Evaluación de la resultante materno-perinatal en gestantes con embarazos de alto riesgo mediante la historia clínica perinatal del Centro Latinoamericano de Perinatología (CLAP) Hospital Enrique C. Sotomayor 2013-2014
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2014
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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La evaluación de la resultante materno perinatal en gestantes con embarazo de alto riego para reducir la morbilidad-mortalidad materno-neonatal, es indispensable hacerlo mediante el Sistema Informático Perinatal que contiene la Historia Clínica Perinatal del Centro Latinoamericano de Perinatología-Salud de la Mujer y Reproductiva (CLAP_SMR) porque nos dará una estadística fidedigna a la institución. El objetivo del estudio fue el de obtener información de la paciente y neonato a través del seguimiento de las pacientes hospitalizadas en Cuidados Intermedios y que terminaron su embarazo por parto vaginal o cesárea en la institución.Este estudio fue descriptivo y correlacional; prospectivo y longitudinal, en el que se hizo seguimiento a las pacientes hospitalizadas en el Hospital Gineco-Obstétrico Enrique C. Sotomayor y se completó los datos del neonato en el departamento de estadística; el Universo fue de 2500 pacientes en el periodo enero 2013enero 2014, la muestra fue de 300 pacientes encuestadas con la historia clínica perinatal del CLAP y los resultados fueron mostrados con tablas del Sistema Informático Perinatal (SIP). El resultado fue que la enfermedad más frecuente fue la preeclampsia en un 45%, seguida de la amenaza de parto pretérmino en un 44,3%, la edad materna fue entre los 20-34 años en un 62%, el nivel de estudio de las madres fue la secundaria en un 61%, el estado civil fue la unión estable en el 69,3%, antecedente familiar fue la hipertensión en un 16,1%, antecedente personal fue la preeclampsia en un 13,7%, un 36% no tuvo antecedentes de gestas previas,el examen más común fue la inspección del cérvix, la mayoría de las pacientes en un 59% tuvieron 5 controles o más,realización de exámenes de bacteriuria fue en su mayoría en las primeras 20 semanas de gestación,el 63% de pacientes terminaron el embarazo en cesárea, el 45% de pacientes padeció de preeclampsia y de este grupo el 68,89% de recién nacidos fueron pretérmino. La conclusión fue que el SIP del CLAP es una herramienta fundamental para la estadística fidedigna del hospital y que la preeclampsia fue la enfermedad más frecuente y se asoció en gran medida a la prematurez.
Assessment of perinatal maternal resulting in pregnant women with high-risk pregnancy to reduce maternal morbidity and neonatal mortality, it is essential to do so by the Perinatal Information System containing the Perinatal Clinical Record-Latin American Center for Perinatology Women's Health and Reproductive (CLAP_SMR) that will give us a reliable statistical the institution. The aim of the study was to obtain information from the patient and neonate through monitoring of hospitalized patients in Intermediate Care and ended her pregnancy by vaginal delivery or cesarean section in institution. The study was descriptive and correlational study; prospective, longitudinal, which were followed up patients hospitalized in the Obstetrics and Gynecology Hospital Enrique C. Sotomayor and neonatal data was completed in the department of statistics; the Universe was 2500 patients in the period January 2013 to January 2014, the sample was surveyed 300 patients with clinical history of perinatal CLAP and the results were shown in tables Perinatal Information System (SIP). The result was that the disease was the most common pre-eclampsia by 45%, followed by preterm delivery in 44.3%, maternal age was between 20-34 years by 62%, the level of study mothers was high at 61%, marital status was stable at 69.3% binding, family history of hypertension was 16.1%, personal history of preeclampsia was 13.7%, 36 % had no history of previous deeds, the most common test was the inspection of the cervix, most of the patients 59% had 5 visits or more, conducting reviews of bacteriuria was mostly in the first 20 weeks of gestation, 63% of patients completed pregnancy in cesarean section, 45% of patients suffered from preeclampsia and of this group, 68.89% of infants were preterm. The conclusion was that the SIP CLAP is a fundamental tool for the reliable statistics of hospital and pre-eclampsia was the most common disease and is largely associated with prematurity
Assessment of perinatal maternal resulting in pregnant women with high-risk pregnancy to reduce maternal morbidity and neonatal mortality, it is essential to do so by the Perinatal Information System containing the Perinatal Clinical Record-Latin American Center for Perinatology Women's Health and Reproductive (CLAP_SMR) that will give us a reliable statistical the institution. The aim of the study was to obtain information from the patient and neonate through monitoring of hospitalized patients in Intermediate Care and ended her pregnancy by vaginal delivery or cesarean section in institution. The study was descriptive and correlational study; prospective, longitudinal, which were followed up patients hospitalized in the Obstetrics and Gynecology Hospital Enrique C. Sotomayor and neonatal data was completed in the department of statistics; the Universe was 2500 patients in the period January 2013 to January 2014, the sample was surveyed 300 patients with clinical history of perinatal CLAP and the results were shown in tables Perinatal Information System (SIP). The result was that the disease was the most common pre-eclampsia by 45%, followed by preterm delivery in 44.3%, maternal age was between 20-34 years by 62%, the level of study mothers was high at 61%, marital status was stable at 69.3% binding, family history of hypertension was 16.1%, personal history of preeclampsia was 13.7%, 36 % had no history of previous deeds, the most common test was the inspection of the cervix, most of the patients 59% had 5 visits or more, conducting reviews of bacteriuria was mostly in the first 20 weeks of gestation, 63% of patients completed pregnancy in cesarean section, 45% of patients suffered from preeclampsia and of this group, 68.89% of infants were preterm. The conclusion was that the SIP CLAP is a fundamental tool for the reliable statistics of hospital and pre-eclampsia was the most common disease and is largely associated with prematurity
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Embarazo de alto riesgo, Resultante materno, Resultante perinatal, Evaluación, Registros médicos, Hospital Gineco-Obstétrico Enrique C. Sotomayor, Cantón Guayaquil, Ecuador, Centro Latinoamericano de Perinatología-Salud de la Mujer y Reproductiva (CLAP_SMR)