Complicaciones gineco-obstétricas en pacientes gestantes de 20 a 34 años con antecedente de preeclampsia con signos de severidad atendidas en el Hospital General Monte Sinaí durante el periodo de mayo 2022 – abril 2023.

Abstract

Complications linked to pregnancy can have profound consequences, making them essential pillars in shaping public health. Among these, hypertensive disorders of pregnancy, notably preeclampsia and eclampsia, emerge as pivotal pathologies. In the Ecuadorian context, both account for 27.53% of maternal deaths. Additionally, these conditions demonstrate significantly high rates of recurrence, perpetuating gynecological-obstetric complications in subsequent pregnancies. This underscores the urgency of addressing these issues within the realm of maternal health. In this observational and retrospective study, a sample of 524 patients was examined, with 199 women having a history of preeclampsia with signs of severity and 325 pregnant women without such a history. The objective was to identify and analyze gynecological-obstetric complications associated with a history of preeclampsia with signs of severity. Among the 199 women with this history, 152 encountered gynecological-obstetric complications (p=0.000), including the recurrence of preeclampsia (29.61%), hemorrhage (23.68%), threatened abortion (13.15%), preterm delivery (11.18%), and abortion (9.86%)