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Browsing Especializaciones by Subject "Aborto"

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    Características ecográficas del saco gestacional como predictor de aborto. Hospital José Carrasco Arteaga. Cuenca, 2019-2020
    (Universidad de Cuenca, 2021-03-18) Monsalve Idrovo, Felipe Oswaldo; Tigsi Ganzhi, Luis Manuel
    Background: obstetric ultrasound is the study of choice to identify premature pregnancy failure. The most used criteria are: irregularities of the gestational sac, absence of cardiac activity for a certain crane-caudal length and absence of a visible embryo for a certain mean diameter of the gestational sac. Objective: to determine the characteristics of the gestational sac as a predictor of abortion in the ultrasounds performed at the José Carrasco Arteaga Hospital. Cuenca, Ecuador 2019-2020 Methodology: a cross-sectional analytical study was carried out to determine the ultrasound characteristics of the gestational sac as a predictor of abortion. The universe consisted of 810 women who underwent obstetric transvaginal ultrasound at the José Carrasco Arteaga hospital 2019-2020. The sample size was calculated with the EPIDAT 3.6 program, with the following criteria: prevalence 26%, precision 5%, confidence level 95%, obtaining a sample of 218 women, personal identification data was not taken into account as name and identity document. For the development of this research, an informed consent form was provided. Results: the prevalence of abortion was 31.3%, in pregnant women between 4 and 12 weeks, with preponderant ages between 20 and 34 years, with a mean of 30.5 years, the ultrasound indicator showed a greater relationship of the loss of pregnancy is the absence of an embryo with a diameter of 36.4 mm. Conclusions: it was concluded that the characteristics of the gestational sac according to Nyberg are significantly associated with first trimester abortion; the double decidual reaction and the implantation of the gestational sac double the threat of abortion, in addition, the double decidual reaction has a great predictive capacity.
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    Características ecográficas del saco vitelino durante el primer trimestre del embarazo como predictor de aborto. Hospital José Carrasco Arteaga. Cuenca. 2016-2017
    (2018) Maldonado Espinosa, Diana Soledad; Pesántez Regalado, Eugenio Ostualdo; Beltrán Carreño, José Patricio
    Introduction: Abortion is a public health problema, especially in developing countries, which occurs in 70 to 80% of fertilizations. The irregular, echogenic and altered size of the yolk sac can be associated with abortion; therefore, it is important to evaluate yolk sac ultrasound throughout the first trimester, since it can determine the pregnancy prognosis. Objective: To determine the ultrasound characteristics of the yolk sac during the first trimester of pregnancy as a predictor of abortion. José Carrasco Arteaga Hospital. Basin. 2016 - 2017. Methods: This cross-sectional analytical study, was carried out on 397 clinical histories (finally working 407) of pregnant women in their 5th to 10th gestational weeks, which were referred to the imaging service of Hospital José Carrasco Arteaga during 2016 to 2017, with a follow-up every 4 weeks until reaching 20 weeks of pregnancy. Data was collected in a previous improved form through a pilot Project. The SPSS V 15 database was constructed.and analyzed by simple and multiple frequency tables for the bivariate analysis. Results: From the total of pregnant women, 24.82% had an abortion. Average age 28.75 years (± 5.9). Shape of the regular yolk sac developed 14.25% abortions, irregularly represented 10.57% (RP 37.06 IC95%: 15.08-91.01, p 0.000). Size less than 3mm and more than 5 mm developed 17.20% abortions (RP 4.08 IC95%: 2.51-6.61, p 0.000). Anechoic structure established 18.92% abortions in comparison to the echogenic and calcified structure 5.90% (RP 31.48 IC95%: 9.23-107.27, p 0.000). Conclusion: According to the results of this study, ultrasound characteristics of the yolk sac in terms of shape, size and structure were associated with further development of involuntary spontaneous abortion.
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    Estudio clínico aleatorizado de la eficacia del metrotexato mas misoprostol en el manejo clínico del aborto. Hospital José Carrasco Arteaga
    (2014) Romero Quinde, Paúl Omar; Muñoz Cajilima, Juan Pablo; Arévalo Pelaéz, Carlos Eduardo
    Background: The World Health Organization informs that in developed countries between 25% and 50% percent of maternal death are caused by abortion. In our country the most applied treatment is the Endouterine Manual Aspiration followed by Uterine Instrumental Curettementl. Although clinical treatment of abortion has had satisfactory responses worldwide, it has been poorly applied and investigated in our country. Aims: To evaluate the efficacy of combined therapy of misoprostol plus methotrexate compared to misoprostol alone during clinical management of abortion. Method and Techniques: a double-blind randomized clinical trial was conducted at the Hospital José Carrasco Arteaga, a group of 126 patients with abortion up to 12 weeks of gestation, divided into 63 patients. In the first group or groups, methotrexate is prescribed 50 mg orally, and then via vaginal misoprostol 800 microgram every 12 hours for two doses. In the second group 800 microgram vaginal misoprostol every 12 hours for two doses prescribed. A transvaginal ultrasound at 24 hours was performed to check for uterine evacuation Results:.Complete uterine evacuation occurred in 68.2% for the experimental group and 52.4% for the control group, AMEU was performed in six patients (9.5%) for the experimental group and eleven patients (19.1%) for the control group and LUI was performed in fourteen patients (22.2%) for the experimental group and nineteen patients (30.1%) for the control group, not a complete uterine evacuation with clinical therapy. For the most common side effects observed are pelvic pain 31.7%, increased vaginal bleeding 26.2% and nausea11.1%.