Prevalencia de la ruptura prematura de membranas y la vía de finalización del parto en el Hospital Vicente Corral Moscoso, período 2014

Abstract

Background. Premature rupture of membranes (PROM) is important cause of fetal maternal morbidity and mortality is associated with risky complications as the chorioamnionitis.

Objective. Establish prevalence of premature rupture of membranes and the way of completion of delivery depending on the type of rupture.

Material and methods. With a cross-sectional design was collected information of 360 case histories of maternal served in the service of obstetrics and Gynecology of the Cuenca's Vicente Corral Moscoso hospital during 2014.

Results. The prevalence of PROM was 8.2% (7.4-9.05). The average age was 24.0 ± 6.2 years between a range of 14 to 44. 46% attended high school, 69% is dedicated to domestic activities and 61% resides in urban area. The rupture of membranes at term occurred at 66%, the break at 20% and pre-term break at 12%. 71% completed vaginal childbirth and 28 per cent by caesarean section. Vaginal birth was more frequent in rupture of membranes at term (P = 0.0005) and caesarean section in break preterm (P = 0.002). In prolonged breakage, the frequency was similar.

Conclusion. The prevalence of premature rupture of membranes and the completion of the delivery route, are within the figures reported by the literature on similar domestic and foreign studies. PROM variants do not appear to influence upon completion of childbirth