Correlación clínico– obstetrico, ecográfico del peso gestacional en restricción de crecimiento intrauterino resultados materno fetales
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2021
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Las alteraciones del crecimiento fetal siguen manteniéndose como uno de los grandes retos de la práctica obstétrica; se caracteriza por disímiles etiologías y una conducción compleja de la afección. El objetivo del estudio es determinar la correlación clínico-obstétrica, ecográfica del peso gestacional en pacientes con Restricción de Crecimiento Intrauterino y resultantes materno fetales atendidas en el Hospital Alfredo G. Paulson, de julio 2019 a octubre 2020. Es un estudio observacional, analítico y correlacionar, transversal, prospectivo, se estudiaron 62 pacientes con diagnóstico de RCIU; en los resultados el coeficiente de correlación de Pearson entre el peso al nacer y la altura uterina fue 0,526, significativo de forma directa y de intensidad moderada; y entre el peso por ecografía 0,817, alto, positivo y significativo; la CA tiene correlación buena, de 0,671, con el peso al nacer, y moderada con la longitud del fémur, de 0,474; este coeficiente para ICP y la edad gestacional, fue moderado de - 0,557; las resultantes perinatales no tuvieron relación estadística con el peso al nacer, ni los antecedentes de preeclampsia, obesidad y diabetes. Se concluye que el peso al nacer se correlación alto con el peso por ecografía y moderada con la altura uterina, que la CA se correlaciona bien con el peso al nacer, y la longitud del fémur menos, ICP tiene moderada correlación con el peso, de dirección inversa; el distrés respiratorio severo fue la resultante perinatal de mayor frecuencia, así como la preeclampsia, la anemia, la obesidad y la diabetes fueron los antecedentes identificados
Fetal growth disturbances continue to be one of the great challenges of obstetric practice; it is characterized by dissimilar etiologies and a complex management of the condition. The objective of the study is to determine the clinical-obstetric, ultrasound correlation of gestational weight in patients with Intrauterine Growth Restriction and maternal-fetal outcomes attended at the Alfredo G. Paulson Hospital, from July 2019 to October 2020. It is an observational, analytical and correlational, cross-sectional, prospective study, 62 patients with IUGR diagnosis were studied; in the results the Pearson correlation coefficient between birth weight and uterine height was 0.526, directly significant and of moderate intensity; and between ultrasound weight 0.817, high, positive and significant; CA has a good correlation of 0.671 with birth weight, and a moderate correlation with femur length of 0.474; this coefficient for ICP and gestational age was moderate at - 0.557; perinatal outcomes had no statistical relationship with birth weight, nor did a history of preeclampsia, obesity and diabetes. It is concluded that birth weight correlates highly with ultrasound weight and moderately with uterine height, that CA correlates well with birth weight, and femur length less so, ICP has a moderate correlation with weight, of inverse direction; severe respiratory distress was the most frequent perinatal outcome, as well as preeclampsia, anemia, obesity and diabetes were the identified antecedents.
Fetal growth disturbances continue to be one of the great challenges of obstetric practice; it is characterized by dissimilar etiologies and a complex management of the condition. The objective of the study is to determine the clinical-obstetric, ultrasound correlation of gestational weight in patients with Intrauterine Growth Restriction and maternal-fetal outcomes attended at the Alfredo G. Paulson Hospital, from July 2019 to October 2020. It is an observational, analytical and correlational, cross-sectional, prospective study, 62 patients with IUGR diagnosis were studied; in the results the Pearson correlation coefficient between birth weight and uterine height was 0.526, directly significant and of moderate intensity; and between ultrasound weight 0.817, high, positive and significant; CA has a good correlation of 0.671 with birth weight, and a moderate correlation with femur length of 0.474; this coefficient for ICP and gestational age was moderate at - 0.557; perinatal outcomes had no statistical relationship with birth weight, nor did a history of preeclampsia, obesity and diabetes. It is concluded that birth weight correlates highly with ultrasound weight and moderately with uterine height, that CA correlates well with birth weight, and femur length less so, ICP has a moderate correlation with weight, of inverse direction; severe respiratory distress was the most frequent perinatal outcome, as well as preeclampsia, anemia, obesity and diabetes were the identified antecedents.
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PESO AL NACER, ECOGRAFIA DOPPLER, FACTORES DE RIESGO, EDAD GESTACIONAL, PREECLAMPSIA, HOSPITAL DE LA MUJER ALFREDO G. PAULSON, CANTON GUAYAQUIL, ECUADOR