Examinando por Autor "Del Aguila Panduro, Milagros"

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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.