Citas bibligráficas
Ocharan, M., Soriano, M. (2024). Sobrepeso y obesidad pregestacional como factores de riesgo para preeclampsia en gestantes de los hospitales regional y Antonio Lorena del Cusco, 2022 - 2023 [Universidad Andina del Cusco]. https://hdl.handle.net/20.500.12557/6564
Ocharan, M., Soriano, M. Sobrepeso y obesidad pregestacional como factores de riesgo para preeclampsia en gestantes de los hospitales regional y Antonio Lorena del Cusco, 2022 - 2023 []. PE: Universidad Andina del Cusco; 2024. https://hdl.handle.net/20.500.12557/6564
@misc{sunedu/3694133,
title = "Sobrepeso y obesidad pregestacional como factores de riesgo para preeclampsia en gestantes de los hospitales regional y Antonio Lorena del Cusco, 2022 - 2023",
author = "Soriano Pacheco, Miguel Walter",
publisher = "Universidad Andina del Cusco",
year = "2024"
}
Introduction: Preeclampsia is a pathology exclusive to pregnancy with high prevalence, in addition to high mortality and morbidity. A pathology that is characterized by the fact that it manifests after 20 weeks of pregnancy due to an alteration in placentation; having as diagnostic criteria: the presence of blood pressures greater than 140/90 mmHg and proteinuria of 300 mg/24h or 30 mg/dl in a urine sample. Objectives: Determine if overweight and obesity are risk factors for preeclampsia in pregnant women at the Regional and Antonio Lorena hospitals in Cusco, in the period 2022 to 2023. Materials and Methods: A retrospective, descriptive, non-experimental, observational, cross-sectional, correlational analysis was carried out on a sample of 200 physical medical records of patients treated in the obstetrics service of both hospitals. The necessary data were collected in a data collection form, duly reviewed by specialists. The results were presented for statistical processing, using the Chi square test with a 95% confidence interval, in addition to the calculation of the Odds Ratio to assess the relationship between the variables. Results: The analysis of 200 medical records of women hospitalized for childbirth in the gynecology area of the Regional and Antonio Lorena hospitals of Cusco, 95 patients were identified within the normal weight level, of which 47.4% were treated at the HAL (Antonio Lorena Hospital) and 52.6% were treated at the HRC (Regional Hospital of Cusco); 73 (36.5%) patients with pregestational overweight where, 53.4% of them (39 patients) were treated at the HAL, and 46.6% (34 patients) at the HRC. Of the 32 (16%) patients with obesity, 50.0% received care at the HAL and 50.0% received care at the HRC. Regarding the diagnosis of preeclampsia, for the HRC it was determined that 26% have a normal BMI, 46% are overweight and 28% are obese. On the other hand, 4% have high blood pressure, 26% have stage 1 blood pressure, and 68% have stage 2 blood pressure, and 2% of patients developed a hypertensive crisis. For the HAL hospital, it was determined that 24% have normal weight, 54% of patients are overweight and 22% are obese. On the other hand, 6% have high blood pressure, 40% have blood pressure in stage 1, 48% have blood pressure in stage 2 and 6% have hypertensive crisis. Regarding the relationship between overweight and the diagnosis of preeclampsia for HRC, an unadjusted OR of 3.02 (p-value < 0.05) was obtained, according to the 95% CI = (1.27, 7.21). Regarding the level of obesity and the diagnosis of preeclampsia, an unadjusted OR of 9.99 was obtained for (p-value < 0.05), according to the 95% CI (1.99-43.7). given that the wide range of the CI is due to the low participation of controls with obesity. Regarding the relationship between overweight and the diagnosis of preeclampsia, HAL obtained an unadjusted OR of 3.720 (p-value < 0.05), according to the 95% CI of (1.588.74). Regarding the level of obesity and the diagnosis of preeclampsia, an unadjusted OR was obtained with (p-value > 0.05). Conclusions: In our study at the Regional and Antonio Lorena Hospitals in Cusco, we have identified that for the HRC there is a significant relationship between overweight and obesity with the development of preeclampsia. For HAL, there is a significant relationship between overweight and the development of preeclampsia, but it is not possible to affirm that there is a statistically significant relationship between obesity and preeclampsia.
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