Browsing by Author "Borja Robalino, Brigith Vanessa"

Now showing 1 - 20 of 28

Autoestima y características obstétricas en adolescentes embarazadas del Centro de Salud Carlos Elizalde, Cuenca 2016
(2017) Caivinagua Caivinagua, Julia Cristina; Borja Robalino, Brigith Vanessa; Abril Matute, Cumandá Patricia
PRECEDINGS: Adolescence pregnancy is considered high risk due to the impact on the mother and child’s health; psychologically the mother loses her trust and self-validation based on physical changes, lack of support, abandonment, censorship, social isolation which lead to low self-esteem and depression. GENERAL OBJECTIVE: Establish self-esteem and obstetric characteristics of pregnant adolescents from the Carlos Elizalde Health Center in Cuenca in 2016. METHODOLOGY: A descriptive study was performed with 126 pregnant adolescents who were tested using the Rosenberg esteem scale and a survey on socio demographic variables such as age, civil status, occupation, level of instruction and obstetric characteristics like time of pregnancy, previous use of contraceptive methods, parity and planned pregnancy. To tabulate the date we used Excel and the results were presented using simple charts with its corresponding descriptive analysis. USE OF RESULTS: Average age used was 17.64, 50.79% have a common marriage, 51.59% are housewives, 45.24% have not completed high school, 42.85% of the pregnant adolescents are between 29 and 40 weeks of pregnancy, 50.79% did not used any kind of contraceptive method before this pregnancy, 82.54% were nulliparous, 65.08% expresses that this was a non-planned pregnancy. We found a 37.30% of high self-esteem among pregnant adolescents. CONCLUSIONS: During this study it was identify that the pregnant adolescents who got assistance at the Carlos Elizalde Health Center presented a high level of self-esteem during their pregnancy period.
Características de complicaciones obstétricas en infección de tracto urinario, durante el segundo y tercer trimestre de embarazo, en pacientes atendidos en el servicio de ginecoobstetricia del HVCM. Cuenca 2015"
(2016) Andrade Morales, Jonathan Darío; Astudillo Salinas, Christian Octavio; Borja Robalino, Brigith Vanessa; Castro CAlle, Fernando Eugenio
Background: The first descriptions of patients suffering from urine back to the year 1550 before the Christian era, in the papyri found in Egypt. Hippocrates, 400 years before Jesus Christ stressed the importance of observing urine diseases uroscopy interpreting sediment characteristics. In 1884, Escherich, a German pediatrician identified the bacteria that bears his name and 1894 showed their presence in the urine of patients with urinary tract infection. Objectives: To identify the characteristics of obstetric complications in urinary tract infection, during the second and third trimester of pregnancy, in patients treated at the service of gynecology and obstetrics of HVCM in the period January December 2015. Method and Techniques: A descriptive study of all medical records of patients diagnosed with urinary tract infection in the area of gynecology and obstetrics HVCM, data were obtained through observation of medical records by performed researchers, which were recorded on a form for further analysis and tabulation in SPSS 19.0 system. Results: The ITU in the sample of pregnant patients included in the study are presented with the highest incidence in women aged 20-35 years (74.4%), multiparous (56,2%), and in the third trimester of pregnancy (87,6%). The major obstetric complications were the RPM (43%), the APP (22,3%), PP (24%)
Caracteristicas de la enfermedad trofoblastica en pacientes del área de gineco-obstetricia del Hospital Vicente Corral Moscoso en el periodo comprendido entre enero del 2010 y enero del 2015
(2016) Guamán Mizhirumbay, Ana Lucía; Lazo Alvarez, Jorge Anibal; Borja Robalino, Brigith Vanessa; Sacoto Molina, Adrian Marcelo
Gestational trophoblastic disease, is a gynecological pathology that a multiple factors, the incidence Relate varies between different regions of a global level, being higher in Asia and Latin America than in the developed countries of the West. Objective: To identify the characteristics of gestational trophoblastic disease in patients in the area of gynecology and obstetrics Hospital Vicente Corral Moscoso (HVCM) in the period between January 2010 and January 2015. Methodology: This was a descriptive study, whose universe consists of the medical records of 35382 patients treated at the gynecology and obstetrics HVCM. The sample was represented by 50 cases presenting gestational trophoblastic disease in the study period. Were collected data on a form previously designed and tested. Tabulation and analysis was performed using the same program Microsoft Excel and SPSS 15.0 software. Results: 50 cases were identified, of which 30% were found among the 21 to 30 years. Gestational age at diagnosis was between 9 to 13 weeks. 46% was found in the range multiparous. Most patients did not present precedent related conditions. Conclusions: Gestational trophoblastic disease is a disease that is present in 0.14% of patients treated in the area of gynecology and obstetrics and the conditions HVCM associated different one the child presented a global level.
Características de papanicolaou en mujeres atendidas en el área de gineco-obstetricia en el Centro de Salud N°1 Pumapungo en el periodo 2017-2018
(Universidad de Cuenca, 2021-01-11) Feijó Flores, Israel Humberto; Borja Robalino, Brigith Vanessa
Introduction: Cervical Uterine Cancer is of high morbidity, but can be preventable when diagnosed early, hence the importance of women being systematically tested for Pap smears. General Objective: To determine the characteristics of Pap smears in women treated in the gynecology-obstetrics area in the Health Center N°1 Pumapungo in the period 2017-2018 Methods and Materials: retrospective and descriptive study. Technique: data collection form. SPSS statistical package version 22.0 was used. The data were processed in contingency tables using descriptive and frequency statistics. X2 and p<. 05 were used. Results: Sample 494 women, mean age 38.81 years; the most affected age group was 20-29 years. In the study 166 (33.6%) PAP tests were normal and 328 (66.4%) abnormal. Cytological report: 11 women (3.3%) with atypical squamous cells of uncertain significance (ASCUS), 4 (1.2%) with low-grade squamous intraepithelial lesions (LSIL), 103 (31.4%) infectious and 210 (64%) inflammatory. Bacillary flora prevailed as an etiologic agent (36.0%), 15.8% cocoid flora and 43.3% without etiologic agent. Conclusions: The frequency with which women took the Pap smear was not associated with age, level of education, ethnicity or origin and if it was associated with marital status. Cellular abnormalities were not associated with the use of oral contraceptives and the number of gestations, but they were associated with inflammatory and infectious processes.
Complicaciones posterapéuticas: intervencionistas y quirúrgicas en pacientes con pancreatitis biliar, colangitis y coledocolitiasis en el Hospital “José Carrasco Arteaga’’ enero 2010 a diciembre 2014
(2016) Salamea Duman, Christian Paul; Sibri Saico, Juan Carlos; Reinoso Barzallo, Darío Aníbal; Borja Robalino, Brigith Vanessa
Background. Bile pancreatitis, cholangitis and choledocholithiasis are entities mainly caused by a lithiasic obstructive process, if the blockage is locating in the distal bile duct will interrupt the output of pancreatic and bile liquid, triggering an inflammatory process such as pancreatitis or may have generating an infectious bacterial colonization (cholangitis). These diseases of the biliary tract are highly prevalent in the population as part of the 10 leading causes of morbidity in 2013 in the country with 2.96% according to the National Institute of Statistics and Censuses, being served an important number of patients in the Hospital Jose Carrasco Arteaga using methods and techniques such as: endoscopic retrograde cholangiopancreatography, interventional method; laparoscopic cholecystectomy, surgical method, some degree of complication being subject during said processes. General purpose. Determine the post therapeutic complications: in interventional and surgical treatments in patients with biliary pancreatitis, cholangitis and choledocholithaisis in the “hospital Jose Carrasco Arteaga” in January 2010 to December 2014. Methodological design. A retrospective quantitative descriptive study which included 456 patients hospitalized with a diagnosis of choledocholithiasis, cholangitis and biliary pancreatitis in the area of Emergency Surgery An Internal Medicine Hospital Jose Carrasco Arteaga. Data were obtained from medical records were the same as those analyzed in the SPSS 20.0 program and EXEL. Results. Of the total cases the filed 15.79% presented post therapeutic interventional and surgical complication; 12.94% corresponded to the complications of ERCP and 2.85% of the complications of laparoscopic cholecystectomy
Comportamiento asertivo y su correlación con la calidad de relación de pareja en padres de familia del Colegio Sagrados Corazones de La Concordia, Santo Domingo, 2023
(Universidad de Cuenca, 2024-04-11) García Alcívar, Ernesto Emilio; Borja Robalino, Brigith Vanessa
Background: assertiveness is a social tool, which allows you to clearly and directly express your desires, feelings and opinions aimed at a common negotiation space for any communicative relationship. Objective: determine the evaluation between assertive behavior and the quality of the couple relationship in parents of the Sagrados Corazones de La Concordia School, Santo Domingo, 2022 -2023. Methodology: analytical, transversal study. 200 people who met the inclusion criteria were surveyed. To assess assertiveness, the Rathus test was applied and the dyadic adjustment scale (DAS) was applied to couple quality. Descriptive statistics were used and non-parametric tests (p˂0.05) were applied for the comparison analysis, according to the Spearman Rho relationship. The information was presented in custom tables. Results: 57% had age ranges that ranged from 40 to 64 years, 63% were women, 99% were married or living in a common law union; Regarding occupation, 23% responded that they were small merchants. 92.5% were classified as not very assertive and in 96% of the cases in terms of the quality of the couple they were in a state prior to divorce; There is no statistical association between assertiveness and the quality of the couple's relationship (p=0.091). Conclusions: the majority of participants were classified as not very assertive, with poor quality of relationship. No statistical evaluation was found between assertiveness and the quality of the couple's relationship
Conocimiento actitudes y prácticas sobre el aborto voluntario y terapéutico en especialistas en Ginecología y Obstetricia que laboran en Hospitales Públicos del cantón Cuenca
(2016) Ñauta Baculima, Manuel Jaime; Borja Robalino, Brigith Vanessa; Borja Robalino, Ricardo Stalin; Sacoto Coello, Maritza Catalina de la nube; Abril Matute, Cumanda Patricia; Llerena Cortez, Norma Edith; Mejia Chicaiza, Jorge Victoriano; Vega Crespo, Bernardo José
The penal integral code says that induced abortion is not punishable when it is performed to avoid a hazard on the women health and when the pregnancy is a consequence of a rape to a woman who suffers mental disabilities. OBJECTIVE: This research objective is to identify the knowledge, attitudes and practices of gynecologists from public hospitals in Cuenca on voluntary and therapeutic abortion; also it aims to identify the correlation between: age, gender, and years of practice and religious conceptions of gynecologists about the knowledge of the legislation on abortion and openness to the voluntary and therapeutic abortion. METHODOLOGY: A total of 27 gynecologists who work in public hospitals in Cuenca were surveyed; professionals who are working in centers with internship were selected because they may have a higher contact with patients that require therapeutic abortions, or have seen patients with induced abortions. RESULTS: The sample was composed of 27 specialists in gynecology and obstetrics, with an average age of 37 years, the 77.8% male and 22.2% female; the average time of professional practice was 7.36; the 91.7% of professionals profess a religion, the 88.9% consider the religion how something important in their life. The 81.5% of respondents know that therapeutic abortion is legal in Ecuador; however, the 29.6% can quote correctly the grounds on which abortion is not punishable. The 63% of participants believe that abortion should be decriminalized in Ecuador in all grounds. The 22.2% (n = 6) of the professionals surveyed have made a therapeutic abortion; the 81% of respondents, has seen a patient with an induced abortion during the last year. In this research the association between age, gender, years of practice and religious conceptions of gynecologists, knowledge of legislation about abortion and its opening on voluntary and therapeutic abortion could not be proven. CONCLUSIONS: The knowledge about the grounds on which abortion is not punishable, it is low among gynecologists of public health services; a small percentage of them have experience in performing a therapeutic abortion, however, the 63% have a positive attitude towards the decriminalization of abortion in all its grounds.
Conocimientos, actitudes y prácticas sobre infecciones vaginales en mujeres de 15 a 45 años de edad, en consulta externa de ginecología en el Centro de Salud Nicanor Merchán, Cuenca, 2015-2016
(2016) Pedrosa Astudillo, Diana Lorena; Casa Zaruma, Laura Priscila; Borja Robalino, Brigith Vanessa; Roldán Fernández, Juan José
Background: vaginal infections are common, disease entities in women of reproductive age, lack of knowledge, attitudes and inappropriate practices increase the risk of these infections. Objective: To determine the knowledge, attitudes and practices about vaginal infections in women aged 15 to 45 years old who attend outpatient gynecology at the Health Center, Nicanor Merchán of Cuenca. Methodology: Descriptive study in the Health Center Nicanor Merchán, with a sample of 399 women, information receivers by surveying patients 15 to 45 years, modified forms of study Yanez (50), validated in Santo Domingo, Ecuador . The results were analyzed in SPSS 15 software. Results: The mean age was 29 years (SD +/- 9), 44.6 % married women, 49.9 % housewives women, 44.1 % secondary education, knowledge about the definition of vaginal infections were 88.2 %, directly related secretion with vaginal infection was 67.4 %, the leading cause of infection was known multiple sex partners with 52.4 %, the abortion was 42.4 % complication selected and far more adequate protection with 70.2 % daily hygiene. Attitudes to seek medical infections were 86.5 %, the patients who had no previous treatments were 45.6%, the most reported symptoms were vaginal discomfort 49.4 %, relevant practice was the use of medicinal plants with 30.3% and eggs prescribed treatment with 58.1 %
Conocimientos, actitudes y sintomatología sobre el climaterio en mujeres de 45 a 65 años que acuden a consulta externa de ginecología del Hospital Vicente Corral Moscoso (HVCM). Cuenca. 2015
(2016) Pugo Plaza, Janeth Priscila; Quintuña Bravo, Rocío Maricela; Mejía Chicaiza, Jorge Victoriano; Borja Robalino, Brigith Vanessa
Background: ovarian hormonal function begins to decline after age 45, thus determining the end of reproductive life in women, these changes experienced before, during and after menopause is defined as menopause. The loss of ovarian function causes estrogen deficiency so women enrolled with a large number of symptoms which alter their behavior, besides heart and bone complications present late and compromise the quality of life increased morbidity and mortality in this stage. Objective: To determine the degree of knowledge that women have about menopause and what their attitude response to the changes that triggers this new stage of life, valuing the main symptoms perceived by women. Methodology: Material and Methods: A descriptive cross-sectional study, study universe is 9336 women between 45 and 65 years attending outpatient gynecology at HVCM, the study sample is 370 women. The information was obtained by interview, after informed consent. The data obtained were analyzed in the SPSS15 statistical package. Results: 15.7% have knowledge about the climacteric, 47% of women surveyed have a positive attitude towards menopause and 17.3% expressed a negative attitude referring fear of aging. The main symptom is weight gain presenting with 49.5%, followed by decreased libido with 40.5% (150) of respondents.
Duración de la labor de parto en función de las variedades de posición fetal en presentación cefálica y planos de Hodge en Nulíparas, multíparas, con membranas rotas y membranas íntegras y su relación con el registro del partograma del CLAP:: en el servicio de obstetricia, del Hospital Vicente Corral Moscoso, Cuenca-Ecuador, febrero-julio 2008
(Universidad de Cuenca, 2009-11-11) Borja Robalino, Brigith Vanessa; Flores Durán, Carlos; Cárdenas Herrera, Oswaldo José
La Educación en Salud: uso de la simulación clínica y su introducción en la Universidad de Cuenca
(Universidad de Cuenca. Facultad de Ciencias Médicas, 2016-05) Borja Robalino, Brigith Vanessa; Tapia Cárdenas, Jeanneth Patricia; Clavijo Morocho, Nube Janeth; Buelvas Muza, Jorge de Jesús; Palcios Espinoza, Elvira del Carmen; Encalada Torres, Lorena Esperanza; Peñafiel Peñafiel, Marcia Beatriz; Rojas Sulbarán, Rubén Darío
Eficacia y seguridad de la vacuna del virus de papiloma humano revisión sistemática
(Universidad de Cuenca, 2022-04-13) Guevara Ramón, Rómulo Andrés; Borja Robalino, Brigith Vanessa
Background: Human papillomavirus (HPV) infection is associated with high morbidity, due to the high transmissibility and cancerous capacity of some of its variants, making it essential for prevention. General objective: to describe the efficacy and/or safety of the HPV vaccine. Methodology: systematic review. If it includes 20 studies published in the last 5 years, quartile one to four in Scimago, without language discrimination, from which it evaluates the efficacy and safety of HPV vaccines in different populations worldwide. The information was extracted from different electronic databases and consolidated in personalized tables. Results: the included studies show results with a strong degree of recommendation in favor of the positive and/or obese effects of the application of the vaccine, especially with regard to infections of various HPV serotypes (6.11/16/18/31/33/45/ 52/58) and the types of intracervical, vulvar and/or vaginal lesions, whether benign or malignant (adenocarcinoma in situ, cervical, vulvar or vaginal cancer). According to the safety profile, the VPN vaccine was well tolerated and the effects that occur after vaccination do not have a greater impact and clinical implications. Headache, edema, and pain at the puncture site were the most commonly reported effects. Conclusions: HPV vaccines are effective and safe in preventing infections and injuries associated with serotypes 6/11/16/18/31/33/45/52/58. Limitations: access to information, by economic items for the review of articles.
Factores asociados al inicio de vida sexual en adolescentes tardíos de la Unidad Académica de Salud y Bienestar de la Universidad Católica de Cuenca, sede Azogues, 2024
(Universidad de Cuenca, 2024-12-03) Sacoto Luna, Karina Monserrath; Borja Robalino, Brigith Vanessa
Background: the beginning of sexual activity in late adolescence, especially during university years, can have consequences that go beyond unplanned pregnancies. There are also risks associated with the transmission of sexually transmitted diseases, as well as impacts on life plans and the possibility of abandoning college education opportunities.Objective: identify the factors associated with the beginning of sexual life in late adolescents from the Academic Unit of the Catholic University of Cuenca, Azogues campus, 2024.Methods: observational, analytical, cross-sectional study. 371 students who met the inclusion criteria participated. Descriptive statistics were applied, in the association analysis the Chi square test was used, reporting prevalence ratio and confidence interval, if the p value is less than 0.05 it was considered statistical significance. Results: the prevalence of the beginning of sexual life was 74.4%, 92.4% had their first sexual contact between 15 and 19 years of age, 48.9% had between 2 to 5 partners and 43.1% only one. The most used contraceptive method was the condom in 68.8% of cases, 12.7% indicated that they had previous pregnancies. Alcohol consumption (PR: 12.1; 95% CI 5.10-28.59; p: 0.001) and being male (PR: 2.13; 95% CI 1.26-3.62; p: 0.004), the older age of the couple and the dating relationship showed a statistical association. Conclusions: a high prevalence of early onset of active sexual life was found in university students, and it was associated with alcohol consumption and being male, the older age of the couple and the dating relationship
Frecuencia de macrosomía neonatal en mujeres embarazadas con diagnóstico de diabetes gestacional en el Hospital Vicente Corral Moscoso en el período 2009-2014. Cuenca 2015
(2016) Cobos Tobar, Juana Karina; Patiño Salamea, Elizabeth; Borja Robalino, Brigith Vanessa; Mosquera Vallejo, Lorena Elizabeth
Background: Fetal macrosomía, a disease that is closely linked to gestational diabetes making this a very important issue; however in this study, the frequency of gestational diabetes occurs in 100% of cases and macrosomía in 75%. Objectives: To determine the frequency of neonatal macrosomia in pregnant women with gestational diabetes at the Vicente Corral Moscoso´s Hospital in period 2009-2014. Method: This quantitative, descriptive and retrospective research made based on review of 106 medical records, filling out a form in each case of mothers with gestational diabetes who arrived in labor at Vicente Corral Moscoso´s Hospital, and obtained macrosomic children. The data were tabulated in Microsoft Excel 2010 program. Results: In this study of 106 cases of pregnant women all diagnosed with gestional diabetes who arrived in labor at Vicente Corral Moscoso´s Hospital, maternal age that prevailed was more than 30 years with 39% and in relation to the gestional age, 58% is among the 42 or more weeks. Respect to neonatal weight by 75% had tendency to macrosomia with values equal to or more than 3999 grams, and neonatal sex between men and women a percentage of 53% and 47% respectively was found. There were 90 births (85%) and 16 caesarean with a percentage of 15%; finally maternal weight with the highest percentage with 32%, was among the 71 to 80kg. Conclusions: of the 106 cases of pregnant women diagnosed with gestational diabetes, exist 80 cases of macrosomic children so this relationship is very significant
Frecuencia, características y complicaciones de preeclamsia en adolescentes. Hospital Vicente Corral Moscoso. Cuenca- Ecuador. 2013-2015
(2016) Alvarez Cueva, Paulina Patricia; Pacheco Rodríguez, Jennifer Paola; Borja Robalino, Brigith Vanessa; Roldán Fernández, José Vicente
BACKGROUND: In underdeveloped countries, the mortality rate of a female teenager due to pregnancy complications is 1 in 150 cases. Women from underdeveloped countries have a risk 7 times greater to suffer from preeclampsia. In Latin America, preeclampsia is the main cause of maternal death. OBJECTIVE: Determine the frequency, characteristics and complications of preeclampsia in female teenagers in Vicente Corral Moscoso Hospital (HVCM) during 2013-2015 period. MATERIALS AND METHODS: A descriptive and observational study has been performed, with a retrospective of the medical histories of pregnant teenagers who presented preeclampsia in HVCM during 2013-2015 period. All the information was collected using forms. Results were analyzed using Microsoft Excel and IBM SPSS 15, applying descriptive statistics. RESULTS: From 1988 cases of teenage pregnancy, 151 (7,59%) cases showed preeclampsia; only 127 medical histories that fulfilled inclusion criteria were analyzed. A 74% of the patients were in late adolescence. Among the obstetric characteristics, 84,3% were primigravidas and 74,8% were full-term pregnancies. A 65,4% showed premonitory symptoms, and proteinuria was present in 76,4% of the cases. Prenatal controls were optimal in 43,4%. A 52,0% of the patients exhibited complications and 59,1% of the pregnancies ended in caesarean sections. CONCLUSION: Teenagers with preeclampsia were a 7,59%, the majority being in the late adolescence. More than a half were primigravidas with full-term pregnancies that showed premonitory symptoms, with optimum prenatal controls. A great number of patients showed complications and ended the pregnancy with caesarean sections. KEY WORDS: PREECLAMPSIA, TEENAGERS, PREGNANCY, COMPLICATIONS
Influencia de la televisión en el rendimiento escolar y estado nutricional de los niños y niñas de la escuela Manuel Muñoz Cueva de la ciudad de Cuenca. 2001-2002
(2003) Borja Robalino, Brigith Vanessa; Campoverde Andrade, Manuel Alejandro; Castro Calle, Mónica Primavera; Quizhpe Peralta, Arturo Octavio; Mosquera Vallejo, Lorena Elizabeth
The main influence of television is its overly active role in shaping the behavior of children without any mediation of reflection against the manipulation of the media. This paper studies the influence of television on school performance and nutritional status of children in the school Manuel Muñoz Cave Cuenca. In 77 children, aged; 7 and 12 years, were studied variables; old TV time, programming type, influence of children, family roles, family socioeconomic status, nutritional status and school performance. Results 98.7 percent of households are lower class and middle; 96.1 percent have television, the most watched programs: novels, cartoons and sitcoms. 55 percent are malnourished, regardless of the number of hours they see telvisión; We attribute this fact to a multi-causal factor. 73 percent have high and good school performance; considering their influence to maternal care, as 52 of 77 children in their care
La educación en salud: uso de la simulación clínica y su introducción en la Universidad de Cuenca
(2016) Palacios Espinoza, Elvira del Carmen; Rojas Sulbarán, Rubén Darío; Peñafiel Peñafiel, Marcia Beatriz; Encalada Torres, Lorena Esperanza; Borja Robalino, Brigith Vanessa; Tapia Cárdenas, Jeanneth Patricia; Clavijo Morocho, Nube Janeth; Buelvas Muza, Jorge de Jésus
This article presents a brief review of what has been education in Ecuador, and specifically in the health area, beginning with different tendencies of medical education and its advance in different parts of the world, starting with the scientific approach, through the problem-based approach and ending with systemic approach and how new technologies have been introduced in health education. Then, some basics presented in the use of new technologies in health education worldwide and what is the experience with Clinical Simulation in the University of Cuenca. Finally, it is concluded that clinical simulation is a very useful method in the Health Sciences as a tool for educational purposes that accelerates the teaching-learning process of students who express personal satisfaction with this experience, they value the integration of theory with practice nd they prioritize the action in an organized way.
Parto distócico y factores relacionados en pacientes atendidas en el área de gineco-obstetricia del Hospital Vicente Corral Moscoso, enero del 2015 - junio del 2016, Cuenca-Ecuador
(2017) Jaramillo Moreno, David Ricardo; Jaramillo Chica, Dickson Andrés; Borja Robalino, Brigith Vanessa; Ñauta Baculima, Manuel Jaime
Background: Dystocia is one of the main objects of study in gynecological and obstetric practice, due to its negative impact on the mother's life. It is thus important to study its prevalence and associated factors in our locality. Objective: To determine the prevalence of dystocia and related factors in the patients treated in the gynecological obstetrics area of Vicente Corral Moscoso Hospital. Methods: A quantitative, analytical and cross-sectional study was performed in all patients treated in the gynecological and obstetrical area of Vicente Corral Moscoso Hospital, January 2015-June 2016. The association between variables was: odds ratio (OR), and 95% confidence intervals. A statistically significant association was considered when p <0.05. Results: The prevalence of dystocia was 21.0% (593 cases). The following factors were significantly associated with dystocia: adolescent pregnancy (OR=1.25, 95%CI: 1.01-1.55, p=0.032); age greater than 35 years (OR=2.83, 95%CI: 2.01-3.97, p<0.001); nulliparity (OR=1.60, 95%CI: 1.33-1.92, p<0.001); great multiparity (OR=4.10; 95%CI: 2.01-8.34; p<0.001); pelvic stricture (OR=80.62, 95%CI: 25.16-258.28, p<0.001); breech presentation (OR=17.98, 95%CI: 5.15-62.78, p<0.001); (OR=7.57, 95%CI: 1.38-41.47; p=0.006) and gestational hypertension (OR=1.70, 95%CI: 1.28-2.25, p<0.001). The provenance, preterm pregnancy, post-term, birth weight and gestational diabetes were not associated with dystocia. Conclusions: The prevalence of dystocia is high and it is associated with maternal and fetal factors, which should be included in the management and prevention strategies of dystocia in order to reduce its prevalence
Percepción de los graduados de la Carrera de Medicina de la Universidad de Cuenca 2003-2012, sobre la formación en la relación y comunicación médico-paciente
(2015) Solíz Carrión, Ana Denise; Vega Crespo, Bernardo José; Borja Robalino, Brigith Vanessa; Estévez Abad, René Fernando; Castro Calle, Fernando Eugenio
Objective. To identify the perception of the graduated doctors from Medical Faculty, regarding to their formation in the Relationship and Communication with patients. Design: It is a cross-sectional study Methodology: A survey to graduated doctors from Medical Faculty in the University of Cuenca was conducted. A database of the monitoring program for graduated people from Medicine School in the University of Cuenca, Azuay 2003-2012 was used. Results: A total of 208 surveys, 116 males with a 56% and 92 women with a 44%, aged between 23 and 42, all graduated people from Medicine School in the University of Cuenca from 2003 to 2013. The 98% are living in Ecuador. Regarding the perception of training in communication and doctor-patient relationship: to written communication, oral communication, delivering bad news, emotional relationship with patients and community participation: the perception is that their training was adequate, while it is appreciated as little suitable for handling conflict situations, as well as in the application of the informed consent.
Prevalencia de anestesia epidural y raquídea en pacientes que se sometieron a cesárea en el Hospital José Carrasco Arteaga. Cuenca – Ecuador, julio a diciembre 2014
(2016) Morales Cordero, Dayana Vanessa; Ramones Torres, Pamela Lisbeth; Espinoza León, Juan Carlos; Borja Robalino, Brigith Vanessa
Introduction: epidural anesthesia and spinal anesthesia are anesthetic techniques similar, which decreases painful sensory perception. Spinal and epidural anesthesia while being both regional anesthesia have different behavior and therefore different management, effectiveness and risks. General Objective: To determine the prevalence of epidural and spinal anesthesia in patients undergoing cesarean hospital José Carrasco Arteaga. Cuenca - Ecuador. July to December 2014 Methodology: A descriptive analytical cross-sectional study was conducted using the database developed in 450 women undergoing cesarean section in 2014 in the Hospital José Carrasco Arteaga. The information was collected in forms, all of which were developed by the authors, a database was developed, for which Excel 2010 is used, tables, were created and analyzed by frequency and percentage (%). Information It was analyzed using SPSS version 22 software. Results: Of the 441 patients found that women aged 20-39 years were the most prevalent population subjected to spinal and epidural anesthesia with 92.1% (164) and 85.9% (226) correspondingly anesthesia epidural use in more overweight patients 38.8% (102) 35.0% and obesity (92), women with normal weight in 37.6% (67) was used spinal anesthesia and mostly overweight women in the 36.5 (65) spinal anesthesia was used mainly, the highest prevalence in the population was married under epidural anesthesia with 60% (153), epidural anesthesia was used more in urban areas patients 58.8% (204 ) in rural areas and 62.8% (59), higher education with the type of spinal anesthesia with 47.2% (84) and spinal anesthesia with 35.0% (92) was the most prevalent level of education , epidural anesthesia was used more in patients from urban areas 58.8% (204) and rural 62.8% (59). Conclusion: There is a higher prevalence of epidural anesthesia in patients undergoing cesarean section