Prevalencia del síndrome de Hellp en gestantes multíparas ingresadas en un hospital de la ciudad de Guayaquil.

Abstract

HELP syndrome is a severe multisystem complication characterized by a classic triad of hemolysis, elevated liver enzymes, and thrombocytopenia. Objective: To design the prevalence of Hellp syndrome in multiparous pregnant women admitted to a hospital in the city of Guayaquil. Methodology: Descriptive, quantitative, retrospective, cross-sectional. Population: 526 women with Hellp syndrome. Technique: Indirect observation. Instrument: Data collection matrix. Results: Ages: less than 25 years 50.57%; from 26 to 30 years, 19% and from 31 to 35 years, 15.97%. Number of pregnancies 2 previous deliveries 63.8%; followed by 3 deliveries 26.81% and finally more than four deliveries 9.32%. Number of controls more than four controls 92.97% and less than 3 controls 7.03%. Number of abortions 88.59% of multiparous pregnant women have no history of abortions, with preterm pregnancies 82.20%, with a history of 14.26% chronic arterial hypertension, 10.84% eclampsia and 8.37% preeclampsia, on 6 .27% evidence drug use; 3.23% alcohol and 2.09% tobacco. The morbid history 58.37% have arterial hypertension; 20.91% diabetes mellitus; 9.13% obesity. The clinical manifestations 36.31% have genital bleeding, edema 30.04%; arterial hypertension 29.47%; 28.14% tonic-clonic movements; nausea 23.76%; vomiting 20.34%; general malaise 19.77%; headache 13.12%; epigastralgia 6.46; and hyperreflexia 5.13%. With complications of hematological dysfunction 31.94%; renal dysfunction 30.80%; respiratory dysfunction 13.69%; liver dysfunction 9.89%; cardiac dysfunction 9.32% and multiple organ failure 4.37%. Conclusions: The prevalence of Hellp syndrome during the 5-year study period was 6.66%.