Manejo de la amenaza y parto pretérmino en gestantes con Covid- 19. Hospital General José María Velasco Ibarra, 2021

ABSTRACT: Introduction: The gestational period represents a set of hormonal changes and imbalances that, added to a greater predisposition to infections, leads to a greater risk. In the context of the COVID-19 pandemic, it is necessary to know about its relationship with premature births, since more...

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Autor principal: Villalba Correa, Karen Mishell (author)
Formato: bachelorThesis
Idioma:spa
Publicado em: 2022
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Acesso em linha:http://dspace.unach.edu.ec/handle/51000/9702
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Resumo:ABSTRACT: Introduction: The gestational period represents a set of hormonal changes and imbalances that, added to a greater predisposition to infections, leads to a greater risk. In the context of the COVID-19 pandemic, it is necessary to know about its relationship with premature births, since more than 365,000 pregnant women in the Americas contracted COVID-19 according to the Pan American Health Organization. Objective: To analyze the management of the threat and preterm birth in patients with COVID-19 attended by the Gynecology and Obstetrics service of the José María Velasco Ibarra General Hospital, year 2021. Methodology: It is an analytical-descriptive, cross-sectional, research retrospective. Of 2,120 pregnant women treated at the José María Velasco Ibarra General Hospital during the year 2021, those medical records with a diagnosis of false labor before 37 completed weeks of gestation and premature delivery with a total of 177 were analyzed. They presented a positive result for the virus 26 pregnant, using its entirety as a sample. Results: 61.5% were adults, and 53.8% nulliparous. In 84.6%, prenatal control was inadequate. Genital infections lead obstetric complications with 67.8%. 65.39% of the patients presented preterm delivery. The percentage of cesarean sections in patients with COVID-19 is 46.16%. Cervicometry was limited and 57.7% were prescribed antithrombotic therapy. Conclusions: The management is based on the guidelines issued by the Ministry of Public Health, being effective in 47.4% for the postponement of childbirth until after 37 completed weeks of gestation. In addition, the positive results are reflected in the fact that 86.64% of neonates presented an APGAR within normal limits from the first minute of life. However, the number of caesarean sections performed in these patients is high, occurring in 46.16% of cases.