Incidencia del desprendimiento prematuro de placenta normoinserta, Hospital Materno Infantil Dra. Matilde Hidalgo de Procel de Octubre 2013 a Marzo 2014
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2014
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
Resumen
La placenta se encuentra unida a la pared del útero por numerosos vasos sanguíneos. El desprendimiento de placenta, también conocido por su nombre en latín abruptio placentae, consiste en la separación de la placenta de la pared uterina, parcial o totalmente, antes o durante el parto. Este fenómeno se produce, aproximadamente, en uno de cada 120 embarazos, y provoca una hemorragia debida a la rotura de los vasos sanguíneos que conectan placenta y útero. A pesar de los avances de la ciencia por el conocimiento de los factores de riesgo, el Desprendimiento prematuro de placenta normoinserta continúa siendo una de las principales causas de morbilidad de pacientes obstétricas. Con el fin de lograr reducir el desprendimiento prematuro de placenta normoinserta, es necesario establecer parámetros que garanticen una atención de calidad, calidez y conocimiento apropiado, oportuno a la paciente. Se realizó un estudio descriptivo, prospectivo y observacional, en 16 casos de pacientes diagnosticadas con Desprendimiento prematuro de placenta normoinserta, los cuales fueron atendidas en el Hospital Materno Infantil “Dra. Matilde Hidalgo de Procel”, en la ciudad de Guayaquil, durante el período comprendido entre los meses de Octubre 2013 a Marzo del 2014.Las edades de las pacientes fluctuaron entre los 15 a 40 años, presentándose con mayor frecuencia en las pacientes de 20 a 24 años; que representan el 31% de los casos estudiados. El universo fue constituido por 16 pacientes, la misma que se utilizó como muestra, que reunían los criterios de inclusión de este estudio. En las causas tenemos con el 63% los trastornos hipertensivos. El 31% tuvo en Traumatismo y con un porcentaje del 6% por malos hábitos. Palabras claves: Desprendimiento prematuro de placenta, morbilidad, Trastornos hipertensivos, traumatismos, Hábitos.
XII ABSTRACT The placenta is attached to the uterine wall by numerous blood vessels. Placental abruption , also known by its Latin name in abruptio placentae, is the separation of the placenta from the uterine wall , partially or completely, before or during birth. This phenomenon occurs in approximately one in every 120 pregnancies, causing bleeding due to the rupture of blood vessels connecting placenta and uterus. Despite the advances of science knowledge of risk factors, the abruptio placenta remains a major cause of morbidity of obstetric patients. In order to achieve reduced abruptio placenta, it is necessary to establish parameters to ensure quality care, warmth and proper knowledge, appropriate to the patient. A descriptive, prospective, observational study in 16 cases of patients diagnosed with abruptio placenta, which was performed were treated in the Children's Hospital " Dr. Procel Matilde Hidalgo "in the city of Guayaquil, in the period between the months of October 2013 to March 2014.Las ages of the patients ranged from 15 to 40 years, appearing more frequently in patients 20 to 24; representing 31% of the cases studied. The universe was composed of 16 patients, the same that was used as a sample that met the inclusion criteria for this study. In the cases we have with 63% of hypertensive disorders. 31% was in trauma and a 6% share of bad habits.
XII ABSTRACT The placenta is attached to the uterine wall by numerous blood vessels. Placental abruption , also known by its Latin name in abruptio placentae, is the separation of the placenta from the uterine wall , partially or completely, before or during birth. This phenomenon occurs in approximately one in every 120 pregnancies, causing bleeding due to the rupture of blood vessels connecting placenta and uterus. Despite the advances of science knowledge of risk factors, the abruptio placenta remains a major cause of morbidity of obstetric patients. In order to achieve reduced abruptio placenta, it is necessary to establish parameters to ensure quality care, warmth and proper knowledge, appropriate to the patient. A descriptive, prospective, observational study in 16 cases of patients diagnosed with abruptio placenta, which was performed were treated in the Children's Hospital " Dr. Procel Matilde Hidalgo "in the city of Guayaquil, in the period between the months of October 2013 to March 2014.Las ages of the patients ranged from 15 to 40 years, appearing more frequently in patients 20 to 24; representing 31% of the cases studied. The universe was composed of 16 patients, the same that was used as a sample that met the inclusion criteria for this study. In the cases we have with 63% of hypertensive disorders. 31% was in trauma and a 6% share of bad habits.
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DESPRENDIMIENTO PREMATURO DE LA PLACENTA, MORBILIDAD, HIPERTENSION, INCIDENCIA, HOSPITAL MATERNO INFANTIL DRA. MATILDE HIDALGO DE PROCEL, CANTON GUAYAQUIL, ECUADOR