Complicaciones obstétricas y resultados perinatales en embarazos de alto riesgo en el Hospital José Carrasco Arteaga, Cuenca 2018

Abstract

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.