Factores de riesgo y complicaciones maternas durante el parto y puerperio en pacientes con cicatriz uterina que terminan en parto vaginal
Fecha
2020
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
Resumen
La gestante con cicatriz uterina previa debe tener una correcta evaluación para determinar el desenlace de la misma. El objetivo de la investigación será determinar la cicatriz post cesárea como principal factor de riesgo de las complicaciones maternas de las gestantes atendidas en el Hospital Materno Infantil “Dra. Matilde Hidalgo de Procel” en el periodo de octubre 2019 a marzo 2020. La muestra del estudio conformada por 120 pacientes, con la metodología investigativa de tipo observacional, bibliográfica y descriptiva. Mediante la tabulación de los datos como características gineco-obstétricas: secundigesta (G2 P1 C1) 63.3%, periodo intergenésico > 2 años 72.5%. La principal causa que motivo a la cesárea anterior fue sufrimiento fetal agudo 43.3%, complicaciones frecuentes en el parto se encontró los desgarros del canal 33.3% y en el puerperio la retención de restos 45.8%. La propuesta será capacitar al personal de salud a través de charlas de actualización sobre el manejo de embarazadas con antecedentes de cesárea previa
The pregnant woman with a previous uterine scar must have a correct evaluation to determine the outcome of the same. The objective of the research will be to determine the post-cesarean scar as the main risk factor for maternal complications of pregnant women treated at the Maternal and Child Hospital “Dra. Matilde Hidalgo de Procel” in the period from October 2019 to March 2020. The study sample consists of 120 patients, with the observational, bibliographic and descriptive research methodology. By tabulating the data as gynecological-obstetric characteristics: secondary patient (G2 P1 C1) 63.3%, >2 years intergenic period 72.5%. The main cause that caused the previous caesarean section was the acute fetus 43.3%, frequent complications in childbirth were tears of the channel 33.3% and in the puerperium the retention of remains 45.8%. The proposal will be trained to health personnel through update talks on the management of pregnant women with a history of previous caesarean section
The pregnant woman with a previous uterine scar must have a correct evaluation to determine the outcome of the same. The objective of the research will be to determine the post-cesarean scar as the main risk factor for maternal complications of pregnant women treated at the Maternal and Child Hospital “Dra. Matilde Hidalgo de Procel” in the period from October 2019 to March 2020. The study sample consists of 120 patients, with the observational, bibliographic and descriptive research methodology. By tabulating the data as gynecological-obstetric characteristics: secondary patient (G2 P1 C1) 63.3%, >2 years intergenic period 72.5%. The main cause that caused the previous caesarean section was the acute fetus 43.3%, frequent complications in childbirth were tears of the channel 33.3% and in the puerperium the retention of remains 45.8%. The proposal will be trained to health personnel through update talks on the management of pregnant women with a history of previous caesarean section
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Cesárea, Complicaciones maternas, Parto normal, Cicatriz uterina, Epidemiología descriptiva, Hospital Materno Infantil Dra. Matilde Hidalgo de Procel, Cantón Guayaquil, Ecuador