Características materno-fetales de los embarazos múltiples de mujeres atendidas en el área de gineco-obstetricia del Hospital Vicente Corral Moscoso en el periodo enero 2006 - diciembre 2016

Abstract

Objective: Determine the maternal-fetal characteristics related to the multiple pregnancies of women attended in the department of gynecology-obstetrics of the Hospital Vicente Corral Moscoso in the period January 2006- December 2016. Methodology: A descriptive and retrospective study was carried out with a universe consisting of all the clinical histories of patients with multiple pregnancies and whose deliveries or caesarean sections were attended at Vicente Corral Moscoso Hospital. The information was collected in a questionnaire for the purpose and analyzed with SPSS 22.0. Results: 71 pregnant women with multiple pregnancies were analyzed, with a total of 143 newborns. The maternal characteristics were patients with mean age of 27 + -6 years, multiparous women 63.4%, caesarean section was performed in 77.5%, the cephalic presentation was predominant 40.8%, and the predominant maternal complication was premature delivery (45.1%). The newborns presented as main complications low birth weight with an average weight of 2205 + - 550 grams and prematurity with an average gestational age of 35.5 + -3.3 weeks, 46 were admitted to neonatology, more than 80 had scores 7 -10 on the APGAR scale. In twin pregnancies, greater percentages of severe asphyxia and weighs less than 1500 grams were observed in the second twin. Conclusions: due to the increase in maternal and neonatal morbidity that multiple pregnancy implies, it’s necessary to perform prenatal checks to diagnose and establish both preventive measures and treatments of future complications