Complicaciones obstétricas presentes en gestantes de edad avanzada ingresadas al área de ginecología y obstetricia del Hospital General de Macas, abril 2020 - noviembre 2020

Abstract

Background: Pregnancy in advanced ages has become one of the main public health problems due to the already manifested increase in maternal mortality and morbidity. The numbers of complications and fetal deaths have been considered to increase annually. Objective: To identify obstetric complications that occur in elderly pregnant women who enter the gynecology and obstetrics area of the Macas General Hospital, between April 2020-November 2020. Methodology: A quantitative, observational cross-sectional study is presented, consisting of 70 pregnant women who attended the Gynecology and Obstetrics area of the General Hospital of Macas. Sociodemographic variables, clinical characteristics, pre-existing and obstetric comorbidities were collected. The data were analyzed using the SPSS22.0 program represented in tables of frequencies and percentages. Results: The incidence of pregnancies was 50% in women aged 40 – 44 years. Regarding dystocic births, there were 40%, 32.9% of pregnancies ended in spontaneous abortions, stillbirths in 4.2% and preterm births in 5.7%. The comorbidities with the highest incidence were: thyroid disorders with 22.3% and Diabetes Mellitus with 18.6%. Hypertensive disorders during pregnancy represented the highest percentage of pathologies (OR = 2,800 95% CI 1.02–7.61, P value = 0.041).