Examinando por Autor "Sanz Ramirez, Ana María"

Mostrando 1 - 20 de 23

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Cardiotocographic characteristics of the non-stressful test in placental insufficiency associated with fetal distress. Hospital Maria Auxiliadora - 2018
(Universidad Privada Norbert Wiener, 2019-06-13) Arias Egocheaga, Miriam Yessica; Sanz Ramirez, Ana María
Objective: Identify the cardiotocographic characteristics of the non-stressful test in placental insufficiency associated with fetal distress. María Auxiliadora Hospital – 2018. Material and Method: Observational, descriptive, retrospective study.
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Clinical features and complications perinatal care of pregnant women with a diagnosis of preeclampsia
(Universidad Privada Norbert Wiener, 2022-08-26) Gonzales Gamarra, Geraldine Vicentina; Sanz Ramirez, Ana María
The study was a qualitative literature review. The population consisted of 91 articles published in the following virtual databases: Scielo, Lilacs, Journal, and Elsevier, with a sample of 33 articles. The technique used was documentary analysis. The most frequent clinical signs reported in the various studies were headache (16%), edema (13%), tinnitus (13%), blurred vision (13%), and epigastralgia (6%). Regarding perinatal complications, 35% of the studies reported prematurity, 18% low birth weight, 13% intrauterine growth retardation, and 13% fetal death. Other complications included NICU admission (9%), oligohydramnios (4%), and heart defects (4%). There is scientific evidence demonstrating the clinical characteristics and perinatal complications of pregnant women diagnosed with preeclampsia.
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Effect of Educational Interventions on the prevention of Pregnancy in Adolescents
(Universidad Privada Norbert Wiener, 2023-04-12) Vasquez Díaz, Luz Carito; Sanz Ramirez, Ana María
Educational interventions in adolescents have a positive effect in both the face-to-face and virtual modality, which is usually a medium in which they are familiar. These interventions must occur before the adolescent begins.
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Factors associated with postpartum hemorrhage in immediate postpartum women treated at the National Hospital Guillermo Almenara Irigoyen, 2020
(Universidad Privada Norbert Wiener, 2022-12-01) Sanchez Rodríguez, Ena Del Pilar; Sanz Ramirez, Ana María
Objective: To determine the factors associated with postpartum hemorrhage in puerperal women attended at the Hospital Nacional Guillermo Almenara Irigoyen in 2020. Method: The proposed study was a retrospective analytical cross-sectional study with a non-experimental design of cases and controls. The sample consisted of 406 immediate puerperal women, with 203 cases and 203 controls. Results: The sociodemographic factors that had a significant association with postpartum hemorrhage were age (p=0.009) (OR=2.4) and occupation (p=0.021) (OR=1.9). The obstetric factors that had a significant association with postpartum hemorrhage were uncontrolled pregnancies (0.000) (OR=4.1), multiparity (0.016) (OR=3.5), anemia during pregnancy (0.012) (OR=2.2), cesarean section (0.001) (OR=5.2), prolonged labor (0.000) (OR=6.8), retained placental remnants (0.022) (OR=4.2), uterine rupture (0.000) (OR=3.3), uterine atony (0.014) (OR=5.4), perineal tear (0.000) (OR=2.3), and uterine inversion (0.004) (OR=4.8). Conclusion: The study concludes that there are sociodemographic and obstetric factors associated with postpartum hemorrhage in puerperal women.
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Factors associated with the acceptance of post-abortion contraceptive methods
(Universidad Privada Norbert Wiener, 2020-11-27) Oporto Carrión, Brunela Estefania; Sanz Ramirez, Ana María
Objective: To systematize evidence on factors associated with the acceptance of post-abortion contraceptive methods. Materials and Methods: This study is a systematic review that included a total of 485 indexed articles selected from Pubmed, Scielo, LILACS, and Cochrane Database. Articles were rated using the GRADE system, resulting in a final sample of 20 articles, corresponding to analytical studies with case-control or correlational designs, employing the Odds Ratio as the statistical test. Results: The most frequent personal factors associated with post-abortion contraceptive acceptance were young and adult age (20-34 years), married status, and higher education level. The most common obstetric factors included multiparity, a history of abortion, and prior contraceptive use. Among institutional factors, the most frequent were being treated in a public facility, counseling provided at the health center, and understanding of the counseling. Conclusions: There are personal, obstetric, and institutional factors associated with post-abortion contraception.
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Factors associated with the use of postpartum contraception at the Maria Auxiliadora hospital in the period from July – August 2019
(Universidad Privada Norbert Wiener, 2020-01-17) Carbajal Magallanes, Dina Jafía; Morante Roca, Abigail Ingrid; Sanz Ramirez, Ana María
Objective: To determine the factors associated with postpartum contraception at the María Auxiliadora Hospital during the period of July - August 2019. Materials and Methods: A quantitative, prospective, and cross-sectional study with a relational level, involving a sample of 192 postpartum women at the María Auxiliadora Hospital during the period of July - August 2019. The instrument used was a 26-question survey divided into three sections: sociodemographic factors, gynecological-obstetric factors, and cultural factors. For inferential analysis, the Chi-square test was used, with statistical significance set at p less than 0.05. Results: Sociodemographic and gynecological-obstetric factors did not show statistically significant evidence. However, a statistically significant association was found between: knowledge of LARC methods (p=0.018), the professional providing the information (p=0.027), the healthcare center being the main source of information about LARC methods (p=0.000), and the period during which the information was received (p=0.001). Conclusion: A significant relationship exists between knowledge of LARC methods, the professional providing the information, the location, and the timing of the information provided to the postpartum women attended at the María Auxiliadora Hospital during the period of July - August 2019.
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Hepatic ruptura associated with severe preeclampsia and hellp syndrome attended at the regional hospital of Cajamarca 2017
(Universidad Privada Norbert Wiener, 2024-04-26) García Sánchez, Jessica Josefina; Villalba Condo, Rosario del Pilar; Sanz Ramirez, Ana María
This is an observational, descriptive, retrospective study involving a systematic review of the clinical history of a case of hepatic rupture associated with severe preeclampsia managed at the Regional Hospital of Cajamarca, occurring on June 30, 2017. The study included personal, family, and pathological history, general and specific examination, diagnosis, auxiliary exams, obstetric management, complications including hepatic rupture, referral to the National Maternal Perinatal Institute, clinical evolution, and discharge. A review of the literature was also conducted on the case. Results: The clinical case presented involves a 32-year-old multigravida at 39 weeks of gestation who underwent a home vaginal delivery. During the immediate postpartum period, she developed postpartum hemorrhage and epigastric pain, leading to referral from the José Sabogal Health Center to the Regional Hospital of Cajamarca with a diagnosis of a 11-hour postpartum woman in hypovolemic shock. Laboratory results showed: hemoglobin 8.6 g%, platelets 184,000/mm³, TGO 564 UI/L, TGP 299 UI/L, coagulation time 8 seconds, bleeding time 4 minutes, and prothrombin time 21.3 seconds. Abdominal ultrasound revealed approximately 1500 cc of free peri-hepatic fluid. She underwent exploratory laparotomy and hepatic packing due to severe preeclampsia, HELLP syndrome, hepatic rupture, and massive hemoperitoneum. The intraoperative finding was a subcapsular hematoma involving nearly the entire right lobe and a rupture at segment VI of the liver. The patient received 7 units of packed red blood cells and 6 units of fresh frozen plasma after informed consent. On the second postoperative day, she experienced unfavorable progression and was referred to the National Maternal Perinatal Institute for continued high-complexity management in the ICU. The clinical evolution was favorable, and she was subsequently referred back to her original hospital for further care.
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Influencer of pregnancy in the female sexual response according to quater in users atended in the external office of obstetrcia of the Hospital Nacional Hipolito Unanue in the period of may –july. 2019
(Universidad Privada Norbert Wiener, 2017-12-11) Márquez Clemente, Nathali Nicol; Sanz Ramirez, Ana María
Materials and Method: This was a non-experimental, descriptive, quantitative, prospective, cross-sectional study, with a sample of 287 pregnant women. Results: 80.8% were older than 19 years; 96.9% were cohabiting, 89.9% were housewives, 78.4% had secondary education, 96.5% were Catholic, 98.6% had their first menstruation between the ages of 10 and 14, 71.4% had their first sexual activity between 16 and 20 years old, 94.5% had between 4 and 7 sexual partners, and 35.2% were second-time pregnant. Sexual interest decreased in the first and third trimesters, partner complicity was sometimes present in the second and third trimesters, sexual activity decreased to once per week in the second trimester and to once per month in the third, sexual arousal was almost always present in the first and second trimesters, no dyspareunia was reported, and orgasm occurred during sexual activity in the first and second trimesters. Regarding coital satisfaction, participants were moderately satisfied in the first trimester and indifferent in the second and third trimesters. Conclusion: Sexual response is influenced by pregnancy, causing changes such as decreased sexual interest, sexual activity, and orgasm during intercourse.
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Maternal complications and weight gain during pregnancy
(Universidad Privada Norbert Wiener, 2022-01-31) Chochoca Franco, Karen Yesenia; Sanz Ramirez, Ana María
Objective: To determine the scientific evidence regarding the relationship between maternal weight gain and complications during pregnancy. Design: The study was a qualitative narrative review. Study area: The present research was conducted by searching for original articles from virtual databases. Study subjects: The study included 35 original articles from the databases PubMed, Scielo, Google Scholar, Revmed, Scopus, and ScienceDirect, covering the period from January 2017 to October 2021. Results: 29% of the reviewed studies were cohort studies, and 17% were analytical studies. Hypertensive disorders of pregnancy, gestational diabetes, and fetal macrosomia were highly associated with maternal overweight and obesity. Conclusion: The scientific evidence reviewed in this study demonstrates a clear relationship between maternal weight gain and complications during pregnancy.
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Maternal factors associated with newborn macrosomia
(Universidad Privada Norbert Wiener, 2018-04-02) Saldaña Cueto, Cecilia Vanessa; Sanz Ramirez, Ana María
Risk factors associated with macrosomia are modifiable and non-modifiable, with the highest OR values found in cases of pregestational obesity, a history of macrosomia, and excessive weight gain.
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Maternal factors related to fetal macrosomia in parturient women attended at the Hospital de Huaycán during the year 2019
(Universidad Privada Norbert Wiener, 2020-02-26) Paccori Yanac, Leonor Vanesa; Sanz Ramirez, Ana María
Objective: To determine the maternal factors associated with fetal macrosomia in parturients attended at the Huaycán Hospital in 2019. Methodology: This was a correlational, cross-sectional, retrospective study. The sample consisted of 147 medical records of postpartum women with macrosomic newborns, analyzed using Pearson's correlation coefficient (r). Results: Maternal age (r=0.17) was associated with adulthood in 67% of cases, pre-pregnancy BMI (r=0.19) with overweight in 42%, educational level (r=0.11) with secondary education, history of macrosomic fetus (r=0.19), maternal parity (r=0.18) with multiparity in 50%, number of prenatal checkups (r=0.07), excessive weight gain (r=0.02), gestational age (r=0.005), mode of delivery (r=0.17), and history of diabetes mellitus (r=0.10) showed significant correlations. Conclusions: The study concluded that the maternal factors analyzed had a low but positive significant correlation with fetal macrosomia. Maternal age (20–34 years), pre-pregnancy BMI (overweight >25 kg/m²), multiparity, and excessive weight gain showed the highest prevalence in fetal macrosomia.
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Maternal-fetal complications associated with premature rupture of membranes
(Universidad Privada Norbert Wiener, 2019-02-13) Artica Aliaga, Shani Shali; Sanz Ramirez, Ana María
The premature rupture of membranes (PROM) is an obstetric condition that occurs when the ovular membranes break before the onset of labor, occurring at the Manuel Angel Higa Arakaki Hospital. This is an observational, descriptive, retrospective study based on medical record reviews, describing the disease from admission, personal and obstetric history, clinical examinations, auxiliary results, diagnosis, management by the specialist, and transfer to a higher-complexity hospital. It was also compared with bibliographic precedents on the case. Results: The clinical case involved a patient aged 21 years with an initial diagnosis of 35-week pregnancy by first-trimester ultrasound, threatened preterm labor, premature rupture of membranes for approximately 5 hours, transverse left presentation, and vaginal septum. After evaluation, a cesarean delivery was decided, revealing severe oligohydramnios, transverse fetus, and risk of cord prolapse. The surgical finding included uterine fibroids, uterine hypotonia, hypovolemic shock, and ultimately maternal death. Conclusions: The clinical case determined that the premature rupture of membranes was associated with a recurrent urinary tract infection, leading to complications. It was evident that medical attention was not timely, which could have prevented maternal mortality.
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Non-stressest test in witness with diagnosis of late fetal growth delay attended at a private health institution - 2018
(Universidad Privada Norbert Wiener, 2019-06-20) Surichaqui Espinoza, Dudu Sheleen; Sanz Ramirez, Ana María
Intrauterine growth restriction is a multifactorial condition caused by various maternal, fetal, or placental pathologies and is associated with high rates of maternal and perinatal morbidity and mortality. Accurate diagnosis of this condition is essential to implement a monitoring and management approach that can reduce complications associated with the disease. Currently, there are no therapeutic strategies; therefore, management is based solely on diagnosis and monitoring until the pregnancy is completed to prevent neonatal morbidity and mortality. This report presents the case of a patient at 37 4/7 weeks of gestational age diagnosed with late-onset intrauterine growth restriction. The management of the pregnancy focused on ultrasounds and, most importantly, periodic fetal monitoring through non-stress tests performed three times to monitor fetal well-being until delivery. Cardiotocographic findings included reduced variability, absence of fetal accelerations, and decreased fetal movements. Ultrasound findings revealed blood flow redistribution, leading to the decision to conclude the pregnancy.
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Placent acretism in manager of high risk obstetric with previous placenta diagnosis in EESS de level III – february 2018
(Universidad Privada Norbert Wiener, 2019-09-05) Sucso Ramírez, Ruth; Tejada Bances, Cintia Maribel; Sanz Ramirez, Ana María
Objective: To describe the management of a case of placenta accreta in a patient diagnosed with placenta previa at a level III healthcare facility. Materials and Methods: A descriptive, observational, retrospective study based on the review of the clinical history of a patient with placenta accreta treated in February 2018. Results: A 37-year-old multigravida patient at 33 weeks of gestation had three prenatal checkups and an incomplete perinatal card. She presented with vaginal bleeding and was referred to a higher-level healthcare facility during the third trimester of pregnancy. The diagnosis was total placenta previa with placenta accreta. The pregnancy was managed by hospitalization, but due to delays in determining the degree of accreta, the pregnancy was terminated by cesarean section and hysterectomy. A live male newborn was delivered, weighing 3010 grams, with an APGAR score of 6 at 1 minute and 7 at 5 minutes. Following the hysterectomy, the patient experienced hypovolemic hemorrhagic shock due to placenta accreta. Blood products were transfused, and she was stabilized. The patient had a favorable recovery and was discharged on the third day post-cesarean. Conclusion: The patient and her newborn had favorable outcomes despite the risk factors and complications encountered.
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Placental insertion anomaly as a cause of postpartum hemorrhage managed in a level III-2 health facility in July 2017
(Universidad Privada Norbert Wiener, 2023-02-20) Quispe Canorio, Angela Idania; Yarihuamán León, Katty Kelyn; Sanz Ramirez, Ana María
A clinical case is presented of a 35-year-old second digestive tract, with 36 weeks of gestational age, with a diagnosis of placental accreta of the percreta variety with infiltration to the bladder wall; and with a history of a previous cesarean section, 6 years ago. The risk factors present were: advanced maternal age, multiparity and previous cesarean section. The pregnant woman underwent an elective cesarean section which was complicated intraoperatively with severe hemorrhage greater than 2000 ml due to placenta percreta with trophoblastic infiltration towards the bladder wall, which forced an immediate decision to perform a total hysterectomy and bladder suture. A live newborn was obtained with a normal Apgar score and adequate weight for gestational age. Patient progresses favorably with a patent Foley catheter and antibiotic therapy coverage. He was discharged from the hospital on the 14th postoperative day.
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Pregnancy anemia and its relationship with low weight at birth at the Hipolito Unanue National Hospital in the april to june period, 2019
(Universidad Privada Norbert Wiener, 2019-12-02) Marcos Avalos, Maricela Elizabeth; Sanz Ramirez, Ana María
Objective: Determine the relationship between anemia in pregnancy and low birth weight at the Hipólito Unánue National Hospital in the period from April to June 2019. Materials and Method: The study was of a non-experimental analytical type, with group differences. , cross-sectional retrospective. The sample was made up of 106 medical records of pregnant women with anemia and low birth weight newborns at the Hipólito Unánue National Hospital. Results: The most frequent age was between 20 and 24 years (30.2%). The marital status highlighted in the study was cohabiting (66%). In relation to the level of education, the level of completed secondary school had the highest frequency (69.8%). The main activity they carried out was housewife (53.8%) and they were from the Coast (89.9%). 32.4% of the patients who had mild anemia had a low birth weight newborn. 67.6% of the patients who had moderate anemia had a low-weight newborn and 58% of the patients who had severe anemia had a very low-weight newborn. Being statistically significant with a value p=0.001. 74.6% of patients with anemia were between 33 to 36 weeks of gestation. The parity of women with anemia was multiparous in 46.2% and 62.3% of patients with anemia had adequate prenatal control. Conclusion: There is a relationship between anemia in pregnancy and low birth weight at the Hipólito Unánue National Hospital.
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Preterm premature rupture of membranes associated with fetal death in pregnant women attended at María Auxiliadora Hospital - San Juan de Miraflores 2019
(Universidad Privada Norbert Wiener, 2022-08-04) Diaz Tamariz, Cecilia Antonella; Sanz Ramirez, Ana María
Material and Methods: Observational, descriptive, retrospective study of clinical history review, clinical case of a pregnant woman with preterm pregnancy and non-stressful test with obvious signs of funicular compression, treated at the María Auxiliadora hospital in 2019. A review of literature for discussion of the clinical case. Results: The clinical case of a 35-year-old patient, without prenatal care, who went to the emergency service due to loss of amniotic fluid at 27 weeks of gestational age is presented. After 23 days of hospitalization, a non-stressful test is performed where the baseline is 162 beats per minute in 30 minutes of recording, variability in a range of 5 to 7 beats, compensatory accelerations, mild and severe variable decelerations, absence of uterine contractions. The pregnancy ends abdominally with fetal death. The patient progressed favorably and was discharged on the fourth postoperative day. Conclusion: Electronic fetal monitoring performed periodically in patients with premature rupture of membranes is a useful procedure for detecting signs of funicular compression.
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Risk factors associated with maternal complications in adolescent pregnancy“
(Universidad Privada Norbert Wiener, 2021-09-08) Linares Cherres, Giovanna Licet; Sanz Ramirez, Ana María
Objective: To systematize evidence on risk factors associated with maternal complications in adolescent pregnancy. Materials and Methods: The study is a systematic review that included a total of 385 indexed articles selected from databases such as PubMed, Scielo, LILACS, and ScienceDirect. These articles were rated using the GRADE system, resulting in a final sample of 30 articles corresponding to studies with observational analytical designs, including case-control studies, systematic reviews, meta-analyses, randomized controlled trials, descriptive cross-sectional studies, and transversal studies, employing statistical tests such as Relative Risk (RR) and Odds Ratio (OR). Results: Sociodemographic factors associated with maternal complications in adolescent pregnancy included marital status, educational level, socioeconomic status, age, rural areas, and occupation. Psychological factors included intimate partner violence, depression, anxiety, and feelings of shame. Obstetric factors included lack of prenatal care, type of delivery, and complications such as preterm birth, hypertension, low birth weight, anemia, and threat of preterm labor.
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The risk factors for preeclampsia and maternal and perinatal complications in a pregnant woman attended at the María Auxiliadora Hospital during the month of January 2023
(Universidad Privada Norbert Wiener, 2019-02-28) Cárdenas Ruiz, Iris; Sanz Ramirez, Ana María
Materials and Methods: This is a qualitative research study; observational, descriptive, retrospective, involving a clinical case review of the management of a pregnant woman with preeclampsia treated at a level III hospital during January 2023. The study included personal, family, obstetric, pathological history, diagnosis, physical examination, auxiliary exams, obstetric management, and evolution until discharge. Results: The case involves a 28-week gestation third-time pregnant woman, with obesity, prematurity, early intrauterine growth restriction (IUGR), and mild preeclampsia without signs of severity, which evolved into severe preeclampsia during the preoperative period. She was discharged on the sixth day after cesarean section, with hepatic revision due to preeclampsia with signs of severity and resolved HELLP syndrome. Conclusion: The risk factors for developing preeclampsia were identified as advanced maternal age (sociodemographic factor), late and insufficient prenatal care (obstetric factor), and starting the pregnancy with overweight and obesity (pathological and clinical history). Preeclampsia with severe criteria has a rapid progression and can lead to maternal and perinatal complications, with pregnancy termination being the most effective management approach, carrying the risk of prematurity for the newborn.
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Risk factors for preeclampsia with severity criteria in pregnant women treated at the Chavin de Pariarca Health Center 2022
(Universidad Privada Norbert Wiener, 2018-09-14) Garnique Quiroz, Luz Fabiola; Sanz Ramirez, Ana María
Objective: To describe the risk factors for Preeclampsia with severe criteria in a pregnant woman attended at the Chavin de Pariarca Health Center. Materials and Methods: The methodology was observational, retrospective, and descriptive. Information was collected from the medical history of the pregnant woman diagnosed with Preeclampsia with severe criteria. Variables included personal and obstetric history, maternal and perinatal complications, and obstetric management. A literature review was conducted to discuss the findings. Results: A case is presented of a 44-year-old grand multipara at 38 weeks of gestation who presented to the emergency department with symptoms of headache, epigastric pain, blood pressure of 198/110 mmHg, and a diagnosis of preeclampsia with severe criteria. Treatment included magnesium sulfate administration, antihypertensive drugs, and hydration. The delivery concluded with an emergency cesarean section, resulting in a female newborn weighing 3,710 grams, with an APGAR score of 7 at one minute and 9 at five minutes, and clear green amniotic fluid. Conclusions: Advanced maternal age, high parity, obesity, and a history of preeclampsia in a previous pregnancy were identified as risk factors for preeclampsia with severe criteria.