Cirugía uterina previa como factor de riesgo para acretismo placentario hospital regional docente de Trujillo y hospital Belén de Trujillo, 2005 - 2015

Abstract

Se realizó un trabajo de investigación, de casos y controles, analítico, retrospectivo, que incluyó 123 gestantes atendidas en el servicio de ginecología y obstetricia del Hospital Regional Docente De Trujillo y Hospital Belén De Trujillo en el periodo 2005-2015; los casos estuvieron conformados por 41 pacientes que presentaron acretismo placentario, y el grupo control constó por 82 gestantes que no presentaron acretismo placentario; en ambas poblaciones se evaluó la cirugía uterina previa como factor de riesgo para acretismo placentario. Se concluye que la cirugía uterina previa es un factor de riesgo asociado a acretismo placentario OR=3.4 (IC 95%: 1.4-7.8 p: 0.003) también el antecedente de cesárea (OR=3.4 IC 95%: 1.4-8.5 p=0.005) y el antecedente de miomectomía (OR= 7.16, IC 95%: 1.4-35.07 p= 0.017) son factores de riesgo. El antecedente de legrado (OR= 4.9 IC 95%: 1.44-16.74 p=0.13) no es un factor de riesgo.

A retrospective, analytic, case and control research was done, wich included 123 pregnant women atended in the gynecology and obstetric service of Trujillo docent regional hospital and Trujillo Belen hospital in the period 2005 - 2015; cases were composed of 41 patients who had placenta accreta, and the control group consisted of 82 pregnant women who did not have accretism; in both populations prior uterine surgery was evaluated as a risk factor for placenta accreta. It is concluded that the previous uterine surgery is a risk factor associated with accretism OR = 3.4 (95% CI: 1.4-7.8 p: 0.003) also a history of cesarean section (OR = 3.4; 95% CI 1.4-8.5 p = 0.005 ) and a history of myomectomy (OR = 7.16, 95% CI 1.4-35.07 p = 0.017) are risk factors. The history of curettage (OR = 4.9, 95% CI 1.44-16.74 p = 0.13) is not a risk factor.