Manejo tocolítico de la amenaza de parto pretérmino en pacientes hospitalizadas en el Área de Gineco-obstetricia del Hospital Teófilo Dávila de Machala.

The preterm labor is the presence of regular uterine dynamics with cervical changes from 22.0 to 36.6 weeks of gestation. This is a quantitative, retrospective, descriptive, cross- sectional study, performed in the Teófilo Dávila Hospital from Machala city in the period January-June 2016; whose objectives were: To establish the prevalence of preterm labor and its presentation according to weeks of gestation; to know the results of the management according to drugs used and clinical evolution; to determine if there was clinical improvement according to dose administered; and to know if the management is carried out in accordance with the Protocol of the Ministry of Public Health of Ecuador. The universe was constituted by 159 patients and the sample by 82 patients who met the inclusion criteria. Data collection forms made by the author were used to record the information obtained from the clinical records of the statistics department, obtaining as results: prevalence of preterm labor of 23% (n=159) presenting 67% (n=55) between 32-36,6 weeks of gestation. In 100% (n=82) of cases Nifedipine was used, with 78% (n=64) success. The most used dosage was: loading dose of 10mg c/20 min. (3 times) and maintenance dose of 10mg c/6-8h for more than 72 hours, being effective in 68% (n=28). The management differs to the protocol in which the maintenance dose is lower than that established and is administered for more than 72 hours in 88% (n=72) of patients. Keywords: Preterm labor, tocolytic management.

• Autor principal: Pardo Salazar, Arelys Estefanía (author)
• Formato: bachelorThesis
• Idioma: spa
• Publicado em: 2017
• Assuntos: AMENAZA - PARTO PRETÉRMINO; TRATAMIENTO - AMENAZA - PARTO PERTÉRMINO
• Acesso em linha: http://dspace.unl.edu.ec/jspui/handle/123456789/18406