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.