Examinando por Autor "Fernández Ledesma, Scarlett Estela"

Mostrando 1 - 12 de 12

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Association between cardiotocographic results and anemia in pregnances cares for at the Daniel Alcides Carrión hospital from january to december 2018
(Universidad Privada Norbert Wiener, 2021-02-08) Romaní Berrocal, Patricia; Fernández Ledesma, Scarlett Estela
Objective: Analyze the association between cardiotocographic results and anemia in pregnant women treated at Daniel Alcides Carrión Hospital from January to December 2018. Methodology: Analytical, observational, cross-sectional, retrospective study with a case-control design. A group of 126 pregnant women treated at Daniel Alcides Carrión National Hospital during the specified period was studied. Two groups were identified: pregnant women with anemia (n=63) and control pregnant women (n=63) undergoing cardiotocographic tests. The analysis included absolute and relative frequencies, inferential analysis, and the association between variables determined by the chi-square test and Odds Ratio. Results: 95.2% of pregnant women were from urban areas, with an average age of 27.3±7.2 years. 68.3% were between 37 and 41 weeks of gestation, and 50.8% were in their second or third pregnancies. Among the cases, 91.2% presented Reactive Non-Stress Test (NST) results, and 50% had Negative Reactive Stress Test (CTS) results, compared to 98.2% and 100%, respectively, in the controls. Mild (81.8%), moderate (85.7%), and severe (50%) cases presented Reactive NST results. Cases and controls (91.2% and 98.2%) showed Reactive NST results. 12.7% of cases recorded the absence of accelerations compared to 1.6% in controls (p=0.039). Similarly, cases presented decreased or absent fetal movements (15.9% and 6.3%) versus controls (6.3% and 0%) (p=0.024). Other parameters did not show significant associations. Conclusions: The absence of accelerations, fetal movements, and doubtful fetal conditions emerged as protective factors for gestational anemia.
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Cardiotocographic findings in a true umbilical cord knot. Prosalud-Chota Clinic 2018.
(Universidad Privada Norbert Wiener, 2021-12-16) Sánchez Díaz, Gladys; Fernández Ledesma, Scarlett Estela
Objective: To identify cardiotocographic findings in a true umbilical cord knot in a term pregnant woman at Clínica PROSALUD-Chota. Material and Methods: This is an observational, descriptive, retrospective case study of a term pregnant woman presenting with a non-reactive Non-Stress Test (NST). Findings included non-reactivity, the presence of a mixed deceleration, and spikes suggestive of funicular compression. A literature review was conducted for case discussion. Results: The clinical case involves a term pregnant woman at 39 weeks gestation (by last menstrual period) who presented with a non-reactive NST. Findings included a baseline of 143 bpm, reduced variability, absence of accelerations, a mixed deceleration, and spikes, with more than five fetal movements and a Fisher score of 6/10. After evaluating maternal and fetal conditions, preparation for the operating room was initiated. Operative findings included a triple nuchal cord, a true knot, scant thick meconial amniotic fluid, and a live female newborn weighing 3020 grams with Apgar scores of 6 at 1 minute, 8 at 5 minutes, and 9 at 10 minutes. Conclusion: Fetal cardiotocography is a useful tool for detecting signs of funicular dystocia.
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Degree of knowledge and practices on biosafety measures in the Obstetrics staff of different health establishments MINSA, 2020.
(Universidad Privada Norbert Wiener, 2022-02-11) Cadillo Figueroa, Mery Luz; Fernández Ledesma, Scarlett Estela
Objective: To determine the relationship between the degree of knowledge and practices regarding biosafety measures among obstetrics personnel in various MINSA health establishments, 2020. Materials and methods: A qualitative study with an observational and retrospective design using secondary data. A search was conducted in databases such as Scielo, Redalyc, Ocronos, PubMed, Tesis en Red, and Google Scholar. The sample consisted of 20 articles that met the inclusion criteria from 2016 to 2021. Results: Of the 20 scientific articles analyzed, 100% addressed the degree of knowledge and practices related to biosafety measures, 90% (18) focused on knowledge and practice of handwashing, 85% (17) discussed knowledge and practice regarding the use of protective barriers, and 80% (16) identified knowledge and practice related to the proper disposal of contaminated materials by healthcare personnel. Conclusions: The reviewed research showed that healthcare personnel have a high degree of conceptual knowledge, but their practical application of biosafety measures is at a low level.
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Factors associated with premature rupture of membranes in pregnant women - 2021
(Universidad Privada Norbert Wiener, 2022-11-11) Gómez Echavigurín, Rosini; Fernández Ledesma, Scarlett Estela
Objective: To analyze and interpret the factors associated with premature rupture of membranes in pregnant women in 2021 through a systematic review. Methodology: A systematic review to analyze and synthesize data. A qualitative approach with an observational and retrospective design. Data was collected from search engines such as PubMed, Dialnet, Scielo, and LILACS. The data review period was from July to September 2021, with no data older than seven years. Keywords for the search: premature rupture of membranes. The technique used was documentary analysis. Results: Of the selected articles, 9 were case-control studies, 7 were reviews, 3 were descriptive, 3 were retrospective, 3 were cohort, 1 was correlational, 1 was comparative, and 1 was prospective. The results show that for premature rupture of membranes, 40% correspond to sociodemographic factors, 3.3% to economic factors, 30% to clinical factors, and 53.3% to gynecological-obstetric factors. Conclusions: The main factors for premature rupture of membranes in pregnant women aged 20 to 35 are: poor nutritional status (low weight); inadequate prenatal care; low income; urinary and cervical-vaginal infections; a history of premature rupture of membranes, abortion, cesarean section; amniocentesis, multiple pregnancies, cervical incompetence, previous use of an intrauterine device, primigravida, hemorrhage, oligohydramnios, short interpregnancy period, and breech presentation.
Acceso abierto
Factors related to the onset of sexual intercourse in fifth-year high school adolescents at Colegio 3066 Señor de los Milagros in the district of Comas, from July – October 2017
(Universidad Privada Norbert Wiener, 2017-12-07) Gil Cerna, Jhovana; Preciado Infantes, Noemí Elizabeth; Fernández Ledesma, Scarlett Estela
Of the 44 adolescents surveyed, which is made up of men and women, within which they are divided into 3 ages: 15, 16 and 17 years old. Showing that 70.5%, which is more than half, have not yet started their coital relationships, while of those who have already started and have the highest percentage among them, it is 11.4% who are 15 years old. It was found that the consumption of toxic substances, according to the p value, is the influential factor, demonstrating that of the total of those who have not started sexual relations, 77.4% have not consumed toxic substances and of the total of those who have started their coital relations, 69.2% have consumed. Within the same factor, 100% of adolescents have educational aspirations.
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Importance of cardiotocography and its interpretation in gestational diabetes"
(Universidad Privada Norbert Wiener, 2019-06-28) Villanueva Arequipeño, Liz Soledad; Fernández Ledesma, Scarlett Estela
To present the clinical case of a 39-year-old pregnant woman, multigravida at 37.3 weeks according to second-trimester ultrasound, with no prior history of diabetes or family history of diabetes. However, her obstetric history included fetal death, spontaneous abortion, and hospitalization one month earlier for uncontrolled gestational diabetes. The patient presented to the emergency department of a healthcare institution on August 26, 2017, at 10:24 a.m. due to decreased fetal movements for two days. Two fetal well-being tests were performed: a non-stress test (NST) with a non-reassuring pattern and a biophysical profile (BPP) indicating 37 weeks of gestation with a score of 6/8, nuchal cord, and an estimated fetal weight of 3329 grams. Blood glucose was 63 mg/dL. An endocrinology consultation recommended continuous glucose monitoring, dietary adjustments, and insulin treatment. With these clinical findings, the patient was transferred to the delivery room, where a stress test (CST) yielded unsatisfactory results. At 10:44 p.m., due to the absence of an indication for delivery and a glucose level of 62 mg/dL, the on-duty physician recommended hospitalization. Fetal heart rates were monitored every three hours during the night and found to be normal. However, at 8:00 a.m., fetal heart sounds were absent, confirmed by ultrasound, leading to an abdominal delivery. Operative findings: fetal death, female fetus, APGAR 0/0, Capurro: 37 weeks, weight: 3280 grams, placenta: 500 grams with complete cotyledons, intact membranes, thick meconium-stained amniotic fluid in small quantities, and a slightly tightened single nuchal cord. Conclusion: Proper recording and interpretation of cardiotocographic parameters in electronic fetal monitoring in diabetic pregnant women are crucial to identifying fetal risks, ensuring timely management, and preventing maternal and perinatal complications.
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Influence of a preventive program on iron deficiency anemia on the level of knowledge of pregnant women attended at the John Paul II maternal and child center, 2019.
(Universidad Privada Norbert Wiener, 2020-07-20) Ayala Justano, Epifania Thalia; Fernández Ledesma, Scarlett Estela
Objective: To determine the influence before and after the implementation of a preventive program on iron deficiency anemia regarding the knowledge level of pregnant women attended at the Juan Pablo II Maternal and Child Center, 2019. Materials and Methods: An experimental, prospective, longitudinal study with a quasi-experimental design was conducted. A total of 40 pregnant women attending the obstetric psychoprophylaxis service at the Juan Pablo II Maternal and Child Center participated, divided into two groups: an experimental group (n=20) and a control group (n=20). Prior to the educational intervention, a pre-test was applied to each group to measure their knowledge level about iron deficiency anemia during pregnancy. After the educational intervention in the experimental group, a post-test was applied to both groups. Results: The results showed a statistically significant influence of the preventive program on iron deficiency anemia regarding the knowledge level of the pregnant women attended at the Juan Pablo II Maternal and Child Center, as evidenced by the p-value of 0.000. Conclusion: The implementation of a preventive program on iron deficiency anemia significantly influences the knowledge level of the pregnant women attended at the Juan Pablo II Maternal and Child Center, 2019.
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Influence of the application of an educational workshop on reproductive sexual health, at the level of knowledge of students of a pre-university center, in the period of may to july 2019
(Universidad Privada Norbert Wiener, 2024-01-08) Yañe Bastidas, Leidy Vanessa; Fernández Ledesma, Scarlett Estela
The study was of a quasi-experimental, cross-sectional prospective analytical type where there was a sample of 120 students enrolled in a Pre-University Center. The technique used was the survey and the instrument was a questionnaire.
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Knowledge and attitudes about HIV/AIDS transmission routes in fifth-year high school students at the private educational institution Santo Domingo, El Apóstol
(Universidad Privada Norbert Wiener, 2018-11-08) Gálvez Gaviria, Lloyd Yosselyn; Fernández Ledesma, Scarlett Estela
It was determined that the level of knowledge is high among 5th grade high school students about the transmission routes of HIV-AIDS. And that they presented favorable attitudes about the routes of transmission of HIV-AIDS.
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Narrative review of scientific studies on the increase of gestational weight in relation to the weighted neonate
(Universidad Privada Norbert Wiener, 2023-09-25) Vargas Tito, Solina; Fernández Ledesma, Scarlett Estela
Objective: To determine the scientific evidence of gestational weight gain in relation to neonatal weight. Materials and methods: A qualitative scientific review design was used. Systematic searches were conducted in multiple virtual libraries such as Lilacs, Elsevier, Scielo, and PubMed. A total of 30 articles published between 2016 and 2021 were collected. The Grade system was used to assess the strength of recommendations. Results: It was found that 73% of the studies mentioned a significant relationship between overweight and macrosomia, while 27% of the studies indicated a statistically significant relationship between obesity and macrosomia. 89% of the studies reported a statistically significant relationship between insufficient weight gain during pregnancy and low birth weight, while 11% of the studies reported no significant relationship between weight loss during pregnancy and neonatal weight loss. Conclusions: The scientific literature review shows that there is consistency between gestational weight gain and neonatal weight according to the scientific evidence reviewed, both nationally and internationally.
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Narrative review of studies on the evaluation of the fetal status through antepartum cardiotocographic records in pregnancy women in the third trimester during 2021
(Universidad Privada Norbert Wiener, 2018-07-31) Ruiz Lozada, Ethel Denisse; Fernández Ledesma, Scarlett Estela
Objective: Systematize and classify the cardiotocographic results of fetal status in third-trimester pregnant women during 2021. Material and Methods: A qualitative study based on a bibliographic review, including 30 studies. Results: According to the studies, the cardiotocographic parameters of fetal status in third-trimester pregnant women mostly showed a normal baseline (120-160 bpm) (26.67%), variability of 6 to 25 bpm (23.33%), presence of accelerations (23.33%), absence of decelerations (10.0%), and fetal movements greater than 5 (16.67%). Conclusions: Upon systematizing and classifying the cardiotocographic results of fetal status in third-trimester pregnant women during 2021.
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Scientific studies on obstetric psychoprophylaxis in the adoption of procedural skills in pregnant women in the third trimester November 2020, Lima-Peru
(Universidad Privada Norbert Wiener, 2021-08-10) Martínez Cortez, Aurora Alessandra; Fernández Ledesma, Scarlett Estela
Background: Obstetric psychoprophylaxis is an educational development for integral, theoretical, physical, and psycho-affective conditioning tailored to individual needs throughout pregnancy, childbirth, and the postpartum period. Its goal is to achieve the most optimal obstetric period, providing a beneficial and healthy experience for the expectant mother and her newborn. Objective: To analyze and interpret the effectiveness of obstetric psychoprophylaxis in the adoption of procedural skills in pregnant women through a literature review. Materials and Methods: This study is a bibliographic review based on the analysis and interpretation of various scientific investigations related to the effectiveness of obstetric psychoprophylaxis in adopting procedural skills. A search protocol was developed in five databases: PubMed, Scielo, PMC, ELSEVIER, and Cochrane Database. Results: This bibliographic review was conducted on 12 scientific investigations, all aimed at determining the effectiveness of obstetric psychoprophylaxis in adopting procedural skills. Conclusions: There is scientific evidence demonstrating the effectiveness of obstetric psychoprophylaxis in adopting procedural skills.