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Prevalencia De Endometritis En Mujeres Atendidas En El Hospital Gineco Obstetrico Isidro Ayora De La Ciudad De Quito En El Año 2014
| Content Provider | Semantic Scholar |
|---|---|
| Author | Herrera, Ximena Margarita Álvarez Padilla, Ana Luzmila Méndez Ávila, Pablo |
| Copyright Year | 2015 |
| Abstract | Endometritis is a puerperal infection affecting the decidua and the adjacent myometrium in the uterine cavity, caused by aerobic, anaerobic and other germs. It is the most frequent complication occurring in countries in ways of development, as a relevant etiologic factor. In accordance to literature, cesarean operation is over the vaginal delivery, delivery work duration, adolescence, and a hematocrit of less than 30%, are the most relevant causes. Such infection usually occurs by the 3rd – 5th day of puerperium, with fever, abdominal pain, swelling, uterine subinvolution and unpleasant odor can also occur. Among the most serious complications, secondary bacteremia, septic shock and death can occur. Diagnosis is usually clinical. Depending on the cause, treatment with antibiotics will vary, including hospitalization in serious cases. The current study is intended to determine prevalence of endometritis during post-delivery puerperium, in women attended in the Hospital Gineco Obstétrico Isidro Ayora in 2014. In order to attain the objective, a descriptive design was made, where 922 medical dossiers of patients attending to the Hospital Gineco-Obstétrico Isidro Ayora for delivery, were revised. Endometritis prevalence was determined through the current revision. Age, presence or absence of pre and post-delivery anemia, duration of delivery were determined for all patients studied. During the study 922 deliveries were chosen at random: 460 were cephalic-vaginal deliveries, accounting for 49.9%, and 462 deliveries were through cesarean operation that accounts for 50.1%. Prevalence of endometritis in the studied population accounted for 6.5%. Statistical analysis showed that endometritis was related to post-delivery hematocrit level; patients had 0.78 folds more probabilities to develop endometritis if the postdelivery anemia was present. There was no statistically significant association between anemia before completion of pregnancy, age and duration of delivery work and after development of endometritis in the current study. Further and larger studies are necessary to demonstrate such associations. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://www.dspace.uce.edu.ec/bitstream/25000/5083/1/T-UCE-0006-189.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
