Browsing by Author "Herrera Calvo, Roberto Javier"

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Aumento del volumen medio plaquetario como marcador para preeclampsia, en el Hospital Vicente Corral Moscoso, Cuenca-Ecuador 2012
(2013) Heras Crespo, María Elizabeth; Narváez Ayala, Jorge Oswaldo; Herrera Calvo, Roberto Javier
Background: Preeclampsia is a serious complication of pregnancy, is often associated with significant fetal and maternal morbidity. The increased presence of certain risk factors between the average volume increased platelet in less developed societies like Ecuador, making it the leading cause of maternal mortality. Hypothesis: Preeclampsia occurs most frequently when associated with increased platelet mean volume, which in the absence of this factor. Objectives: To determine the association between preeclampsia and increased platelet mean volume in parturients, Vicente Corral Moscoso Hospital, Cuenca, Ecuador, from May to July 2012. Method and Techniques: There will be a case-control study in the Department of Obstetrics Vicente Corral Moscoso Hospital, Cuenca, Ecuador, May-July 2012. Variables: Preeclampsia, platelet mean volume increase. Results: We confirmed that the increase in platelet mean volume as a predictor for preeclampsia, with statistical significance, providing internal and external validity. DeCS: PRE-ECLAMPSIA-DIAGNOSIS; PLATELET COUNT-METHODS; PLATELET COUNT-UTILIZATION; CASE-CONTROL STUDIES; VALIDITY OF TESTS-METHODS
Cambios en la práctica sexual de gestantes Hospital Vicente Corral Moscoso 2014-2015
(2016) López Espinoza, Gabriel Fernando; Herrera Calvo, Roberto Javier; Arévalo Peláez, Carlos Eduardo
Introduction: During pregnancy there are changes in the sexual activity and the patterns of behavior. In general there is a decline in sexual interest, activity and satisfaction. Methodology: an observational study was conducted with a analytical cross-sectional sample of 265 pregnant patients who came to the Hospital Vicente Corral Moscoso of the city of Cuenca. A questionnaire was used previously validated to determine the characteristics of the sexual activity of pregnant patients. Results: The average age of the mother is of 24.9 ± 6.2 years DS . The main source of information on issues of sexuality in the gestation was the college and the couple. The majority 68.70 % of patients referred have initiated the sex life between 15-19 years. There is a progressive decrease in the frequency of sexual relations as the pregnancy progresses. Before the pregnancy the average sexual intercourse also decreases from 3.0 to 1.7 in the first quarter, 1.6 in the second quarter and 1.1 in the third quarter. Similarly, there is a decreased sexual desire and the chances of having an orgasm. In the first quarter the position that prefiernen pregnant women is with the man above 89.40 %, in the second quarter the women above 53.60 % and in the third quarter the lateral position 83.80 %. The 49.1 % believe that it is very important relationships in life as a couple and the 59.6 % believed that sexual activity during pregnancy may affect the baby. Conclusions: during pregnancy there is a progressive decrease in the frequency of sex, desire and number of orgasms.
Contaminación y presentación de patología respiratoria en zonas periféricas a la fábrica de cemento Guapán año 2001 - 2002
(2002) Herrera Calvo, Roberto Javier; Andrade Toalongo, Diana Cecilia; Amén Chinga, Stalin Guillermo; Andino Vélez, José Gerardo; Flores Durán, Carlos Teodoro
Determinación cuantitativa de la insuficiencia del piso pélvico, en pacientes que acudan a la consulta externa de 30 años y más del Hospital Vicente Corral Moscoso, Cuenca 2011
(2012) Granda Castañeda, Isabel; Molina Novillo, Javier Alonso; Herrera Calvo, Roberto Javier
Background: The demand for evidence-based medicine and clinical documentation of the results was the impetus for conducting this research which was assessed quantitatively by using the force PERITEST pelvic floor muscle. Objective: To assess quantitatively by using the failure PERITEST pelvic floor in women attending the gynecology outpatient clinic at 30 years and over Vicente Corral Moscoso Hospital Regional in the city of Cuenca, in 2011. Methodology: A descriptivestudy of 384 women. Results: Of the patients studied, the most frequent age group was 30-39 years, 57.5% were overweight or obese, according to the parity multiparas multiparous and large represent the largest group and 34.1% were at the menopause at the time of the study. The 44.3% had mild pelvic failure. The pelvic failure occurred more frequently in patients over 40 years (62.5%), overweight or obese (62.44%), menopausal (82.4%) in urinary or fecal incontinence (92.5%) and genital prolapse (95.1%). Conclusions: The failure of the pelvic floor were in higher proportion in patients over 40 years. The body mass index with values above normal are directly related to the failure of the pelvic floor. Patients who completed the pregnancy and vaginal delivery were also multiparous or grand multiparous women showed some degree of pelvic failure in 58.98% of cases. Pathologies such as menopause, urinary or fecal incontinence and genital prolapse, pelvic floor insufficiency presented high percentages. KEYWORDS: RENAL PELVICFLOORPERITEST, PELVIC FLOOR MUSCLE STRENGTH. DECS: PELVIC FLOOR-ABNORMALITIES; MANOMETRY-UTIIZATION; EPIDEMIOLOGY, DESCRIPTIVE; RISK FACTORS; WOMEN; AGED; ADULT; MIDDLE AGED; HOSPITAL REGIONAL VICENE CORRAL MOSCOSO; CUENCA-ECUADOR
Determinación del sangrado durante el parto y factores asociados a hemorragia, Hospital Vicente Corral Moscoso, Cuenca-Ecuador
(2013) López Alvarado, Verónica de Lourdes; Robalino Peña, Martha Lucía; Herrera Calvo, Roberto Javier
Background: Bleeding intrapartum / postpartum is one of the three leading causes of maternal mortality. Statistics indicate that up to 8% of deaths are due to hemorrhage. Objective: To determine the prevalence of intrapartum hemorrhage and associated factors in Vicente Corral Moscoso Hospital. Methods: Cross-sectional study of prevalence, held at the Vicente Corral Moscoso Hospital, with 409 parturients, 2012. Hypothesis: intrapartum hemorrhage is more common when associated factors such as multiparity, dystocia conducted, using magnesium sulfate, birth weight greater than 3500 grams, pre-existing anemia, episiotomy, prolonged active phase, delivery driving at or above 4 hours. Results: The average blood loss was 340.63 ml. The prevalence of hemorrhage was 9%. Associated factors were conducted dystocia RP 3.58, 95% CI (1.97-6.48) p 0.000; magnesium sulfate use RP 3.69, 95% CI (1.45-7.50) p 0022; newborn weighing more than 3500 grams, PR 3.34, 95% CI (1.81-6.02) p 0.000; anemia PR 2.34, 95% CI (1.27-4.28) p 0012; delivery driving at or above 3.63 RP 4 hours, 95% (1490-6926) p 0.014. Conclusions: The prevalence of intrapartum hemorrhage in our study is similar to that reported in the international literature, demonstrating an association with factors initially raised except multiparity, episiotomy and prolonged active phase.
Eficacia de la administración de betametasona antes de la cesárea electiva para prevenir el síndrome de distres respiratorio en recién nacidos a término
(2016) Guerrero Domínguez, Lorena Janeth; Herrera Calvo, Roberto Javier; Arévalo Peláez, Carlos Eduardo
Objective: Determine the efficacy of the administration of Betamethasone before elective caesarean section to reduce Respiratory Distress Syndrome in newborns to term. Materials and Methods: In a randomized experimental clinical study, triple blind study has been performed in order to determine the efficacy of betamethasone to decrease the frequency of respiratory distress in newborns to term by elective cesarean section, compared with newborns of elective cesarean section without prior corticosteroid. A total of 166 patients were randomized to two groups: Group A Betamethasone treatment received 48 hours before the surgery, and the Group B control no treatment. The analysis used the tables of 2x2 to determine the relative risk, was considered to be statistically significant values of p<0.05. Results: the groups were comparable with sociodemographic and obstetric variables assigned. The total incidence of respiratory distress syndrome was 21.10%. The incidence in the treatment group was 6% and in the control group of 36.10 %. The relative risk is RR 0.17 95%CI: 0.07 -0.41; RRR 0.83 95%CI: 0.59 -0.93; RRA 0.30 95%:0.19 -0.42 and NNT 3.32 95%CI: 2.40 -5.38; p 0,000. In the control group, 3 (1.8 %) patients were admitted to Neonatal Intensive Care Unit (NICU). Conclusions: The use of betamethasone is effective for the treatment of respiratory distress syndrome in the newborn deliveries by elective cesarean section in pregnancies to term
Evaluación de la pérdida sanguínea periparto mediante la medición de hemoglobina pre y postparto. Estudio multicéntrico. Cuenca. 2014
(2015) Campoverde Flores, Maira Catalina; Herrera Calvo, Roberto Javier; Orellana Cabrera, Iván Eladio
Background: assessment of bleeding during childbirth and postpartum is subjective and is generally underestimated, leading to serious complications and this increases maternal morbidity and mortality worldwide. Objective: evaluate the concentration of hemoglobin in peripheral blood lost between 12 and 24 hours after delivery by pregnant consulting in the department of obstetrics hospital Vicente Corral Moscoso and José Carrasco Arteaga city of Cuenca and the hospital San Sebastian Sigsig canton during June to September 2014. Material and methods: a longitudinal descriptive study was conducted in 189 patients who entered the study sequentially. The sample size was calculated based on infinite population, 95% confidence level, standard deviation 1.25 and 0.18 of precision. Data were obtained directly and analyzed in SPSS version 15 software. Results: the age ranged from 15 to 44 years, with a mediated 23. 49.2% were obese; 45.0% had a history of pregnancy; 49.2%, childbirth; 10.6% of abortion; 42.3% had dystocia; episiotomy was performed in 22.8% and perineal tears occurred in 37.6%. Before birth was diagnosed with anemia in 20.1%, and 12-24 hours after birth in 54.0% (p<0.001). The median hemoglobin before birth was 12.9 g/dL and after childbirth, 11.6 (p<0.001). Conclusions: Hemoglobin in the postpartum period is lost in peripheral blood significantly.
Niveles de progesterona en las pacientes con amenaza de aborto en comparación con las pacientes con embarazo normal
(2016) Arévalo Jiménez, Diana Magaly; Herrera Calvo, Roberto Javier; Arévalo Peláez, Carlos Eduardo
Introduction: Progesterone is a hormone essential for the maintenance of pregnancy. Progesterone has proved to be a useful biomarker for diagnosing early pregnancy failure. However their usefulness is still questionable due to the different cut-off points. Objective: Compare the values of progesterone in the patients with threatened miscarriage and normal pregnancy in the Hospital Vicente Corral Moscoso and José Carrasco Arteaga, Cuenca 2014. Material and methods: a descriptive cross-sectional study was conducted with a sample of 276 maternal with pregnancies less than 13 weeks of gestation. They were divided into two groups: a first group of 137 patients with threatened miscarriage and a second group with normal pregnancy. It was determined the value of progesterone in ng/ml in each patient. Comparing the average of the values of progesterone in each group by the student's t test, it was considered statistically significant difference values of p<0.05 . Results: The average age of the groups was 26.7 years, no differences were observed between the groups according to the average weight and height, p-values>0.05 . The average gestational age according to the date of the last menstrual period and the ultrasound is of 8.5 weeks for the group with threat of abortion and the group with normal pregnancy. The average levels of progesterone in the group of patients with threatened miscarriage is 15.18 ± 5.47 ng/ml and in the group with normal pregnancy is 18.30 ± 5.29 ng/ml, p-value=0.000
Prevalencia de embarazo en adolescentes y factores psicosociales asociados, en colegios de Cuenca-Ecuador 2012
(2013) Guevara Pérez, Washington Omar; Llerena Cortéz, Norma Edith; Herrera Calvo, Roberto Javier
Background: Teenage pregnancy is a public health problem that is increasing and involves risks, engaging social, individual and family. Objective: To determine the prevalence of teenage pregnancy and psychosocial factors associated in schools in Cuenca, Ecuador 2012. Methods: We performed a cross-sectional study of prevalence in 895 adolescent students from schools in Cuenca, Ecuador in the period January to July 2012. Was evaluated through the family APGAR test. Hypothesis: Adolescent pregnancy is associated with psychosocial factors such as early menarche, family dysfunction, recent loss of significant others, substance undue entering the workforce, migration of a family member, that in the absence of these factors. Results: Teenage pregnancies are present in all social and academic levels, a 11.62% in a population of 895 adolescents from schools in the city of Cuenca, is presented statistically significant dysfunctional families with a 73.1% and 26.9 % of family functionality, a PR 3.83, 95% CI (2.55-5.78) and a p-value 0.000. Entry into the workforce is significantly associated with a PR 1.75, 95% CI 1. 003-2.91 0.049 and p value, plus 15.4% of adolescents consume undue substances. Conclusions: We identified the presence of a high percentage of adolescent pregnancy, psychosocial factors that are associated with this problem threatening the future of adolescents Cuenca. DeCS: PREGNANCY IN ADOLESCENCE/PSYCHOLOGY, TEENAGER, PREVALENCE, SOCIOECONOMIC, ACADEMIC/STATISTICS & NUMERICAL DATA
Prevalencia de estado fetal no satisfactorio y factores asociados, en el Hospital Vicente Corral Moscoso, Cuenca Ecuador 2012
(2012) Agudo Carpio, Sarita Eulalia; Carrión Ordóñez, José; Herrera Calvo, Roberto Javier
Background: The morbimortality for Fetal State not satisfactory due to perinatal asphyxia that is the major cause of early neonatal mortality in many countries in Latin America. Objective: To know the prevalence of the unsatisfactory fetal state and the major associated factors in pregnant women Vicente Corral Moscoso Hospital, Cuenca, Ecuador, 2012. Methodology: Cross-sectional study of prevalence, accomplished at the Department of Gynecology and Obstetrics Vicente Corral Moscoso Hospital with 740 parturients. Hypothesis: Unsatisfactory State Fetal occurs with more frequently when associated to hypertensive disorders, pregnant teens, maternal anemia, preterm labor, premature rupture of membranes, in the absence of these factors.. Results: The prevalence of Unsatisfactory State Fetal, was 14.9%, the associated factors presented the following effect size in this population: pregnant adolescent RP 0.95 (95% CI 0.65-1.38, p = 0.77), hypertensive disorder of pregnancy RP 2.73 (95% CI 1.94-3.83, p = 0.00), maternal anemia RP 1.88 (95% CI 1.32-2.69, p = 0.00), preterm labor RP 2.69 (95% CI 1.89-3.82, p = 0.00), rupture premature membrane RP 4.61 (95% CI 3.36-6.34, p = 0.00), pregnancy post-term RP 1.79 (CI 95% 1.01 – 3.02, p= 0.043), nulliparous RP 2.04 ( 95% CI 1.38-3.03,p = 0.000.Neonatal complications showed the following prevalence: Apgar score of 0-3 points in the first minute: 1.4% to 0.7%, the score between 4-6 points in the first minute 4.2% and the fifth minute 1.9%, the 27.3% of newborns with unsatisfactory Fetal State entered to the Neonatal Unit. Conclusions: Unsatisfactory Fetal State presented a high prevalence in the local population. The factors raised in this study were associated, with the teenage pregnancy exception. Also is other associated with post-term pregnancy and nulliparity. KEYWORDS: PREVALENCE, STATE FETAL UNSATISFACTORY, ASSOCIATED FACTORS, APGAR, NEONATAL INTENSIVE CARE UNIT. DeCS: FETAL DISTRESS-EPIDEMIOLOGY; RISK FACTORS; APGAR SCORE; NEONATOLOGY-STATISTICS & NUMERICAL DATA;HOSPITAL REGIONAL VICENTE CORRAL MOSCOSO; CUENCA-ECUADOR
Prevalencia de hemorragia postparto en púerperas adolescentes y factores asociados en el Hospital Vicente Corral Moscoso, Cuenca-Ecuador 2012
(2012) Matute Chávez, Jessica Viviana; Carrión Ordóñez, José; Herrera Calvo, Roberto Javier
Background: Postpartum hemorrhage is one of the most feared obstetric complications and ranks among the top three causes of maternal mortality mainly in developing countries. Objective: To determine the prevalence of postpartum hemorrhage and associated factors in postpartum adolescents attending Vicente Corral Moscoso Hospital, Cuenca, Ecuador 2012. Methods: cross-sectional study of prevalence or Vicente Corral Moscoso Hospital, from May to July 2012 Hypothesis pospartum hemorrhage in Postpartum adolescents is more common when associated with low weight, anemia, cesarean delivery, hypertensive disorders of pregnancy in the absence of these factors Results: The prevalence of postpartum hemorrhage in puerperal women adolescents was 6.9 %; and was presented with greater frequency in the age group between 17-19 years with 64.3 %, in free union with a Regulation 47.3 %, in primiparous women with a 63 %, in pregnant women with normalweight the 52.6 %, and in women with pregnancies between 37-40.6 weeks with a 63.1 %, in delivery by cesarean section rate was 53 per cent Associated factors were maternal anemia RP 5.045 (95% CI 2.13 -12.08) and p 0,000 ; delivery by cesarean section RP 1.95 (95% CI 0.84-4.55 ) and p 0,123 ; the hypertensive disorders of pregnancy RP 2.387 (95% CI 0.920 5.874) and p 0.07 ; urban origin RP 2.66 (95% CI 1.136 -6.273) and a p-value 0.023; primiparous women with RP 0.640 (95% CI 0.270 -1.53) and a p-value 0.326 Conclusions: Postpartum hemorrhage in the adolescent population has a high prevalence and is associated with maternal anemia, urban origin, multiparous Keywords: Prevalence, postpartum hemorrhage, puerperal adolescent risk factors.
Prevalencia de hiperuricemia en embarazadas entre las 14-18 semanas de gestación y factores asociados a preeclampsia, Centro de Salud Carlos Elizalde, 2017
(2019) Herrera Rodas, Sonia Elizabeth; Herrera Calvo, Roberto Javier; Vintimilla Maldonado, Jaime Rosendo
Background: The relationship between uric acid elevation and pre-eclampsia is known since the beginning of XX century. During pregnancy, hyperuricemia is present before the develop of hypertension or proteinuria and it’s been proposed that it has a pathogenic role in the develop of pre-eclampsia. Objective: To determine the prevalence of Hyperuricemia in pregnant women between 14-18 weeks of gestation, and the factors associated with pre-eclampsia in patients attended at the Carlos Elizalde Health Center, in the city of Cuenca during 2017. Methods: A cross-sectional descriptive study was made, participated pregnant patients between 14 and 18 weeks of gestation that went to consultation at Carlos Elizalde Health Center of the City of Cuenca during 2017. The data were collected through a structured interview and laboratory tests. The analysis was done through the SPSS program version 15. Results: 369 cases were analyzed. The prevalence of hyperuricemia was 14.9%.The most of patients were between 20 and 34 years old (73.4%), residents in urban areas with 83.2%, with a schooling age greater than 12 years with 62.9%, had 14 weeks of gestation with 35.5%. The highest percentage of hyperuricemia occurred in the age group of 20 to 34 years with 12.5% and in patients with 14 weeks of gestation with 5.1%. The genito-urinary infections, antecedent of abortion, nulliparity, presence of personal or family antecedent of pre-eclampsia, antecedent of chronic hypertension and obesity were not statistically related with hyperuricemia. Conclusion: The prevalence of hyperuricemia was 14.9% and was not statistically related with the factors associated with preeclampsia
Prevalencia de sobrepeso y obesidad, y su asociación con complicaciones obstétricas y perinatales, en gestantes con parto vaginal o cesárea, Hospital Vicente Corral Moscoso Cuenca 2012
(2013) Piedra Lazo, María Alexandra; Serrano Delgado, Leonardo Esteban; Herrera Calvo, Roberto Javier
Background: The statistics of overweight and obesity in pregnant women are increasing, it has increased the risk of maternal and neonatal morbidity. Objective: To determine the prevalence of overweight and obesity in pregnant women and its association with obstetric and perinatal Methodology: A cross-sectional study in 986 women who attended the Hospital Vicente Corral Moscoso for delivery. Nutritional status was determined with the curves for weight gain in pregnant women arranged on Form 51A - 2011 SNS -MSP/HCU. Hypothesis: The prevalence of overweight and obesity in pregnant women in our area is higher than nationally, and is most often associated with maternal and perinatal complications, than those with normal weight. Results: The prevalence of overweight or obesity was 10.1%. Obstetric and perinatal complications that were associated were: gestational diabetes (OR 9.94, CI 2.04-9.94, p 0.003), hypertensive disorders of pregnancy (OR 6.98, CI 4.94 -9.31, p: 0.000), prolonged labor (OR 2.93 , CI 1.62-6.47, p = 0.002), induction of labor (OR 4.31, CI 2.61-6-47, p: 0.000), fetal macrosomia (OR 6.24, CI 4.32 - 8.47, p: 0.000), State Satisfactory stillbirth (OR 4.31, CI 2.62-4.84, p = 0.000), cesarean section (OR 4.31, CI 2.62-4.84, p = 0.000). Conclusions: The prevalence of overweight-obesity in our population is related to the existing internationally, and the results were statistically significance for association with obstetric and perinatal complications raised. KEYWORDS: PREVALENCE, OVERWEIGHT/COMPLICATIONS, OBESITY/COMPLICATIONS, PREGNANCY COMPLICATIONS/DIAGNOSIS, PREGNANT, VICENTE CORRAL MOSCOSO HOSPITAL, CUENCA, ECUADOR.
Prevalencia de trastornos hipertensivos del embarazo y estresores psicosociales asociados, en el Hospital Vicente Corral Moscoso, Cuenca-Ecuador 2012
(2013) Ariño Arias, Roberto Carlos; Narváez Ayala, Jorge Oswaldo; Herrera Calvo, Roberto Javier
Background: Hypertensive disorders of pregnancy are the leading cause of maternal death in developed countries and the third countries in Route of development .En regarding the importance of the psychosocial environment during pregnancy, psychosocial stressors, such as stress and family dysfunction have proven to be a factor associated with morbidity regarding maternal and perinatal ity. Objective: To determine the frequency of hypertensive disorders and associated psychosocial stressors in parturients Vicente Corral Moscoso Hospital, Cuenca, Ecuador,2012. Methods: A cross sectional study of prevalence in pregnant women attending the Hospital Vicente Corral Moscoso. Information was collected using a data collection form, stressful events was assessed by Holmes and Rahe scale and functionality through the family APGAR test, data were processed in SPSS 15 for Windows. Hypothesis: The hypertensive disorders of pregnancy occur more often when associated psychosocial stressors such as financial problems, stressful events and depression, presence of physical or sexual violence, psychological violence, illness and hospitalization of a family member, a relative migration , family dysfunction, that in the absence of these. Results: The prevalence of hypertensive disorders of pregnancy was 31.9% corresponding to 50.9% gestational hypertension, preeclampsia and eclampsia 47.4% to 1.7%. Psychosocial stressors that are associated with hypertensive disorders of pregnancy were domestic violence (OR 1.47 95% CI 1.13 to 1.93) and a P value of 0.004; stressful events and / or depression (OR 2.4, 95% CI 1.87 - 3.07) and a P value of 0.000, a relative migration (PR 1.45 95% CI 1.14 to 1.85) and a P value of 0.004 and family dysfunction (OR 2.51 95% CI 2.00 to 3.13) and a P value of 0.000. Conclusions: Hypertensive disorders of pregnancy in our population have a higher prevalence than that reported in the international literature, and associated psychosocial with estresores. DeCs: PREECLAMPSIA; HYPERTENSION INDUCED IN THE PREGNANCY; PSYCHOLOGICAL STRESS; REGIONAL HOSPITAL VICENTE CORRAL MOSCOSO; CUENCA - ECUADOR
Prevalencia de trastornos hipertensivos del embarazo y factores epidemiológicos asociados, Hospital Vicente Corral Moscoso, enero-junio 2012
(2013) Vinueza Aguay, Henry Wilfrido; Llerena Cortéz, Norma Edith; Herrera Calvo, Roberto Javier
Background: Hypertensive disorders of pregnancy are a public health problem, is the leading cause of maternal death in developed countries and the third in developing countries (1,2). Objective: To determine the prevalence of hypertensive disorders of pregnancy and associated factors in Vicente Corral Moscoso Hospital. Methods: Cross-sectional study of prevalence in 940 patients attending the Obstetrics and Gynecology Service Vicente Corral Moscoso Hospital during the period January to June 2012. Hypothesis: Hypertensive disorders of pregnancy are more common when associated with factors such as, age less than 19 or greater than 34 years, obesity, nulliparity, intergenesic long, personal or family history of chronic hypertension or preeclampsia, which in the absence of these factors. Results: The prevalence of hypertensive disorders of pregnancy in the study sample was 13.8%. The 50.8% had severe preeclampsia, 26.9% mild preeclampsia, gestational hypertension 15.4%, 3.9% Eclampsia and only 3% more chronic hypertension preeclampsia. According to the factors associated with hypertensive disorders of pregnancy, the highest in 34 years RP of 2.53 (95% : 1.71-3.6) p of 0000, history of preeclampsia in previous pregnancy RP of 8.23 (95% CI 6.67-8.79) p in 0000, a history of antiphospholipid antibody syndrome of 5.93 (95% CI 2.75-7.19) p of 0.002. History of family history of hypertensive disorders of pregnancy RP of 7.53 (95% CI: 5.90-8.59) p of 0000, the change of sexual partner RP of 5.55 (95% CI: 4.0 - 6.96) p of 0000, the long period between births RP of 2.73 (95% CI: 1.67 - 4.37) p 0.000. Conclusions: The prevalence of hypertensive disorders of pregnancy in the study sample was 13.8%. Factors associated with hypertensive disorder of pregnancy with statistical significance high to low strength of association were: personal history of preeclampsia, family history of hypertensive disorders of pregnancy, personal history of chronic hypertension, antiphospholipid syndrome, sexual partner change, intergenesic long, age over 34, obesity, nulliparity and finally being overweight. DeCS: PREVALENCE, HYPERTENSIVE DISORDERS OF PREGNANCY, EPIDEMIOLOGICAL FACTORS.
Prevalencia y Factores Asociados a Diabetes Gestacional en el Centro de Salud Carlos Elizalde, Cuenca, 2017
(2019) Sarmiento Durán, Gabriela Verónica; Herrera Calvo, Roberto Javier; Vintimilla Maldonado, Jaime Rosendo
INTRODUCCION: Gestational Diabetes is a metabolic disorder of multiple etiologies, characterized by elevated levels of glucose detected for the first time during the pregnancy. OBJECTIVES: To determine the prevalence and factors associated with gestational diabetes in patients between 24 and 28 weeks of gestation, attended at the Carlos Elizalde Health Center, from the city of Cuenca, during 2017. METHODS: Cross sectional study with 230 patients. The sample was calculates with 95 % confidence, 18 % DG prevalence, 5 % inference error and infinite population. The data were obtained directly and analyzed with the software SPSS version 15. The risk was analyzed with the prevalence ratio and confidence interval; and the statistical significance with Chi square test and p value, considered significant if it was less than 0,05. RESULTS: 68 % were between 20 and 35 years; 48,3 % were single, 77,4 %resided in urban areas and 63,9 %had more than 13 years of education. The prevalence of DG was 13, 0 %, no significant association was found with the exposure factors: sedentary lifestyle (RP 1,20, IC 95 %: 0,56-2,57 and p value 0,361), family history of Diabetes (RP 1, 19, IC 95 % 0,52-2,72 and p value 0,686), background of DG (RP 1,95, IC 95 %: 0,35-11,00 and p value 0,474), overweight ( RP 0,94, IC 95 %: 0,47-1,87 and p value 0,859), and obesity (RP 1,26, IC 95 %: 0,55-2,88 and p value 0,582). CONCLUSIONS: The prevalence of Gestational Diabetes (GD) is in relation to the bibliography exposed. There was no statistical relationship with the exposure factors studied.
Prevalencia y factores asociados a ruptura prematura de membranas en gestantes del Hospital Vicente Corral Moscoso, Cuenca-Ecuador, noviembre 2011-noviembre 2012
(2013) Cuenca Condoy, Elsa María; Robalino Peña, Martha Lucía; Herrera Calvo, Roberto Javier
Background: Premature rupture of membranes (PROM) is defined as the leakage of amniotic fluid through a continuum of membranes after 20 weeks of gestation and at least one hour before the start of labor. Its incidence varies between 1.6 and 21% of all births and is one of the widely obstetric pathologies associated with morbidity and perinatal and maternal mortality. Objective: To determine the prevalence of premature rupture of membranes and associated factors in pregnant Vicente Corral Moscoso Hospital. Cuenca, Ecuador, during the period January 2012 - December 2012. Methods and techniques: cross sectional study of prevalence in 657 parturients who attended the Hospital Vicente Corral Moscoso. We evaluated the frequency, relative to demographic factors, infectious factors and factors of previous disease, for statistical analysis used SPSS 19 for Windows Results: The prevalence of ruptured membranes was 15.7%, 91% at term and preterm pregnancies 8.3%, more common in nulliparous, and correlation with a history of urinary tract infection and premature rupture was significant Conclusions: Premature rupture of membranes is associated with infectious factors and previous history of premature rupture.
Prevalencia y factores asociados al abandono del implante subdérmico de Etonogestrel, Distrito 03D01, Azogues, 2014-2017
(2019) Cordero Calle, María Cristina; Herrera Calvo, Roberto Javier; Vintimilla Maldonado, Jaime Rosendo
Background. The early abandonment of the subdermal Etonogestrel implant constitutes a public health problem Objective. To determine the prevalence and factors associated with the abandonment of the subdermal implant of Etonogestrel in patients seen in Health District 03D01 of Azogues, during 2014-2017. Methodology. The sample included 234 patients, constituting the study population, selected at random, within the descriptive design. The sample was calculated with 95 % confidence, 4 % inference error. The data were obtained and analyzed with the SPSS Software, version 2015. The significant association was considered with a value of p < 0,005 Results. The age fluctuated between 13 and 46 years, 58.5 % were married, 49.1 % resided in the urban area. The prevalence of early removal of the implant was 33.3 % (95 % CI 26,98 - 39.02), and it was associated with alterations in menstrual bleeding that affected the quality of life (PR 3.9, 95 % CI 3 ,1 - 5,0, p < 0,001), weight increase> 10 kg (RP 3,5, 95 % CI 2,8 - 4,0, p < 0,001), severe headache (RP 3,7, 95 % CI 3,0 - 5,0, p < 0,001), pain at the insertion site (RP 3,1, 95 % CI 2,6 - 4,0, p 0,004) and pregnancy planning (RP 3,3, 95 % CI 2,7 - 4,0, p < 0,001). Conclusion. The prevalence of early discontinuation of the subdermal Etonogestrel implant and associated factors are similar to that reported in the literature.
Tiempo de alumbramiento con drenaje y sin drenaje de sangre del cordón umbilical en pacientes anémicas y no anémicas en el Hospital Vicente Corral Moscoso, Cuenca-Ecuador 2007
(2008) Herrera Calvo, Roberto Javier; Pinos Abad, Guido Marcelo; Cárdenas Herrera, Oswaldo José