Examinando por Autor "Miranda Roca, Karen Beatriz"

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    Risk of loss of fetal well-being by cardiotocography and status at birth
    (Universidad Privada Norbert Wiener, 2023-05-09) Miranda Roca, Karen Beatriz; Alfaro Fernández, Paul Rubén
    The work is a narrative review of publications where the search for studies was carried out using keywords in the following databases: PubMed, ScienceDirect, Dialnet, Redalyc, ALICIA, Elsevier and Google Scholar. 362 studies were identified, of which, after a selection process, 34 articles that met the inclusion criteria were included. Among the main results, the studies highlight that newborns who had cardiotocographic tracings suggestive of Loss of fetal well-being have a high rate of meconium (77% of studies), Apgar > 7 (73% of studies) and a low percentage of acidosis neonatal and respiratory morbidity (77% and 75% of studies). Not enough evidence was found regarding neonatal resuscitation and admission to the NICU. In conclusion, the evidence in the reviewed studies indicates that, with the exception of the presence of meconium fluid, there is not sufficient certainty of an unfavorable state at birth in the newborn previously diagnosed with Risk of loss of fetal well-being by Cardiotocography. Thus, Cardiotocography, used routinely in patients without risk factors, increases the risk of unnecessary cesarean sections and instrumental deliveries.