Estudio retrospectivo del cerclaje cervical para el manejo de la incompetencia del cuello uterino. Hospital Gineco Obstétrico Enrique C. Sotomayor. 2001 al 2011
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2012
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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La incompetencia cervical es la entidad clínica en donde el cuello uterino no puede ejercer su función hasta el término del embarazo, lo cual ocasiona abortos en el segundo trimestre de gestación y partos pretérmino. La Incidencia está relacionada entre el 0.005 hasta el 1% de los embarazos. La mayoría de los casos pueden tratarse con las técnicas quirúrgicas descritas por Shirodkar y MacDonald. Estos procedimientos se consideran en circunstancias de incompetencia del cuello uterino. Con el objetivo de determinar la eficacia en el manejo de la incapacidad cervical posterior al cerclaje del cuello uterino en el Hospital Gineco-Obstétrico Enrique C. Sotomayor, se realizo un estudio de tipo descriptivo correlacional, de diseño no experimental, longitudinal retrospectivo, en mujeres con atención ginecológica entre 1 de enero de 2001 a 31 de diciembre de 2011, se tomo como muestra aquellas pacientes que presentaron abortos y/o pérdidas en el segundo trimestre de embarazo. La edad promedio de la muestra obtenida fue 28.9± 7,5 años casadas. Con menarquia generalmente a los 14.3 años. De las pacientes atendidas el 94 % presentaron abortos. El número de cesárea previas fue 37%; en relación al 22% que indico solo haber tenido parto, un 83% de pacientes del estudio que no se les había realizado cerclaje anterior, se efectuo el cerclaje cervical entre las 14.7 semanas, el retiro del cerclaje se cumplió en la semana 37.5 los recién nacidos estuvieron en buenas condiciones clínicas sin ninguna complicación, un 6% presentó defunción como consecuencia de parto prematuro y aborto La estancia hospitalaria alcanzo un promedio 1.7 días
Cervical incompetence is a clinical entity in which the cervix is unable to exercise his functions until the end of pregnancy, which causes abortions in the second trimester of pregnancy and preterm delivery. The incidence is related from 0005 to 1% of pregnancies. Most cases can be treated with the surgical techniques described by Shirodkar and MacDonald. These procedures are considered in circumstances of incompetent cervix. In order to determine the efficiency in handling the posterior cervical inability to cervical cerclage Hospital Obstetric Gynecology Henry C. Sotomayor, a study was conducted correlational descriptive, non-experimental design, longitudinal retrospective in women with gynecological care between January 1 2001 to December 31, 2011, was sampled those patients who had abortions and / or losses in the second trimester of pregnancy. The average age of the sample obtained was 28.9 ± 7.5 years married. With generally to menarche 14.3 years. Of the patients treated, 94% had abortions. The number of previous cesarean section was 37% compared to 22% who indicated only having childbirth, 83% of study patients who had undergone no previous cerclage, cervical cerclage was undertaken between 14.7 weeks, the withdrawal of cerclage was fulfilled in the week 37.5 newborns were in good clinical condition without any complications, 6% presented death as a result of premature birth and abortion reached hospital stay averaged 1.7 days
Cervical incompetence is a clinical entity in which the cervix is unable to exercise his functions until the end of pregnancy, which causes abortions in the second trimester of pregnancy and preterm delivery. The incidence is related from 0005 to 1% of pregnancies. Most cases can be treated with the surgical techniques described by Shirodkar and MacDonald. These procedures are considered in circumstances of incompetent cervix. In order to determine the efficiency in handling the posterior cervical inability to cervical cerclage Hospital Obstetric Gynecology Henry C. Sotomayor, a study was conducted correlational descriptive, non-experimental design, longitudinal retrospective in women with gynecological care between January 1 2001 to December 31, 2011, was sampled those patients who had abortions and / or losses in the second trimester of pregnancy. The average age of the sample obtained was 28.9 ± 7.5 years married. With generally to menarche 14.3 years. Of the patients treated, 94% had abortions. The number of previous cesarean section was 37% compared to 22% who indicated only having childbirth, 83% of study patients who had undergone no previous cerclage, cervical cerclage was undertaken between 14.7 weeks, the withdrawal of cerclage was fulfilled in the week 37.5 newborns were in good clinical condition without any complications, 6% presented death as a result of premature birth and abortion reached hospital stay averaged 1.7 days
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CERCLAJE CERVICAL, INCOMPETENCIA DEL CUELLO UTERINO, ESTUDIOS RETROSPECTIVO, EPIDEMIOLOGIA DESCRIPTIVA, HOSPITAL GINECO-OBSTETRICO ENRIQUE C. SOTOMAYOR, CANTON GUAYAQUIL, ECUADOR