Examinando por Autor "Marín Guevara, Leticia Gloria"

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(Universidad Privada Norbert Wiener, 2017-11-18) Calderón Collazos, Damaris Loani; Carrillo Poma, Pamela Kasandra; Marín Guevara, Leticia Gloria
The study aimed to determine the factors influencing depression in adolescent pregnant women aged 10 to 19 years in the Gyneco-Obstetrics service at the "Hipólito Unanue" National Hospital between July and August 2017. The study was quantitative, descriptive-correlational, and cross-sectional, involving 224 adolescent pregnant women. Two surveys, "Related Factors" and Zung and Conde's Depression Self-Scale, were used. Results revealed that the average age of the participants was 17 years, with 46.4% having incomplete secondary education, 73.7% being housewives, and 63.8% living with their partners. Regarding family factors, 49.6% of the adolescents came from nuclear families, with 48.7% reporting family conflicts during pregnancy. Additionally, 22.8% experienced psychological violence. In terms of marital factors, 58.9% of the partners were older than 21 years, and 58% had conflicts with their partners during the pregnancy. Regarding depression, 85.3% of the adolescents had depression, with 46% experiencing severe depression, 26.3% moderate, and 13% mild. Statistically significant relationships were found between depression and factors such as suicidal ideation, discussions with partners, and family conflicts (p-values = 0.001, 0.002, and 0.004, respectively).
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Adolescent pregnancy and its relationship with low knowledge of contraceptive methods
(Universidad Privada Norbert Wiener, 2022-02-10) Palomino Diaz, Leydy Fanny; Marín Guevara, Leticia Gloria
The objective of this research was to determine the scientific evidence from observational studies related to adolescent pregnancies and their relationship with low knowledge of contraceptive methods. This study is a quantitative publication review. Observational studies, descriptive, systematic reviews, quasi-experimental, cross-sectional, ecological, case-control, and retrospective studies were selected, found in the PubMed, REDIB, Lilacs, Dialnet, and Google Scholar databases from 2015 to 2021. A total of 30 scientific articles were considered for this study. According to the findings from the reviewed articles, low knowledge about contraceptive methods is related to adolescent pregnancies, as lacking knowledge about contraceptive methods increases the probability of experiencing a pregnancy by 75%. Furthermore, sexual education is an effective strategy to decrease the adolescent pregnancy rate. Low knowledge of contraceptive methods is related to adolescent pregnancies.
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Comparative study of complications associated with the use of versus routine episiotomy the restrictive episiotomy in primíparas atended at the Hipolito Unanue National Hospital, 2019
(Universidad Privada Norbert Wiener, 2019-11-26) Silverio Piñola, Rubi Naysha; Marín Guevara, Leticia Gloria
Objective: To determine the complications associated with routine episiotomy versus restrictive episiotomy in primiparous women attended at the Hipólito Unanue National Hospital, 2019. Materials and Methods: This was a prospective observational cross-sectional case-control study with a sample of 216 primiparous women attended at the Hipólito Unanue National Hospital. Results: 42.6% of the primiparous women were between 20-25 years old, 63.4% were cohabiting, 68.1% were homemakers, 53.7% had completed secondary education, and 58.3% came from the coastal region. Additionally, 64.4% of the women surveyed did not attend psychoprophylaxis sessions, 65.3% had pregnancies lasting between 39 to 40 weeks, and 71.3% received complete prenatal care. 48.6% of the newborns weighed between 3000 and 3999g. Routine episiotomies were performed by medical interns (23.4%), while restrictive episiotomies were performed by gynecologists-obstetricians (27.3%). Complications of routine episiotomy included first-degree perineal tears (39%), vulvoperineal hematomas (0.9%), vulvoperineal edema (19.4%), partial suture dehiscence (2%), and severe perineal pain (38%). Complications of restrictive episiotomy included first-degree perineal tears (29.6%), vulvoperineal edema (13.9%), and moderate perineal pain (30.6%). Conclusion: Routine episiotomy resulted in more complications compared to restrictive episiotomy in primiparous women attended at the Hipólito Unanue National Hospital.
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Comparative study of maternal and perinatal benefits during labor in patients who attended and did not attend the obstetric psychoprophylaxis program at Hospital Nacional Hipólito Unanue, July-December, Lima, 2017
(Universidad Privada Norbert Wiener, 2018-02-12) Yauris Ocrospoma, Carol Reyna; Saavedra Espinoza, Wendy Yesenia; Marín Guevara, Leticia Gloria
OBJECTIVE: Compare the maternal and perinatal benefits during labor of patients who attended and did not attend the Obstetric Psychoprophylaxis program of the Hipólito Unanue National Hospital, July-December, Lima, 2017. METHODOLOGY: Descriptive, comparative, retrospective and cross-sectional study. RESULTS: 100% of patients with Obstetric Psychoprophylaxis (OPP) had >6 controls, while 53% of patients without OPP had <6 controls; 83% and 43% of patients with PPO and without PPO respectively had a gestational age of 39 weeks; The frequency of contractions was 3 contractions in 10 minutes with 97% in patients with PPO, the duration of the dilation period was 8 -14 hours with 97% in patients with PPO, however 43% of patients without PPO had a duration of >15 hours, the duration of the expulsive period was 15 - 30 minutes with 97% in patients with PPO, however 50% of patients without PPO lasted > 30 minutes. CONCLUSION: There are maternal and perinatal benefits in patients who received Obstetric Psychoprophylaxis in relation to patients who did not receive preparation.
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Conocimientos y actitudes de prevención sobre el virus del papiloma humano en estudiantes del cuarto y quinto año del nivel secundario de una institución educativa, Lima - 2024
(Universidad Privada Norbert Wiener, 2025-03-04) Vilchez Rodriguez, María Rita; Marín Guevara, Leticia Gloria
La presente investigación tuvo como objetivo general “determinar la relación entre los conocimientos y las actitudes de prevención sobre el virus del papiloma humano en estudiantes del cuarto y quinto año del nivel secundario de la Institución Educativa 2057 José Gabriel Condorcanqui, Lima 2024”. Para ello, metodológicamente, se constituyó como un estudio de método hipotético-deductivo, enfoque cuantitativo, tipo básico y diseño no experimental, transversal y correlacional. Contó con una población de 223 estudiantes de cuarto y quinto año de secundaria, sobre los que se aplicó un muestreo censal, por lo cual la muestra también fue de 223 estudiantes. A estos se les aplicaron dos cuestionarios de creación propia como instrumentos de recolección de datos, mismos que fueron analizados por medio de tablas de distribución de frecuencias y el coeficiente de correlación Rho de Spearman. Al respecto, los resultados indican que la mayor parte de la muestra, con un 52,9%, tiene un conocimiento de prevención sobre el VPH de nivel bajo, de la misma que la mayoría, con un 38,6%, tiene una actitud de prevención sobre el VPH de grado muy favorable, existiendo una correlación entre ambas variables y sus dimensiones de tipo inverso, grado débil y alta significancia. Por ello, se concluye que a medida que aumenta el nivel de conocimiento de prevención sobre VPH, disminuyen las actitudes de prevención sobre el VPH poco favorables.
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Efectividad del Programa Educación Sexual sobre el grado de conocimientos y la actitud de los docentes en Colegios de Lima, 2021
(Universidad Norbert Wiener, 2023-05-31) Marín Guevara, Leticia Gloria; Vásquez Tomás, Melba Rita
El objetivo de la presente tesis fue determinar la efectividad de la aplicación del Programa Educativo “Educación Sexual” en el nivel de conocimiento y actitud en docentes de los colegios de secundaria de Lima. El estudio es de tipo cuantitativo, nivel aplicativo, método hipotético deductivo, con diseño experimental y subdiseño cuasi – experimental. Se llevó a cabo 30 sesiones educativas a una muestra intencionada de 110 docentes. La recolección de datos se realizó mediante un cuestionario de alternativas múltiples y una escala tipo Likert, cuya aplicación se dio antes y después de la intervención; asimismo, procesamiento y análisis de datos se realizó con el software estadístico SPSS versión 25 y para determinar la efectividad del programa se utilizó la prueba estadística T de Student. En el análisis de los resultados se observó un incremento en el grado de conocimientos en la dimensión biológica y dimensión reproductiva de los docentes, al aplicar el programa “Educación sexual”, estas cifras presentaron cambios importantes, pues un 67,3% (37) y un 32,7% (18) mejoraron su nivel de conocimientos a alto y medio, con variación significativa comprobada con la T de Student (p = 0,00). En relación a la actitud de los docentes, se observó que en las dos dimensiones que conformaban la Escala de Likert, después de la intervención se incrementó a actitud alta 78,2% (43), en la dimensión socioafectiva; en la dimensión ético‐moral) se incrementó 72,7% (40) a actitud alta. Se concluye que el programa “Educación Sexual” tiene un efecto positivo en el grado de conocimientos y actitud de los docentes en relación a la Educación Sexual de los Adolescentes.
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Factores asociados al abandono del control prenatal en el Centro Materno Infantil Juan Pablo II 2024
(Universidad Privada Norbert Wiener, 2025-05-02) Zuñiga Cárdenas, Rossmery; Marín Guevara, Leticia Gloria
OBJETIVO: Determinar los factores asociados al abandono del control prenatal en el Centro Materno Infantil Juan Pablo II, 2024. METODOLOGÍA Y MÉTODOS: Es un estudio observacional de corte transversal con alcance correlacional, con una muestra de 150 gestantes que acudieron al Centro materno Infantil Juan Pablo II. Se les aplicó una ficha de recolección de datos con la con la finalidad de valorar los factores asociados al abandono del control prenatal, estos resultados fueron analizados y procesados en el programa estadístico SPSS. RESULTADOS: Los factores personales asociados al abandono del control prenatal fueron los subsecuentes: el estado civil (p=0.016), gestación (p=0.036) y la dificultad para el cuidado de hijos (p=0.033), resultando estadísticamente significativos. Los factores sociales asociados al abandono del control prenatal fueron los siguientes: permisos laborales (p=0.049) y la distancia al establecimiento de salud (p=0.025), resultando estadísticamente significativos. El factor institucional asociado al abandono del control fue el tiempo de espera (p=0.001), resultando estadísticamente significativo. CONCLUSIONES: Se concluyó que los factores personales, sociales e institucionales están asociados de manera significativa con el abandono del control prenatal en el Centro Materno Infantil Juan Pablo II.
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Factors associated with depressed pregnant adolescents attending Hipólito Unánue Hospital, 2016
(Universidad Privada Norbert Wiener, 2022-08-26) Ellaconza Surco, Juana Ursula; Marín Guevara, Leticia Gloria
In the present investigation, it was found that the degree of depression with the highest attendance in the adolescents treated at the Hipólito Unánue Hospital was moderate, the associated factors were related to the family and the couple, with a poor relationship with each social actor and the attacks. physical or psychological abuse on the part of their partners, were the causes for them to enter a depressive condition of moderate significance.
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Factors associated with the father's participation in the obstetric psychoprophylaxis sessions of the C.S. Jicamarca, JUNE – September 2018
(Universidad Privada Norbert Wiener, 2021-12-18) Herrera Valdivia, Astrid Carolina; Ojeda Gómez, Flora; Marín Guevara, Leticia Gloria
Objective: Observational, Analytical, Cross-sectional, Prospective Study. Among the participants, 58% had a secondary education level, and 44% had one child. Regarding cultural factors, 77% were from the North and East sectors of Jicamarca. 55% of respondents attended one to three sessions of obstetric psychoprophylaxis, while 53% did not plan their pregnancy. 85% were aware of obstetric psychoprophylaxis topics, and 90% believed that these sessions were beneficial for both the mother and the baby. Additionally, 53% were self-employed, and 52% worked in the mornings. 85% of fathers participated in at least one session of obstetric psychoprophylaxis. Demographic factors such as being over 30 years old, having a higher education level, being single, separated, or divorced, and having more than one child, along with cultural factors such as coming from the North and East, not planning the pregnancy, and lacking knowledge about obstetric psychoprophylaxis, were identified as barriers to partner participation in psychoprophylaxis sessions. Work-related factors, including independent and temporary work, as well as night or early morning shifts, were identified as risk factors for partner participation in the psychoprophylaxis sessions for pregnant women.
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Factors associated with the omission of prenatal control in pregnant women at the Manuel Barreto maternal and child center, March-June 2019.
(Universidad Privada Norbert Wiener, 2020-02-05) Gonzales Claudio, Lith Ieve; Garcia Diaz, Anthuane Yanire; Marín Guevara, Leticia Gloria
Materials and Methods: This was an analytical, prospective, cross-sectional, and observational study with a sample of 293 pregnant women who attended their prenatal check-ups at the obstetrics outpatient clinic of the Centro Materno Infantil Manuel Barreto. Results: Personal factors associated were marital status, planned pregnancy, and gestation. Social factors included difficulties at work in attending prenatal check-ups, occupation, and distance to the healthcare facility. Institutional factors associated were inadequate treatment by healthcare professionals, waiting time, consultation time, and lack of appointments. Conclusion: Personal factors found to be associated were single pregnant women (55.2%), unplanned pregnancies (59.5%), and first-time pregnancies (44%). Social factors included dependent employment (38.8%), lack of work leave (68%), and distance from home to the healthcare facility (75.9%). Institutional factors included inadequate treatment by healthcare personnel (37.1%), waiting times (49.1%), short consultation times (19%), and lack of appointments for subsequent check-ups (42.2%), which were statistically significant.
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Impact of the educational program on knowledge about breastfeeding exclusively in pregnant women who come to the sessions of obstetric psychoprofilaxis in the Hipólito Unanue National Hospital, the agustino, during the period from may to july - 2018
(Universidad Privada Norbert Wiener, 2023-11-03) Chuquitaype Poccorpachi, Jenny Roxana; Chuquitaype Poccorpachi, Andrea Erika; Marín Guevara, Leticia Gloria
The study was pre-experimental with pre-test and post-test, prospective cross-sectional. It was made up of 71 pregnant women who participated in the obstetric psychoprophylaxis program. In our results, it was observed that the average age of the participants was 26.6 ± 7.6 years, 57.7% had an age in the range of 20 to 34 years, 56.3% had at least secondary education and 62% declared that they were cohabiting. Before and after the application of the educational program, 32.4% and 97.2% presented a good level of knowledge about exclusive breastfeeding on average in the 3 areas: practice, importance and technique, respectively. This difference was statistically significant (p<0.000). We conclude that the educational program turned out to have a positive effect on improving the level of knowledge about exclusive breastfeeding among the pregnant women included in this study, since we have managed to demonstrate that, by carrying out educational programs, we contribute to empowering knowledge of breastfeeding. exclusive since its inception.
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Obstetric and perinatal complications of pregnant women diagnosed with COVID-19
(Universidad Privada Norbert Wiener, 2023-09-26) Huayhua Zuñiga, Kimberly Corayma; Marín Guevara, Leticia Gloria
This research aims to determine the scientific evidence on obstetric and perinatal complications of pregnant women diagnosed with Covid-19. The study design was a quantitative systematic review. In the field of study, a thorough review of the scientific articles published in scientific journals such as Pubmed, Google Academic and Scielo was carried out. The study subjects were considered 34 articles published in the period from 2019 to 2021. The results were 88% of the systematic review type studies reviewed. The main obstetric complications of pregnant women with Covid19 were 39% of the studies reported Preterm delivery, 16% Preeclampsia and 13% maternal deaths. Perinatal complications were prematurity reported in 36% of the studies followed by perinatal death with 28%. The conclusions of the study were that there is scientific evidence at the national and international level on obstetric and perinatal complications of pregnant women diagnosed with Covid-19.
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Relación en el nivel de conocimientos y actitudes sobre los signos y síntomas de alarma en el embarazo en adolescentes y adultas en el Hospital Nacional Sergio Bernales, 2024
(Universidad Privada Norbert Wiener, 2025-08-15) De La Cruz Sánchez, Greiss Yasmir; Sinchitullo Ortiz, Katherine Angie; Marín Guevara, Leticia Gloria
El presente estudio tuvo como objetivo determinar la “Relación entre el nivel de conocimientos y las actitudes frente a los signos y síntomas de alarma en el embarazo en gestantes adolescentes y adultas del Hospital Nacional Sergio Bernales”. Se realizo un enfoque cuantitativo, de tipo aplicada, con un diseño no experimental, transversal y de alcance correlacional. La población estuvo conformada por gestantes que acudieron a consulta externa, y la muestra fue de 236 gestantes (118 adolescentes y 118 adultas), seleccionadas mediante muestreo por conveniencia. Se utilizaron dos cuestionarios validados para recolectar los datos: uno para medir el conocimiento y otro para evaluar la actitud frente a los signos y síntomas de alarma. Los resultados mostraron que el 49.3% de las adolescentes y el 50.7% de las adultas presentaron un nivel alto de conocimiento, mientras que un 58.8% de las adolescentes evidenció un nivel medio, frente al 41.2% en adultas. En cuanto a la actitud, el 50.9% de las adultas y el 49.1% de las adolescentes mostraron una actitud favorable, aunque el 83.3% de quienes presentaron actitud indiferente fueron adolescentes. Respecto a las características obstétricas, las adolescentes fueron en su mayoría primigestas y con menor frecuencia de controles prenatales tempranos. La prueba de Chi-cuadrado reveló una relación significativa entre el nivel de conocimiento y la actitud frente a los signos y síntomas de alarma (p=0.009). Se concluye que existe una relación estadísticamente significativa entre el nivel de conocimientos y las actitudes en ambas poblaciones. Estos hallazgos evidencian la necesidad de fortalecer las estrategias educativas dirigidas especialmente a las gestantes adolescentes, con el fin de mejorar su respuesta ante posibles complicaciones y contribuir a una mejor salud materno-perinatal.
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Relationship between gender-based violence and maternal complications in adolescents versus adults, treated at the Hipólito Unanue hospital, Lima 2019
(Universidad Privada Norbert Wiener, 2020-09-23) Huamani Segovia, Alexsandra Isabel; Marín Guevara, Leticia Gloria
The frequency of psychological violence was 50% among pregnant adolescents and 51.9% among adults. Physical violence occurred in 41.6% of pregnant adults and 30% of adolescents. Meanwhile, sexual violence was reported in 20% of pregnant adolescents and 6.5% of adults. Maternal complications in pregnant women included hyperemesis gravidarum in 28.6% of adults and 15.6% of adolescents. The threat of miscarriage was present in 31.4% of adolescents and 18.2% of adults. Anemia occurred in 29.9% of adults and 21.4% of adolescents. Preeclampsia affected 36.4% of adults and 18.6% of adolescents. There is a significant relationship between psychological violence and the threat of miscarriage (p=0.046) and preeclampsia (p=0.021); between physical violence and the threat of miscarriage (p=0.049) and preeclampsia (p=0.020); and between sexual violence and anemia (p=0.046).
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Relationship between knowledge and attitude of sex workers towards sexuall y transmitted infections in times of pandemic in the province of barranca, 2021
(Universidad Privada Norbert Wiener, 2024-08-13) Ramírez Calderón, Milagros Marianela; Marín Guevara, Leticia Gloria
Objective: To determine the relationship between the knowledge and attitude of sex workers regarding sexually transmitted infections during the pandemic in Barranca province, 2021. Methodology: Non-experimental, quantitative approach, basic type, correlational level, cross-sectional, and prospective method. The population consisted of 100 sex workers, with a sample of 44 (formal and informal). A 16-item questionnaire assessed knowledge about sexually transmitted infections (STIs), and another 16-item questionnaire assessed attitudes toward STIs. Results: 56.8% had a medium level of knowledge about STIs, and 65.9% had a regular attitude. 56.8% demonstrated good knowledge about the concept of STIs, 68.2% showed a positive attitude toward the concept, 70.5% had good knowledge about risk factors, and 54.5% exhibited a positive attitude toward them. Additionally, 72.7% demonstrated good knowledge about prevention, and 59.1% had a positive attitude toward prevention. Conclusion: There is a relationship between the knowledge and attitude of sex workers regarding sexually transmitted infections during the pandemic in Barranca province, 2021.
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Relationship between pregnancy induced hypertension and low newborn weight.
(Universidad Privada Norbert Wiener, 2024-04-24) Barreto Arias, Nathaly Leidy; Marín Guevara, Leticia Gloria
The objective of this research is to determine the relationship between pregnancy-induced hypertension and low newborn weight at the San Juan de Lurigancho Hospital, in Lima, in the period from 2021 to 2022. The study design is non-experimental. quantitative cross section. The results were regarding pregnancy-induced hypertension and low birth weight, where the highest percentage was obtained: severe preeclampsia with low birth weight. Regarding maternal age, the group from 20 to 34 years had the highest percentage, with regard to the number of pregnancies, the highest percentage was found in the first number of gestation, in relation to the intergenic period the highest percentage was found in the interval greater than four years, in terms of gestational age, the degree of 37 weeks or more can be highlighted with a higher percentage. It was concluded that there was a statistically significant association between pregnancy-induced hypertension and low birth weight according to the Kruskal-Wallis test.
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Risk factors for postpartum depression in adolescents, primiparous women and single women
(Universidad Privada Norbert Wiener, 2023-02-08) Zamudio Ildefonso, Laura Sofía; Marín Guevara, Leticia Gloria
The objective of this research is to identify the scientific evidence regarding risk factors for postpartum depression in adolescents, primiparous women, and single mothers. The study design was a qualitative systematic review. In the study area, an exhaustive and thorough search was conducted on different academic platforms such as Scielo, ScienceDirect, Dialnet, Google Scholar, among others, where various bibliographic sources related to the topic "Risk factors for postpartum depression in adolescents, primiparous women, and single mothers" were collected. The results from a total of 30 scientific articles revealed that 15 articles indicated the participants were adolescent mothers. Additionally, 13 publications referred to single puerperal women, and 9 publications mentioned the participants were primiparous mothers. The conclusions reached in this study show that the most common risk factor for postpartum depression in adolescent mothers is the lack of partner support. For primiparous mothers, "extreme ages" and "incomplete schooling" were more common risk factors. The most common risk factor for postpartum depression in single mothers was "unplanned pregnancy."
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Risk factors related to syphilis in pregnant
(Universidad Privada Norbert Wiener, 2019-11-26) Ore Jauregui, Luz Paula; Marín Guevara, Leticia Gloria
Identify scientific articles reviewed the risk factors for syphilis in pregnant women treated in a specific period. Narrative, qualitative study, information was collected from various published research articles, common thesis studies that describe, analyze published information on a specific topic of sociodemographic factors related to syphilis in pregnant women. The most relevant results were: regarding sociodemographic characteristics, pregnant women with a marital status of cohabitation, being housewives, having secondary education. In addition, personal characteristics and sexual behavior are evident, that the age of initiation of sexual relations was younger than 18 years, they do not use condoms during sexual relations, they have less than three sexual partners, increasing the risk of contracting other STDs such as HIV. Conclusions: It is evident that, although the beginning of sexual relations was early, the age with the highest cases of syphilis in pregnant women has been between 20 and 35 years; They do not use condoms during sexual relations, and they have less than three sexual partners. Therefore, Preventive Promotional Programs on STDs and condom use must be implemented with emphasis on the population of reproductive age.
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Sociocultural characteristics and obstetric complications of pregnancy in teenagers
(Universidad Privada Norbert Wiener, 2022-08-26) Llamoca Huarcaya, Evelyn; Marín Guevara, Leticia Gloria
Objective: To determine the scientific evidence regarding the sociocultural characteristics and obstetric complications of pregnancy in adolescents. Materials and methods: The study was a qualitative narrative review and consisted of 30 articles published between 2016 and 2021 in the following virtual databases: Scielo, Pubmed, Lilacs, and Elsevier. The GRADE system was used to evaluate the strength of recommendation of each reviewed article. Results: 26% of the studies were case-control studies. Regarding the level of recommendation, 33% of the reviewed studies were of moderate level. The social characteristics according to the reviewed scientific evidence were age between 15 to 19 years, single, housewife occupation, cohabiting marital status, and sexual initiation between the ages of 14 to 19. The cultural characteristics according to the reviewed scientific evidence were secondary education, school dropout, lack of knowledge about contraceptive methods, and coming from dysfunctional families. The obstetric complications of pregnancy in adolescents were urinary infection, anemia, hypertensive diseases, premature rupture of membranes, fetal distress, and abortion. Conclusion: There is high-level scientific evidence regarding the sociocultural characteristics and obstetric complications of pregnancy in adolescents.