Muerte fetal intrauterina Hospital Militar Central 2014-2019

Angarita Perez, Maria Fernanda; Guzman Murcia, Maria Alejandra

dc.contributor.advisor	Otalora Gallego, Maria Camila
dc.contributor.author	Angarita Perez, Maria Fernanda
dc.contributor.author	Guzman Murcia, Maria Alejandra
dc.coverage.spatial	Bogotá	spa
dc.coverage.temporal	2020	spa
dc.date.accessioned	2021-01-18T16:22:18Z
dc.date.available	2021-01-18T16:22:18Z
dc.date.issued	2020-11-11
dc.identifier.uri	http://hdl.handle.net/10654/37384
dc.description.abstract	La muerta fetal intrauterina (MFI) como suceso devastador, afecta emocionalmente a la madre, el entorno familiar, económico, psicosocial y de atención del equipo encargado de una gestación. Objetivo: Caracterizar las causas de MFI en el Hospital Militar Central (HOMIC) durante el periodo 2014- 2019. Materiales y métodos: Estudio descriptivo transversal sobre características sociodemográficas y clínicas de muertes fetales intrauterinas, con información de bases de datos del HOMIC, registrando variables cuali y cuantitativas, calculando promedios y frecuencias, reportando los datos en medidas de tendencia central. Resultados: Del total 48 muertes fetales cumplieron con criterios de inclusión, edad materna promedio fue de 26 años, 68.8% con grupo sanguíneo O+ y 50% 24/48 gestantes de estrato socioeconómico bajo. La muerte fetal (50% pretérminos tempranos) se presentó en promedio a las 28. 3 semanas, 77% embarazos únicos, el 64% con producto de sexo masculino, peso medio de 1175 gr, y 91% de alto riesgo obstétrico, de estas 56% tenían antecedentes de infección (27%), trastorno hipertensivo (14%), diabetes (8%) y STORCH positivo (4.2%). Ninguna tuvo abordaje preconcepcional, a 66.7% se les dio parto vaginales y 33% nacieron por cesárea .Se le realizó autopsia al 67% de los óbitos encontrando anomalías congénitas en el 29% de los casos, solo 31% recibieron asesoría genética. Conclusión: Conocer las causas de MFI es importante para la instauración de métodos de vigilancia y seguimiento en todas las pacientes y establecer una ruta multidisciplinaria con el fin de tomar decisiones oportunas y disminuir índices de morbilidad perinatal a futuro. Palabras clave: muerte fetal intrauterina, características sociodemográficas y clínicas.	spa
dc.description.sponsorship	Hospital Militar Central	spa
dc.description.tableofcontents	1. Resumen ………………………………………………………………………….4 2. Marco teórico ……………………………………………………………………6 a. Definición ………………………………………………………………...11 b. Epidemiologia...…………………………………………………………..12 c. Factores de riesgo ………………………………………………………19 d. Diagnostico……………………………………………………………….27 e. Evaluación……………... ………………………………………………..29 f. Prevención ……………………………………………………………….32 3. Planteamiento del problema …………………………………………………33 a. Pregunta de investigación …………………………………………….. 35 4. Objetivos ………………………………………………………………………...36 a. General …………………………………………………………………...36 b. Específicos ……………………………………………………………….36 5. Metodología……………………………………………………………………..37 a. Tipo y diseño de estudio ………………………………………………..38 b. Población …………………………………………………………………38 c. Selección y tamaño de muestra ……………………………………….38 d. Criterios de inclusión ……………………………………………………39 e. Criterios de exclusión …………………………………………………...39 f. Definición de variables ………………………………………………….38 g. Estrategias para suprimir amenazas a la validez de resultados …...40 h. Recolección de datos …………………………………………………...41 6. Análisis estadístico ……………………………………………………………43 a. Procedimientos de medición, recolección y sistematización de la información……………………………………………………………….43 3 3 b. Plan de análisis ………………………………………………………….44 7. Aspectos éticos ………………………………………………………………..45 8. Resultados ………………………………………………………………………47 9. Discusión………………………………………………………………………...57 10. Conclusiones…………………….……………………………………………...63 11. Referencias bibliográficas……………………………………………………64	spa
dc.format.mimetype	applicaction/pdf	spa
dc.language.iso	spa	spa
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/4.0/	*
dc.title	Muerte fetal intrauterina Hospital Militar Central 2014-2019	spa
dc.rights.accessrights	info:eu-repo/semantics/openAccess	spa
dc.type.local	Tesis/Trabajo de grado - Monografía - Especialización	spa
dc.description.abstractenglish	Intrauterine stillbirth (IFM) as a devastating event, emotionally affects the mother, the family, economic, psychosocial and care environment of the team in charge of a pregnancy. Objective: To characterize the causes of IFM in the Central Military Hospital (HOMIC) during the period 2014-2019. Materials and methods: Cross-sectional descriptive study on sociodemographic and clinical characteristics of intrauterine fetal deaths, with information from HOMIC databases, recording qualitative and quantitative variables, calculating averages and frequencies, reporting data in measures of central tendency. Results: Of the total, 48 fetal deaths met the inclusion criteria, mean maternal age was 26 years, 68.8% with blood group O + and 50% 24/48 pregnant women of low socioeconomic status. Fetal death (50% early preterm) occurred on average at 28. 3 weeks, 77% single pregnancies, 64% with a male product, mean weight of 1175 grams, and 91% of high obstetric risk, of these 56% had a history of infection (27%), hypertensive disorder (14%), diabetes (8%) and positive STORCH (4.2%). None had a preconception approach, 66.7% were given vaginal births and 33% were delivered by cesarean section. 67% of deaths were autopsied, finding congenital anomalies in 29% of cases, only 31% received genetic counseling. Conclusion: Knowing the causes of IFM is important for the establishment of surveillance and follow-up methods in all patients and establishing a multidisciplinary route in order to make timely decisions and reduce rates of perinatal morbidity in the future.	spa
dc.title.translated	Intrauterine fetal death Central Military Hospital 2014-2019.	spa
dc.subject.keywords	intrauterine fetal death	spa
dc.subject.keywords	clinical characteristics	spa
dc.subject.keywords	sociodemographic characyeristics	spa
dc.publisher.program	Ginecología y obstetricia	spa
dc.creator.degreename	Especialista en Ginecología y obstetricia	spa
dc.subject.decs	GINECOLOGIA	spa
dc.subject.decs	EMBARAZO - COMPLICACIONES	spa
dc.subject.decs	MORTINATOS	spa
dc.subject.decs	MUERTE FETAL	spa
dc.contributor.corporatename	Universidad Militar Nueva Granada	spa
dc.description.degreelevel	Especialización	spa
dc.publisher.faculty	Facultad de Medicina	spa
dc.type.driver	info:eu-repo/semantics/bachelorThesis	spa
dc.rights.creativecommons	Attribution-NonCommercial-NoDerivatives 4.0 International	spa
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dc.subject.proposal	muerte fetal intrauterina	spa
dc.subject.proposal	características sociodemográficas	spa
dc.subject.proposal	características clinicas	spa
dc.publisher.grantor	Universidad Militar Nueva Granada	spa
dc.type.coar	http://purl.org/coar/resource_type/c_7a1f	*
dc.type.hasversion	info:eu-repo/semantics/acceptedVersion	spa
dc.identifier.instname	instname:Universidad Militar Nueva Granada	spa
dc.identifier.reponame	reponame:Repositorio Institucional Universidad Militar Nueva Granada	spa
dc.identifier.repourl	repourl:https://repository.unimilitar.edu.co	spa
dc.rights.local	Acceso abierto	spa
dc.coverage.sede	Medicina	spa
dc.rights.coar	http://purl.org/coar/access_right/c_abf2