Embarazo y abdomen agudo en el Hospital José Carrasco Arteaga del IESS en el año 2016 –2017.

Abstract

BACKGROUND: Acute abdomen refers to the critical situation experienced by a person with severe abdominal symptoms, requiring immediate medical and / or surgical treatment. OBJECTIVE: To determine the frequency of acute abdomen and its characteristics in pregnant women who attended the Hospital José Carrasco Arteaga of the Ecuadorian Social Security Institute (IESS), during the year 2016 - 2017. METHODOLOGY: A descriptive study was conducted, with 899 medical records of pregnant patients with acute abdomen who attended the José Carrasco Arteaga Hospital of the IESS, in the period from January 2016 to December 2017. The data was collected from the clinical histories of pregnant women and they were analyzed with SPSS version 19.0. The mean and standard deviation were calculated for the quantitative variables, for the categorized qualitative variables frequencies and percentages were used. RESULTS: The mean age was 29.59 years and standard deviation of ± 6.3. The main cause of acute abdomen was related to complications of pregnancy, such as cholelithiasis, appendicitis, ovarian cysts, among others. The main symptom was abdominal pain, followed by hemorrhage. Imaging was the most used diagnostic method and observation and rest only linked to drugs was the main treatment. The evolution of pregnancy after presenting the pathology depends on the week in which it occurs. CONCLUSIONS: Less than a fifth of pregnant women presented with acute non-obstetric causes.