Examinando por Autor "Morales Alvarado, Sabrina Ynés"

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Acceso abierto
Acceptance and results of the Sars-Cov-2 vaccine during pregnancy and breastfeeding
(Universidad Privada Norbert Wiener, 2022-02-07) Parvina Hernandez, Pamela Yoselin; Morales Alvarado, Sabrina Ynés
Objective: To determine the scientific evidence regarding the acceptance and outcomes of the SARS-CoV-2 vaccine during pregnancy and breastfeeding. Materials and Methods: A qualitative bibliographic review was conducted. Information was retrieved from various databases, including Google Scholar, Lilacs, PubMed, Elsevier, Cochrane, Scielo, ScienceDirect, and Microsoft Academic. The study included 42 articles that met the inclusion criteria for the 2021 study period. The Grade system was used to evaluate the quality of each article. Results: There was positive acceptance of the vaccine by pregnant and breastfeeding women. The vaccine demonstrated high effectiveness without complications in pregnant and breastfeeding women. Post-vaccination clinical reactions included common symptoms such as injection site pain, headache, general weakness, and myalgia. Neutralizing antibodies were detected in maternal serum, with placental transfer to the umbilical cord. Additionally, neutralizing and specific antibodies were found in breast milk, providing immune transfer to the infants. Conclusion: The vaccine should be used during pregnancy with complete safety as it provides an immunological response for both the mother and baby. Similarly, during breastfeeding, antibodies were present in breast milk, offering potential protection to the baby.
Acceso abierto
Characteristics of childbirth and the newborn in parturient women who received obstetric psychoprophylaxis at the Félix Mayorca Soto hospital, Tarma during the year 2019.
(Universidad Privada Norbert Wiener, 2021-10-11) Daza Gutierrez, Moraiba; Morales Alvarado, Sabrina Ynés
Materials and Methods: This is a simple descriptive, retrospective, cross-sectional, observational, and analytical study at an exploratory level. It included 35 women in labor who participated in six sessions of obstetric psychoprophylaxis, as recorded in the Obstetric Psychoprophylaxis logbook, with clinical histories used to collect data on labor and newborn outcomes. Results: Of the 35 women who received obstetric psychoprophylaxis sessions during pregnancy, 85.7% had vaginal deliveries, and 14.3% underwent scheduled cesarean sections. Among the women who arrived through emergency care, 76.7% presented with cervical dilation between 0–3 cm. Of those with vaginal deliveries, 66.7% underwent episiotomies. In 86.7% of cases, the total duration of vaginal labor was less than 10 hours. At five minutes postpartum, 100% of the newborns had an Apgar score greater than 8. All newborns weighed between 2,500 and 4,000 grams. Conclusion: Obstetric psychoprophylaxis is essential for achieving favorable outcomes during labor and delivery, as well as for newborn outcomes in primiparous women. In 86.7% of cases, the total duration of vaginal labor was under 10 hours. Additionally, normal Apgar scores and weights were observed in all newborns, with no neonatal complications.
Acceso abierto
Characteristics of the environment, aggressor and victim of the alleged crime against sexual liberty in adolescent women 2018 to 2019, Peru.
(Universidad Privada Norbert Wiener, 2020-10-09) Pradera Perez, Lizbeth; Morales Alvarado, Sabrina Ynés
To describe the characteristics of the environment, perpetrator, and victim in cases of alleged crimes against sexual freedom involving adolescent girls treated at the Forensic Gynecology and Obstetrics Section of DIRCRI - PNP from 2018 to 2019. The study population included 29 cases (100%). The method and design used were descriptive, retrospective, and non-experimental. Results: Characteristics of the perpetrator: 48% were acquaintances, of whom 50% had a friendly relationship; 52% used seduction as a method, and 31% resorted to abduction. Incidents occurred at dawn in 34% of cases. Among victims, 60% delayed reporting by days, and 35% by hours; 32% of complaints originated from DIVPOL NORTE 1 in Lima. Characteristics of the victims: 48% were adolescents aged 16-17 years; 35% had a history of sexual assault during childhood. Upon ectoscopic examination, 14 presented extra-genital injuries, and 14 had genital injuries. 48% had a distensible hymen, and 28% had a dilated hymen. Regarding access, 57% involved two routes (vaginal and anal). Conclusion: This research determined that analyzing the characteristics of the environment, perpetrator, and victim contributes to improved forensic case management.
Acceso abierto
Effectiveness of obstetric psychoprophylaxis
(Universidad Privada Norbert Wiener, 2020-12-18) Cortez Olivera, Angela Raquel; Morales Alvarado, Sabrina Ynés
Background: Obstetric Psychoprophylaxis is an educational-assistance program aimed at comprehensive preparation for achieving the best conditions during pregnancy, childbirth, and postpartum, promoting a healthy motherhood and a satisfying experience for the mother-child duo. Objective: To explore scientific evidence in the literature regarding the efficacy of Obstetric Psychoprophylaxis. Methodology: Systematic review based on the analysis and interpretation of studies related to the efficacy of Obstetric Psychoprophylaxis. A search protocol was developed across six databases: MedLine, Dialnet, Tesis en Red, Scielo, PubMed, and the virtual library linked to Norbert Wiener Private University (Ebsco). Results: The literature review included 10 studies, all of which aimed to determine the efficacy of Obstetric Psychoprophylaxis. Conclusions: Scientific evidence demonstrates the efficacy of Obstetric Psychoprophylaxis.
Acceso abierto
Effectiveness of Obstetric Psychoprophylaxis in Reducing Maternal and Perinatal Risks.
(Universidad Privada Norbert Wiener, 2021-03-10) López Atencia, Orfa; Morales Alvarado, Sabrina Ynés
Systematic qualitative review. The population consisted of a search for scientific articles in indexed databases such as Scielo, PubMed, EBSCO, PLoS One, Scient Direct, among others. The sample included 31 research articles from the period 2010 to 2020. Results: According to the countries of origin of the articles, 14 (45.1%) were from Peru, 7 (22.5%) from Ecuador, 3 (9.6%) from Mexico, 2 (6.6%) from Sweden, 2 (6.6%) from Turkey, 1 (3.2%) from Russia, 1 (3.2%) from Nicaragua, and 1 (3.2%) from Greece, totaling 31 articles. Regarding the research approaches used in the studies, 30 (96.8%) employed the quantitative approach, while 3.2% used the qualitative approach. Regarding research design, 16 (51.7%) used a descriptive design, 5 (16.1%) employed case-control studies, 3 (9.6%) were documentary reviews, 3 (9.6%) were experimental studies, 2 (6.6%) were clinical trials, 1 (3.2%) was a prospective cohort study, and 1 (3.2%) was phenomenological. Conclusions: All reviewed studies demonstrated evidence that Obstetric Psychoprophylaxis provides benefits for maternal and perinatal health.
Acceso abierto
Effectiveness of the COVID-19 vaccine in pregnancy and breastfeeding
(Universidad Privada Norbert Wiener, 2019-12-19) Santamaria Peraldo, Josselyn Natally; Morales Alvarado, Sabrina Ynés
Objective: Determine the effectiveness of the Covid-19 vaccine in pregnancy and breastfeeding. Design: non-experimental cross-sectional. Scope of study: Scientific publications with updated and recent information. Study subjects: The study population was made up of 60 investigations, collected from June to October 2021. Results: The study was made up of 31,588 pregnant women and 589 lactating mothers. The pregnant women were vaccinated with Pfizer 84%, modern 16%. 96% received 2 doses. During the second trimester, 35% were vaccinated, 20% in the first trimester and another 20% in the third trimester. 99% of pregnant women did not register complications during pregnancy. 79% of nursing mothers were vaccinated with Pfizer, 17% modern and 4% Chadox. 96% received 2 doses. The most recorded side effect was pain in the application area (80%). The presence of mRNA was not evident in breast milk. The formation of antibodies was evident in pregnant women, nursing mothers and in the newborn. Conclusion: The results found in this research support vaccination against COVID 19 in both stages. It is recommended to raise awareness among this vulnerable population so that they freely access vaccination.
Acceso abierto
Emergency obstetric psychiprophylaxis in primigest of high obstetric in a level hospital level of Lima Metropolitan august 2018
(Universidad Privada Norbert Wiener, 2019-12-10) Cuadros Alvarez, Ruth Angelica; Morales Alvarado, Sabrina Ynés
Obstetric Emergency Psychoprophylaxis (PPO-EM) is a valuable tool for obstetricians and a beneficial opportunity for pregnant women who were unable to undergo prenatal preparation on time. PPO-EM is the preparation given to the pregnant woman just days before the expected date of delivery or the one offered to the laboring woman during labor. A clinical case is presented of a first-time pregnant adolescent without preparation and prenatal care, in labor with morbid obesity and severe preeclampsia as obstetric risk factors, who was provided with PPO-EM, resulting in a vaginal delivery and healthy maternal and perinatal outcomes. By providing PPO-EM by a qualified obstetric professional to the adolescent pregnant woman, the automatic response of conditioned behavior and active participation were achieved, along with emotional support, which facilitated an attitude change. As a result, her labor progressed without any additional risk factors beyond the ones already present. These outcomes highlight the contribution of PPO-EM in improving the quality of life and care for pregnant women and newborns, and consequently, for society.
Acceso abierto
Emergency obstetric psychoprophylaxis during labor in primigravida women without prenatal care at Hospital Cayetano Heredia
(Universidad Privada Norbert Wiener, 2022-09-09) Rubio Peralta, Flor de María; Morales Alvarado, Sabrina Ynés
The present clinical case is the application of Emergency Obstetric Psychoprophylaxis (EPO – EM) in a pregnant woman without preparation for Obstetric Psychoprophylaxis and without prenatal control, its application being essential to conclude with good results for the mother and her baby, during labor. labor, delivery and the puerperium. The intervention of the obstetrician in the preparation of Emergency Obstetric Psychoprophylaxis allowed for a favorable change in attitude and behavior in the pregnant woman, making this process a pleasant, healthy experience and, above all, contributing to reducing complications; such as fetal suffering due to poor respiratory technique, managing to improve the adequate oxygen supply to the baby, avoiding maternal exhaustion; applying the appropriate knowledge and techniques aimed at improving the physical and psychological state of the pregnant woman in the period of dilation, labor, delivery and subsequently postpartum care. This will achieve the goal of a birth without complications, with the well-being of the mother and her newborn together with the family environment.
Acceso abierto
Maternal complications in pregnant women infected with Covid-19
(Universidad Privada Norbert Wiener, 2022-09-09) Landeo Escalante, Miriam Fiorella; Morales Alvarado, Sabrina Ynés
Objective: To systematize the evidence on maternal complications associated with COVID-19 infection in pregnant women. Methodology: A qualitative study with an observational and retrospective design, consisting of a review of original articles from the PubMed-Medline database published between 2020 and 2022. A sample of 30 articles was selected. The search algorithm used was (outcomes OR “preterm labor” OR preeclampsia OR PROM OR “maternal mortality”) AND (“covid-19” OR “SARS-CoV-2”) AND pregnancy. Results: The majority of articles were retrospective cohort studies (30.0%), published in 2021 (70%), and multinational (33.3%). The most frequently identified maternal complication was preterm birth (70%). Significant Relative Risk values were found for preterm birth (RR between 1.16 and 2.70), premature rupture of membranes (RR between 0.19 and 1.70), preeclampsia (RR between 0.88 and 2.68), and maternal mortality (RR between 1.70 and 22.3). Conclusion: COVID-19 infection is associated with maternal complications during pregnancy, especially preterm birth, premature rupture of membranes, preeclampsia, and maternal mortality.
Acceso abierto
Perception of pregnant women about the care they receive during obstetric psychoprophylaxis sessions at Hospital Nacional Hipólito Unanue, June-July 2017
(Universidad Privada Norbert Wiener, 1905-07-06) Mendoza Peña, Nataly Milagros; Morales Alvarado, Sabrina Ynés
In the present study, a methodology is used to determine the sociodemographic, cultural, and economic characteristics of women over 18 years old who had an abortion at the Hipólito Unanue National Hospital between January and October of 2015. It was revealed that the sociodemographic characteristics include: early age, cohabiting marital status, secondary education level, currently working, being from the coastal region, residing in El Agustino, and experiencing psychological family pressure due to economic instability. Additionally, the cultural characteristics highlighted include: machismo, due to the lack of partner participation in household chores, a situation unfortunately justified by the respondents; and the Catholic religion, which most respondents profess. Finally, the most notable economic characteristics are: a monthly income between 600 and 1000 soles, monthly expenses less than 600 soles, three people living in the household, no economic dependency, two family members contributing to household expenses, and living in a brick-built house. Keywords: Abortion, Sociodemographic Characteristics, Cultural Characteristics, Economic Characteristics
Acceso abierto
Risk factors and perinatal maternal complications from Sars-Cov2
(Universidad Privada Norbert Wiener, 2022-03-08) Requejo Tiparra, Manuela del Milagro; Morales Alvarado, Sabrina Ynés
Material and Methods: A non-experimental, cross-sectional literature review, consisting of original articles published in virtual libraries: Pubmed, Lilacs, Scielo, Journal, Elsevier, BVS, and Google Scholar, both nationally and internationally, during the period from 2019 to 2021. Results: The risk factors for SARS-COV2 were: 35% preeclampsia, 18% diabetes, 12% obesity, 12% pneumonia, 6% coagulopathies, 6% heart disease, 6% advanced maternal age, and 6% overweight. The maternal-perinatal complications from SARS-Cov2 included: 50% postpartum hemorrhage, 28% prematurity, 25% uterine atony, 25% neonatal intensive care unit admission, 24% neonatal death, 24% newborns infected with SARS-Cov2, 19% ICU admission, 13% neonatal ICU admission, 13% maternal death, 13% preterm birth, 11% intrauterine death, 9% premature rupture of membranes, 9% low birth weight, 8% fetal distress, 7% cesarean delivery, 6% preeclampsia, 6% abortion, 4% intrauterine growth restriction, 2% threatened preterm labor, 2% placental abruption, and 2% disruption of rooming-in. Conclusion: There is scientific evidence proving the existence of risk factors and maternal-perinatal complications due to SARS-Cov2.
Acceso abierto
Use of hormonal contraceptive methods in adolescent women, period 2010 to 2020.
(Universidad Privada Norbert Wiener, 2018-12-11) Puga Huarcaya, Nayda; Morales Alvarado, Sabrina Ynés
Identify scientific evidence on the use of hormonal contraceptive methods in adolescent women. A review of 25 scientific articles was carried out, using various methods to reduce biases that could harm the transparency and validity of the research and specialized and reliable databases. In general , articles on hormonal contraceptive methods in adolescents, show that there are no risky side effects but rather, they are useful in preventing unplanned pregnancies.