Examinando por Autor "Castillo Cerda, Élida Isolina"

Seleccione resultados tecleando las primeras letras
Mostrando 1 - 1 de 1
  • Miniatura
    ÍtemAcceso abierto
    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.