Pando HEY, Milo VCA, Pérez RY, Peña AMM

Language: Spanish
References: 16
Page: 128-138
PDF size: 369. Kb.

ABSTRACT

Introduction: ectopic pregnancy is the implantation of the product of conception outside the endometrial cavity; it is a cause of management and responsible for 10% of maternal mortality.
Objective: to characterize ectopic pregnancy clinically and epidemiologically from January 2016 and January 2017 at Abel Santamaría Cuadrado General Teaching Hospital.
Methods: an observational, descriptive and cross-sectional research was carried out. The sample consisted of 62 patients treated at the Obstetrics and Gynecology service at Abel Santamaría Cuadrado General Teaching Hospital during the above mentioned period, with a confirmed diagnosis of ectopic pregnancy. Statistical records and clinical histories were reviewed, and a registration model to collect the information was applied.
Results: it was found that the highest incidence of ectopic pregnancy prevailed on the age group between 15 and 25 years old (47%). The risk factors with the highest incidence were intrauterine devices (34%). The most frequent symptoms were pelvic pain, menstrual delay and bloody losses (37%). The most used surgical technique was left salpingectomy in 39% of the cases. The infection in the wound and the urinary infection were the most frequent complications for 32% of the cases.
Conclusions: in 5 out of 10 women the diagnosis was clinically performed. It is necessary to create new ways and methods to manage the risk factors of this condition, since its incidence increases.

REFERENCES

1. Simsek Y, Ay MO. Analysis of ectopic pregnancies admitted to emergency department. Turk J Emerg Med [Internet]. 2016 [citado 12 enero 2017]; 15(4): 151-4. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4882212/.

2. Rivero Ramos AC, Santaya Piñeiro M, Bermudez Balado A, López Espinosa N, Pérez Valdez MC, García Martínez O. Factores que influyen en los criterios de transfusión de glóbulos en el embarazo ectópico complicado. Mediciego [Internet]. 2012 Nov [citado 12 enero 2017]; 18(Supl-2): Disponible en: http://bvs.sld.cu/revistas/mciego/vol18_supl2_2012/articulos/t-4.html

3. Cabezas Cruz E. Embarazo ectópico. Rev Cubana Obstet Ginecol [Internet]. 2013 Oct-Dic [citado 12 enero 2017]; 39(4): 314-5. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138- 600X2013000400001&lng=es&nrm=iso&tlng=es

4. Tahmina S, Daniel M, Solomon P. Clinical analysis of ectopic pregnancies in a tertiary care centre in Southern India: a six-year retrospective study. J Clin Diagn Res [Internet]. 2015 [citado 15 Oct 2016]; 10(10):QC13-6. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5121740/.

5. Virelles Pacheco A, Bonet Fonseca R, Santiesteban R. Factores relacionados con el embarazo ectópico. Rev Med Multimed [Internet]. 2017; [citado 14 abril 2017]; 21 (2). Disponible en: http://www.revmultimed.sld.cu/index.php/mtm/article/view/486/785.

6. Moya Toneut Carlos, Pino Pérez Felipe Vladimir, Borges Fernández Robinson, Aguiar Delgado Roberto, Olano Trujillo Yordanka, Espinosa Fuentes Mirdo Luis. Comportamiento del embarazo ectópico. Rev Cubana Obstet Ginecol [Internet]. 2013 Sep [citado 2017 Dic 08]; 39(3): 236-248. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138- 600X2013000300003&lng=es.

7. Oliva Rodríguez JA. Embarazo Ectópico. En: Oliva Rodríguez JA. Ultrasonografía diagnóstica fetal, obstétrica y ginecológica. La Habana: Editorial Ciencias Médicas; 2009. p. 321-31.

8. Altunaga Palacio M, Rodríguez Morales Y, Lugones Botell M. Manejo del embarazo ectópico. Rev Cubana Obstet Ginecol [Internet]. 2011 oct-dic [citado 12 enero 2017]; 37(4): [aprox. 8 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138- 600X2011000400008

9. Aqueela Ayaz, Sameh Emam, Mian Usman Farooq. Clinical course of ectopic pregnancy: A single-center experience. J Hum Reprod Sci. 2013 Jan-Mar; 6(1): 70–73. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3713582/

10. Casanova Carrillo C. Epidemiología del embarazo ectópico en un hospital ginecoobstétrico. Rev Cubana Enfermer [revista en la Internet]. 2003 Dic [citado 12enero 2017]; 19(3): Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864- 03192003000300003&lng=es

11. Balasch Cortina J. Embarazo Ectópico Cervical. Caso 33. En: Serie Salvat de Casos Clínicos. Obstetricia y Ginecología. Barcelona: Editorial Salvat; 2009. p. 191-5.

12. Chirino Acosta P, Sarmiento Vitón A, González Linares M, Cabrera Rumayor A, Soto Paez N. Embarazo ectópico abdominal. Revista de Ciencias Médicas de Pinar del Río [Internet]. 2015 [citado 2017 Dic 08]; 19(3): 540-548. Disponible en: http://www.revcmpinar.sld.cu/index.php/publicaciones/article/view/2036/html_8 2

13. Urrutia MT, Poupin L, Alarcón P, Rodríguez M, Stuven L. Embarazo ectópico: factores de riesgo y características clínicas de la enfermedad en un grupo de mujeres chilenas. Rev chil obstet ginecol. 2007; 72(3). Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717- 75262007000300004.

14. Núñez J, Mármol L. Embarazo ectópico en el Hospital Manuel Noriega Trigo. Rev Obstet Ginecol Ven. 2016; 56(1): 7-12.

15. Balestena Sánchez JM, Rodríguez A, Reguera Cabrera O. Factores epidemiológicos del embarazo ectópico. Rev Cubana Obstet Ginecol [Internet] 2002 dic [citado 12 enero 2017]; 28(3). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138- 600X2002000300004&lng=es

16. Fernández Suárez M, Hernández Cabrera J, Molina Guerra C, Dávila Albuerne B, Linares Meléndez R, Benavides García S. Embarazo Ectópico: Correlación de algunos factores. Rev Cubana Obstet Ginecol. 1996 Ene-jun; 22(1): 5-10. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138- 600X1996000100002.