Factors associated with recurrent abortions at the Hospital Materno Infantil Showing Ferrari, Huanuco, 2018-2020

Authors

DOI:

https://doi.org/10.37711/rpcs.2021.3.1.240

Keywords:

recurrent abortion, adolescent abortion, associated factors

Abstract

Objective. To determine the sociodemographic and clinical factors of recurrent abortion at the Hospital Materno Infantil Showing Ferrari, Huánuco, 2018-2020. Methods. An observational, retrospective and relational study was conducted in a cohort. The sample population was 572 women with a diagnosis of abortion attended at the Hospital, between October 2018 and December 2020. Women with ectopic pregnancy and complete abortions on admission to the hospital were excluded. The data collection technique was by documentary analysis through the Perinatal Information System. Results.A total of 572 (100%) women were included, 45.3 % (259) of cases were in the 18-29 years age group, 56.5% (323) were housewives and 64.9 % (371) were cohabiting women. Regarding clinical characteristics, 45.8% had more than three pregnancies, 21% and 22.4 % had post-procedural anemia and previous urinary tract infection, respectively, and 92.3% had curettage. The frequency of recurrent abortion was 32 %. Factors associated with a higher frequency for recurrent abortion were: being an adolescent p=0.000, housewife p=0.000, single p=0.000, two or more gestations p=0.000, blood transfusion p=0.001, preprocedural anemia p=0.010 and postprocedural anemia p=0.034. Conclusion. Recurrent abortion has a significant association with being an adolescent, housewife, single, having two or more pregnancies, blood transfusion, pre- and post- procedural anemia.

Downloads

Download data is not yet available.

References

1. Leal M, Castelar M. Abortamento na Adolescência: Atuação de Psicólogas em Hospitais-Maternidade Públicos de Salvador, Bahia. Psicol Ciência e Profssão [Internet]. 2019; 39: 1-15 [Consultado 2021 Ene 23]. Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-98932019000100limita108&tlng=pt

2. Santos A. A construção espírita do problema do aborto: ordem espiritual e discurso público. Reli Soc [Internet]. 2019; 39(3): 152–72 [Consultado 2021 Ene 23] Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-85872019000300152&tlng=pt

3. Cruz V, Ferraz K, Souzas R, Gonçalvez B. Criminalização do aborto no Brasil e implicações à saúde pública. Rev Bioética. 2013; 21(3): 494–508.

4. De Souza R, Andreoni S. Fatores associados ao aborto induzido entre jovens pobres na cidade de São Paulo, 2007. Rev Bras Estud Popul [Internet]. 2012; 29(2): 409–19. [Consultado 2021 Ene 8] Disponible en: https://www.scielo.br/pdf/rbepop/v29n2/a11v29n2.pdf

5. Monteverde M, Tarragona S. Abortos seguros e inseguros: Costos monetarios totales y costos para el sistema de salud de la Argentina en 2018. Salud Colect [Internet]. 2019; 9;15: e2275. [Consultado 2021 Feb 3] doi: 10.18294/sc.2019.2275

6. Ministerio de Salud y Protección Social, Fondo de Población de las Naciones Unidas. Determinantes del aborto inseguro y barreras de acceso para la atención de la interrupción voluntaria del embarazo en mujeres colombianas [Internet] [Consultado 2021 Feb 3] Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/SM-Determ-aborto-inseguro.pdf

7. Bearak J, Popinchalk A, Ganatra B, Moller AB, Tunçalp Ö, Beavin C, et al. Unintended pregnancy and abortion by income, region, and the legal status of abortion: estimates from a comprehensive model for 1990–2019. Lancet Glob Heal [Internet]. 2020; 8(9): e1152–61 [Consultado 2021 Ene 10] Disponible en: https://www.thelancet.com/pdfs/journals/langlo/PIIS2214-109X(20)30315-6.pdf

8. Ramos I, Hawker S, Da Silva S, Schuch C. Aborto induzido em mulheres de baixa renda: dimensão de um problema. Cad Saude Publica [Internet]. 1991; 7(2): 251–66 [Consultado 2021 Ene 8] Disponible en: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X1991000200009

9. Ganatra B, Gerdts C, Rossier C, Johnson BR, Tunçalp Ö, Assif A, et al. Global, regional, and subregional classifcation of abortions by safety, 2010–14: estimates from a Bayesian hierarchical model. Lancet [Internet]. 2017; 390(10110): 2372–81 [Consultado 2021 Ene 11] Disponible en: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)31794-4/fulltext

10. Say L, Chou D, Gemmill A, Tunçalp Ö, Moller A-B, Daniels J, et al. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Heal [Internet]. 2014; 2(6): e323–33 [Consultado 2021 Ene 10] Disponible en: https://pubmed.ncbi.nlm.nih.gov/25103301/

11. Maradiegue E. Aborto como causa de muerte materna. Rev Peru Ginecol Y Obstet [Internet]. 2006; 52(3): 150–3 [Consultado 2021 Ene 21] Disponible en: http://www.redalyc.org/articulo.oa?id=79890103

12. Taype-Rondan A, Merino-Garcia N. Hospitalizaciones y muertes por aborto clandestino en Perú: ¿Qué dicen los números? Rev Peru Med Exp Salud Publica [Internet]. 2016; 33(4): 829 [Consultado 2021 Ene 21] Disponible en: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/2573

13. Adesse L, Bonan C, Da Silva K, Matos V. Aborto e estigma: uma análise da produção científca sobre a temática. Cien Saude Colet [Internet]. 2016; 21(12): 3819–32 [Consultado 2021 Ene 8] Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232016001203819&lng=pt&tlng=pt

14. De Souza R, Fusco C. Comportamento do aborto induzido entre jovens em situação de pobreza de ambos os sexos – Favela México 70, São Paulo, Brasil, 2013. Reprodução Clim [Internet]. 2016; 31(1): 13–21 [Consultado 2021 Ene 9] Disponible en: http://dx.doi.org/10.1016/j.recli.2015.12.001

15. Fusco C, De Souza R, Andreoni S. Unsafe abortion: social determinants and health inequities in a vulnerable population in São Paulo, Brazil. Cad Saude Publica [Internet]. 2012; 28(4): 709–19 [Consultado 2021 Ene 10] Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2012000400010&lng=en&tlng=en

16. Mateo-Sánez HA, Mateo-Sánez E, Hernández-Arroyo L, Rivera-Ramírez P, Mateo-Madrigal M, Mateo-Madrigal V, et al. Recurrent pregnancy loss: A literature review [Pérdida recurrente del embarazo: Revisión bibliográfca]. Ginecol Obstet Mex [Internet]. 2016;

84(8): 523–34 [Consultado 2021 Ene 12] Disponible en: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85026635105&partnerID=40&md5=33bba0ecf62dcd33f850fa1eca8266af

17. Ávila S, Gutiérrez J. Aborto recurrente-revisión. Asoc Costarric Med Leg y Discip Afnes - Edición Virtual [Internet]. 2017; 34 (1): 1–11 [Consultado 2021 Ene 12] Disponible en: https://www.scielo.sa.cr/pdf/mlcr/v34n1/2215-5287-mlcr-34-01-226.pdf

18. Van Niekerk EC, Siebert I, Kruger TF. An evidence-based approach to recurrent pregnancy loss. S Afr J Obstet Gynaecol [Internet]. 2013; 19(3): 61 [Consultado 2021 Ene 13] Disponible en: http://hmpg.co.za/index.php/sajog/article/view/1534

19. Gobierno Regional de Salud. Protocolo para el manejo de casos de interrupción legal del embarazo [Internet] [Consultado 2021 Ene 10] Disponible en: http://bvs.minsa.gob.pe/local/minsa/2228.pdf

20. Pérez-Arciniegas E, Godoy-Albornoz D, Quiroz-Figuera D, Quiroz-Figuera D, Tovar-Thomas C, Romero-Herrera A, et al. Aspectos clínico-epidemiológicos del aborto en un Hospital de Upata. Estado Bolívar-Venezuela. Rev Biomed [Internet]. 2016; 27(1): 3–9

[Consultado 2021 Feb 3] Disponible en: http://revistabiomedica.mx/index.php/revbiomed/article/view/33

21. Cuba H, Ramírez F. Edad Materna avanzada como factor de riesgo de aborto recurrente en el Hospital Belén de Trujillo entre el año 2013-2018. Acta Médica Orreguiana Hampi Runa. 2019; 19(1): 29–41 [Consultado 2021 Feb

3] Disponible fle:///c:/users/investigador%201/downloads/1452-5094-1-pb.pdf

22. Manzur A. Aborto recurrente. Rev Médica Clínica Las Condes [Internet]. 2010; 21(3): 416–23 [Consultado 2021 Ene 28] Disponible en: http://dx.doi.org/10.1016/S0716-8640(10)70553-8

23. Rodríguez N, Cala A, Nápoles J, Milán Y, Aguilar M. Factores de riesgo asociados al embarazo en adolescentes. Rev Inf Cientítfca [Internet]. 2018; 9(5): 945–54 [Consultado 2021 Feb 3]. Disponible en:http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1028-99332018000500945&lang=es

24. Dónola M. Características de la atención del a 2018 [Internet] Huacho: Universidad Nacional José Faustino Sánchez Carrión Facultad; 2020 [Consultado 2021 Ene 8]. Disponible: http://repositorio.unjfsc.edu.pe/handle/UNJFSC/3961

Downloads

Published

2020-12-31

How to Cite

1.
Palma-Lozano D, Luyo Marcelini D, Cardenas Siu J, Borneo Cantalicio E, Diaz Lazo AV. Factors associated with recurrent abortions at the Hospital Materno Infantil Showing Ferrari, Huanuco, 2018-2020. Rev Peru Cienc Salud [Internet]. 2020 Dec. 31 [cited 2025 Aug. 29];3(1):20-5. Available from: https://revistas.udh.edu.pe/RPCS/article/view/240e

Similar Articles

1-10 of 228

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)