Resultados obstétricos y perinatales en primigrávidas de edad avanzada. Hospital Alfredo G. Paulson 2018 – 2021
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2022
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
El inicio de la maternidad globalmente se ha ido progresivamente retrasando, lo que ha conducido a la mujer a enfrentar eventos adversos cuando se embaraza a edad avanzada. Además de requerir mayor tiempo para lograr el embarazo, se relaciona también al desarrollo de complicaciones como abortos espontáneos, trastornos hipertensivos, diabetes gestacional, entre otros. Así también, se relaciona a eventos adversos que ocurren en el periodo perinatal como recién nacidos de bajo peso, mortalidad perinatal, entre otros. El objetivo es determinar los resultados obstétricos y perinatales en primigrávidas añosas en el Hospital Alfredo G. Paulson desde el año 2018 al 2021. Metodológicamente se trata de un diseño observacional, descriptivo, de corte transversal y de tipo correlacional. La unidad de análisis fueron los resultados obstétricos y perinatales que se presentaron en mujeres que cursaron su primer embarazo a los 35 años o más y cuya finalización tuvo lugar en el Hospital Alfredo G. Paulson. Se muestra una correlación significativa entre la edad materna, las complicaciones perinatales y la hospitalización de los recién nacidos. Se concluye que la edad materna avanzada aumenta la morbilidad perinatal y la hospitalización de los recién nacidos, contrariamente a la no correlación entre la edad materna y las complicaciones gestacionales
The onset of motherhood has been progressively delayed globally, which has led women to face adverse events when they become pregnant at an advanced age. In addition to requiring more time to achieve pregnancy, it is also related to the development of complications such as miscarriages, hypertensive disorders, gestational diabetes, among others. It is also related to adverse events that occur in the perinatal period such as low-weight newborns, perinatal mortality, among others. The objective is to determine the obstetric and perinatal results in elderly primigravidaes at the Alfredo G. Paulson Hospital from 2018 to 2021. Methodologically, it is an observational, descriptive, cross-sectional and correlational design. The unit of analysis was the obstetric and perinatal results that occurred in women who completed their first pregnancy at age 35 or older and whose completion took place at the Alfredo G. Paulson Hospital. A significant correlation is shown between maternal age, perinatal complications and hospitalization of newborns. It is concluded that advanced maternal age increases perinatal morbidity and hospitalization of newborns, contrary to the non-correlation between maternal age and gestational complications
The onset of motherhood has been progressively delayed globally, which has led women to face adverse events when they become pregnant at an advanced age. In addition to requiring more time to achieve pregnancy, it is also related to the development of complications such as miscarriages, hypertensive disorders, gestational diabetes, among others. It is also related to adverse events that occur in the perinatal period such as low-weight newborns, perinatal mortality, among others. The objective is to determine the obstetric and perinatal results in elderly primigravidaes at the Alfredo G. Paulson Hospital from 2018 to 2021. Methodologically, it is an observational, descriptive, cross-sectional and correlational design. The unit of analysis was the obstetric and perinatal results that occurred in women who completed their first pregnancy at age 35 or older and whose completion took place at the Alfredo G. Paulson Hospital. A significant correlation is shown between maternal age, perinatal complications and hospitalization of newborns. It is concluded that advanced maternal age increases perinatal morbidity and hospitalization of newborns, contrary to the non-correlation between maternal age and gestational complications
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Aborto, Embarazo, Trastornos hipertensivos, Mortalidad, Recién nacido, Hospital de la Mujer Alfredo G. Paulson, Cantón Guayaquil, Ecuador