Complicaciones del embarazo múltiple pretérmino en pacientes atendidas en el hospital IESS Latacunga

Abstract

Background: Multiple pregnancy corresponds to pregnancies with two or more fetuses, this condition has increased in recent times due to assisted reproduction or due to the mother’s age. Objective: to describe the clinical characteristics and complications of multiple preterm pregnancy in patients treated at the IESS Latacunga Hospital, Ecuador. Methodology: A study with a retrospective and descriptive design was carried out in 15 pregnant women who were treated at the aforementioned hospital, during the period August 2019 - March 2020. The data were obtained from the medical records of the statistics department of the healthcare center. Results: 53% corresponded to mothers between 30 and 34 years old, 67% attended 4-6 prenatal controls, 80% were multiparous, 60% corresponded to a moderate preterm birth (32-34 weeks), the factors that influence in the complications, 53% were due to hypertension, 67% to poor prenatal control, the main maternal complication was high blood pressure (53%), as well as low weight and prematurity in neonates (60%). Conclusion: Poor prenatal control, age and a history of preterm delivery are frequent factors in pregnant women with multiple pregnancies, with a high frequency of maternal and neonatal complications.