Diabetes y embarazo resultante obstétrica y neonatal Hospital Enrique C. Sotomayor 2012-2013
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2014
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Antecedentes: La diabetes es una de las patologías más temible en embarazo debido a que por años, esta patología puede desencadenar una serie de procesos patológicos que podrían concluir con la muerte fetal impredecible.
Objetivos: Fue la determinación de la prevalencia de efectos adversos obstétricos y neonatales que se presentan en gestantes con diabetes atendidas en el hospital ―Enrique C. Sotomayor‖ durante el periodo de Enero del 2012 hasta Diciembre 2013.
Metodología: Se realizó un estudio descriptivo observacional en el que se revisa un universo de 411 pacientes embarazadas con diabetes, excluyendo gestante con tratamiento clínico sin culminación del embarazo o que culminan en aborto, se obtiene una muestra de 149 gestantes con diabetes con su resultante neonatal correspondiente que fueron atendidos en área de hospitalización y consulta externa de la institución.
Resultados esperados: Las complicaciones no obstétricas entre estas gestantes fue del 3.4% mientras que las obstétricas del 86.6%. La mortalidad materna del 2%. El número de cesáreas también se incrementa en el 96%. La muerte fetal entre estos embarazos fue de 4% y la muerte neonatal del 8%. La morbilidad neonatal del 12%
Conclusiones: La diabetes que complica el embarazo produce una prevalencia de morbimortalidad materna y neonatal superior al de los embarazos de bajo riesgo.
Background: Diabetes is one of the most dreaded diseases in pregnancy because for years, this disease can trigger a number of disease processes that could end with the unpredictable fetal death. Objectives: To determine the prevalence of obstetric and neonatal adverse effects that occur in pregnant women with diabetes treated at the "Enrique C. Sotomayor" hospital during the period January 2012 to December 2013. Methodology: descriptive study in which a universe of 411 pregnant patients with diabetes, excluding pregnant women with clinical treatment without termination of pregnancy or abortion culminating in a sample of 149 pregnant women with diabetes get their checks resulting new born was performed corresponding to the are a were treated at hospital and out patient clinic of the institution. Results: The non-obstetric complications among these pregnant women was 3.4% while 86.6% obstetric. The maternal mortality rate of 2%.The number of caesarean deliveries also increased by 96%. The fetal death in these pregnancies was 2% and 7.2% neonatal death. Neonatal morbidity of 73.8% Conclusions: Diabetes complicating pregnancy produces a prevalence of maternal and neonatal morbidity and mortality than the low-risk pregnancies.
Background: Diabetes is one of the most dreaded diseases in pregnancy because for years, this disease can trigger a number of disease processes that could end with the unpredictable fetal death. Objectives: To determine the prevalence of obstetric and neonatal adverse effects that occur in pregnant women with diabetes treated at the "Enrique C. Sotomayor" hospital during the period January 2012 to December 2013. Methodology: descriptive study in which a universe of 411 pregnant patients with diabetes, excluding pregnant women with clinical treatment without termination of pregnancy or abortion culminating in a sample of 149 pregnant women with diabetes get their checks resulting new born was performed corresponding to the are a were treated at hospital and out patient clinic of the institution. Results: The non-obstetric complications among these pregnant women was 3.4% while 86.6% obstetric. The maternal mortality rate of 2%.The number of caesarean deliveries also increased by 96%. The fetal death in these pregnancies was 2% and 7.2% neonatal death. Neonatal morbidity of 73.8% Conclusions: Diabetes complicating pregnancy produces a prevalence of maternal and neonatal morbidity and mortality than the low-risk pregnancies.
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Embarazo, Diabetes gestacional, Resultante materno, Resultante neonatal, Epidemiología descriptiva, Hospital Gineco-Obstétrico Enrique C. Sotomayor, Cantón Guayaquil, Ecuador