Factores desencadenantes de ruptura prematura de membrana en embarazos pretérminos
Fecha
2022
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
Resumen
En el presente estudio se determino los factores que producen ruptura prematura de
membrana en embarazos prematuros, se lo realizo en 166 pacientes, en el Hospital
Universitario de Guayaquil. Cuyo fin fue poder disminuir la morbi mortalidad materno-
perinatal producida por esta patología. Por lo tanto, como principales factores se
encontro que las infecciones de vías urinarias se presentaron en 105 (63.3%)
gestantes, las infecciones cervicovaginales se presentó en 92 (55.4%) gestantes, y
103 (62.04%) gestantes tuvieron insuficientes controles prenatales, siendo estos los
principales factores desencadenantes de la RPMP. Con lo referente a las
complicaciones materno-perinatales las mas frecuentes fueron la dificultad
respiratoria y la prematuridad, que se presentó en 63 (38%) neonatos y en la madre
fue la corioamnionítis con 46 (27.7%) casos. En conclusion, los prinsipales factores
desencadenantes fueron las infecciones de vias urinarias, infecciones
cervicovaginales y los controles prenatales insuficientes.
In the present study, the factors that produce premature rupture of the membrane in premature pregnancies were determined, it was carried out in 166 patients, at the University Hospital of Guayaquil. Whose purpose was to reduce the maternal and fetal morbidity and mortality produced by this pathology. Therefore, as main factors, it was found that urinary tract infections occurred in 105 (63.3%) pregnant women, cervicovaginal infections occurred in 92 (55.4%) pregnant women, and 103 (62.04%) pregnant women had insufficient prenatal controls, these being the main triggering factors of RPMP. With regard to, the most frequent neonatal maternal complications were respiratory distress and prematurity, which occurred in 63 (38%) neonates and in the mother it was chorioamnionitis with 46 (27.7%) cases. In conclusion, the main triggering factors were urinary tract infections, cervicovaginal infections and insufficient prenatal controls.
In the present study, the factors that produce premature rupture of the membrane in premature pregnancies were determined, it was carried out in 166 patients, at the University Hospital of Guayaquil. Whose purpose was to reduce the maternal and fetal morbidity and mortality produced by this pathology. Therefore, as main factors, it was found that urinary tract infections occurred in 105 (63.3%) pregnant women, cervicovaginal infections occurred in 92 (55.4%) pregnant women, and 103 (62.04%) pregnant women had insufficient prenatal controls, these being the main triggering factors of RPMP. With regard to, the most frequent neonatal maternal complications were respiratory distress and prematurity, which occurred in 63 (38%) neonates and in the mother it was chorioamnionitis with 46 (27.7%) cases. In conclusion, the main triggering factors were urinary tract infections, cervicovaginal infections and insufficient prenatal controls.
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FACTORES DE RIESGO, RUPTURA PREMATURA DE MEMBRANAS FETALES, MORBIMORTALIDAD, TRABAJO DE PARTO PREMATURO, HOSPITAL UNIVERSITARIO DE GUAYAQUIL, CANTON GUAYAQUIL, ECUADOR