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Caracterización de los embarazos fallidos atendidos en Tunja, Colombia: estudio observacional retrospectivo.

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Title: Caracterización de los embarazos fallidos atendidos en Tunja, Colombia: estudio observacional retrospectivo.
Authors: García Paipa, Diana Carolina1, Rodríguez Huertas, Wilson Fernando2, Vargas Rodríguez, Ledmar Jovanny3 lejovaro@gmail.com
Source: Revista Médica de Risaralda. ene-jun2026, Vol. 32 Issue 1, p75-83. 9p.
Subjects: FETAL death, MISCARRIAGE, PRENATAL diagnosis, DISEASE risk factors, COHORT analysis
Geographic Terms: TUNJA (Boyaca, Colombia)
Abstract (English): Introduction: A failed pregnancy, also known as a miscarriage, can occur due to various factors. It has been reported that intrauterine fetal death is often an unexplained process or may be related to intrapartum factors or complications. Worldwide, fewer than 5% of fetal deaths are recorded, with intrauterine fetal death being the fifth leading cause of death worldwide. Objective: This research is therefore proposed to characterize failed pregnancies treated in the city of Tunja and their main related factors. Methodology: A descriptive, cross-sectional study. Pregnant women with failed pregnancies treated at healthcare institutions in the municipality of Tunja between January 1, 2023, and June 19, 2025, were included. Information was obtained and analyzed based on death certificates completed in RUAF-ND-v 2.0, with prior authorization for use. Results: A total of 143 fetal losses were reported, of which 31.47% were male and 15.38% were undetermined. 88.81% were spontaneous births, and 90.91% were preterm. Risk factors found included maternal age, previous deaths, being a primiparous mother, and social factors. Conclusions: Pregnancy failures that result in fetal death can be due to multiple factors related to the mother's health, uterine abnormalities, implantation problems, or, primarily, fetal genetic abnormalities, which the body itself is responsible for selecting for each. Therefore, it is important to conduct prenatal testing to reduce the risk of miscarriage during pregnancy. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: Un embarazo fallido también es conocido como una pérdida del producto, que puede ocurrir por distintos factores. Se ha reportado que la muerte fetal intrauterina muchas veces es un proceso inexplicable o puede estar relacionada con factores o complicaciones intraparto. A nivel mundial, se registran menos del 5 % de las muertes fetales, y la muerte fetal intrauterina es la quinta causa principal de muerte. Objetivo: Caracterizar los embarazos fallidos atendidos en la ciudad de Tunja y sus principales factores relacionados. Metodología: Se realizó un estudio observacional retrospectivo descriptivo basado en registros secundarios. Se incluyeron gestantes con embarazos fallidos atendidas en instituciones prestadoras de salud del municipio de Tunja entre el 1 de enero de 2023 y el 19 de junio de 2025. Se obtuvo y analizó la información con base en certificados de defunción diligenciados en RUAF-ND v2.0, previa autorización para su uso. Resultados: Se reportó un total de 143 pérdidas fetales, de las cuales el 31,47 % correspondía a sexo masculino y el 15,38 % eran indeterminados. Se encontró que el 88,81 % fueron partos espontáneos y el 90,91 % pretérmino. Entre los factores de riesgo identificados se encontraron la edad materna, antecedentes de muertes previas, la condición de primigestante y factores sociales. Conclusiones: Los embarazos fallidos, en los que ocurre la muerte del producto de la gestación, pueden deberse a múltiples factores relacionados con la salud materna, alteraciones del útero, problemas en la implantación y, principalmente, alteraciones genéticas del feto, en las que pueden intervenir mecanismos biológicos de selección natural. Por ello, se sugiere la realización de estudios previos al embarazo con el fin de disminuir el riesgo de pérdidas durante el proceso de gestación. [ABSTRACT FROM AUTHOR]
Copyright of Revista Médica de Risaralda is the property of Universidad Tecnologica de Pereira and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
Description
Abstract:Introduction: A failed pregnancy, also known as a miscarriage, can occur due to various factors. It has been reported that intrauterine fetal death is often an unexplained process or may be related to intrapartum factors or complications. Worldwide, fewer than 5% of fetal deaths are recorded, with intrauterine fetal death being the fifth leading cause of death worldwide. Objective: This research is therefore proposed to characterize failed pregnancies treated in the city of Tunja and their main related factors. Methodology: A descriptive, cross-sectional study. Pregnant women with failed pregnancies treated at healthcare institutions in the municipality of Tunja between January 1, 2023, and June 19, 2025, were included. Information was obtained and analyzed based on death certificates completed in RUAF-ND-v 2.0, with prior authorization for use. Results: A total of 143 fetal losses were reported, of which 31.47% were male and 15.38% were undetermined. 88.81% were spontaneous births, and 90.91% were preterm. Risk factors found included maternal age, previous deaths, being a primiparous mother, and social factors. Conclusions: Pregnancy failures that result in fetal death can be due to multiple factors related to the mother's health, uterine abnormalities, implantation problems, or, primarily, fetal genetic abnormalities, which the body itself is responsible for selecting for each. Therefore, it is important to conduct prenatal testing to reduce the risk of miscarriage during pregnancy. [ABSTRACT FROM AUTHOR]
ISSN:01220667
DOI:10.22517/25395203.25925