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Periodo intergenésico corto y largo asociado a complicaciones materno-neonatales. Hospital Vicente Corral Moscoso. Cuenca. 2019

Abstract:

The interpregnancy period (PI) is the time interval between one pregnancy and another. If it is less than 18 (PIC) and greater than 60 months (PIL), it is a risk factor for the development of maternal-neonatal complications. Objective: To determine the short and long intergenetic period as a factor associated with maternal-neonatal complications at the Vicente Corral Moscoso Hospital (HVCM), 2019. Methodology: A descriptive, retrospective and analytical study was carried out in 234 patients who had their delivery at the Vicente Corral Moscoso Hospital during 2019 and who presented maternal-neonatal complications. The data were analyzed with Epi Info and SPSS and the results were presented in simple and double-entry tables. Results: of the 234 patients, 37 had a short interpregnancy period, 108 a long interpregnancy period and 89 an optimal interpregnancy period. 56% were between 26 and 35 years old; 39.3% were married, and the percentage of urban and rural residence was presented in equal proportions. ICP increases the risk of preterm delivery (OR = 2.20 95% CI [1.13- 4.13]), fetal compromise (OR = 3.04 95% CI [1.7- 5.37]), and cesarean section (OR = 1.97 95% CI [1.09-3.53]), in addition PIL is a risk factor for developing pre-eclampsia (OR = 1.41 95% CI [1.05-1.90]), finding a statistically significant association. Conclusions: 15.8% of the pregnant women had a short interpregnancy period and 46.2% had a long interpregnancy period. There is a significant relationship between the interpregnancy period and obstetric complications; the intergenetic period was associated with premature delivery, fetal compromise and termination of pregnancy by cesarean section; and the prolonged interpregnancy period was associated with pre-eclampsia.