Aborto diferido en mujeres del Hospital IESS de Milagro entre 2014-2015
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2017
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
El objetivo del presente estudio investigativo es determinar la prevalencia de abortos
diferidos en el área de gineco-obstetricia del hospital IESS de Milagro así como los
factores asociados y posibles complicaciones dentro del periodo 2014 – 2015. Para
el desarrollo del tema de tesis se aplicó el método cuantitativo. De los 314 casos
correspondientes a aborto, 47% correspondieron a aborto incompleto, 38% a aborto
diferido, 11% a aborto en curso y 4% aborto espontáneo. De 119 casos de aborto
diferido, el grupo etario más afectado es entre 25 a 30 años con un 43%. El factor de
riesgo más frecuente excluyendo que la mayoría eran primigestas fue con 13%
abortos previos y vaginosis. El tratamiento más aplicado fue el combinado en 64%.
La vía de administración más utilizada fue la combinada oral y vaginal en 47%.
Nadie presentó algún tipo de complicación y todos tuvieron diagnóstico de egreso
satisfactorio. Nuestras recomendaciones son actuar con rapidez y eficacia en el
manejo, tanto clínico como quirúrgico del aborto diferido con la finalidad de evitar la
presencia de secuelas graves en nuestras pacientes.
The objective of the present investigation is to determine the prevalence of deferred abortions in the area of obstetrics and gynecology at the IESS hospital in Milagro, as well as the associated factors and possible complications within the period 2014 2015. Quantitative method. Of the 314 cases of abortion, 47% were incomplete, 38% were deferred, 11% were abortions, and 4% were miscarriages. Of 119 cases of deferred abortion, the most affected age group is between 25 and 30 years with 43%. The most frequent risk factor excluding the majority were primigravidae was 13% previous abortions and vaginosis. The most applied treatment was the combined treatment in 64%. The most used route of administration was oral and vaginal combined in 47%. No one presented any type of complication and all had a diagnosis of satisfactory discharge. Our recommendations are to act quickly and efficiently in the management, both clinical and surgical of the delayed abortion in order to avoid the presence of serious sequelae in our patients.
The objective of the present investigation is to determine the prevalence of deferred abortions in the area of obstetrics and gynecology at the IESS hospital in Milagro, as well as the associated factors and possible complications within the period 2014 2015. Quantitative method. Of the 314 cases of abortion, 47% were incomplete, 38% were deferred, 11% were abortions, and 4% were miscarriages. Of 119 cases of deferred abortion, the most affected age group is between 25 and 30 years with 43%. The most frequent risk factor excluding the majority were primigravidae was 13% previous abortions and vaginosis. The most applied treatment was the combined treatment in 64%. The most used route of administration was oral and vaginal combined in 47%. No one presented any type of complication and all had a diagnosis of satisfactory discharge. Our recommendations are to act quickly and efficiently in the management, both clinical and surgical of the delayed abortion in order to avoid the presence of serious sequelae in our patients.
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Aborto diferido, Hospital del IESS de Milagro Dr. Federico Bolaños Moreira, Cantón Milagro, Ecuador, Dilatación y legrado uterino