Líquido amniótico teñido y resultante materno-neonatal, Hospital Gineco-Obstétrico Enrique C. Sotomayor 2007-2008
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2011
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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La incidencia de líquido amniótico teñido por meconio varía entre el 7 y 30%, dependiendo del riesgo de la población. Aunque varios estudios señalan que diversos grados de tinción meconial se relacionan con diversos grados de resultado adverso perinatal y materno otros autores han señalado que no existe tal asociación, estableciéndose una controversia. Siendo el hospital Gineco-Obstétrico “Enrique C. Sotomayor” una institución en donde se atienden 35000 partos anales, se imponía la realización de un estudio para conocer la relación existente entre la resultante neonatal y materna adversa y los diversos grados de tinción del líquido amniótico con meconio. Por este motivo, se efectuó un estudio en el periodo 2007-2008, tipo descriptivocorrelacional, y diseño no experimental-transversal, en el que se incluyeron 162 partos, simples, en presentación cefálica, y con consentimiento informado de participación, excluyéndose presencia de hemorragia, desarrollo de preeclámpsia u otra enfermedad materna grave, productos con defectos congénitos. Para la comparación de los valores se empleó la prueba de Chi2 considerándose significativos valores de P < 0.05. En el estudio el 79% de pacientes tuvo una intensidad de tinción meconial del líquido amniótico de 2 +, el 30% de 3 + y el 22% de 1 +. Los resultados mostraron que no existió asociación estadísticamente significativa entre los resultados neonatales (asfixia perinatal, SALAM, registros cardiotocográficos anormales, Apgar a los 5 minutos) y los niveles de tinción del líquido amniótico (P 0.05) excepto que fue significativo que existieron puntuaciones de Apgar más bajas conforme subía la intensidad de tinción meconial (46%, 53% y 67%) lo que fue estadísticamente significativa (P < 0.05).
The incidence of meconium-stained amniotic fluid varies between 7 and 30% depending on the population risk. Although several studies indicate that various degrees of meconium staining is associated with varying degrees of adverse perinatal outcome and maternal others have pointed out that no such association, settling a dispute. As the hospital Obstetrics and Gynecology "Enrique C. Sotomayor "an institution where births are attended 35000 records was imposed conducting a study to determine the relationship between adverse maternal and neonatal outcome and the various degrees of staining of the amniotic fluid with meconium. For this reason a study was conducted descriptive and correlational, and cross-sectional nonexperimental design, which included 162 games, single, cephalic presentation, and informed consent for participation, excluding hemorrhage, development of preeclampsia or other serious maternal illness, product defects. For comparison of values was used Chi2 test considering significant values of P <0.05. In the study 79% of patients had an intensity of meconium staining of the amniotic fluid of 2 +, 3 + 30% and 22% of 1 +. The results showed no statistically significant association between neonatal outcomes (perinatal asphyxia, meconium, abnormal CTG records, Apgar score at 5 minutes) and the levels of staining of the amniotic fluid (P 0.05) except that it was significant that there were Apgar scores lower intensity rose as meconium staining (46%, 53% and 67%) which was statistically significant (P <0.05).
The incidence of meconium-stained amniotic fluid varies between 7 and 30% depending on the population risk. Although several studies indicate that various degrees of meconium staining is associated with varying degrees of adverse perinatal outcome and maternal others have pointed out that no such association, settling a dispute. As the hospital Obstetrics and Gynecology "Enrique C. Sotomayor "an institution where births are attended 35000 records was imposed conducting a study to determine the relationship between adverse maternal and neonatal outcome and the various degrees of staining of the amniotic fluid with meconium. For this reason a study was conducted descriptive and correlational, and cross-sectional nonexperimental design, which included 162 games, single, cephalic presentation, and informed consent for participation, excluding hemorrhage, development of preeclampsia or other serious maternal illness, product defects. For comparison of values was used Chi2 test considering significant values of P <0.05. In the study 79% of patients had an intensity of meconium staining of the amniotic fluid of 2 +, 3 + 30% and 22% of 1 +. The results showed no statistically significant association between neonatal outcomes (perinatal asphyxia, meconium, abnormal CTG records, Apgar score at 5 minutes) and the levels of staining of the amniotic fluid (P 0.05) except that it was significant that there were Apgar scores lower intensity rose as meconium staining (46%, 53% and 67%) which was statistically significant (P <0.05).
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Líquido amniótico, Recién nacido, Epidemiología descriptiva, Hospital Gineco-Obstétrico Enrique C. Sotomayor, Cantón Guayaquil, Ecuador