Examinando por Autor "Artica Aliaga, Shani Shali"

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Maternal-fetal complications associated with premature rupture of membranes
(Universidad Privada Norbert Wiener, 2019-02-13) Artica Aliaga, Shani Shali; Sanz Ramirez, Ana María
The premature rupture of membranes (PROM) is an obstetric condition that occurs when the ovular membranes break before the onset of labor, occurring at the Manuel Angel Higa Arakaki Hospital. This is an observational, descriptive, retrospective study based on medical record reviews, describing the disease from admission, personal and obstetric history, clinical examinations, auxiliary results, diagnosis, management by the specialist, and transfer to a higher-complexity hospital. It was also compared with bibliographic precedents on the case. Results: The clinical case involved a patient aged 21 years with an initial diagnosis of 35-week pregnancy by first-trimester ultrasound, threatened preterm labor, premature rupture of membranes for approximately 5 hours, transverse left presentation, and vaginal septum. After evaluation, a cesarean delivery was decided, revealing severe oligohydramnios, transverse fetus, and risk of cord prolapse. The surgical finding included uterine fibroids, uterine hypotonia, hypovolemic shock, and ultimately maternal death. Conclusions: The clinical case determined that the premature rupture of membranes was associated with a recurrent urinary tract infection, leading to complications. It was evident that medical attention was not timely, which could have prevented maternal mortality.