Complicaciones materno fetales en gestantes mayores de 35 años. Hospital Vicente Corral Moscoso, 2015-2017

Abstract

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.