Examinando por Autor "Salazar Granada, Alberto Alcibiades"

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Acceso abierto
Maternal risk factors associated with intrauterine fetal growth restriction
(Universidad Privada Norbert Wiener, 2020-09-25) Nieves Peña, Milena Geraldine; Salazar Granada, Alberto Alcibiades
Methodology: The review was conducted through electronic searches of various articles related to maternal risk factors associated with intrauterine fetal growth restriction (IUGR). The search sources were PUBMED, EMBASE, and Google Scholar. The descriptors used for information retrieval were the key terms: maternal risk factors and intrauterine fetal growth restriction. Articles published with research results from 2014 to 2021 were selected. Results: Thirty-one observational studies were selected. The prevalence of IUGR according to different authors ranges from 3.7% to 22.4%. In Peru, it is reported to range from 4.8% to 10.1%. Obstetric factors associated with IUGR were: adolescent age with an odds ratio (OR) of 1.26 to OR = 28.30; advanced maternal age with OR = 1.05 to OR = 9.1; prenatal control <7 visits with OR = 1.29 to OR = 6.43; short intergenetic period with OR = 1.78 to OR = 13.16; and pregestational maternal weight <50 kg with OR = 1.70 to OR = 8.60. Obstetric pathology factors associated with IUGR in most of the selected studies report preeclampsia with OR = 1.69 to OR = 66.54; anemia during pregnancy with OR = 2.18 to OR = 9.70; previous IUGR with OR = 3.26 to OR = 14.49; and preterm birth with OR = 3.58 to OR = 14.60. Conclusions: The prevalence of IUGR ranges from 3.7% to 22.4%. The main associated factors include extreme ages, insufficient prenatal control, short intergenetic period, and obstetric factors such as preeclampsia, anemia during pregnancy, and a history of IUGR.
Acceso abierto
Secondary syphilis in a pregnant adolescent at the central military hospital in 2019
(Universidad Privada Norbert Wiener, 2022-05-03) Serna Cruz, Juliana; Salazar Granada, Alberto Alcibiades
The clinical case of secondary syphilis in an adolescent pregnant woman is presented. Syphilis is a sexually transmitted infectious disease exclusive to humans, bloodborne, and perinatal, caused by the spirochete Treponema pallidum. When pregnant women acquire the infection, they must receive treatment, as it can infect the fetus at any stage of its clinical phases. A 13-year-old patient with secondary syphilis during pregnancy began her first prenatal visit with specialized care. The pregnant woman did not receive a thorough clinical examination during the first consultation, no risk factors were identified, no clinical manifestations were reported, no laboratory tests were performed, and she did not attend her prenatal visits, making her a high-risk obstetric case due to her age. She returned at 26 weeks and 6 days of gestation through the emergency department of the Military Hospital, presenting clinical manifestations of syphilis with an RPR result of 32 dilutions. Obstetrically, she had no uterine contractions, fetal heartbeats were 138 beats per minute, and fetal movements were present. She was hospitalized, received 2 doses of treatment for syphilis, and the third dose was administered at the end of the pregnancy. The pregnancy ended with a cesarean section and a live newborn, with a negative non-treponemal test. Follow-up for the neonate continued.