Frecuencia del legrado uterino en pacientes atendidas en el servicio de obstetricia del Hospital IESS Ceibos, Guayaquil, año 2025.

Abstract

Uterine curettage is a gynecological-obstetric procedure used for various uterine pathologies and pregnancy-related complications. Objective of this study was to determine the frequency of uterine curettage, sociodemographic characteristics, primary indications, and associated types of abortion among patients treated at IESS Ceibos Hospital during 2025. Methodology: A descriptive, quantitative, retrospective, and cross-sectional study analyzing 5,432 records of patients who underwent uterine curettage, using an indirect observation technique and an observation matrix. Results showed that 5,432 procedures were recorded in 2025, with the highest frequency occurring in September and October (10.00% each). Regarding sociodemographic characteristics, the 15–40 age group accounted for 77.30% of cases, while 97.05% of patients came from urban areas. As for indications, unspecified abnormal uterine bleeding was the leading cause (45.21%), followed by uncomplicated spontaneous incomplete abortion (38.88%) and missed abortion (13.18%). Regarding associated abortion types, uncomplicated spontaneous incomplete abortion accounted for 71.42%, followed by missed abortion at 24.21%. Conclusion: During 2025, uterine curettage was a frequent procedure at IESS Ceibos Hospital, predominantly performed on women of reproductive age from urban areas. The main indications were abnormal uterine bleeding, spontaneous incomplete abortion, and missed abortion, with the latter two being the abortion types most frequently associated with the procedure.