Factores de riesgo asociados a ruptura prematura de membranas en pacientes atendidas en el Hospital León Becerra Camacho. noviembre 2023 – abril 2024.
| dc.contributor.advisor | Albuja Mora, Vanessa Paola | |
| dc.contributor.author | González Recalde, Joselyn Jandary | |
| dc.contributor.author | Vargas Machuca Meza, Fernando Hermann | |
| dc.date.accessioned | 2024-06-07T04:59:29Z | |
| dc.date.available | 2024-06-07T04:59:29Z | |
| dc.date.issued | 2024 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/16444 | |
| dc.description | Premature rupture of membranes (PROM) poses a critical obstetric challenge with adverse consequences for both mothers and fetuses. This research aims to comprehensively analyze PROM prevention strategies, causal factors, and incidence in Latin America, with a particular focus on the Ecuadorian situation. We begin by contextualizing the importance of PROM prevention, highlighting its link to complications such as preterm birth, chorioamnionitis, and neonatal morbidity and mortality. Various preventive interventions are examined, ranging from rigorous prenatal care to proper management of risk factors such as vaginal infection, as well as promotion of healthy lifestyle habits and self-care education during pregnancy. Next, potential causal factors of PROM are explored, including biological aspects such as inflammation and weakening of the amniotic membranes, as well as socioenvironmental determinants such as inequity in access to quality medical care, unfavorable socioeconomic conditions, and disparities in education and female empowerment. The existing evidence on the relationship between these factors and the incidence of PROM in Latin America is analyzed, focusing on the Ecuadorian reality through epidemiological data and relevant local studies. To address these aspects, an integrative methodology is employed, combining systematic review of medical literature, analysis of demographic data, and consultations with obstetric health professionals in Ecuador, with the purpose of obtaining a comprehensive understanding of the situation. It is concluded that effective management of PROM in Latin America, and specifically in Ecuador, requires a multidisciplinary approach encompassing clinical interventions and public health policies aimed at improving access to quality prenatal care, as well as mitigating social determinants of health and promoting gender equity. | es_ES |
| dc.description | Premature rupture of membranes (PROM) poses a critical obstetric challenge with adverse consequences for both mothers and fetuses. This research aims to comprehensively analyze PROM prevention strategies, causal factors, and incidence in Latin America, with a particular focus on the Ecuadorian situation. We begin by contextualizing the importance of PROM prevention, highlighting its link to complications such as preterm birth, chorioamnionitis, and neonatal morbidity and mortality. Various preventive interventions are examined, ranging from rigorous prenatal care to proper management of risk factors such as vaginal infection, as well as promotion of healthy lifestyle habits and self-care education during pregnancy. Next, potential causal factors of PROM are explored, including biological aspects such as inflammation and weakening of the amniotic membranes, as well as socioenvironmental determinants such as inequity in access to quality medical care, unfavorable socioeconomic conditions, and disparities in education and female empowerment. The existing evidence on the relationship between these factors and the incidence of PROM in Latin America is analyzed, focusing on the Ecuadorian reality through epidemiological data and relevant local studies. To address these aspects, an integrative methodology is employed, combining systematic review of medical literature, analysis of demographic data, and consultations with obstetric health professionals in Ecuador, with the purpose of obtaining a comprehensive understanding of the situation. It is concluded that effective management of PROM in Latin America, and specifically in Ecuador, requires a multidisciplinary approach encompassing clinical interventions and public health policies aimed at improving access to quality prenatal care, as well as mitigating social determinants of health and promoting gender equity. | es_ES |
| dc.description.abstract | La ruptura prematura de membranas (RPM) es un desafío obstétrico crítico con consecuencias adversas para madres y fetos. Esta investigación analiza la prevención, causas e incidencia de la RPM en América Latina, con énfasis en Ecuador. Se destaca la importancia de prevenir la RPM debido a su relación con complicaciones como parto prematuro, corioamnionitis y morbimortalidad neonatal. Se revisan intervenciones preventivas que incluyen cuidado prenatal riguroso, manejo de factores de riesgo como infecciones vaginales y promoción de hábitos saludables durante el embarazo. Se exploran posibles factores causales biológicos (inflamación, debilitamiento de membranas) y socioambientales (inequidad en atención médica, condiciones socioeconómicas desfavorables). Se examina la relación entre estos factores y la incidencia de RPM en América Latina, centrándose en Ecuador. Se emplea una metodología integradora que combina revisión sistemática de literatura médica, análisis de datos demográficos y consultas con profesionales de salud obstétrica en Ecuador. Se concluye que abordar la RPM en América Latina, especialmente en Ecuador, requiere un enfoque multidisciplinario que mejore el acceso a la atención prenatal y aborde determinantes sociales de salud y equidad de género. El estudio contribuye al conocimiento científico sobre la RPM y ofrece recomendaciones para políticas y programas de salud materna en América Latina, con énfasis en Ecuador. Se identifican áreas para futuras investigaciones, como evaluación de intervenciones específicas y desarrollo de estrategias culturalmente sensibles. | es_ES |
| dc.format.extent | 91 p. | es_ES |
| dc.language.iso | es | es_ES |
| dc.publisher | Babahoyo: UTB-FCS, 2024 | es_ES |
| dc.rights | Atribución-NoComercial-SinDerivadas 3.0 Ecuador | * |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/ec/ | * |
| dc.subject | Obstétrico | es_ES |
| dc.subject | Consecuencias adversas | es_ES |
| dc.subject | Morbimortalidad neonatal | es_ES |
| dc.subject | Debilitamiento de membranas | es_ES |
| dc.title | Factores de riesgo asociados a ruptura prematura de membranas en pacientes atendidas en el Hospital León Becerra Camacho. noviembre 2023 – abril 2024. | es_ES |
| dc.type | bachelorThesis | es_ES |
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