Comportamiento de los programas de diagnósticos prenatal en Consolación de Sur enero 2003- febrero 2004. Behavior of programs for antenatal diagnosis in Consolacion del Sur. January 2003-February 2004

Authors

  • Eunice Echevarria Cabrera Lic. Asistente. Facultad de Ciencias Médicas Dr. Ernesto Ché Guevara de la Serna. Miembro Titular de la Sociedad Cubana de Enfermera.
  • Blanca F. Hernández Soto Lic. Instructora. Hospital Gineco- Obstétrico Justo Legón Padilla. Titular de la Sociedad Cubana de Enfermería.
  • Dianelys Nuñez Hernández Especialista de I Grado en Medicina General Integral. Policlínico Comunitario 1ro de Enero. Consolación de Sur. Pinar del Río.
  • Reinaldo Menéndez García Especialista de I Grado. Genetista. Policlínico de Especialidades. Pinar del Río.

Abstract

Durante todo estos años, el Programa de Genètica ha costribuido en gran medida a la reducción de las tasas de mortalidad infantil y los indicadores de morbilidad y calidad de vida en la comunidad, los protagonistas principales el médico y la enfermera de la familia juegan un papel de extraordinario valor por lo que se realizó un estudio descriptivo, prospectivo, de corte logitudinal que abarcó el total de las gestantes desde el 1 de enero de 2003 hasta el 29 de febrero de 2004, en ambos policlínicos del municipio Consolación de Sur. Se utilizaron datos de las consultas de genéticas y se aplicó una encuesta a las gestantes objeto de estudio. Asistieron a consulta de Deteción de Riesgo Genéteico Comunitario las 370 gestantes estudiadas(100%), clasificándose con riesgos genéticos incrementado 109 gestantes(29,5%). Los principales factores de riesgo genéticos identificados fueron el embarazo en la adolescencia, los antecedentes familiares de malformación congénita y enfermedades genéticas y la edad materna avanzada. Se realizaron 18 diagnósticos prenatales citogenéticos resultando todos normales. Mediante el ultrasonido bidimencional se diagnosticaron en el policlínico 1ro de Enero, 3 malformaciones (2 renales y 1cardiovascular). En todos los casos la pareja solicitó interrupción terapéutica del embarazo después del asesoramiento genético y el diagnóstico fue comprobado por Anatomía Patológica. Se comprobó la relación entre los valores bajos Alfafetoproteína y el bajo peso al nacer.

Palabras clave: GENÉTICA, MORTALIDAD INFANTIL, PRENATAL, MALFORMACIONES.

ABSTRACT

During all these years the program of Genetics has greatly contributed towards the reduction of birth mortality rate and the indicators of morbidity and wuality of life in the Community. The main protagonists are the family nurse and doctor who play a very special role. A descriptive, prospective and longitudinal study during January 1st 2003 until February 29th 2004 in both outpatients clinics belonging to Consolación del Sur Municipality was carried out.data from Genetic Consultations were processed and a survey to pregnants of the study group was applied in the consultation of Detection of Genetic Risk Factors in the Community were studied 370 pregnants that represented 100 %, genetic risk factors increased in pregnants 109 (29.5 %). Main genetic risk factors identified were pregnancy in adolescence, family history of congenital malformation, genetic diseases and late maternal age; resulting normal 18 prenatal cytogenetic diagnosis. By means of the bidimensional ultrasound 2 renal and 1 cardiovascular malformations were diagnosed at "Primero de Enero" outpatient clinic. In all cases the couple asked for therapeutic interruption of pregnancy after the genetic advice proving the diagnosis at Pathological Anatomy Department. A relationship between Alpha - fetoprotein low levels and low weight at birth was proved.
prospective

Key words: GENETICS, CHILD MORTALITY RATE, PRENATAL, MALFORMATIONS.

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How to Cite

1.
Echevarria Cabrera E, Hernández Soto BF, Nuñez Hernández D, Menéndez García R. Comportamiento de los programas de diagnósticos prenatal en Consolación de Sur enero 2003- febrero 2004. Behavior of programs for antenatal diagnosis in Consolacion del Sur. January 2003-February 2004. Rev Ciencias Médicas [Internet]. 2012 Oct. 8 [cited 2025 Aug. 30];9(2):2-15. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/221

Issue

Vol. 9 No. 2 (2005)

Section

ORIGINAL ARTICLES

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