Prevalencia de parto pretérmino asociado a hepatopatías en gestantes de 16 a 35 años de edad, en el Hospital General Monte Sinaí durante el período mayo 2022 a mayo 2023.

Abstract

Introduction: Preterm birth according to the world health organization is defined as a live birth that occurs before 37 weeks of gestation. In the world, it is estimated that every year 15 million children are born prematurely. In 2022, 250,277 live births were obtained in Ecuador, 7% of these were classified as preterm births. Liver diseases during pregnancy are little studied and approximately 3% of pregnancies have some complication associated with liver disease. Objective: Determine the prevalence of preterm birth associated with liver disease in pregnant women between 16 and 35 years of age, at the Monte Sinaí General Hospital during the period May 2022 to May 2023. Methods: An observational, descriptive, cross-sectional, retrospective and analytical study was carried out. at the Monte Sinaí General Hospital with a diagnosis of preterm birth associated with liver disease. Results: Among the 2431 preterm deliveries, some liver disease was identified in 115 patients (4.75%). The most prevalent pathology was severe preeclampsia with liver complications, which occurred in 44 patients (38.26%). The age range that presented the most cases of preterm birth associated with liver disease was 31 to 35 years, 34 patients (29.57%). Conclusions: The prevalence of preterm births associated with liver disease during the period from May 2022 to May 2023 at the Mount Sinai General Hospital was 4.75%. The incidence of liver pathologies during pregnancy is estimated to be approximately 1 in every 500-5000 pregnancies. The pathology with the highest prevalence of preterm birth was severe preeclampsia with liver complications 38.26%.