Factores de riesgo asociados a complicaciones obstétricas del embarazo en adolescentes atendidas en un hospital público de Ica - Perú

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dc.contributor.advisorYbaseta Medina, Jorge Luis
dc.contributor.authorBorjas Cuba, Rafael Alonso
dc.date.accessioned2024-01-09T15:02:29Z
dc.date.available2024-01-09T15:02:29Z
dc.date.issued2023
dc.description.abstractDeterminar los factores de riesgo asociados a complicaciones obstétricas del embarazo adolescente atendidas en un hospital público. Se realizo el estudio caso control en el mediante la revisión de historias clínicas del año 2021. Se realizo un análisis de regresión múltiple para evaluar los riesgos ; se calculó el Odds Ratio, con la selección de variables se aplicó los método de Stepwise Forward Wald para confiabilidad y en el ajuste de datos la prueba de Hosmer y Lemeshow con 95% de confianza y nivel de significación p < 0,05. Los factores de riesgo asociados a complicaciones son proceden de la zona rural (OR ajustado=2.7[IC95%=1.4-5.6]); La presencia de pareja (OR ajustado=2.2[IC95%=1.2- 3.9]); presentar anemia (OR ajustado=3.9[IC95%=2.0-7.7]), las adolescentes con un índice de masa corporal menor a 18.5 (OR= 3.0[IC95%=1.1-7.8]); VDRL positivo (OR ajustado=11.4[IC95%=2.2-58.1]); por último aquellas con edad gestacional en rangos prematuridad (OR ajustado=5.4[IC95%=1.6-17.1]) las complicaciones más frecuentes son ruptura prematura de membrana , oligohidramnios y desproporción cefalopélvica. Los factores de riesgo para las complicaciones obstétricas fueron proceder de una zona rural, contar con pareja, anemia, masa corporal menor a 18.5, VDRL positivo y partos prematuros. To determine the risk factors associated with obstetric complications in adolescent pregnancy attended in a public hospital. A case-control study was carried out by reviewing medical records for the year 2021. A multiple regression analysis was performed to evaluate the risks; the Odds Ratio was calculated, with the selection of variables, the Stepwise Forward Wald method was applied for reliability and the Hosmer and Lemeshow test was used for data adjustment with 95% confidence and significance level p < 0.05. The risk factors associated associated with complications are coming from the rural area (adjusted OR=2.7 [CI95%=1.4-5.6]); the presence of a partner (adjusted OR=2.2 [95%CI=1.2- 3.9]); having anemia (adjusted OR=3.9 [95%CI=2.0-7.7]), adolescents with a body mass index less than 18.5 (OR=3.0 [95%CI=1.1-7.8]); VDRL positive (adjusted OR=11.4 [95%CI=2.2- 58.1]); lastly, those with gestational age in the preterm range (OR=11.4 [95%CI=2.2-58.1]). gestational age in the premature range (adjusted OR=5.4 [95%CI=1.6-17.1]), the most frequent complications are premature rupture (adjusted OR=5.4 [95%CI=1.6-17.1]). most frequent complications are premature rupture of membrane, oligohydramnios and cephalic and cephalopelvic disproportion. The risk factors for obstetric complications were coming from a rural area, having a partner, anemia, body mass less than 18.5, positive VDRL and preterm delivery.
dc.formatapplication/pdf
dc.identifier.urihttps://hdl.handle.net/20.500.13028/4736
dc.language.isospa
dc.publisherUniversidad Nacional San Luis Gonzaga
dc.publisher.countryPE
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc-sa/4.0/
dc.subjectEmbarazo
dc.subjectComplicaciones obstétricas
dc.subjectAdolescentes
dc.subjectPregnancy
dc.subject.ocdehttps://purl.org/pe-repo/ocde/ford#3.00.00
dc.titleFactores de riesgo asociados a complicaciones obstétricas del embarazo en adolescentes atendidas en un hospital público de Ica - Perú
dc.typeinfo:eu-repo/semantics/bachelorThesis
dc.type.versioninfo:eu-repo/semantics/publishedVersion
renati.advisor.dni21433488
renati.advisor.orcidhttps://orcid.org/0000-0003-1224-1357
renati.author.dni73032318
renati.discipline912016
renati.jurorArcos Jeronimo, Domingo Glicerio
renati.jurorNeira Goyeneche, Julia Ruth Mónica
renati.jurorBuleje Nuñez, Celia Serafina
renati.jurorMeza León, Jesús Nicolasa
renati.levelhttp://purl.org/pe-repo/renati/level#tituloProfesional
renati.typehttp://purl.org/pe-repo/renati/type#tesis
thesis.degree.disciplineMedicina Humana
thesis.degree.grantorUniversidad Nacional San Luis Gonzaga. Facultad de Medicina Humana
thesis.degree.nameMédico Cirujano
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