Factores de riesgo para Amenaza de Parto Pretérmino en gestantes adultas en el Hospital General Monte Sinaí período 2022-2023.

Abstract

Introduction: The threat of preterm labor encompasses the existence of irregular uterine contractions related to changes in the cervix, which occurs after 20 weeks and before 37 weeks of gestation, regardless of birth weight and is of multifactorial etiology. Objective: Identify the factors associated in hospitalized/emergency patients with threat of preterm birth in adult pregnant women at the Monte Sinaí General Hospital during the period 2022-2023. Methodology: This was a retrospective, observational and transversal class research work at the Monte Sinaí General Hospital (HGMS), from 2022 to 2023, carried out in Guayaquil, Ecuador. 140 clinical files of patients with PPA were examined; however, patients were discarded after using the inclusion and exclusion rules, establishing a population of 109 patients with PPA. The following variables were collected: age group, gestational week, prenatal care, interpregnancy period, BMI, urinary tract infection, preeclampsia, oligohydramnios, premature rupture of membranes. Analytical statistics were executed using the SPSS program. Results: The factors that obtained a significant statistic through the chisquare test (p ≤0.05) were age group (p = 0.023; OR 1.453), urinary tract infections (p = 0.001; OR 3.153), preeclampsia (p = 0.017; OR 1.314), premature rupture of membranes (p = 0.010; OR 1.255), oligohydramnios (p = 0.001; OR 2.224). Conclusion: The risk factors that predispose the threat of preterm birth are varied, so it is mandatory to create a patient management protocol quickly and in a timely manner.