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Ediger, E., (2020). Complicaciones materno-fetales en gestantes con dengue y sin dengue en el Hospital Santa Rosa, Piura [Tesis, Universidad Privada Antenor Orrego]. https://hdl.handle.net/20.500.12759/6167
Ediger, E., Complicaciones materno-fetales en gestantes con dengue y sin dengue en el Hospital Santa Rosa, Piura [Tesis]. PE: Universidad Privada Antenor Orrego; 2020. https://hdl.handle.net/20.500.12759/6167
@misc{renati/1361199,
title = "Complicaciones materno-fetales en gestantes con dengue y sin dengue en el Hospital Santa Rosa, Piura",
author = "Ediger Sandoval, Emily Fe",
publisher = "Universidad Privada Antenor Orrego",
year = "2020"
}
Title: Complicaciones materno-fetales en gestantes con dengue y sin dengue en el Hospital Santa Rosa, Piura
Authors(s): Ediger Sandoval, Emily Fe
Advisor(s): Lachira Leon, Leonardo
Keywords: Dengue; Gestacion; Complicaciones materno- fetales
OCDE field: https://purl.org/pe-repo/ocde/ford#3.02.27
Issue Date: 2020
Institution: Universidad Privada Antenor Orrego
Abstract: Objetivo: Determinar la asociación entre dengue gestacional y las
complicaciones materno-fetales que presentan las gestantes con dengue en el
Hospital Nivel II- Santa Rosa en Piura, Perú durante los años 2016-2018.
Materiales y Métodos: Este estudio es de tipo cohortes retrospectivo con dos
poblaciones: Una población de gestantes con diagnostico confirmado de dengue
en el Hospital Santa Rosa de Piura entre los años 2016-2018 (los Expuestos) y
la segunda población conformada de gestantes hospitalizadas sin diagnostico
de dengue entre los mismos años (No Expuestos). Resultados: Se estudiaron
51 pacientes con dengue en la gestación y 204 pacientes gestantes sin dengue.
De las pacientes con dengue, la mayoria fueron diagnosticadas en el III trimestre
27(52.94%), seguido por el segundo trimestre 15(29.41%) y finalmente las de I
trimestre con 9(17.65%). Las características asociadas a dengue con signos de
severidad fueron epistaxis, sangrado vaginal, sangrado de mucosas, dolor
abdominal intenso y continuo, y vómitos persistentes. Las pacientes con dengue
en gestación tuvieron valores más bajos de hemoglobina en promedio 10.82
gr/dl, valores de plaquetas y leucocitos más bajos. Las complicaciones maternofetales
fueron la preeclampsia con RR: 5.16 IC 95%: (4.01-6.64), y
oligohidramnios con RR: 2.39, IC 95%: (1.25-4.57). No se encontró asociación
entre las complicaciones neonatales e infección por dengue en la gestación.
Conclusión: Dengue durante la gestacion conlleva a un mayor riesgo de
oligohidramnios y preeclampsia. No se encontro asociacion estadisticamente
significativa entre dengue gestacional y complicaciones neonatales. Palabras
Objective: Determine the association between dengue and the maternal-fetal complications identified in pregnant patients with gestational dengue in the Level II Santa Rosa Hospital in Piura, Peru. Methods: This is a retrospective, cohort study with 2 populations: one population included pregnant patients hospitalized in the Santa Rosa Hospital in Piura, Peru with a confirmed diagnosis of dengue infection during their pregnancy from 2016-2018 (The Exposed). The second population included pregnant patients in the same hospital that did not have dengue during their pregnancy (the Unexposed). Results: We studied 51 patients with dengue during gestation and 204 patients without. Of the patients with dengue most were diagnosed during the third trimester 27(52.94%), followed by the second trimester 15(29.41%), and finally the first trimester 9(17.65%). The characteristics associated with severe dengue include: epistaxis, vaginal bleeding, mucosal bleeding, intense and continuous abdominal pain, and persistent emesis. Patients with gestational dengue had an average hemoglobin level that was lower than those without dengue (10.82 g/dl), and lower leukocyte and platelet counts. The associated complications were preeclampsia with RR: 5.16 CI 95%: (4.01-6.64) and oligohydramnios with RR: 2.39, CI 95%: (1.254.57). There was no association between neonatal complications and gestational dengue. Conclusion: Gestational dengue increases the risk of oligohydramnios and preeclampsia. It is not found to be associated with neonatal complications.
Objective: Determine the association between dengue and the maternal-fetal complications identified in pregnant patients with gestational dengue in the Level II Santa Rosa Hospital in Piura, Peru. Methods: This is a retrospective, cohort study with 2 populations: one population included pregnant patients hospitalized in the Santa Rosa Hospital in Piura, Peru with a confirmed diagnosis of dengue infection during their pregnancy from 2016-2018 (The Exposed). The second population included pregnant patients in the same hospital that did not have dengue during their pregnancy (the Unexposed). Results: We studied 51 patients with dengue during gestation and 204 patients without. Of the patients with dengue most were diagnosed during the third trimester 27(52.94%), followed by the second trimester 15(29.41%), and finally the first trimester 9(17.65%). The characteristics associated with severe dengue include: epistaxis, vaginal bleeding, mucosal bleeding, intense and continuous abdominal pain, and persistent emesis. Patients with gestational dengue had an average hemoglobin level that was lower than those without dengue (10.82 g/dl), and lower leukocyte and platelet counts. The associated complications were preeclampsia with RR: 5.16 CI 95%: (4.01-6.64) and oligohydramnios with RR: 2.39, CI 95%: (1.254.57). There was no association between neonatal complications and gestational dengue. Conclusion: Gestational dengue increases the risk of oligohydramnios and preeclampsia. It is not found to be associated with neonatal complications.
Link to repository: https://hdl.handle.net/20.500.12759/6167
Discipline: Medicina Humana
Grade or title grantor: Universidad Privada Antenor Orrego. Facultad de Medicina Humana
Grade or title: Médico Cirujano
Register date: 8-May-2020
This item is licensed under a Creative Commons License