Incidencias de rotura prematura de membranas en el Hospital Gineco Obstétrico Enrique C. Sotomayor desde noviembre del 2013 hasta mayo del 2014
Fecha
2014
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
Resumen
La rotura prematura de membranas, se refiere al momento en el que las membranas del saco amniótico de la mujer embarazada, que rodean al feto se rompen antes del inicio del trabajo de parto e independientemente su edad gestacional. Constituye un problema de salud pública por la asociación a la morbimortalidad fetal relacionada con prematurez, bajo peso al nacer e infecciones como la coriomnionitis. El presente estudio se ubica en la ciudad de Guayaquil ´Hospital Enrique C. Sotomayor con el objetivo de determinar la Incidencia de Rotura Prematura de Membrana en mujeres embarazadas se realiza un estudio descriptivo, prospectivo, analítico. Se evaluaron un total de 120 mujeres que ingresaron al hospital con diagnóstico de rotura prematura de membranas tomando en cuenta los criterios de inclusión y exclusión. La información de cada una de las pacientes fue tomada de las historias clínicas mediante un formulario, donde luego se determinó sus respuestas con gráficos realizados en una hoja de cálculo de Excel y tabuladas en tablas estadísticas con demostración en gráficos. Como resultado con respecto a la edad en pacientes de grupo etario entre 20-34 (38%) y adolescentes menores de 19 años(54%), por su procedencia grupo rural con un (67%),estado civil (60%) unión libre, multíparas con el (52%) , en embarazos a término (67%),aspecto líquido amniótico amarillento (38%),periodo de latencia (58%) menor de 24 horas ,correspondiente a los controles prenatales (51%)si tuvieron 5 o más,(27%) tuvieron menos de 4 o ninguno, infección de vías urinarias factor predisponente (61%) que padecieron durante el embarazo y frente a un (39%)que padecieron enfermedades cervico vaginal .
Palabra clave: Rotura Prematura de Membrana, corioamnionitis, embarazadas.
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SUMMARY
Premature rupture of membranes refers to the time when the membranes of the amniotic sac of the pregnant woman, fetus surrounding the break before the onset of labor and gestational age independently. It is a public health problem by the association to morbimortabilidad related fetal prematurity, low birth weight and infections such as chorioamnionitis. This study is located in the city of Guayaquil ´´Enrique C. Sotomayor hospital´´ in order out. A total of 120 women admitted to hospital with a diagnosis of premature rupture of membranes taking into account the inclusion and exclusion criteria were evaluated. The information of each patient was taken to the medical records through a form. Where your responses are then determined whit graphics done in a spreadsheet in excel and weighted statistics in graphical demonstration tables. As a result with respect to age in patients of age group 20-34 (38%) and adolescents under 19 years (54 %) for their group with a rural origin ( 67%) marital status (60%) union free, with multiparas (52%) in full term pregnancies (67%), amniotic fluid looks yellowish (38%) , lactating (58%) less than 24 hours, corresponding to prenatal care (51%) ,if had s or more (27%) had less than 4 or no urinary tract infection predisposing factor(61%) who suffered during pregnancy and compared to (39%) who developed vaginal cervical disease.
Premature rupture of membranes refers to the time when the membranes of the amniotic sac of the pregnant woman, fetus surrounding the break before the onset of labor and gestational age independently. It is a public health problem by the association to morbimortabilidad related fetal prematurity, low birth weight and infections such as chorioamnionitis. This study is located in the city of Guayaquil ´´Enrique C. Sotomayor hospital´´ in order out. A total of 120 women admitted to hospital with a diagnosis of premature rupture of membranes taking into account the inclusion and exclusion criteria were evaluated. The information of each patient was taken to the medical records through a form. Where your responses are then determined whit graphics done in a spreadsheet in excel and weighted statistics in graphical demonstration tables. As a result with respect to age in patients of age group 20-34 (38%) and adolescents under 19 years (54 %) for their group with a rural origin ( 67%) marital status (60%) union free, with multiparas (52%) in full term pregnancies (67%), amniotic fluid looks yellowish (38%) , lactating (58%) less than 24 hours, corresponding to prenatal care (51%) ,if had s or more (27%) had less than 4 or no urinary tract infection predisposing factor(61%) who suffered during pregnancy and compared to (39%) who developed vaginal cervical disease.
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Rotura prematura de membranas fetales, Embarazo, Trabajo de parto prematuro, Salud pública, Indicadores de morbimortalidad, Corioamnionitis, Hospital Gineco-Obstétrico Enrique C. Sotomayor, Cantón Guayaquil, Ecuador