Examinando por Autor "Ayala Peralta, Félix Dasio"

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(Universidad Privada Norbert Wiener, 2017-12-07) Cruzado Valeriano, Delly Hermelinda; Cuba Navarrete, Luduvina Editta; Ayala Peralta, Félix Dasio
Uterine rupture is a clinical situation that may occur during labor or, more rarely, during pregnancy, with severe consequences for both maternal and fetal life. The possibility of uterine rupture in an intact uterus is rare, but prevalent risk factors such as multiparity, dystocia, fetal macrosomia, use of oxytocin, breech deliveries, obstetric trauma, internal and external fetal versions, uterine abnormalities, misuse of prostaglandins, and instrumental deliveries are described. This clinical case involves a 44-year-old multiparous patient at 38 weeks of gestation with uterine hypokinesia and a third-degree facial presentation. Fetal bradycardia was noted, and an immediate cesarean section revealed uterine rupture with posterior uterine segment rupture, followed by a cesarean hysterectomy and unilateral right salpingo-oophorectomy. The patient recovered well and was discharged with her newborn on the 7th postoperative day.
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(Universidad Privada Norbert Wiener, 2017) Sánchez Lujan, Marita Masiel; Yataco Montoya, Bettsy María; Ayala Peralta, Félix Dasio
This research aimed to identify maternal and perinatal complications during vaginal delivery of macrosomic newborns at the Instituto Nacional Materno Perinatal between January and December 2016. Methodology: An observational, descriptive, and retrospective study was conducted by reviewing 139 maternal discharge records. Results: The average maternal age was 34.8 ± 3.4 years. Sociodemographic characteristics: 79.1% were cohabiting, 67.6% had completed secondary education, 81.2% were housewives, and 97.1% belonged to a middle socioeconomic status. Obstetric variables: Prenatal care was deficient in 43.1% of cases, and 24.5% received no prenatal care. Pre-gestational BMI indicated 47.5% of women were overweight, and 11.5% had a gestational age over 42 weeks. Multiparity was observed in 79.1% of cases, with fetal macrosomia and maternal obesity as the predominant risk factors. Regarding newborns, 64% were male and 36% female. Most newborns had a moderate Apgar score at one minute (76.3%) and a normal score at five minutes (61.9%). Maternal complications: The most common were postpartum hemorrhage (56.8%), dysfunctional labor (55.4%), and soft tissue tears (54.7%). Perinatal complications: The most frequent were moderate depression at birth (33.1%), acute fetal distress (30.22%), shoulder dystocia (25.9%), and other complications (10.8%).
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(Universidad Privada Norbert Wiener, 2017) Breña Malvaceda, Indira Carolina; Mañuico Vivanco, Norma Gladis; Ayala Peralta, Félix Dasio
Preeclampsia is a syndrome characterized by hypertension and proteinuria, leading to severe complications with high maternal and fetal mortality rates, and an incidence of 5% to 10%. Risk factors associated with preeclampsia include nulliparity, preexisting medical conditions (such as hypertension, diabetes mellitus, and antiphospholipid syndrome), advanced maternal age, and obesity. These factors contribute to prematurity, intrauterine growth restriction, and low birth weight. Management of preeclampsia involves completing the pregnancy, depending on maternal-fetal status and the conditions of the birth canal. Fetal cardiotocographic monitoring is now considered a part of management. Case report: A 46-year-old multiparous pregnant woman at 32 weeks of gestation was diagnosed with preeclampsia. Risk factors included advanced maternal age and multiparity. Antepartum fetal monitoring, including Doppler ultrasonography and the non-stress test, alongside obstetric clinical evaluation, enabled timely decision-making for cesarean delivery. The outcome was a live newborn with a normal Apgar score and low birth weight.
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(Universidad Privada Norbert Wiener, 2017) Quilca Pinedo, Noemi Amanda; Moreno Martínez, Gabriela Luz; Ayala Peralta, Félix Dasio
Objective: To determine the factors associated with sexual dysfunction during pregnancy in pregnant women attending the maternal and child health center in Santa Anita, from January to October 2016. Materials and Methods: An observational, descriptive, analytical, and cross-sectional study of 201 pregnant women was conducted using the Female Sexual Function Index (FSFI). Chi-square tests were employed for statistical analysis. Results: The average age of the pregnant women was 26.2 ± 4.3 years, with 94.5% falling within the 19-34 age range. The predominant sociodemographic characteristics were cohabiting women (64.2%) and those with a secondary education level (46.8%). Sexual dysfunction was found in 42.8% of the studied pregnant women. The associated factors that influenced sexual dysfunction were: gestational age (p<0.001), unplanned pregnancy (p<0.001), and urinary tract infection (p<0.001). Urinary tract infection was 5.7 times more prevalent in women with sexual dysfunction compared to those without it. Sexual dysfunction was 13.5 times more prevalent in the third trimester of pregnancy compared to those without sexual dysfunction. The prevalence of sexual dysfunction was higher in the first and third trimesters of pregnancy; however, sexuality improved in the second trimester. Pregnant women who planned their pregnancies had higher ratings in the satisfaction domain, while those who did not plan had higher ratings in lubrication and satisfaction. The presence of a urinary tract infection significantly worsened sexual function, affecting all domains. Conclusions: The findings suggest that factors such as urinary tract infection and unplanned pregnancy influence sexual dysfunction during pregnancy, with higher prevalence during the first and third trimesters.
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(Universidad Privada Norbert Wiener, 2017) Mañuico Vivanco, Norma Gladis; Breña Malvaceda, Indira Carolina; Ayala Peralta, Félix Dasio
Preeclampsia is a syndrome characterized by hypertension and proteinuria, leading to severe complications with high maternal and fetal mortality rates, and an incidence of 5% to 10%. Risk factors associated with preeclampsia include nulliparity, preexisting medical conditions (such as hypertension, diabetes mellitus, and antiphospholipid syndrome), advanced maternal age, and obesity. These factors contribute to prematurity, intrauterine growth restriction, and low birth weight. Management of preeclampsia involves completing the pregnancy, depending on maternal-fetal status and birth canal conditions. Fetal cardiotocographic monitoring is now considered a part of management. Case report: A 46-year-old multiparous pregnant woman at 32 weeks of gestation was diagnosed with preeclampsia. Risk factors included advanced maternal age and multiparity. Antepartum fetal monitoring, including Doppler ultrasonography and the non-stress test, alongside obstetric clinical evaluation, facilitated timely decision-making for cesarean delivery. The outcome was a live newborn with a normal Apgar score and low birth weight.
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(Universidad Privada Norbert Wiener, 2017) Sánchez Lujan, Marita Masiel; Ayala Peralta, Félix Dasio
This research aimed to identify maternal and perinatal complications during vaginal delivery of macrosomic newborns at the Instituto Nacional Materno Perinatal between January and December 2016. Methodology: An observational, descriptive, and retrospective study was conducted by reviewing 139 maternal discharge records. Results: The average maternal age was 34.8 ± 3.4 years. Sociodemographic characteristics: 79.1% were cohabiting, 67.6% had completed secondary education, 81.2% were housewives, and 97.1% belonged to a middle socioeconomic status. Obstetric variables: Prenatal care was deficient in 43.1% of cases, and 24.5% received no prenatal care. Pre-gestational BMI showed 47.5% of women were overweight, and 11.5% had a gestational age over 42 weeks. Multiparity was observed in 79.1% of cases, with fetal macrosomia and maternal obesity as the predominant risk factors. Regarding the newborns, 64% were male and 36% female. Most newborns had a moderate Apgar score at one minute (76.3%) and a normal score at five minutes (61.9%). Maternal complications: The most common were postpartum hemorrhage (56.8%), dysfunctional labor (55.4%), and soft tissue tears (54.7%). Perinatal complications: The most frequent were moderate depression at birth (33.1%), acute fetal distress (30.22%), shoulder dystocia (25.9%), and other complications (10.8%).
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Acute puerperal uterine inversion as a cause of postpartum hemorrhage treated at the Huaral Hospital
(Universidad Privada Norbert Wiener, 2024-05-03) Poicon Machcco, Sheyla Lesli; Ayala Peralta, Félix Dasio
A clinical case of acute postpartum uterine inversion as the cause of postpartum hemorrhage treated at the Huaral Hospital. This is an observational, descriptive, retrospective study of a clinical history review of a pregnant woman whose delivery was complicated by acute uterine inversion, leading to postpartum hemorrhage. The patient was a second-time pregnant woman at 37 weeks, with a diagnosis of premature rupture of membranes and a history of preterm delivery three years prior, resulting in fetal death at 27 weeks. In the current pregnancy, she had a vaginal delivery, with a male newborn, Apgar score of 8 at one minute and 9 at five minutes, weighing 2980 grams, and clear amniotic fluid. During the delivery of the placenta, resistance was noted, and controlled suprapubic pressure and traction of the umbilical cord were applied. Uterine inversion occurred, leading to massive hemorrhage and hypovolemic shock. Immediate attempts at uterine repositioning were unsuccessful, and because of strongly adhered placental remnants, an exploratory laparotomy was performed to restore the uterus, and Landaure sutures were applied. The patient’s condition worsened, and a total hysterectomy with right oophorectomy was performed. In the intensive care unit, disseminated intravascular coagulation and renal failure were detected, leading to her referral to a third-level hospital.
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Advanced maternal age as a risk factor associated with obstetric morbidity
(Universidad Privada Norbert Wiener, 2023-05-08) Huaraca Nestares, Yhovana; Ayala Peralta, Félix Dasio
Objective: To identify scientific publications on advanced maternal age as a risk factor associated with obstetric morbidity. Methodology: The review was conducted through an electronic search of articles related to advanced maternal age as a risk factor associated with obstetric morbidity. Literature and publications from LATINDEX, SCIELO, LILACS, PUBMED, REDALYC, SCOPUS, and the Repository of the Norbert Wiener University were used. Original articles published in journals from Peru and abroad from 2012-2020 were included. Results: 87.5% of the publications show that women with advanced maternal age (≥35 years) are more likely to experience adverse obstetric outcomes such as preeclampsia, hypertension, gestational diabetes, preterm birth, and cesarean delivery. 12.5% of the publications indicate that very advanced maternal age (≥45 years), often a result of assisted reproductive technology, is associated with an increased risk of various obstetric pathologies, mainly preeclampsia and a higher rate of cesareans. Eight studies report adjusted odds ratios (ORa) for preeclampsia ranging from ORa=1.25-3.05; gestational diabetes ORa=1.83-5.96; preterm birth ORa=1.10-3.2; and cesarean ORa=1.33-2.8. Additionally, two studies show adjusted relative risks (RRa) for preeclampsia ORa=1.3-1.86; preterm birth RRa=1.20; and cesarean RRa=1.7. Conclusion: Advanced maternal age is mainly associated with preeclampsia, gestational diabetes, preterm birth, and a high cesarean rate.
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Anemia in pregnant women in the third trimester as a risk factor for preterm birth at María Auxiliadora Hospital, April – September 2018
(Universidad Privada Norbert Wiener, 2017-12-07) Gonzales Picón, Jazmín Milagros; Morón Guevara, Luz Milagros; Ayala Peralta, Félix Dasio
The study is a non-experimental quantitative analytical group difference study, retrospective cross-sectional. The study population was made up of the medical records of pregnant women who presented premature birth, a total of 705. Non-probabilistic convenience sampling type and the sample was made up of 250 medical records. The results were that 80% of the pregnant women were aged less than or equal to 19 years, 76.4% were in a cohabiting relationship, 93.2% were dedicated to their home, 80.8% of the pregnant women had education. secondary, 44% come from the coast, 73% of pregnant women had mild anemia, 21% of pregnant women had moderate anemia and 6% had severe anemia, Statistical association was found between both variables with a p value=.000. Concluding that the presence of anemia (mild, moderate or severe) in pregnant women in the third trimester is a risk factor for premature birth; and this association is statistically significant.
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Antepartum cardiotocographic finding in pregnancy in prolongation routes attended at the Junín-2020 support hospital
(Universidad Privada Norbert Wiener, 2022-09-16) Tucto Torres, Libida Marlith; Ayala Peralta, Félix Dasio
The clinical case presented is of a 40-year-old pregnant woman, multiparous, with a gestational age of 41 weeks, diagnosed with a pregnancy in the process of prolongation. Her risk factors include advanced maternal age, long interpregnancy interval, and multiparity. In antepartum fetal monitoring, the stress test showed a baseline of 150 bpm, a variability of 5, mild late decelerations present in 80% of the trace, mixed decelerations due to umbilical cord compression, isolated fetal movements, and spontaneous uterine contractions occurring 3 times in 10 minutes with a non-reactive positive result. These findings led to a decision to terminate the pregnancy, subjecting her to an emergency cesarean section. The outcome was a live newborn with an APGAR of 6 at one minute and an APGAR of 9 at five minutes, weighing 4050 grams, with thick meconium-stained amniotic fluid.
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Cardiotocographic findings in a non-reassuring fetal state. Hospital Aplao Arequipa, 2019
(Universidad Privada Norbert Wiener, 2022-11-10) Cerna Pérez, Dilcia; Ayala Peralta, Félix Dasio
A 36-year-old multigravida presented to the emergency department asymptomatic, with a 42-week pregnancy based on the last menstrual period and no signs of labor. She was hospitalized, and labor induction was initiated, with an initial Non-Stress Test (NST) of 9/10. After one day of induction with stationary progression and a Stress Test (ST) resulting in 4/10, which was diagnosed as a non-reassuring fetal status, an emergency cesarean section was performed. A newborn with an APGAR score of 6 at one minute and 8 at five minutes was delivered. Gestational age according to Capurro was 41 weeks, with the presence of meconium-stained amniotic fluid. The postoperative evolution was favorable.
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Cardiotocographic findings of the non-stressing test and perinatal results in terminal witnesses attended at the Ferreñafe referential hospital from january to june 2017.
(Universidad Privada Norbert Wiener, 2022-12-01) Zegarra Caro, Rosio del Rosario; Conde Félix, Alicia Mercedes; Ayala Peralta, Félix Dasio
Objective: To identify the relationship between cardiotocographic findings from the non-stress test and perinatal outcomes in term pregnant women attended at the Ferreñafe Reference Hospital, from January to June 2017. Materials and Methods: Observational, non-experimental, quantitative, descriptive, retrospective, and cross-sectional study. A review of 42 medical records of pregnant women who underwent the non-stress test (NST) and ended in either vaginal or cesarean delivery. Results: 50% were at 38 weeks, 60% had between 7 to 10 prenatal visits, and 40% were primigravidas. The cardiotocographic findings of the non-stress test and the mode of delivery in term pregnancies indicate that 93% delivered vaginally and 7% by cesarean section. At one minute, 71% had an APGAR score between 7 to 10, and at five minutes, 100% had a score between 7 to 10. Conclusion: Obstetric history of the pregnant women indicates that the majority were at 38 weeks of gestation. Most had between 7 to 10 prenatal visits. Primigravidas were more prevalent. Regarding delivery, vaginal delivery predominated over cesarean section. The APGAR score at one minute was between 7 to 10 for 71% of newborns, and at five minutes, all had scores between 7 to 10.
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Chorioamnionitis as a cause of preterm birth
(Universidad Privada Norbert Wiener, 1905-07-09) Diaz Cisneros, Mariluz Roxana; Martinez Vera, Yessika Marilin; Ayala Peralta, Félix Dasio
This is an observational, descriptive, retrospective study, reviewing a medical record of a case that occurred at the National Maternal Perinatal Institute of Lima during May 2017. Personal, pathological, obstetric history, clinical examination, auxiliary tests, specialized management, and the patient's evolution from admission to hospital discharge were included. Additionally, the case was compared with bibliographic references. Results: The clinical case involved an advanced maternal age patient (37 years), primigravida with a gestational age of 26 weeks and 6 days, diagnosed with chorioamnionitis and preterm labor. The patient initially presented with a threat of preterm labor, followed by premature rupture of membranes. Predominant criteria included rising leukocytosis over time and an increased level of C-reactive protein, leading to the diagnosis of chorioamnionitis and the decision to terminate the pregnancy, resulting in a live female newborn weighing 1040 grams, APGAR 1-5, who was admitted to the ICU. Placental pathology study: Chorioamnionitis. Conclusions: Chorioamnionitis is an ascending infectious pathology that, if not managed in time, leads to both maternal and perinatal complications.
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Effectiveness of electronic fetal monitoring in the diagnosis of funicular dystocia in pregnant women at term in the Hospital level III-2 of Lima.
(Universidad Privada Norbert Wiener, 2023-08-23) Castillo Cerda, Élida Isolina; Jinchuña Quispe, Gricelda Lidia; Ayala Peralta, Félix Dasio
Clinical case of a full-term pregnant woman with a reactive positive stress test showing signs suggestive of umbilical cord compression managed at a level III healthcare facility in Lima. Observational, descriptive, retrospective study based on a systematic review of the perinatal clinical history of a 31-year-old pregnant woman presenting with reduced fetal movements, diagnosed with a multigravida pregnancy at 41 weeks and 5 days based on her last menstrual period, and suspected placental insufficiency. Doppler ultrasound revealed a single nuchal cord around the fetal neck. The cardiotocographic tracing showed a baseline fetal heart rate of 138 bpm, decreased variability of 5–9, 1 to 4 accelerations, variable decelerations below 40%, and 5 or more fetal movements. Fisher score was 7/10 with signs suggestive of umbilical cord compression. The pregnancy was delivered via cesarean section, resulting in a live male newborn with an Apgar score of 8 at 1 minute and 9 at 5 minutes, weighing 3,598 g, with a single nuchal cord and gestational age of 40 weeks by Capurro. Conclusion: Fetal electronic monitoring is a useful procedure for detecting umbilical cord dystocia in full-term pregnant women.
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Findings of cardiotocographic records in intrapartum fetal monitoring in a pregnant woman with chorioamnionitis treated at the Ii-2 hospital in Tarapoto 2018
(Universidad Privada Norbert Wiener, 2023-04-14) Del Aguila Panduro, Milagros; Ayala Peralta, Félix Dasio
Observational, descriptive, retrospective study of a systematic review of the clinical history and intrapartum cardiotocographic record of a pregnant woman with chorioamnionitis at Hospital II-2 Tarapoto, in July 2018. Personal and obstetric history, findings from the cardiotocographic trace according to the Fisher and NICHD tests, diagnosis, obstetric management, and a literature review for discussion of the cardiotocographic findings were included. The clinical case presented is of a 15-year-old primigravida at 39 weeks by the last menstrual period, admitted to the hospital in labor. During the progression, she presented maternal and fetal tachycardia, tachysystole, fever, and leukocytosis. The cardiotocographic trace of 62 minutes recorded a baseline of 160 beats per minute, normal variability, absence of accelerations, and the presence of a prolonged variable deceleration, abnormal uterine activity. According to the NICHD test, this corresponds to category II, and according to Fisher, it indicates a fetus in questionable condition. The pregnant woman delivered a stillborn infant with meconium-stained amniotic fluid with a foul odor. The author concludes that intrapartum fetal electronic monitoring is useful for identifying alterations in fetal heart rate related to chorioamnionitis; however, it does not predict the final perinatal outcome.
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Interpretation of intrapartum electronic fetal monitoring and its relationship with the wellbeing of the newborn at Alberto Sabogal Sologuren Hospital, Callao - Lima 2020
(Universidad Privada Norbert Wiener, 2021-09-03) Asto Moreno, Haydee Zenaida; Ayala Peralta, Félix Dasio
Descriptive, correlational and retrospective study. The population: 300 pregnant women. Sample: 169 pregnant women. Dimensions: Normal pattern, suspicious pattern, pathological pattern, sociodemographic aspects of the mother, APGAR of the newborn and characteristics of the amniotic fluid. The age of the pregnant women ranged from 10 to 45 years. The findings of intrapartum fetal monitoring were presented in two groups, adolescents and adults, as follows: baseline fetal heart rate of 110-135 bpm: 47.93% and 30.18% respectively. Moderate variability 5-15 bpm: 43.20% and 22.49% respectively. The accelerations: 37.28% and 22.49% respectively. Tachycardia (160-170 bpm): 37.28% and 23.08% respectively; bradycardia (100-110 bpm): 21.30% and 17.75% respectively. Sinusoidal recording (3-4 cycles/min): 52.66% and 33.14% respectively. Likewise, intrapartum electronic fetal monitoring is significantly (p=0.000) related to sociodemographic aspects of the mother, the Apgar of the newborn and characteristics of the amniotic fluid.
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Intrapartum electronic fetal monitoring in the non-reassuring fetal state
(Universidad Privada Norbert Wiener, 2021-03-10) Mejía Quiroz, Zenia Rosa; Ayala Peralta, Félix Dasio
Materials and Methods: Bibliographic searches were conducted in 12 selected databases. Results: Among the reviewed studies, there were 21 original articles, 6 theses, and 3 systematic reviews. Most studies focused on term pregnancies in labor without previous pathologies and/or complications, except for 6 studies. The cardiotocographic patterns (MEFI) associated with non-reassuring fetal status included baseline tachycardia, bradycardia, unstable baseline, absence of accelerations, repeated late decelerations, prolonged decelerations, absence of fetal cycles, and marked, reduced, or absent variability. In 7 studies, the presence of accelerations or moderate variability was associated with preserved fetal well-being. In 2 studies, a higher incidence of cerebral palsy was observed, one of which was linked to a major obstetric complication. In 2 studies, there was an impact on perinatal mortality, but one was associated with an obstetric emergency. Conclusion: Most reviewed studies highlight the importance of intrapartum cardiotocographic tracing for detecting the onset of fetal hypoxia. Intrapartum fetal monitoring is a sensitive indicator for identifying fetuses with reassuring fetal status. MEFI does not have a significant impact on the prevention of cerebral palsy and mortality.
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Maternal-perinatal complications associated with insufficient prenatal care in pregnant women treated at the Hipólito Unánue National Hospital, 2019.
(Universidad Privada Norbert Wiener, 2021-03-25) Torres Espinoza, Sharo Dalicxa; Ayala Peralta, Félix Dasio
Materials and Methods: The study was analytical, observational, retrospective, with a cohort design, involving a sample of 200 perinatal medical records from the Hipólito Unanue Hospital. Results: The most frequent age range was between 20 and 34 years, representing 75%. Regarding marital status, 74% were cohabiting, 69% had studied up to secondary school, and 77% were housewives. Regarding the number of prenatal visits, it was found that 15% of pregnant women had 5 prenatal visits, 10.5% had 4 visits, and 8% had no prenatal care. Regarding maternal complications, it was determined that pregnant women with insufficient prenatal care had higher levels of significance for urinary tract infections (p=0.045), anemia (p=0.000), and preeclampsia (p=0.024). However, no significant association was found for perinatal complications (p>0.05). Conclusion: There is a significant association between maternal complications and insufficient prenatal care, such as urinary tract infections, anemia, and preeclampsia. However, according to this study, no significant association was found with perinatal complications.
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Maternal-perinatal complications in a pregnant woman with pulmonary tuberculosis treated at the Santa Rosa - Pueblo Libre hospital, 2020
(Universidad Privada Norbert Wiener, 2022-12-01) Bendezu Rivera, Rosemary Caroline; Ayala Peralta, Félix Dasio
The study is an observational, descriptive, retrospective case review of a pregnant woman with pulmonary tuberculosis, treated at Santa Rosa Hospital – Pueblo Libre in 2020. The case involves a 29-year-old pregnant woman who presented to the emergency department with contraction-like pain, respiratory difficulty, and tachypnea, diagnosed as a second pregnancy at 32 weeks of gestation by ultrasound, with threatened preterm labor, respiratory sepsis with suspected tuberculosis or pneumonia, chronic malnutrition, and mild anemia. A decision was made to terminate the pregnancy via cesarean section. The newborn was female, weighing 1735 grams, measuring 42 cm, with an Apgar score of 8 at one minute and 9 at five minutes, and a gestational age of 33 weeks according to Capurro. After a series of tests, the patient was diagnosed with pulmonary tuberculosis and was hospitalized for six days, starting treatment with Scheme 1. The maternal complications in this case were: preterm birth, anemia, chronic malnutrition, and respiratory sepsis; while the perinatal complications were prematurity and low birth weight.
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Periodic accelerations in pregnant women with funicular dystocia at the Juan Pablo II-2019 Maternal and Child Center.
(Universidad Privada Norbert Wiener, 2020-09-25) Quesada Porras, Mónica Leonor; Ayala Peralta, Félix Dasio
Material and Methods This is an observational, descriptive, retrospective study based on a perinatal clinical case review of a term pregnant woman with an intrapartum cardiotocographic tracing suggestive of funicular dystocia (nuchal cord) managed at a primary healthcare facility in Villa El Salvador in November 2019. Results The clinical case involves a 28-year-old nulliparous secundigravida at 40.1/7 weeks of gestation (per obstetric ultrasound), who presented with frequent uterine contractions. Prenatal ultrasound did not detect funicular dystocia. The cardiotocographic tracing showed a baseline variability between 90 and 150 bpm over 80 minutes, a variability range of 6-9 bpm, periodic accelerations during 100% of contractions, and four uterine contractions in 10 minutes. The delivery was completed vaginally, resulting in a live male newborn, with Apgar scores of 9 at 1 minute and 9 at 5 minutes, a birth weight of 3375 grams, a nuchal cord, terminal meconium, and a gestational age of 40 weeks per Capurro. Conclusion Intrapartum fetal monitoring in term pregnancies is a useful procedure for detecting funicular dystocia associated with periodic accelerations.