Aspectos hematimétricos relacinados con la anemia materna y su impacto sobre la resultante obstétrica y neonatal en trabajos de partos espontáneos.Hospital Alfredo G. Paulson 2019-2021
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2022
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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La anemia ferropénica es de las complicaciones frecuentes en el embarazo, especialmente en los países subdesarrollados. Ésta afección se asocia a mayor morbimortalidad materno – fetal. El objetivo del estudio es correlacionar la anemia materna con las resultantes obstétricas y neonatales en gestantes con parto espontaneo atendidas en el Hospital Alfredo G. Paulson en el periodo 2019-2021. La investigación es cuantitativa, descriptiva, correlacional, no experimental, retrospectiva y transversal; se realizó la recolección de la información de las historias clínicas; los datos se analizaron en plataforma estadística SPSS versión 22; fueron procesados y analizados con el test estadístico Chicuadrado. Los resultados mostraron en la anemia severa, valores mayoritarios, el grupo de edad 23 a 27 años (50,1%), la unión libre (66,7%), el 100% no trabajaban, el 66,7% eran marginales y el 83,3% tenían nivel básico; excepto el IMC normo peso, que fue prevalente, en la anemia leve (62,9%); el control prenatal menor a 7, (83,3%) y la edad gestacional menor de 37 semana (66,7%), fueron valores predominantes en la anemia severa; el hematocrito por debajo del 32%, el 91,7% de las embarazadas; VCM, menos de 80fL, 58,3%; CHCM por debajo de 32 gr/dL el 100% de las gestantes; ADE estuvo 50% en cada grupo de clasificación y HCM, 58,3% por debajo de valores normales; se concluye que las resultantes maternas se relacionaron con la mayoría de los valores de la hematimetría, al obtenerse p<0,05, menos los trastornos hipertensivos, así como también estuvieron relacionadas las resultantes neonatales en la mayoría de los parámetros.
Iron deficiency anemia is one of the most frequent complications in pregnancy, especially in underdeveloped countries. This condition is associated with increased maternal-fetal morbidity and mortality. The aim of the study is to correlate maternal anemia with obstetric and neonatal outcomes in pregnant women with spontaneous delivery attended at the Alfredo G. Paulson Hospital in the period 2019-2021. The research is quantitative, descriptive, correlational, non-experimental, retrospective and cross-sectional; information was collected from medical records; the data were analyzed in SPSS version 22 statistical platform; they were processed and analyzed with the Chi-square statistical test. The results showed in severe anemia, majority values, age group 23 to 27 years (50.1%), free union (66.7%), 100% did not work, 66.7% were marginal and 83.3% had basic level; except for normal weight BMI, which was prevalent in mild anemia (62.9%); prenatal control less than 7 (83.3%) and gestational age less than 37 weeks (66.7%) were predominant values in severe anemia; hematocrit below 32% in 91.7% of pregnant women; MCV, less than 80fL, 58.3%; MCCH below 32 gr/dL in 100% of the pregnant women; ADE was 50% in each classification group and MCH, 58.3% below normal values; it is concluded that maternal results were related to most of the hemacytometry values, obtaining p<0.05, except for hypertensive disorders, as well as neonatal results were related to most of the parameters.
Iron deficiency anemia is one of the most frequent complications in pregnancy, especially in underdeveloped countries. This condition is associated with increased maternal-fetal morbidity and mortality. The aim of the study is to correlate maternal anemia with obstetric and neonatal outcomes in pregnant women with spontaneous delivery attended at the Alfredo G. Paulson Hospital in the period 2019-2021. The research is quantitative, descriptive, correlational, non-experimental, retrospective and cross-sectional; information was collected from medical records; the data were analyzed in SPSS version 22 statistical platform; they were processed and analyzed with the Chi-square statistical test. The results showed in severe anemia, majority values, age group 23 to 27 years (50.1%), free union (66.7%), 100% did not work, 66.7% were marginal and 83.3% had basic level; except for normal weight BMI, which was prevalent in mild anemia (62.9%); prenatal control less than 7 (83.3%) and gestational age less than 37 weeks (66.7%) were predominant values in severe anemia; hematocrit below 32% in 91.7% of pregnant women; MCV, less than 80fL, 58.3%; MCCH below 32 gr/dL in 100% of the pregnant women; ADE was 50% in each classification group and MCH, 58.3% below normal values; it is concluded that maternal results were related to most of the hemacytometry values, obtaining p<0.05, except for hypertensive disorders, as well as neonatal results were related to most of the parameters.
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Anemia ferropénica, Morbimortalidad, Mujeres embarazadas, Estudio de casos, Hospital de la Mujer Alfredo G. Paulson, Cantón Guayaquil, Ecuador