Prevalencia de desgarros perineales en pacientes con aplicación de vacuum / Prevalence of perineal tars in patients submitted to the application of vacuum
Ginecol. obstet. Méx
; 87(7): 447-453, ene. 2019. tab
Article
em Es
|
LILACS-Express
| LILACS
| ID: biblio-1286643
Biblioteca responsável:
MX1.1
RESUMEN
Resumen OBJETIVO:
Estimar la prevalencia de desgarro perineal en pacientes a quienes se aplicó vacuum e identificar los factores de riesgo de lesión del esfínter anal. MATERIALES YMÉTODOS:
Estudio descriptivo, transversal, retrospectivo y observacional. Se seleccionaron todos los partos en los que se aplicó vacuum del total de partos instrumentados en un hospital de segundo nivel de la Ciudad de México. Se incluyeron mujeres con embarazo de término, únicos y de evolución normal. Las lesiones perineales se clasificaron según la OMS. Se calcularon la prevalencia y el intervalo de confianza. Las variables se describen mediante medias y desviaciones estándar o frecuencias absolutas y relativas. Los desgarros se compararon con χ22 y los valores con significación estadística fueron los de p < 0.05.RESULTADOS:
Se estudiaron 74 partos instrumentados en 708 partos totales, de los que 70 de 74 fueron con vacuum. En relación solo con estos últimos, los desgarros más prevalentes fueron de primer y segundo grado con valores de 40.0% (IC95% 29-51) y 38.6% (IC95% 27-50), respectivamente. No se identificaron factores de riesgo asociados con desgarros perineales severos.CONCLUSIONES:
La prevalencia en la población estudiada fue similar a la de países industrializados y los desgarros moderados fueron los de mayor prevalencia.ABSTRACT
Abstract OBJECTIVES:
To estimate the prevalence of perineal tears in patients which delivery was instrumented by vacuum and to identify the risk factors that lead to a tear in the anal sphincter. MATERIAL ANDMETHOD:
Descriptive, cross-sectional, retrospective and observational study. All vacuum deliveries were selected among the instrumental deliveries of the population in a secondary care hospital in Mexico City. The inclusion criteria were women who delivered vaginally at term with sole and normoevolutive pregnancies. The perineal tears were classified according to WHO. The statistical analysis included the estimation of prevalences with their corresponding confidence intervals. Variables were described by means and standard deviations or absolute and relative frequencies. Tears were compared using χ2 tests considering a statistical significance of p < 0.05.RESULTS:
The number of instrumented deliveries was 74 out of 708 cases of total deliveries, those with vacuum were 70 out of 74. Considering the instrumented deliveries with vacuum, the most prevalent tears were those of first and second degree with values of 40.0% (CI 29-51) and 38.6% (CI 27-50) respectively. There were not associated risk factors to severe perineal tears.CONCLUSIONS:
Prevalence in the studied population was similar to developed countries and moderate tears are the most prevalent.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Idioma:
Es
Revista:
Ginecol. obstet. Méx
Assunto da revista:
GINECOLOGIA
/
OBSTETRICIA
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
México
País de publicação:
México