Efectos de combinación de progesterona natural micronizada vaginal y nifedipino en amenazas de parto pretermino en mujeres con cervix corto
Fecha
2021
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
Resumen
La amenaza de parto pretérmino (APP) se asocia a complicaciones maternas y fetales. El objetivo del estudio fue analizar los efectos del uso de progesterona natural micronizada vaginal y nifedipino en el manejo de amenaza de parto pretérmino en mujeres con cérvix corto del Hospital Especializado Matilde Hidalgo de Procel, enero a julio 2021. El diseño investigativo fue observacional, descriptivo de corte transversal con 105 pacientes, se aplicó una ficha de recolección. Como principales resultados: el fármaco de mayor elección para el manejo era el nifedipino (67.6%); el esquema combinado presento mejores efectos, tiempo de acción más rápido (82.6%) y periodo de latencia mayor (78.3%); los factores de riesgo, nuliparidad (40.9%), antecedentes de amenaza de parto pretérmino (70.4%), infecciones de vías urinarias (34.2%) y ningún control prenatal (62.8%). El desconocimiento de las pacientes sobre la medición del cuello uterino en el 93% y sobre esta condición en el 65%.
The threat of preterm labor (PPA) is associated with maternal and fetal complications. The objective of the study was to analyze the effects of the use of natural vaginal micronized progesterone and nifedipine in the management of threatened preterm labor in women with a short cervix at the Matilde Hidalgo de Procel Specialized Hospital, January to July 2021. The research design was observational, descriptive cross-sectional with 105 patients, a collection card was applied. As main results: the drug of choice for management was nifedipine (67.6%); The combined scheme presented better effects, faster action time (82.6%) and a longer latency period (78.3%); risk factors, nulliparity (40.9%), history of threatened preterm birth (70.4%), urinary tract infections (34.2%) and no prenatal control (62.8%). The ignorance of the patients about the measurement of the cervix in 93% and about this condition in 65%.
The threat of preterm labor (PPA) is associated with maternal and fetal complications. The objective of the study was to analyze the effects of the use of natural vaginal micronized progesterone and nifedipine in the management of threatened preterm labor in women with a short cervix at the Matilde Hidalgo de Procel Specialized Hospital, January to July 2021. The research design was observational, descriptive cross-sectional with 105 patients, a collection card was applied. As main results: the drug of choice for management was nifedipine (67.6%); The combined scheme presented better effects, faster action time (82.6%) and a longer latency period (78.3%); risk factors, nulliparity (40.9%), history of threatened preterm birth (70.4%), urinary tract infections (34.2%) and no prenatal control (62.8%). The ignorance of the patients about the measurement of the cervix in 93% and about this condition in 65%.
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Amenza de parto, Progesterona, Factores de riesgo, Hospital Materno Infantil Dra. Matilde Hidalgo de Procél, Cantón Guayaquil, Ecuador