Causas de amenaza de parto pretérmino en mujeres añosas con diabetes gestacional atendidas en el Area de Hospitalización durante el periodo mayo del 2015 a febrero 2016 en el Hospital Gineco-Obstétrico Enrique C. Sotomayor
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
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La amenaza de parto pretérmino (APP) se define como la presencia de contracciones con un ritmo de 4 cada 20 minutos o de 8 en 60 minutos entre la 22 y 37 semanas de gestación. Este hecho se debe asociar al menos a una de las siguientes circunstancias: modificación progresiva del cérvix y dilatación cervical > a 2 cm y borramiento >80%. La Diabetes Gestacional, es la aparición por primera vez durante el embarazo a una tolerancia a los carbohidratos. Constituye la complicación más frecuente en el embarazo, reconocido así por la Organización Mundial de la Salud (OMS) y la Organización Panamericana de la salud incidiendo directamente en la madre y el feto. El objetivo principal de este estudio fue determinar las causas de amenaza de parto pretérmino en mujeres añosas que padecen diabetes gestacional. El estudio es de tipo descriptivo no experimental, ya que, permitió recolectar datos de las historias clínicas y a su vez retrospectivo porque los datos se obtuvieron de las historias clínicas ya existentes, realizado en pacientes añosas con amenaza de parto pretérmino que presentaron Diabetes Gestacional en el área de hospitalización durante el periodo comprendido entre mayo del 2015 a febrero del 2016 en el Hospital Gineco Obstétrico Enrique C. Sotomayor. En el presente trabajo de investigación podemos concluir que como resultado del estudio de las causas de amenaza de parto pretérmino, entre las más relacionadas a su aparición se debe en su mayoría por infecciones vaginales como candidiasis e infecciones causadas por hongos y/o infecciones de vías urinarias, la hipertensión arterial crónica como complicaciones añadidas al embarazo causadas por la edad. Y aunque el estudio no refirió un alto índice de macrosomía fetal se considera que fue predisponente para desencadenar amenaza de parto pretermino. Pudiendo así, producir parto pretérmino e incrementar las complicaciones materno-fetales.
The threat of preterm labor (APP) is defined as the presence of contractions with a rate of four every 20 minutes or 8 in 60 minutes between 22 and 37 weeks gestation. This must involve at least one of the following circumstances: progressive modification of the cervix and cervical dilation> 2 cm and effacement> 80%. Gestational Diabetes is the appearance for the first time during pregnancy to a carbohydrate tolerance. It is the most common complication of pregnancy, well recognized by the World Health Organization (WHO) and the Pan American Health Organization directly affecting the mother and fetus. The main objective of this study was to determine the causes of preterm labor in elderly women with gestational diabetes. The study is not experimental descriptive because, allowed to collect data from medical records and his retrospective time because the data were collected from existing medical records, done in aged patients with preterm labor who presented Gestational Diabetes in hospitalization area during the period from May 2015 to February 2016 in the Obstetric Gynecologic Hospital Enrique C. Sotomayor. In this research we can conclude that as a result of the study of the causes of preterm labor, among those most related to their appearance is due mostly by vaginal infections such as candidiasis and fungal infections and / or infections tract urinary tract, chronic hypertension as added to pregnancy complications caused by age. And although the study did not address a high rate of fetal macrosomia is considered that was predisposing to trigger preterm labor. It is able to produce preterm labor and increase maternal and fetal complications.
The threat of preterm labor (APP) is defined as the presence of contractions with a rate of four every 20 minutes or 8 in 60 minutes between 22 and 37 weeks gestation. This must involve at least one of the following circumstances: progressive modification of the cervix and cervical dilation> 2 cm and effacement> 80%. Gestational Diabetes is the appearance for the first time during pregnancy to a carbohydrate tolerance. It is the most common complication of pregnancy, well recognized by the World Health Organization (WHO) and the Pan American Health Organization directly affecting the mother and fetus. The main objective of this study was to determine the causes of preterm labor in elderly women with gestational diabetes. The study is not experimental descriptive because, allowed to collect data from medical records and his retrospective time because the data were collected from existing medical records, done in aged patients with preterm labor who presented Gestational Diabetes in hospitalization area during the period from May 2015 to February 2016 in the Obstetric Gynecologic Hospital Enrique C. Sotomayor. In this research we can conclude that as a result of the study of the causes of preterm labor, among those most related to their appearance is due mostly by vaginal infections such as candidiasis and fungal infections and / or infections tract urinary tract, chronic hypertension as added to pregnancy complications caused by age. And although the study did not address a high rate of fetal macrosomia is considered that was predisposing to trigger preterm labor. It is able to produce preterm labor and increase maternal and fetal complications.
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Embarazo, Mujeres añosas, Diabetes gestacional, Amenaza de parto prematuro, Complicaciones del embarazo, Hospital Gineco-Obstétrico Enrique C. Sotomayor, Cantón Guayaquil, Ecuador, Causalidad, Causalidad