Causas del oligohidramnios y procedimientos realizados a gestantes de 20 a 35 años atendidas en el Hospital Especializado Mariana de Jesús en el período comprendido del 15 de mayo del 2015 al 15 de mayo del 2016
No hay miniatura disponible
Fecha
2016
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
Resumen
El oligohidramnios es una complicación del líquido amniótico caracterizado por la disminución del volumen y que afecta al embarazo independientemente de la edad gestacional en que se realice su diagnóstico, hasta el momento no existe un protocolo específico para el manejo de esta patología pero la amnioinfusión y la hidratación materna suelen ser una buena opción para mejorar el índice de líquido amniótico, en este contexto se realizó un estudio prospectivo, descriptivo, de campo no experimental cuyo universo fueron gestantes de entre 20 a 35 años con diagnóstico de oligohidramnios atendidas en el hospital especializado marianas de Jesus, cuya muestra fue de 112 pacientes, de ellas el 39% se encuentra en edades comprendidas de 20 a 25 años, el 66% eran multíparas, el oligohidramnios moderado fue el que con más incidencia se presentó con un 61%, dentro de las causas asociadas al oligohidramnios la RPM se presentó en el 51%, de los monitoreos fetales realizados el 17% de ellos fueron no reactivos, solo se reportó un caso de Doppler positivo, el 76% de los casos terminó en cesáreas y el 46% de los neonatos nacieron a término, como medida terapéutica a todas las paciente se le inicio la hidroterapia, el oligohidramnios es una complicación del embarazo que tiende a aumentar las tasas de cesáreas, independientemente de la causa que lo produce, en el trabajo realizado la principal causa fue la ruptura prematuras de las membranas con más de la mitad de los casos analizados.
Oligohydramnios is a complication of amniotic fluid characterized by decreased volume and affects pregnancy regardless of gestational age at diagnosis is made, so far there is no specific protocol for the management of this condition but amnioinfusion and maternal hydration are often a good option to improve the amniotic fluid index in this context a prospective, descriptive study of non-experimental field was carried out whose universe were pregnant between 20-35 years diagnosed with oligohydramnios treated at the Marian specialized hospital Jesus, whose sample consisted of 112 patients, of which 39% is in aged from 20 to 25 years, 66% were multiparous, moderate oligohydramnios was the most incidence occurred with 61%, within the causes associated with oligohydramnios RPM was presented in 51% fetal monitoring conducted 17% of them were not reactive, only one case of positive Doppler was reported, 76% of cases ended in cesarean sections and 46% of infants were born at term, as a therapeutic measure to every patient will start hydrotherapy, oligohydramnios is a complication of pregnancy which tends to increase cesarean rates, regardless of the cause that produces it, in the work of the main cause was premature rupture of membranes with more than half of the cases analyzed.
Oligohydramnios is a complication of amniotic fluid characterized by decreased volume and affects pregnancy regardless of gestational age at diagnosis is made, so far there is no specific protocol for the management of this condition but amnioinfusion and maternal hydration are often a good option to improve the amniotic fluid index in this context a prospective, descriptive study of non-experimental field was carried out whose universe were pregnant between 20-35 years diagnosed with oligohydramnios treated at the Marian specialized hospital Jesus, whose sample consisted of 112 patients, of which 39% is in aged from 20 to 25 years, 66% were multiparous, moderate oligohydramnios was the most incidence occurred with 61%, within the causes associated with oligohydramnios RPM was presented in 51% fetal monitoring conducted 17% of them were not reactive, only one case of positive Doppler was reported, 76% of cases ended in cesarean sections and 46% of infants were born at term, as a therapeutic measure to every patient will start hydrotherapy, oligohydramnios is a complication of pregnancy which tends to increase cesarean rates, regardless of the cause that produces it, in the work of the main cause was premature rupture of membranes with more than half of the cases analyzed.
Descripción
PDF
Palabras clave
Oligohidramnios, Mujeres embarazadas, Líquido amniótico, Rotura prematura de membranas fetales, Complicaciones del embarazo, Estudios prospectivos, Epidemiología descriptiva, Hospital Especializado Mariana de Jesús, Cantón Guayaquil, Ecuador, Adulto