Asymptomatic Colelithiasis in Pregnant Patients in the Primary Care Level

Abstract

Background: Cholellthiasis is one of the registered causes within maternal deaths in an indirect way, with a reported up to 20% prevalence, it is considered within the main reasons for surgery in the postnatal period. Objective: To determine the frequency of asymptomatic cholellthiasis in pregnant successors of the Family Medicine Unit no. 53 (FMU 53). Material and methods: Observational, perspective, and descriptive study was conducted in the FMU 53 pregnant women who attended the service of ultrasound, size of sample was estimated taking 10% of anticipated ratio, significance of 95% and 3% of Alfa error corresponding to 348 patients. Excluding patients with diagnosis of biliary ducts pathology, biliary tract surgery patient carrier, and the ones who did not want to participate, ultrasound of biliary tract exploration took place; descriptive statistics was used for analysis and the results were presented in figures. Results: 348 Ultrasonographic studies were performed to pregnant patients, 16% (54) with presence of sonographic data of asymptomatic cholellthiasis, 66% (36) with age of 20 to 29 years, 26.5 as middle age, predominating the primigravid 41% (22) and the third trimester with 66% (33), in 74% multiple gallstones, polyps 7%, 39% thin complexion, 31% overweight and obesity and 33% with work activity. Conclusion: The incidence of asymptomatic Cholellthiasis in pregnant women of the FMU 53 is high, it predominates in primigravid patients of thin complexion , between 20 to 29 years of age, with multiple gallstones, size>5 mm and they are economically active women.