determine the obstetric and perinatal outcomes in pregnant women with premature rupture of membranes. Despite technological advances and neonatal care, prematurity remains the major cause of neonatal morbidity and accounts for 70% of neonatal deaths and 50% of newborn neurological sequelae. Spontaneous preterm birth and premature rupture of membranes are responsible for approximately 80% of preterm births; the remaining 20% is due to maternal or fetal causes. We performed a retrospective study of the incidence of premature rupture of membranes in patients admitted MARIANA DE JESUS MOTHERHOOD in the period from September 2012 until February 28, 2013. The number of patients who were treated in emergency preterm labor for a total of 1589 pregnant women were evaluated 41 women with the diagnosis of premature rupture of membranes. Survey results reveal that premature membrane rupture MOTHERHOOD IN MARIANA DE JESUS had a prevalence of 2.5%. Predisposing factors for premature rupture of membrane found that the most important were: which was presented under 20 years old with 54%. The primary education level to 51%. Cohabitation with 75% Nulliparas introduced the 54%. At previous urinary tract infections 49%.
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Palabras clave
Rotura prematura de membrana fetales, Trabajo de parto prematuro, Síndrome de dificultad respiratoria del recién nacido, Endometriosis, Corioamnionitis, Vaginosis bacteriana, Hospital Especializado Mariana de Jesús, Cantón Guayaquil, Ecuador, Amenaza de parto