Publication year: 2014
Theses and dissertations in Español presented to the Universidad Nacional Mayor de San Marcos. Facultad de Medicina to obtain the academic title of Bachiller. Leader: Portugal Benavides, Walter José del Carmen
Objetivo:
Determinar los factores de riesgo asociados al embarazo ectópico en pacientes atendidas en el Hospital Nacional PNP. "Luis N. Sáenz", Lima 2013. Material y métodos:
Estudio de tipo observacional, descriptivo, retrospectivo de caso y control, se revisaron 40 historias clínicas de pacientes con embarazo ectópico y una muestra comparativa de pacientes con embarazo normal. Resultados:
Se encontraron factores de riesgo significativos en función de su intervalo de confianza: tabaquismo (OR: 4.2, 95 por ciento IC: 1.59-11.09); antecedente de embarazo ectópico (OR: 14.7, 95 por ciento IC: 1.80-121.13); aborto espontáneo (OR: 4.3, 95 por ciento IC: 1.69-11.06); cirugía abdomino-pélvica (OR: 11, 95 por ciento IC: 3.29-36.75); ITS (OR: 2.5, 95 por ciento IC: 1.01-6.19); y no significativos: multiparidad, uso de DIU, anticoncepción previa y más de una pareja sexual. Conclusiones:
Las pacientes con antecedente de tabaquismo, ITS, cirugía abomino pélvica, embarazo ectópico, aborto espontáneo, presentan un riesgo elevado de presentar embarazo ectópico; y aquellas con antecedente de uso de DIU y más de una pareja sexual, tienen un riesgo moderado.
Objective:
To determine the factors of risk associated with the pregnancy ectopic in patients attended in the National Hospital PNP. 'Luis N. Saenz', Lima 2013. Material and methods:
Type study observational, descriptive, retrospective of case and control, 40 patients' case histories were checked with pregnancy ectopic and a comparative patients sample with normal pregnancy. Results:
Risk factors were not as per statistics significant, nevertheless the opposing ones were: multiparity (OR: 2.2, 95 per cent IC: 0.86-6.08); nicotinism (OR: 4.2, 95 per cent IC: 1.59-11.09); pregnancy precedent ectopic (OR: 14.7, 95 per cent IC:1.80-121.13); miscarriage (OR: 4.3, 95 per cent IC: 1.69-11.06); abdomino-pelvic surgery (OR: 11, 95 per cent IC: 3.29-36.75); use of DIU (OR: 2.06, 95 per cent IC:0.77-5.50); ITS (OR: 2.5, 95 per cent IC: 1.01-6.19). Conclusions:
Patients with a history of smoking, ITS, surgery abhor pelvic, ectopic pregnancy, abortion spontaneous, present a high risk of ectopic pregnancy, and with a history of use of IUDS, previous contraception and more than one sexual partner, have a moderate risk. There were however statistically significant risk factors, those found were.