Correlación entre aislamiento por infección por Sars cov-2 y control embarazo en un grupo poblacional subsidiado en la ciudad de Barranquilla
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Fecha
2021
Autores
Solar Vargas, Julio Mario
Vizcaino Guerrero, Carlos Mario
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Ediciones Universidad Simón Bolívar
Facultad de Ciencias de la Salud
Facultad de Ciencias de la Salud
Resumen
Objetivos: Determinar la asociación de complicaciones en los embarazos en la IPS CEHOSAM de la ciudad de Barranquilla y el aislamiento preventivo obligatorio instaurado en Colombia en el periodo comprendido de Marzo 2020 -Agosto 2021 Sars cov-2 Metodología: estudio descriptivo retrospectivo con base en la IPS CEHOSAM - Barranquilla detallando la relación del control del embarazo, finalización y sus complicaciones durante el aislamiento preventivo obligatorio Marzo 2020 -Agosto 2021 en Colombia por Sars cov-2. Resultados: durante el estudio realizado un total de 752, de las cuales 126 pacientes que cumplieron criterios de inclusión (16,7%), un promedio de consultas de control prenatal por parte de la población analizada de 3,8 controles durante la gestación, en las cuales el 42% de las pacientes conto con menos de 4 controles prenatales, se evidencio un índice de ingresos a Unidad de cuidados intensivos neonatales de un 34%, así mismo una tasa de nacimientos por cesárea del 88%, con respecto al parto vaginal (12%). Conclusiones: Se evidencia un numero bajo de controles en las gestantes estudiadas con respecto a los lineamientos del ministerio de salud de Colombia y la OMS; incremento en la tasa de cesáreas mayor del 85%, superando así la tasa departamental de Atlántico; el 12% de las gestantes ingresaron a la unidad de cuidados intensivos por trastornos hipertensivos; déficit en tamizaje de infección por Estreptococo del grupo B; aun así no hubo muertes maternas ni neonatales en
el presente estudio. No se logra evaluar valoraciones por nutrición y psicología dentro de las historias clínicas.
Objectives : To determine the association between complications in pregnancies in the IPS CEHOSAM in the city of Barranquilla and the mandatory preventive isolation implemented in Colombia in the period March 2020 - August 2021. Methodology: retrospective descriptive study based on the IPS CEHOSAM - Barranquilla detailing the relationship of pregnancy control, termination and its complications during the mandatory preventive isolation March 2020 - August 2021 in Colombia. Results: during the study a total of 752 patients, 126 of whom met the inclusion criteria (16.7%), an average of 3.8 prenatal check-ups during gestation, in which 42% of the patients had less than 4 prenatal check-ups, a 34% rate of admissions to the neonatal intensive care unit was observed, as well as a rate of births by cesarean section of 88%, compared to vaginal delivery (12%). Conclusions: There is evidence of a low number of controls in the pregnant women studied with respect to the guidelines of the Colombian Ministry of Health and the WHO; increase in the cesarean section rate of more than 85%, thus exceeding the departmental rate of Atlantico; 12% of the pregnant women were admitted to the intensive care unit for hypertensive disorders; deficit in screening for group B Streptococcus infection; even so there were no maternal or neonatal deaths in the present study. We were not able to evaluate nutrition and psychology assessments in the medical records.
Objectives : To determine the association between complications in pregnancies in the IPS CEHOSAM in the city of Barranquilla and the mandatory preventive isolation implemented in Colombia in the period March 2020 - August 2021. Methodology: retrospective descriptive study based on the IPS CEHOSAM - Barranquilla detailing the relationship of pregnancy control, termination and its complications during the mandatory preventive isolation March 2020 - August 2021 in Colombia. Results: during the study a total of 752 patients, 126 of whom met the inclusion criteria (16.7%), an average of 3.8 prenatal check-ups during gestation, in which 42% of the patients had less than 4 prenatal check-ups, a 34% rate of admissions to the neonatal intensive care unit was observed, as well as a rate of births by cesarean section of 88%, compared to vaginal delivery (12%). Conclusions: There is evidence of a low number of controls in the pregnant women studied with respect to the guidelines of the Colombian Ministry of Health and the WHO; increase in the cesarean section rate of more than 85%, thus exceeding the departmental rate of Atlantico; 12% of the pregnant women were admitted to the intensive care unit for hypertensive disorders; deficit in screening for group B Streptococcus infection; even so there were no maternal or neonatal deaths in the present study. We were not able to evaluate nutrition and psychology assessments in the medical records.
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Palabras clave
Sars cov-2, Embarazo, Gestación, Complicaciones, Pregnancy, Gestation, Complications