Factores de riesgo y complicaciones postquirúrgicas en pacientes con cesárea segmentaría
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2022
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
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INTRODUCCION: La resolución quirúrgica de los eventos obstétricos a través de la operación cesárea constituye uno de los avances más importantes de la medicina perinatal contemporánea y ha tenido indiscutiblemente un impacto extraordinario en la disminución de la mortalidad materna y perinatal. OBJETIVO: El objetivo de este proyecto es determinar los factores de riesgo que están vinculados a las complicaciones postquirúrgicas en pacientes con cesárea segmentaría en el Hospital León Becerra Camacho durante el periodo 2021 METODOLOGIA: El tipo de estudio fue retrospectivo, descriptivo, de corte transversal en 61 pacientes que cumplieron los criterios de inclusión y exclusión. RESULTADOS El mayor rango de edad encontrado fue de 21 a 30 años en un 63,2%; Durante el periodo de estudio se realizaron 209 cesáreas, el 32,5% presentaron complicaciones post quirúrgicas; el 69,1% tenían antecedentes de infección de vías urinarias y el 14,7% un índice de masa corporal mayor a 25, el 80,7% presento antecedentes de cesárea anterior, el 70,5% de las pacientes no tenían más de tres controles prenatales; determinando que la principal complicación postoperatoria fue la hemorragia uterina en un 32,3% y el 26,4% de las pacientes presentaron endometritis. CONCLUSION: Los factores sociodemográficos tales como edad y grado de instrucción y los factores obstétricos tales como paridad, edad gestacional, abortos anteriores; no se asocian a complicaciones post cesárea
INTRODUCTION Surgical resolution of obstetric events through cesarean section constitutes one of the most important advances in contemporary perinatal medicine and has undoubtedly had an extraordinary impact on the reduction of maternal and perinatal mortality. OBJECTIVE The objective of this project is to determine the risk factors that are linked to post surgical complications in patients with segmental cesarean section at the León Becerra Camacho Hospital during the 2021 period. METHODOLOGY The type of study was retrospective, descriptive, cross-sectional in 61 patients who met the inclusion and exclusion criteria. RESULTS The highest age range found was 21 to 30 years old in 63.2%; During the study period, 209 cesarean sections were performed, 32.5% presented post-surgical complications; 69.1% had a history of urinary tract infection and 14.7% had a body mass index greater than 25, 80.7% had a history of previous cesarean section, 70.5% of the patients had no more than three prenatal controls; determining that the main postoperative complication was uterine bleeding in 32.3% and 26.4% of the patients presented endometritis. CONCLUSION Sociodemographic factors such as age and level of education and obstetric factors such as parity, gestational age, previous abortions; They are not associated with post-cesarean section complications.
INTRODUCTION Surgical resolution of obstetric events through cesarean section constitutes one of the most important advances in contemporary perinatal medicine and has undoubtedly had an extraordinary impact on the reduction of maternal and perinatal mortality. OBJECTIVE The objective of this project is to determine the risk factors that are linked to post surgical complications in patients with segmental cesarean section at the León Becerra Camacho Hospital during the 2021 period. METHODOLOGY The type of study was retrospective, descriptive, cross-sectional in 61 patients who met the inclusion and exclusion criteria. RESULTS The highest age range found was 21 to 30 years old in 63.2%; During the study period, 209 cesarean sections were performed, 32.5% presented post-surgical complications; 69.1% had a history of urinary tract infection and 14.7% had a body mass index greater than 25, 80.7% had a history of previous cesarean section, 70.5% of the patients had no more than three prenatal controls; determining that the main postoperative complication was uterine bleeding in 32.3% and 26.4% of the patients presented endometritis. CONCLUSION Sociodemographic factors such as age and level of education and obstetric factors such as parity, gestational age, previous abortions; They are not associated with post-cesarean section complications.
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FACTORES DE RIESGO, CESAREA, HOSPITAL GENERAL DR. LEON BECERRA CAMACHO, OBSTETRICIA, CANTON GUAYAQUIL, ECUADOR