Abstract
BACKGROUND: Multiple pregnancy is the development of two or more fetuses simultaneously; but being the human species uniparous par excellence, MP is sensitive to the appearance of complications that affect both the mother and the fetuses, due to the high metabolic demand, hyperplacentation, and uterine distention. Among the most common obstetric and metabolic complications in women with MP are: premature delivery, hypertensive disorders of pregnancy, intrauterine growth restriction, premature rupture of membranes, gestational diabetes, anemia, urinary tract infection, hypothyroidism, and postpartum hemorrhage. The aim of this study is to identify the prevalence and risk factors related to obstetric and metabolic complications in multiple pregnancies. METHODS: An observational, descriptive and correlational cross-sectional study was carried out in the city of Cuenca, at Hospital José Carrasco Arteaga –IESS, during the period of June 2014 to June 201, in the department of obstetrics and gynecology (OBGYN), with a sample of 64 patients with multiple pregnancies. RESULTS: The results showed that 71.42% of the patients presented some of the studied complications. Preterm delivery was the most common obstetric complication, occurring in 79.7% of the patients, followed by preeclampsia, which occurred in 23.5%; while the most frequent metabolic complication was urinary tract infection ( in 37.5% of the patients), followed by anemia, which occurred in 25% of the patients. A statistically significant association (p<0.05) was found between the patient`s age and the presence of premature rupture of membranes. CONCLUSION: 71.42% of women with multiple pregnancy had obstetric or other type of complications. Preterm delivery was the most frequent complication, followed by urinary tract infections, anemia, and preeclampsia. A significant association was found between the age of the mother and the occurrence of premature rupture of membranes.
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