Valoración y seguimiento del riesgo obstétrico en embarazadas de seis consultorios de Medicina Familiar y Comunitaria del Centro de Salud Pascuales. Año 2021.

Abstract

Background: Pregnancy and/or childbirth are processes in which multiple factors intervene. Pregnancy causes important modifications in the maternal organism, produced by a functional overactivity; in pregnant women and in good health it remains within physiological limits; when it is exaggerated it can become pathological. In Ecuador there is a regulatory framework for managing the risks of pregnancy, but contradictorily there are several classifications of these, with similarities and differences, classifying the risks as low, high and very high. Methods: An observational, descriptive, prospective, crosssectional study was carried out that included as a study population health professional who provide care to pregnant women and those who were treated in six Family and Community Medicine clinics during the first trimester of pregnancy. 2021. The documents and regulations for the different risk classifications used in the Health System were reviewed and through interviews and surveys of postgraduate students, their knowledge about the categorization of obstetric risk was determined. The list of pregnant women was obtained and once classified according to obstetric risks, the quality of the diagnosis and the follow-up provided to pregnant women at risk were determined. Results: The study has postgraduate students in 80%, they know the current regulations in 82.9%, adequate controls in 82.9%, inadequate follow-up in 62.9%, recruitment of pregnant women in 46% Second trimester, high obstetric risk 54%, interconsultation 77.1%, references 48.6% Gynecology and Obstetrics. Conclusions: There are scales endorsed by the national health system with differences and similarities, these differences tend to cause confusion during the categorization of obstetric risk.