Causas de las hemorragias obstetricias del primer trimestre de embarazo que ingresan al Area de Emergencia
Fecha
2020
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
La hemorragia que es producida antes de la 13ava semana de gestación, es denominada como una complicación que es común durante el embarazo, se presenta en la 4ta parte de las embarazadas, donde se presenta la complicación de la amenaza de aborto en la mitad de los casos. Las hemorragias uterinas se denominan como una de las complicaciones más graves del embarazo, presentando una alta tasa de mortalidad y morbilidad materno-perineal, la problemática es determinar las causas que permiten confirmar, si la hemorragia es de carácter fisiológico o es provocada. Objetivo: El objetivo de este estudio es determinar las causas de la hemorragia obstétrica del primer trimestre de gestación. Método: es realizado por medio de una investigación de origen retrospectiva, analítica, de cohorte transversal, basada en las historias clínicas recopiladas, del Hospital General Dr. León Becerra Camacho en el periodo en el periodo 8 de enero del 2017 al 25 de junio 2020. Resultados: Donde los resultados de 174 pacientes tomadas como muestra, fueron que la edad predominante fue menores de 19 años con 49%, raza mestiza con 62%, primagestas con 76%, con predominio en 44 pacientes de 174 de la muestra con antecedentes abortivos con 73%. Las pacientes presentaron cuadro de dolor epigástrico con 97%, cuadro febril de más de 38.C con 85%, y todas las pacientes presentaron sangrado. La edad gestacional del producto o feto, fue menor a 10 semanas con 63% de la muestra, y con respecto a las complicaciones patológicas existió aborto incompleto con 76% de los casos.
The hemorrhage that is produced before the 13th week of gestation, is called a complication that is common during pregnancy, it occurs in the 4th part of pregnant women, where the complication of the threat of abortion occurs in half of the cases. Uterine hemorrhages are called one of the most serious complications of pregnancy, presenting a high rate of mortality and maternal-perineal morbidity, the problem is to determine the causes that allow to confirm, if the hemorrhage is physiological or provoked. Objective: The objective of this study is to determine the causes of obstetric hemorrhage in the first trimester of pregnancy. Method: it is carried out through a retrospective, analytical, cross-sectional cohort research, based on the collected medical records, of the General Hospital Dr. León Becerra Camacho in the period from January 8, 2017 to June 25, 2020 Results: Where the results of 174 patients taken as a sample were that the predominant age was under 19 years with 49%, mixed race with 62%, primagestas with 76%, with a predominance in 44 patients out of 174 of the sample with antecedents abortifacient with 73%. The patients presented epigastric pain with 97%, fever of more than 38C with 85%, and all patients presented bleeding. The gestational age of the product or fetus was less than 10 weeks with 63% of the sample, and with respect to pathological complications, there was incomplete abortion with 76% of the cases.
The hemorrhage that is produced before the 13th week of gestation, is called a complication that is common during pregnancy, it occurs in the 4th part of pregnant women, where the complication of the threat of abortion occurs in half of the cases. Uterine hemorrhages are called one of the most serious complications of pregnancy, presenting a high rate of mortality and maternal-perineal morbidity, the problem is to determine the causes that allow to confirm, if the hemorrhage is physiological or provoked. Objective: The objective of this study is to determine the causes of obstetric hemorrhage in the first trimester of pregnancy. Method: it is carried out through a retrospective, analytical, cross-sectional cohort research, based on the collected medical records, of the General Hospital Dr. León Becerra Camacho in the period from January 8, 2017 to June 25, 2020 Results: Where the results of 174 patients taken as a sample were that the predominant age was under 19 years with 49%, mixed race with 62%, primagestas with 76%, with a predominance in 44 patients out of 174 of the sample with antecedents abortifacient with 73%. The patients presented epigastric pain with 97%, fever of more than 38C with 85%, and all patients presented bleeding. The gestational age of the product or fetus was less than 10 weeks with 63% of the sample, and with respect to pathological complications, there was incomplete abortion with 76% of the cases.
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Hemorragia uterina, Primer trimestre del embarazo, Causalidad, Estudios retrospectivos, Epidemiología analítica, Hospital General Dr. León Becerra Camacho, Cantón Milagro, Ecuador