Caracteristicas clinicas de las pacientes con hemorragia uterina durante la segunda mitad de la gestacion. Hospital Vicente Corral Moscoso. Cuenca 2016

Abstract

Background: Uterine bleeding is a serious complication during the gestation period. They present a high rate of morbidity and maternal-perinatal mortality. Ecuador in particular, holds one of the highest rates in the region with 11.9% according to data for 2006.

Objective: To determine the clinical characteristics and their complications of pregnant women who presented with uterine bleeding in the second half of pregnancy, attended at the Vicente Corral Moscoso Hospital in the city of Cuenca, January-December 2016.

Methodology: Retrospective descriptive observational study with a universe of 60 patients who received care between January and December 2016. The data were collected from medical records of patients with a diagnosis of uterine bleeding who undergo gestation after 20 weeks, the results were analyzed in the program SPSS version 15.0 and that were elaborated in simple tables.

Results: Of the 60 cases, PNDD (43.33%) was the main diagnosis of admission, followed by placenta preview (26.67%), threat of pretermit (21.67%), marginal sinus rupture (5%) and trophoblastic disease (3.33%); anemic syndrome (35%), fetal death (3.33%) and hypovolemic shock (1.67%) are the main complications; the greatest risk factor was urinary tract infections (40%), and women (31%) (38.33%), multiparous women (38%) and nulliparous women (40%) were more relevant. Sixty percent of the patients were deficient in prenatal controls.

Conclusions: NIPDD, a pathology found most frequently; to emphasize the importance of the controls during the gestation period and thus to avoid the presence of risk factors and therefore the manifestation of the problem.