Frecuencia del síndrome de Hellp en gestantes primigestas ingresadas en un Hospital de la Ciudad de Guayaquil.

Abstract

Hellp syndrome, an idiopathic complication of preeclampsia, detectable by clinical manifestations such as hemolysis, increased liver enzymes, and thrombocytopenia Objective: To determine the frequency of hellp syndrome in first-time pregnant women at a Hospital in Guayaquil. Methodology: It is a descriptive, quantitative, prospective, cross-sectional study. Population: 234 pregnant women. Sample: 107 primigravidas with hellp syndrome. Instrument: Indirect observation instrument. Results: The frequency of hellp syndrome, in the period from June to December 2021, is 54% and from January to June 2022, 46%. Among the sociodemographic characteristics, this syndrome occurs mainly in pregnant women aged 21 to 24 years (62%), of mestizo ethnicity (62%), with a secondary education level (74%), place of urban residence (72.89% ); Regarding the Mississippi Classification, the majority were in Class II (57.01%), Class III (29.91%) and Class I (13.08%); Regarding comorbidities, she presented eclampsia (80%), gestational diabetes (66.36%), obesity (35.51%), anemia (29.90%) and preeclampsia (14.39%). Conclusions: Hellp Syndrome occurs more frequently in pregnant women between 21 and 24 years old, with a classification II in terms of thrombocytopenia, presenting. Comorbidities were eclampsia and gestational diabetes.