Factores de riesgos asociados al desgarro perineal durante el parto vaginal en adolecentes
Fecha
2021
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
Resumen
Con el objetivo de conocer los factores de riesgos asociados al desgarro perineal durante el parto en mujeres adolescentes en el Hospital Gineco-Obstétrico Pediátrico Universitario de Guayaquil del periodo establecido de Julio del 2020 a Junio del 2021. Se realizo el estudio de tipo observacional, se revisó las historias clínicas de pacientes de 10-19 años, con una muestra de 155 casos de adolescentes que presentaron desgarros perineales, se obtuvo como resultado 77 (49.7%) pacientes sufrieron desgarros de primer grado, 72 (46.5%) pacientes presentaron desgarro de segundo grado y 6 (3.9%) pacientes sufrieron desgarro de tercer grado, en la muestra de nuestro estudio no se presentó desgarro perineal de cuarto grado. Los factores asociados a estos desgarros fueron: la edad materna, elasticidad del suelo pélvico, la colaboración de la parturienta, sesiones de psicoprofilaxis anteparto y durante el trabajo de parto, realización oportuna de la episiotomía, el personal de salud que atiende el parto y factores neonatales como el peso del producto.
With the aim of knowing the risk factors associated with perineal tear during childbirth in adolescent women at the University Pediatric Gyneco-Obstetric Hospital of Guayaquil from the established period of July 2020 to June 2021. The observational study was carried out. reviewed the medical records of patients aged 10-19 years, with a sample of 155 cases of adolescents who presented perineal tears, the result was 77 (49.7%) patients suffered first degree tears, 72 (46.5%) patients presented tear of the second degree and 6 (3.9%) patients suffered third degree tear; in our study sample, there was no fourth degree perineal tear. The factors associated with these tears were: maternal age, elasticity of the pelvic floor, the collaboration of the woman in labor, sessions of antepartum psychoprophylaxis and during labor, timely performance of the episiotomy, the health personnel attending the delivery and factors neonatals such as the weight of the product
With the aim of knowing the risk factors associated with perineal tear during childbirth in adolescent women at the University Pediatric Gyneco-Obstetric Hospital of Guayaquil from the established period of July 2020 to June 2021. The observational study was carried out. reviewed the medical records of patients aged 10-19 years, with a sample of 155 cases of adolescents who presented perineal tears, the result was 77 (49.7%) patients suffered first degree tears, 72 (46.5%) patients presented tear of the second degree and 6 (3.9%) patients suffered third degree tear; in our study sample, there was no fourth degree perineal tear. The factors associated with these tears were: maternal age, elasticity of the pelvic floor, the collaboration of the woman in labor, sessions of antepartum psychoprophylaxis and during labor, timely performance of the episiotomy, the health personnel attending the delivery and factors neonatals such as the weight of the product
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Palabras clave
Adolescente, Factores de riesgo, Psicoprofilaxis, Recién nacido, Hospital Universitario de Guayaquil, Cantón Guayaquil, Ecuador