Browsing by Author "Mejía Chicaiza, Jorge Victoriano"

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Afección de órgano blanco en preeclampsia – eclampsia en pacientes gestantes del Hospital Vicente Corral Moscoso. Periodo enero – diciembre 2017. Cuenca - 2018
(2019-05-17) Orellana Morocho, Gabriela Lisseth; Tacuri Porras, Karen Daniela; Mejía Chicaiza, Jorge Victoriano
INTRODUCTION: arterial hypertension (AHT) is the most frequent medical complication during pregnancy; they cover a wide spectrum of conditions, preeclampsia and eclampsia being the first causes of maternal death in our country from 2006 to 2014; producing multiple organ dysfunction that includes cardiovascular, renal, hepatic, hematological and neurovascular alterations. OBJECTIVE: to determine the frequency of white organ involvement due to preeclampsia and eclampsia, at the Hospital Vicente Corral Moscoso. 2017. METHODOLOGY: this is a descriptive and retrospective study that collects the information of 195 patients diagnosed with preeclampsia and eclampsia at the Hospital Vicente Corral Moscoso in 2017; using a previously prepared form and the data analysis was performed in the SPSS v19 program. The data is presented in simple and crossed tables with their respective graphs. RESULTS: Of a total of 6356 patients, 189 presented preeclampsia and 6 eclampsia. 46%, of the population was between 20 and 29 years old. Of the patients with preeclampsia, 67.2% were considered without signs of severity and 32.8% with signs of severity; It was also found that 69.8% had a positive proteinuria / creatinuria index and 84.1% had uric acid with values higher than 4.5 mg/dL; proteinuria being greater in patients with eclampsia. CONCLUSION: laboratory tests have determined that the main organ affected by preeclampsia and eclampsia are the kidneys; which entails a high risk of long-term morbidity and mortality in these patients.
Anormalidades cromosómicas, mediante citogenética convencional en abortos espontáneos, en pacientes del Hospital Vicente Corral Moscoso. Cuenca. 2016
(Universidad de Cuenca, 2016-11-11) Macas Quishpi, Digna Elizabeth; Peláez Cajas, Diana Elizabeth; Larriva Villarrreal, Diana Katherine; Mejía Chicaiza, Jorge Victoriano
BACKGROUND: The human reproduction is considered as a relatively inefficient process; the spontaneous abortions occur in 10-15% of all clinically recognized pregnancies. Chromosomal abnormalities are one of the main causes for such loss occurs. To this postponement of motherhood which directly influences a high incidence of chromosomal abnormalities adds. In addition, statistics of chromosomal aberrations in spontaneous abortions amounted to gestational age and if the woman has a history of abortions. (1) (2) OBJECTIVE: To determine by conventional cytogenetics chromosomal abnormalities in spontaneous abortions in patients Hospital Vicente Corral Moscoso in 2016. METHODS: An observational, analytical cross-sectional study was conducted in a six-month period 100 samples were collected abortion. As laboratory method analysis abortion tissues used by conventional cytogenetics; plus the patient data were obtained through a form, they were tabulated and associated with the result of the karyotype. The data obtained were analyzed in the SPSS version 1.8 software in Spanish and Excel 2010. RESULTS AND CONCLUSIONS: We obtained 59 karyotypes of processed samples and 33.9% had chromosomal abnormalities, the most common abnormalities were aneuploidy by 50%. No statistically significant association with the associated variables found. The results of the study were provided to each of the patients it was useful for counseling
Anticonceptivos orales combinados en el tratamiento de la dismenorrea asociada a endometriosis
(Universidad de Cuenca, 2024-06-03) Guamán Guiracocha, Gloria Michelle; Crespo Luna, Geovanna Michelle; Mejía Chicaiza, Jorge Victoriano
Dysmenorrhea related to endometriosis constitutes one of the main gynecological conditions worldwide. This complex disease, due to its ailments and chronic nature, becomes a very important medical, social and economic problem affecting 10 to 15% of women of reproductive age and 35% to 50% of women with pelvic pain and/or infertility. Since dysmenorrhea is the main complaint of the condition, therapy is focused on it, and combined oral contraceptives are currently one of the mainstays of treatment. The objective of the research was to consolidate updated scientific and clinical evidence on the action of combined oral contraceptives in dysmenorrhea associated with endometriosis, so a descriptive study of narrative type and literature review of scientific articles that provide evidence on combined oral contraceptives for dysmenorrhea associated with endometriosis period 2018-2022 was performed, including 14 articles from platforms such as PubMed, virtual health library (VHL) and Cochrane that describe the intervention of different combinations of oral contraceptives as treatment of endometriosis-related dysmenorrhea, decreasing the scores with the VAS pain scale. However, some comparative studies show that there are other options that surpass the efficacy of combined contraceptives, reporting better patient satisfaction. Finally, it was concluded that the use of combined oral contraceptives significantly reduces dysmenorrhea associated with endometriosis
Calidad de vida de personas histerectomizadas entre 30 y 65 años de edad en el servicio de ginecología y obstetricia, Hospital Vicente Corral Moscoso 2014, Cuenca-Ecuador
(2017) Godoy Cárdenas, María José; Rodríguez Barahona, Rebeca Esmeralda; Mejía Chicaiza, Jorge Victoriano
Hysterectomy is partial or total uterine resection. It is considered that towards century XVI d. c, several hysterectomies had been performed in countries such as Italy, Germany and Spain. Early attempts at abdominal hysterectomy were by leiomyomas confused with ovarian cysts (1). Objective: To determine the Quality of Life of Hysterectomized individuals between 30 and 65 Years of age in the department of Gynecology and Obstetrics, Vicente Corral Moscoso Hospital 2014, Cuenca-Ecuador. Methodology: We performed a retrospective-prospective descriptive study, we worked with the whole universe. A form, which consists of specific variables associated with the study problem, was used as a data collection tool, the validated SF-36 Health Questionnaire was used to determine the quality of life of these patients. Data were tabulated using the Microsoft Excel program and SPSS software 15, for tables. Results: We studied 84 patients, with a very good quality of life (43%). There was an age range of 40 to 49 years (54%), mestizo (99%), urban origin (58%), primary education (99%), housework (79%), married civil status (58%). They received pre-surgical (77%) and post-surgical (65%) medical information, being clear and precise (42%). Conclusions: The quality of life of the hysterectomized patients is very good, the age range of the surgery is between 40 and 49 years. The doctors gave clear and accurate pre and post surgical information
Calidad de vida relacionada con la salud y factores asociados en mujeres con cáncer de mama del Instituto del Cáncer, SOLCA, Cuenca. Cuenca-Ecuador, 2017 - 2018
(2018) Encalada Orellana, Gloria Gianella; Ortiz Loyola, Karen Estefanía; Mejía Chicaiza, Jorge Victoriano; Morocho Malla, Manuel Ismael
Background: The Health-Related Quality of Life (HRQOL) allows to evaluate the functioning of the oncological patient in its different areas (physical, emotional, social), doing it from the own perspective of the woman. Multiple factors have been described-presented (sociodemographic and clinical) that influence its modification. Objective: To determine the Health-Related Quality of Life (HRQOL) and risk factors in women diagnosed with breast cancer. Method and materials: This is a quantitative, analytical, cross-sectional study. It was worked with a sample of 174 patients with a histopathological diagnosis of breast cancer. The validated FACT-B test was used to determine the HRQoL, and also a form of sociodemographic and clinical data collection was applied. The information was analyzed with the programs Excel 2013 and SPSS version 23.0 for Windows. Percentages, frequencies, PR with CI95% and P-value were reported. Results: The good HRQoL was 68.97% (n = 120), and the poor one was 31.03% (n = 54). The subscale called personal functioning capacity was the most affected (41.95%).The risk factors and their values were: age> 50 years old RP: 2.275 (95% CI: 1135-4.559), p = 0.019, not having higher education RP: 2,140 (95% CI: 0.872-5.249), p = 0.091, advanced clinical stage (III - IV) RP: 19,276 (95% CI: 7,892-47,086), p = 0.000. Conclusion: The prevalence of HRQOL was good (68,97%) and was poor (31,03%). The risk factors were: age> 50 years old, no higher education, and advanced clinical stage. The chemotherapy influenced only the social-familiar environment subscale, but not the general QoL.
Caraceristicas del tratamiento tocolitico en amenaza de parto pretermino. Hospital Vicente Corral Moscoso. Cuenca. 2015
(2017) Vintimilla Yunga, Mónica Andrea; Mejía Chicaiza, Jorge Victoriano; Roldán Fernández, José Vicente
Introduction: tocolytic treatment, as the main management in the threat of preterm delivery, is important, since this pathology is a public health problem, therefore, the purpose of this study was to review the use of these drugs. Objective: to determine the characteristics of the tocolytic treatment used for the threat of preterm labor in patients who attended the Vicente Corral Moscoso Hospital in Cuenca; January - December 2015. Methods and materials: descriptive - retrospective design, we reviewed 247 clinical records with a diagnosis of premature birth threat at the Vicente Corral Moscoso Hospital, between January and December 2015. The collection of the information was done with an appropriate form for this purpose. (Sociodemographic data, gynecological-obstetric history, current gestation, tocolysis, pulmonary maturation). Data analysis was performed using the SPSS V.15 program, used to elaborate tables, analyze variables, with statistical measures for qualitative (frequency, percentage) and arithmetic mean with standard deviation for quantitative. Results: the gestational age at which the pathology under study is most commonly produced was 34.0 - 36.6 SG (46.2%). Uterus inhibition was carried out in 72.9% of patients, using nifedipine as the treatment of choice; after administration, cessation of uterine activity or termination of the embryo occurred between 24 - 48 hours (48.3%). In addition, the data show that 74.1% received pulmonary maturation, with betamethasone being the most used with 71.3% and 75.4% of the latter ending the regimen. Conclusion: 72.9% of patients with the diagnosis received uteroinhibition exclusively with nifedipine, achieving an increase in gestation in 48.3% to administer pulmonary maturation
Características clínicas de la Enfermedad Trofoblástica Gestacional, Departamento de Ginecología y Obstetricia, Hospital Vicente Corral Moscoso, 2021
(Universidad de Cuenca, 2021-10-26) Carpio Mogrovejo, Andrés Sebastián; Rojas Burbano, Gustavo Andrés; Mejía Chicaiza, Jorge Victoriano
Background: gestational Trophoblastic Disease (GTD) is a gynecological pathology, characterized by abnormal proliferation of the trophoblast, it encompasses various pathologies, both benign and malignant, the latter having the capacity to metastasize. Its epidemiology is variable, its incidence being higher in Asia. Objective: Determine the clinical characteristics of patients with gestational trophoblastic disease admitted to the Department of Gynecology and Obstetrics of the Vicente Corral Moscoso Hospital, between January 2016 - December 2019. Methodology: a descriptive study was carried out. Patients diagnosed with GTD were identified in the period January 2016 - December 2019. The data was obtained from a database with assurance of confidentiality, the data was collected in forms created for the investigation. The clinical characteristics of GTD were studied. The statistical analysis was performed with the Excel version 2019 statistical calculation package and the SPSS version 15 program. Simple frequency distribution tables and statistical measures such as mean, median and standard deviation were used to present the data obtained. Results: 34 patients with GTD were studied out of a total of 39, 5 were excluded due to the absence of the histopathological report. 67.6% were found between 2034 years, a history of abortion in 20.6%, 70.6% of the diagnosis was made in the first trimester of pregnancy. Conclusions: the clinical characteristic: transvaginal bleeding and the type of GTD: complete hydatidiform mole were the most frequent.
Características clínicas de la menstruación y preferencia de uso de productos de higiene menstrual en estudiantes de séptimo a décimo ciclo de la carrera de Medicina de la Universidad de Cuenca, 2021
(Universidad de Cuenca, 2022-08-10) Sarmiento Contreras, Noelia Marlene; Sarango Quezada, Jonnathan Fernando; Mejía Chicaiza, Jorge Victoriano
Background: Menstruation is defined as shedding of the functional layer of the endometrium in a cyclical manner. In Ecuador there is no an updated study about the characterization of the menstrual cycle in the population. Objective: To determine the clinical characteristics of menstruation and preference for the use of menstrual hygiene products in students of the seventh to tenth academic cycles of the Medical School of the University of Cuenca, 2021. Methodology: It is a cross-sectional, descriptive study applied to female students of Medicine, we included the universe of 138 female students from the seventh to the tenth academic cycle. An informed consent was elaborated explaining the main research objective and data collection was done through Google forms. Statistical analysis was performed in SPSS 22 and Excel programs. Results: The mean age at menarche was 12 years, the 90.4% reported having normal menstrual frequency, 64% had normal duration menstrual periods, 70.6% had regular menstrual cycles and 58.1% had dysmenorrhea. The 100% of respondents refer to use menstrual hygiene products, 84.5% use sanitary pads. Conclusions: The average age of the participants was 23 years, with menarche at 12 years of age. The majority had one menstrual period per month, with an average duration of 5 days, and more than half had dysmenorrhea. All the participants used menstrual hygiene products, with sanitary napkins being the most commonly used.
Caracteristicas clinicas de las pacientes con hemorragia uterina durante la segunda mitad de la gestacion. Hospital Vicente Corral Moscoso. Cuenca 2016
(2017) Coronel Vera, Lizbeth Estefanía; Deleg Aucapiña, Max Vladimir; Mejía Chicaiza, Jorge Victoriano
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.
Características clínicas del aborto Hospital Vicente Corral Moscoso, Cuenca – Ecuador, enero – diciembre 2015
(2016) Urgilés Ortiz, Mauricio Sebastián; Lema Campoverde, Francisco Xavier; Mejía Chicaiza, Jorge Victoriano
Abortion is frequent in our environment and it is a relevant issue due to the fact that it conditions women’s health in reproductive age and its high frequency of complications regarding public health. The purpose of this study is to determine the clinical characteristics of abortion of patients at the Gynecology Department, Vicente Corral Moscoso Hospital, during the period 2015. The methodology used in this study is descriptive and retrospective, conducted by reviewing medical records of 371 patients diagnosed with abortion at the Vicente Corral Moscoso Hospital. Information was collected on a form and the data was analyzed through SPSS 15. The results show that the average age group is 27- 47 years being the most common group of 20-29 years, 37.9% was in a common law marriage, 69% of the cases lived in urban areas and 46.9% completed high school; the unemployment rate was 53.3; the most common risk factor was a history of abortions with 26.3%. Different types of abortion being the most frequently incomplete type with 57.3% of cases, 82.5% underwent MVA for the resolution of abortion were presented, while 7.4% of the women was prescribed misoprostol orally and 27.6% vaginally. Concluding, the characterization of the population with abortion at the Vicente Corral Moscoso Hospital is similar to that of other populations, noting that there is a variance in risk factors presented
Características de los trastornos hipertensivos del embarazo. Hospital Homero Castanier Crespo. Azogues 2011-2015
(2017) Heredia Real, Mishell Estefanía; Urgilés Verdugo, Marcelo Javier; Mejía Chicaiza, Jorge Victoriano
Background: Hypertensive Disorders of Pregnancy (HDP) are one of the most serious complications suffered by women during pregnancy. In developing countries high rates of maternal and perinatal deaths have been the result of complications during pregnancy. Objective: To determine the characteristics of Hypertensive Disorders of Pregnancy in patients treated in the Obstetrics Gynecology department from the "Homero Castanier Crespo" Hospital in the city of Azogues during the period 2011-2015.Material and Methods: A descriptive, retrospective study was conducted. 215 medical records (MR) of pregnant women who presented hypertensive disorders during pregnancy in the period 2011-2015 were included. As a technique it was used the review of MR and as a tool a form prepared by the authors. The data was processed using Excel and SPSS version 21 and presented in tables with their respective analysis. Conclusions: The frequency of women with HDP was 215 (1.67%). Majority were between 25 to 29 years old, married and completed high school education, primiparous with more than 5 prenatal medical visits. The delivery method was through C-section. A small percentage presented perinatal complications
Características del síndrome hellp en gestantes con preeclampsia severa y eclampsia atendidas en Hospital “José Carrasco Arteaga”, julio 2015 – junio 2020
(Universidad de Cuenca, 2020-10-28) Calle Pérez, María Belén; Rivera Rodríguez, Valeria Alexandra; Mejía Chicaiza, Jorge Victoriano
BACKGROUND: HELLP syndrome is characterized by hemolysis (H), elevated liver enzymes (EL) and low platelet count (LP), in pregnancy or postpartum (until 7 days postpartum) (1–3). It could have complications for the pregnant as the fetus, there is its study`s importance (4). GENERAL OBJECTIVE: To determine the characteristics of HELLP syndrome in pregnant women with diagnosis of Severe Preeclampsia and Eclampsia, treated in “José Carrasco Arteaga” Hospital, during July 2015 – June 2020. METHODOLOGY: A descriptive, retrospective and quantitative study was carried out, with 299 pregnant women, mostly with Severe Preeclampsia; treated from July 2015 to June 2020. After collection, the data were entered into a database designed in Excel. And subsequently, they were analyzed by the IBM SPSS software. RESULTS: The prevalence of HELLP Syndrome was 11.4%, the mean age was 27 years, overweight (41.2%) and obesity (26.5%). All pregnancies were with a single fetus, and ended by caesarean section; the mean gestational age was 28.5 SG, mostly between 27 and 36.6 SG (61.8%). According to the Mississippi System; Class 2 (47.1%) was the most frequent, followed by Class 3 (35.5%) and finally, Class 1 (17.6%). CONCLUSION: HELLP Syndrome is frequent in pregnant women with Severe Preeclampsia.
Características gineco-obstétricas de las mujeres con menopausia y su relación con la menarquia temprana en el Centro de Salud Nº 1, Cuenca-2017
(2017) Segarra Durazno, Iván Enrique; Mejía Chicaiza, Jorge Victoriano
BACKGROUND: the relationship between early menarche and menopause has not been investigated in depth, due to the lack of information provided by menopausal patients; for this reason the following research work establishes the gynecological-obstetric characteristics that allow to relate early menarche with early menopause. GENERAL OBJECTIVE: to describe the gynecological-obstetric characteristics of women with menopause and its relation to early menarche in the Health Center Nº1 of the city of Cuenca in the year 2017. METHODS AND MATERIALS: a descriptive and transversal research was carried out. The sample consisted of 220 women with menopause who attended the Health Center Nº1 in the period from June 1 to August 31, 2017. The information was collected with an appropriate form for the effect, which includes the studied variables. Data analysis was performed using the SPSS V.15 program, used to elaborated tables, analyze variables, with statistical measures for qualitative and arithmetic mean, standard deviation of Person`s index , measures of central tendency and Chi square for the quantitative ones. RESULTS: the age of menopausal patients in this study was between 39 and 90 years (mean 59.7± 9.9 years). Menarche presented between 8 and 19 years (mean of 13.3 ± 1.5 years), being early (before 12 years), in 10%. Menopause was present between 37 and 65 years, with an average of 46.8 ± 4.6 years, being precocious (before the age of 45 years) in 30%of the cases. As for the relationship between early menarche and early menopause, there was no significant relationship in our study
Características materno-fetales de los embarazos múltiples de mujeres atendidas en el área de gineco-obstetricia del Hospital Vicente Corral Moscoso en el periodo enero 2006 - diciembre 2016
(2018) Amoroso Moncayo, Pedro Marcelo; Barros Cabrera, Jorge Adrian; Mejía Chicaiza, Jorge Victoriano
Objective: Determine the maternal-fetal characteristics related to the multiple pregnancies of women attended in the department of gynecology-obstetrics of the Hospital Vicente Corral Moscoso in the period January 2006- December 2016. Methodology: A descriptive and retrospective study was carried out with a universe consisting of all the clinical histories of patients with multiple pregnancies and whose deliveries or caesarean sections were attended at Vicente Corral Moscoso Hospital. The information was collected in a questionnaire for the purpose and analyzed with SPSS 22.0. Results: 71 pregnant women with multiple pregnancies were analyzed, with a total of 143 newborns. The maternal characteristics were patients with mean age of 27 + -6 years, multiparous women 63.4%, caesarean section was performed in 77.5%, the cephalic presentation was predominant 40.8%, and the predominant maternal complication was premature delivery (45.1%). The newborns presented as main complications low birth weight with an average weight of 2205 + - 550 grams and prematurity with an average gestational age of 35.5 + -3.3 weeks, 46 were admitted to neonatology, more than 80 had scores 7 -10 on the APGAR scale. In twin pregnancies, greater percentages of severe asphyxia and weighs less than 1500 grams were observed in the second twin. Conclusions: due to the increase in maternal and neonatal morbidity that multiple pregnancy implies, it’s necessary to perform prenatal checks to diagnose and establish both preventive measures and treatments of future complications
Clasificación de cesáreas por grupos de Robson en el período octubre-diciembre 2018. Hospital Vicente Corral Moscoso. Cuenca 2018
(2020-01-08) Gómez González, Esther Margoth; Gomezjurado Friend, Juana Daniela; Mejía Chicaiza, Jorge Victoriano
Background: the World Health Organization since 1985 considers that the ideal caesarean section rate should range between 10% and 15% (1). However, in both developed and developing countries the number of C-sections has been increasing (1). In recent years, South America has had the highest cesarean rates worldwide (2). In Ecuador, the cesarean section rate in 2012 was 29.46%, increasing to 33.61% for 2016 (3). Objective: determine the prevailing categories causing caesarean sections according to Robson's classification in the gynecology area of the Vicente Corral Moscoso Hospital in October - December 2018. Methodology: a quantitative, descriptive and retrospective study was carried out, considering all 1025 pregnant women in the October - December 2018, of which our sample was 403 pregnant women undergoing caesarean section. The information, obtained will create a database in Excel 2013 for further analysis in the SPSS version 20.0 statistical package. Results: the global caesarean section rate was 39.3% (403). The Robson groups with the highest contribution in the global caesarean section rate were group 5 of multiparous with previous caesarean section and cephalic presentation (17.3%), group 1 of nulliparous cephalic presentation, ≥37 weeks gestation, spontaneous labor (7, 5%) and group 10 of single pregnancy in a cephalic presentation, <37 weeks gestation, including women with 1 or more previous caesarean sections (4.9%). Conclusion: the use of the Robson classification model helps to identify patients in whom the number of caesarean sections can be reduced.
Complicaciones maternas y fetales en gestantes con IMC >25kg/m2 que acuden en trabajo de parto. Periodo enero-junio. Hospital Vicente Corral Moscoso. Cuenca, 2018
(Universidad de Cuenca, 2020-03-05) Guamán Sánchez, Ximena Alexandra; López Álvarez, María Catalina; Mejía Chicaiza, Jorge Victoriano
Background: In today’s world, the rates of obesity and overweight are at an all-time high in the world’s population, and pregnant women occupy an important place in this group. Obesity and being overweight during pregnancy are independent risk factors for developing maternal and fetal complications. Objective: To identify maternal and fetal complications in pregnant women with a BMI> 25kg / m2 who went to the Vicente Corral Moscoso Hospital during labor, from January-June 2018. Methodology: An observational, descriptive, retrospective study was carried out. The universe consisted of all pregnant women whose BMI> 25kg / m2, who went to the hospital during labor, during the indicated period and met the inclusion criteria. In order to collect information, previously prepared forms were used. All the data was systematized by statistical software of free access compatible with Windows X where the frequencies and percentages of the different variables were studied Results: The universe observed in this investigation corresponds to 337 pregnant women with BMI> 25kg / m2. It was determined that maternal complications are present in 61.2% of cases, with urinary tract infections being the most common issue (35.6%). As for fetal complications, a total of 14.7% of the observed population was affected, with macrosomia (8%) being the most frequent issue in this group. Conclusions: According to the results, both maternal and fetal complications were present, the most frequent complications being urinary tract infections and macrosomia
Complicaciones materno fetales en gestantes mayores de 35 años. Hospital Vicente Corral Moscoso, 2015-2017
(2019) Uguña Quilli, Diana Maribel; Guamán Pichisaca, Erika Estefanía; Mejía Chicaiza, Jorge Victoriano
Background: there is currently a growing tendency for women to delay pregnancies, which could increase the risk of maternal and neonatal complications. General objective: to determine the maternal-fetal complications in pregnant women older than 35 years attended in the Hospital Vicente Corral Moscoso during the period 2015-2017. Methodology: quantitative, descriptive and retrospective study. There were 1175 users who met the inclusion criteria. The data were analyzed using customized tables through the SPSS version 15 program, applying frequencies and percentages for qualitative variables and for quantitative mean and standard deviation. Results: the prevalence of maternal complications was 35% (95% CI 32.20 -37.74%), of which 72.5% were between 35 and 39 years old, residents of urban areas with 54.5%, 56, 4% of primary education, 56.9% were married, 94.4% were and 60.3% were vaginal delivery. The most common complications were: 33.3% of preeclampsia, 16.3% of gestational hypertension, 22.1% presented premature rupture of membranes, 25.3% represented other pathologies of pregnancy. 19.2% of infants had complications after birth, of them 61.9% were born with low weight, 40.3% had an Apgar <7 during the first minute, 23.9% were premature, 14.3% with delay of intrauterine growth, Apgar <7 at 5 minutes in 12.8%, 11.5% of neonates died and 4% had malformations. Conclusions: the prevalence of maternal and neonatal complications in the studied population was high.
Complicaciones obstétricas y resultados perinatales en embarazos de alto riesgo en el Hospital José Carrasco Arteaga, Cuenca 2018
(Universidad de Cuenca, 2020-06-02) Montesinos Perero, Diana Nicole; Ortega Vera, Diego Javier; Mejía Chicaiza, Jorge Victoriano
Pregnancies classified as high obstetric risk are around 18% in other regions of the world. Thus, the identification of factors that condition this risk is a strategy that allows predicting possible complications during pregnancy or adverse outcomes at the time of delivery or postpartum period, in order to carry out stricter controls in those high-risk pregnancies to reduce maternal and neonatal morbidity and mortality figures. Objective To determine obstetric complications and perinatal outcomes in high-risk pregnancies at the José Carrasco Arteaga Hospital. Cuenca, 2018. Methodology Retrospective descriptive study based on data collected from clinical records of pregnant women with high-risk pregnancy diagnosis treated at the José Carrasco Arteaga Hospital Obstetrics Unit during the January-December 2018 period. Results A prevalence of high-risk pregnancies of 16.2% was found. The five most prevalent risk factors were the previous caesarean section (38,7%), the unfavorable obstetric history (37%), the maternal age over 35 years (22,8%), the short or long intergenic period (20,7%), and the presence of one or more maternal comorbidities (17,6%). Obstetric complications were observed in more than 60% of patients while perinatal complications were observed in 44.2% of live births, similarly 40% of them resulted in a serious condition or a care condition at birth. Conclusions The prevalence of high-risk pregnancies in our country is similar to those observed in other regions. The presence of obstetric and perinatal complications, is high in these group.
Conocimiento de los signos y síntomas de alarma obstétrica en las pacientes de la consulta externa de los centros de Salud del Valle y Ricaurte. Cuenca-Ecuador. 2016
(2016) Ochoa Sánchez, Miguel Fernando; León Muñoz, Leopoldo Enrique; Mejía Chicaiza, Jorge Victoriano
Morbidity and maternal mortality is a health, social and economic, in Ecuador one of the main causes of maternal deaths are direct obstetric, which can be prevented or controlled. OBJECTIVE: To determine the knowledge of the signs and symptoms of obstetric alarm in a population of pregnant women in health centers in El Valle and Ricaurte, 2016 Cuenca from January to April. METHODS: This was a transversal, descriptive study with a universe of 143 pregnant women who attended the outpatient and clubs pregnant Valley Health Centers and Ricaurte. Data were collected on a form prepared by the authors and digitized in the SPSS version 20 program, we proceeded to analyze them by using simple tables with relative frequency and percentages. RESULTS: Most patients surveyed knew at least a sign of obstetrical alarm in a 78.32% and 21.68% did not know. The 66.43% did not show any signs of alarm in their current pregnancy, 33.57% (48) if they did; referring to the headache as the predominant symptom, 81.48% said they would go immediately to a health center or hospital if you have any signs of alarm, 18.52% said they expect or would go to a trusted person. The average age was 25 years (62.94%), 84.62% lived in rural areas, and the educational level was medium to high (93%). 1
Conocimientos y actitudes de las causales de aborto no punible entre ginecólogos que laboran en Cuenca en el 2016
(2017) Astudillo Celi, Mónica Estefanía; Benenaula Morocho, Marcia Paola; Mejía Chicaiza, Jorge Victoriano
Antecedents: Ecuador's law establishes in the article 150 of the COIP that abortion can be practiced without punishments with specific conditions, it is vital for the medical practice to know these laws and to evaluate this level of knowledge is the object of this research work. General objective: Identify knowledge and attitudes about the causes of non-punishable abortion among gynecologists in the Cuenca canton Methodology: Descriptive study carried out in 60 gynecologists, to obtain the data was applied a survey based on the knowledge of the specialist. Tables and graphs were elaborated according to the objectives, using the program Microsoft Excel 2010. Results: The majority of the professionals were males with 51.7%, their average age were 46.25 years. The average number of years in professional practice was 14.97 years (SD=8.7years).The 76.7% of the cases are Catholic. The 96.7% had knowledge about the causes for which abortion might be legal. Most of abortion was therapeutic reasons (its mean: risk of mom`s life) with 93.3%. And the lowest frequency was mother health with 3.3%. 70% of the gynecologists said to know the change done in Art.150 of COIP. But only 3.3% knew it. 70% of the respondents correctly answered the meaning of health. 55% of the professionals have a positive attitude when asking them about if to perform abortions in cases of rape. 75% of gynecologists are agree that would decriminalize abortion in Ecuador. Conclusions: Considering that the medical practice is legislated. The doctors' knowledge about laws should be complete and integral. With this antecedents, it is concluded that specialists have a high level of general knowledge about art. 150 of COIP, but in particular there is a high ignorance of the change that was made in that article in 2014 that could condition their attitude and practices