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ISSN 1995-9494 (Electronic)
Revista del Hospital Clínico Quirúrgico "Arnaldo Milián Castro"

2021, Number 4

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Acta Med Cent 2021; 15 (4)

Factores de riesgo y características de la cervicometria en pacientes con parto pretérmino

Cairo GVM, Jiménez PS, Machado BHL, Marín TY, Cardet NY, Ocenes RR

Language: Spanish
References: 13
Page: 531-541
PDF size: 437.48 Kb.


ABSTRACT

Introduction: preterm delivery is a challenge to modern obstetrics and contributes to perinatal mortality, severe neonatal morbidity and infant disability.
Objective: to know how the risk factors and cervicometric characteristics are manifested in a group of patie nts admitted with symptoms of preterm labor.
Methods: a qualitative, quantitative, observational, analytical and cross-sectional study was carried out, the study population comprised all patients with manifestations of preterm labor symptoms; a non-probabilistic sampling by criteria was carried out and 433 were included.
Results:v the mean cervical length at admission of patients with preterm labor was 25.7 millimeters and in those who did not have preterm labor was 33.2 millimeters and the risk factors that showed statistical association to preterm labor were urinary and vaginal infection, history of preterm labor and history of bleeding during gestation. There was a highly significant association between cervical length and gestational age at delivery (p=0.000; Cramer's V=0.295), and embolization in pregnant women increases the risk of preterm delivery by 5.95 times.
Conclusions: risk factors such as urinary and vaginal infection, history of preterm delivery and history of bleeding during gestation were associated. There was a highly significant association between cervical length and embolization with preterm delivery.


REFERENCES

  1. Rodríguez-Márquez A, Hernández-Barrio E, Villafuerte-Reinante J, Mesa-Montero ZT, Hernández-Cabrera Y, López-Rodríguez-del-Rey AM. Factores de riesgo asociados al parto pretérmino. Cienfuegos 2012. Medisur [Internet]. 2019 [citado 30/04/2020];17(4):505-513. Disponible en: http://www.medisur.sld.cu/index.php/medisur/article/view/4214/2931

  2. Huertas Tacchino E. Parto pretérmino: causas y medidas de prevención. Rev Peru Ginecol Obstet [Internet]. 2018 [citado 30/04/2020];64(3):399-404. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S2304-51322018000300013. https://doi.org/10.31403/rpgo.v64i2104

  3. Ahumada-Barrios ME, Alvarado GF. Factores de Riesgo de parto pretérmino en un hospital. Rev Latino-Am Enfermagem [Internet]. 2016 [citado 30/04/2020];24:e2750. Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692016000100350. https://doi.org/10.1590/1518-8345.0775.2750

  4. Pacheco-Romero J. Parto pretérmino, avances y retos: A manera de prólogo. Rev Peru Ginecol Obstet [Internet]. 2018 [citado 30/04/2020];64(3):393-398. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S2304-51322018000300012. https://doi.org/10.31403/rpgo.v64i2102

  5. Frascoli M, Coniglio L, Witt R, Jeanty C, Fleck-Derderian S, Myers DE, et al. Alloreactive fetal T cells promote uterine contractility in preterm labor via IFN-γ and TNF-α. Sci Transl Med [Internet]. 2018 [citado 30/04/2020];10(438):eaan2263. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6449052/. https://dx.doi.org/10.1126/scitranslmed.aan2263

  6. Parodi K, José S. Acortamiento cervical y su relación con parto pretérmino. Rev Fac Cienc Méd. 2018;15(1):26-35.

  7. Berghella V, Saccone G. Cervical assessment by ultrasound for preventing preterm delivery. Cochrane Database Syst Rev [Internet]. 2019 [citado 30/04/2020];9(9):CD007235. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6953418/. https://dx.doi.org/10.1002/14651858.cd007235.pub4

  8. Kusanovic JP. Cervicometría transvaginal: ahora y siempre. Rev Chil Obstet Ginecol [Internet]. 2019 [citado 30/04/2020];84(5):337-339. Disponible en: https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0717-75262019000500337

  9. Flores Chávez X, Rojas Beltrán F, Zapata Lara N, Tiznado Quintana F, Hinrichs Oyarze C. Longitud cervical en la predicción de parto prematuro espontáneo y resultados perinatales en población de gemelos (dobles) en Hospital Provincial, Chile. Rev Chil Obstet Ginecol [Internet]. 2019 [citado 30/04/2020];84(5):355-361. Disponible en: https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0717-75262019000500355

  10. Medley N, Vogel JP, Care A, Alfirevic Z. Interventions during pregnancy to prevent preterm birth: an overview of Cochrane systematic reviews. Cochrane Database Syst Rev [Internet]. 2018 Nov [citado 30/04/2020];11(11):CD012505. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6516886/. https://dx.doi.org/10.1002/14651858.cd012505.pub2

  11. Milián Espinosa I, Cairo González VM, Silverio Negrín M, Benavides Casals ME, Pentón Cortes R, Marín Tápanes Y. Epidemiología del parto pretérmino espontáneo. Acta Méd Centro [Internet]. 2019 [citado 30/04/2020];13(3):354-366: Disponible en: http://www.revactamedicacentro.sld.cu/index.php/amc/article/view/1080/1315

  12. Glover AV, Manuck TA. Screening for spontaneous preterm birth and resultant therapies to reduce neonatal morbidity and mortality: A review. Semin Fetal Neonatal Med [Internet]. 2018 [citado 30/04/2020];23(2):126–132. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6381594/. https://dx.doi.org/10.1016/j.siny.2017.11.007

  13. Romero R, Conde-Agudelo A, El-Refaie W, Rode L, Brizot ML, Cetingoz E, et al. Vaginal progesterone decreases preterm birth and neonatal morbidity and mortality in women with a twin gestation and a short cervix: an updated meta-analysis of individual patient data. Ultrasound Obstet Gynecol [Internet]. 2017 [citado 30/04/2020];49(3):303-314. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5396280/. https://dx.doi.org/10.1002/uog.17397




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