Complications in pregnant women attending prenatal care in an institution of second level

Abstract

Objetive To characterize gestational aspects and complications presented in pregnant women attending prenatal care in a second-tier institution. Methodology A descriptive, cross sectional, and retrospective study was conducted. 162 medical records of women, from an institutional database, were selected and revised. These women started their prenatal care in the second and third trimester of pregnancy and had already completed the gestation period. Data were analyzed using SPSS program, version 19.0 Results 38,3% of pregnant women were not included in the General System of Social Security in Health and 74,1% were classified as high risk. The most frequent complications were preterm labor (11,7%), urinary tract infections (7,4%), pregnancy-induced hypertension (6,8%) and vaginal infections (5,6%). Statistically significant associations were observed for: risk classification in their first control check, with the presentation of at least a gestational complication (p = 0,037); vaginal and urinary tract infections with a threat of preterm labor (p = 0,006) and (p = 0,012) respectively and a history of pregnancy-induced hypertension with the presentation of the same pathology in the current pregnancy (p = 0,001). Conclusion The associations found allow to recommend that risk factors such as urinary and vaginal infections and a history of pregnancy-induced hypertension must un ry early to avoid the presence of severe complications in the mother and fetus.