Activación oportuna de la clave azul en trastornos hipertensivos como la preeclampsia en pacientes de 25 a 35 años de edad en el Hospital Gineco Obstétrico Pediátrico Universitario de Guayaquil
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2021
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
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Introducción: Las claves obstétricas consisten en medidas terapéuticas dirigidas para las tres principales causas de muerte materna, en el caso particular de los trastornos hipertensivos es la de color azul. Objetivo: Determinar el grado de importancia que tiene la aplicación en el servicio de ginecobstetricia del sistema de respuesta rápida de color azul como parte de las medidas de manejo para los trastornos hipertensivos durante el embarazo. Materiales y Métodos: Es un estudio descriptivo, retrospectivo de corte transversal que trabajo con 150 pacientes, en donde los resultados fueron: el 40% de las pacientes tuvieron entre 30 a 35 años; 60% de las pacientes eran de procedencia urbana marginal, el 60% presentaron antecedentes tanto familiares como personales de trastornos hipertensivos, el trastorno hipertensivo más frecuente fue la preeclampsia con el 60%, el 50% de las pacientes fueron multíparas, la forma clínica que prevaleció fue la preeclampsia moderada en un 70%, en el 86,66% de los casos donde se activó la clave azul fue en el área de emergencia, de las cuales en el 90% de las gestantes la evolución fue favorable. Conclusiones: La clave azul disminuye el riesgo de complicaciones tanto maternas como neonatales a causa de los trastornos hipertensivos. Palabras clave: Conocimiento. Morbimortalidad Materna. Clave azul
Introduction: The obstetric keys consist of therapeutic measures directed to the three main causes of maternal death, in the particular case of hypertensive disorders it is the blue color. Objective: To determine the degree of importance of the application in the gynecological service of the blue rapid response system as part of the management measures for hypertensive disorders during pregnancy. Materials and Methods: It is a descriptive, retrospective cross-sectional study that worked with 150 patients, where the results were: 40% of the patients were between 30 and 35 years old; 60% of the patients were of marginal urban origin, 60% had both a family and personal history of hypertensive disorders, the most frequent hypertensive disorder was preeclampsia with 60%, 50% of the patients were multiparous, the clinical form that The prevalence was moderate preeclampsia in 70%, in 86.66% of the cases where the blue key was activated it was in the emergency area, of which in 90% of the pregnant women the evolution was favorable. Conclusions: The blue key reduces the risk of both maternal and neonatal complications due to hypertensive disorders. Keywords: Knowledge. Maternal Morbidity and Mortality. Blue key
Introduction: The obstetric keys consist of therapeutic measures directed to the three main causes of maternal death, in the particular case of hypertensive disorders it is the blue color. Objective: To determine the degree of importance of the application in the gynecological service of the blue rapid response system as part of the management measures for hypertensive disorders during pregnancy. Materials and Methods: It is a descriptive, retrospective cross-sectional study that worked with 150 patients, where the results were: 40% of the patients were between 30 and 35 years old; 60% of the patients were of marginal urban origin, 60% had both a family and personal history of hypertensive disorders, the most frequent hypertensive disorder was preeclampsia with 60%, 50% of the patients were multiparous, the clinical form that The prevalence was moderate preeclampsia in 70%, in 86.66% of the cases where the blue key was activated it was in the emergency area, of which in 90% of the pregnant women the evolution was favorable. Conclusions: The blue key reduces the risk of both maternal and neonatal complications due to hypertensive disorders. Keywords: Knowledge. Maternal Morbidity and Mortality. Blue key
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Indicadores de morbimortalidad, Clave obstétrica azul, Preeclampsia, Hipertensión inducida en el embarazo, Epidemiología descriptiva, Estudios retrospectivos, Hospital Universitario de Guayaquil, Cantón Guayaquil, Ecuador