Examinando por Autor "Sánchez Lujan, Marita Masiel"
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Ítem Acceso abierto (Universidad Privada Norbert Wiener, 2017) Sánchez Lujan, Marita Masiel; Yataco Montoya, Bettsy María; Ayala Peralta, Félix DasioThis research aimed to identify maternal and perinatal complications during vaginal delivery of macrosomic newborns at the Instituto Nacional Materno Perinatal between January and December 2016. Methodology: An observational, descriptive, and retrospective study was conducted by reviewing 139 maternal discharge records. Results: The average maternal age was 34.8 ± 3.4 years. Sociodemographic characteristics: 79.1% were cohabiting, 67.6% had completed secondary education, 81.2% were housewives, and 97.1% belonged to a middle socioeconomic status. Obstetric variables: Prenatal care was deficient in 43.1% of cases, and 24.5% received no prenatal care. Pre-gestational BMI indicated 47.5% of women were overweight, and 11.5% had a gestational age over 42 weeks. Multiparity was observed in 79.1% of cases, with fetal macrosomia and maternal obesity as the predominant risk factors. Regarding newborns, 64% were male and 36% female. Most newborns had a moderate Apgar score at one minute (76.3%) and a normal score at five minutes (61.9%). Maternal complications: The most common were postpartum hemorrhage (56.8%), dysfunctional labor (55.4%), and soft tissue tears (54.7%). Perinatal complications: The most frequent were moderate depression at birth (33.1%), acute fetal distress (30.22%), shoulder dystocia (25.9%), and other complications (10.8%).Ítem Acceso abierto (Universidad Privada Norbert Wiener, 2017) Sánchez Lujan, Marita Masiel; Ayala Peralta, Félix DasioThis research aimed to identify maternal and perinatal complications during vaginal delivery of macrosomic newborns at the Instituto Nacional Materno Perinatal between January and December 2016. Methodology: An observational, descriptive, and retrospective study was conducted by reviewing 139 maternal discharge records. Results: The average maternal age was 34.8 ± 3.4 years. Sociodemographic characteristics: 79.1% were cohabiting, 67.6% had completed secondary education, 81.2% were housewives, and 97.1% belonged to a middle socioeconomic status. Obstetric variables: Prenatal care was deficient in 43.1% of cases, and 24.5% received no prenatal care. Pre-gestational BMI showed 47.5% of women were overweight, and 11.5% had a gestational age over 42 weeks. Multiparity was observed in 79.1% of cases, with fetal macrosomia and maternal obesity as the predominant risk factors. Regarding the newborns, 64% were male and 36% female. Most newborns had a moderate Apgar score at one minute (76.3%) and a normal score at five minutes (61.9%). Maternal complications: The most common were postpartum hemorrhage (56.8%), dysfunctional labor (55.4%), and soft tissue tears (54.7%). Perinatal complications: The most frequent were moderate depression at birth (33.1%), acute fetal distress (30.22%), shoulder dystocia (25.9%), and other complications (10.8%).
