Examinando por Autor "Tapia Nuñez, Walter Enrique"

Mostrando 1 - 3 de 3

Acceso abierto
Premature rupture of membranes in preterm labor associated with maternal complications in the Sergio E. Bernales support hospital, Lima, year 2017
(Universidad Privada Norbert Wiener, 2022-11-04) Cruz Rios, Natalia Luz; Tapia Nuñez, Walter Enrique
Objective: To describe the management of a clinical case of premature rupture of membranes in preterm labor associated with maternal complications. Material and methods: An observational, descriptive retrospective study, reviewing the perinatal clinical history of a case of PROM in preterm labor at a public health facility in Lima during February 2017. Results: The predominant symptom was the loss of amniotic fluid for more than 48 hours. Pulmonary maturation was performed with betamethasone. Antepartum antibiotic therapy with intravenous cefazolin was administered. During the first stage of labor, fever, tachycardia, leukocytosis, and fetal tachycardia occurred, which led to the termination of the pregnancy via cesarean section, resulting in a live newborn weighing 2585 g, meconium-stained, with a gestational age of 39 weeks. Broad-spectrum antibiotic therapy with intravenous ceftriaxone + gentamicin + clindamycin was used post-cesarean. During the postoperative period: wound infection, endometritis, and pelvic peritonitis developed, requiring total abdominal hysterectomy. Conclusion: Prolonged PROM in preterm pregnancy is an important risk factor for maternal morbidity due to causing chorioamnionitis, endometritis, pelvic peritonitis, and wound infection; additionally, the maternal evolution was slow, progressing to acute surgical abdomen, leading to total hysterectomy, resulting in a prolonged hospital stay.
Acceso abierto
Results of care in severe preeclampsia in two clinical cases treated at the Hospital San Juan de Lurigancho 2017 and 2019
(Universidad Privada Norbert Wiener, 2021-10-10) Huamaní De la Cruz, Rosa Elena; Tapia Nuñez, Walter Enrique
This study analyzes two clinical cases of severe preeclampsia attended at the San Juan de Lurigancho Hospital. The cases involve two patients treated in the emergency department, intensive care unit, and high-risk obstetric hospitalization unit, both presenting similar risk factors for severe preeclampsia but with different outcomes at discharge. The first case is a 24-year-old primigravida at 35 weeks of pregnancy with insufficient prenatal care, hypertension, headache, blurred vision, and thrombocytopenia. Despite the absence of clinical signs of placental abruption, a gynecological ultrasound revealed a villous lake, leading to surgery due to fetal bradycardia, which resulted in fetal demise. The second case is a 17-year-old primigravida at 33 4/7 weeks of pregnancy with no prenatal care, presenting with hypertension, vulvar edema, thrombocytopenia, hypoalbuminemia, and hypocalcemia, resulting in a live birth. Both cases ended in cesarean sections, with hospital stays of 10 and 7 days, respectively, before discharge. This study aims to compare the outcomes of severe preeclampsia management in these two clinical cases and includes a review of national and international literature on the subject.
Acceso abierto
Sociodemographic and gynae-obstetric characteristics of the users of the subdermal contraceptive implantation who attend the family planning service of the Hipólito Unanue National Hospital, from January 1 to June 30, Lima; 2017
(Universidad Privada Norbert Wiener, 2019-05-02) Monge Gala, Yelin Marizeth; Gariza Chavez, Milagros Elizabeth; Tapia Nuñez, Walter Enrique
This was a descriptive, retrospective, cross-sectional study reviewing 49 clinical records of users of the subdermal contraceptive implant who attended the family planning service. The average age was 25.57 years, with 34.72% aged 26 to 30 years. 57.14% were cohabiting, 67.35% had completed secondary education, and 44.90% lived in the El Agustino district. 75.51% reported starting menstruation between the ages of 12 and 14, and 81.63% began sexual activity between the ages of 15 and 20. Additionally, 67.35% had more than one sexual partner, 81.64% had one to three children, and 61.22% had no history of abortion. At least one cesarean section was reported by 24.48%, while 67.35% were at high reproductive risk. Furthermore, 67.35% had a normal BMI. Before using the implant, 83.67% of the women had used a contraceptive method, with male condoms being the most preferred (32.65%). 42.86% were in their second year of use. 59.18% reported experiencing side effects, with menstrual irregularities being the most common (28.57%), and 59.18% of the users received treatment for their complaints.