Cumplimiento de los controles prenatales en gestantes diabéticas atendidas en la consulta externa en el Hospital de Especialidades Teodoro Maldonado Carbo de la ciudad de Guayaquil.

Abstract

Diabetes in pregnancy carries risks of maternal-fetal complications, so compliance with prenatal check-ups is essential for prevention; however, various factors make adherence difficult, affecting the health of the mother and the development of the fetus. Objective: To determine compliance with prenatal check-ups in diabetic pregnant women treated in the outpatient clinic of a hospital in the city of Guayaquil. Methodological Design: Study with a quantitative, descriptive, prospective and cross-sectional approach. Population: 84 diabetic pregnant women from the outpatient area. Technique: Survey. Instrument: Questionnaire based on the Clinical Practice Guide of the Ministry of Public Health. Results: Diabetic pregnant women with secondary education (49%), mestizo ethnicity (84%) and from urban areas (62%). They receive information from doctors (52%) and nurses (42%) during prenatal check-ups (72%). They go to monthly blood glucose check-ups (54%) and wish to receive information (100%). They receive a care plan (72%) and education on nutrition and lifestyle (70%). They indicate that they are informed about the importance of prenatal check-ups (80%), they feel comfortable with health personnel (78%), they receive respectful and humane treatment (90%), support to manage their condition (68%) and the opportunity to discuss sensitive issues with health personnel (64%). Conclusion: The study showed that adherence to prenatal checkups among pregnant women with diabetes is suboptimal, as many women discontinue or fail to adequately follow the recommended schedule, due to barriers to care, limited knowledge of the disease, and lack of social support.