Examinando por Autor "Torres Osorio, Juan Macedonio"

Mostrando 1 - 5 de 5

Acceso abierto
Acute pyelonephritis during pregnancy, Public Maternal and Child Center 2017
(Universidad Privada Norbert Wiener, 2019-09-30) Suasnabar Ponce, Gladys Marleni; Córdova Olayunca, Laura Edith; Torres Osorio, Juan Macedonio
A 21-year-old second-time pregnant woman at 35 weeks of gestation with acute pyelonephritis. Risk factors include anemia, urinary tract infection, insufficient prenatal care, and the causative germ is *Klebsiella pneumoniae*.
Acceso abierto
Management of intrauterine growth restriction
(Universidad Privada Norbert Wiener, 2024-08-08) Rios Jurado, Evelyn; Aldana Crespo, Naike Yadira; Torres Osorio, Juan Macedonio
This academic paper addresses the management of intrauterine growth restriction at the INMP in an 18-year-old patient referred from her maternal center with the following diagnoses: Primigravida at 36 2/7 weeks by last menstrual period, Threatened Preterm Labor, and Intrauterine Growth Restriction. The management was carried out according to the INMP guidelines, culminating in an uncomplicated vaginal delivery.
Acceso abierto
Maternal and neonatal factors associated with perinatal death at Jorge Voto Bernales Hospital – ESSALUD, 2013 – 2017
(Universidad Privada Norbert Wiener, 2024-07-31) Espíritu Gurbillón, Patricia Carola; González Rebaza, Kely; Torres Osorio, Juan Macedonio
A case-control study was conducted. The sample consisted of 90 perinatal deaths at 28 weeks or more and/or weighing 1000 grams or more, and a control group of 2 live births for each perinatal death selected randomly, making a total of 180 controls. Eleven maternal variables and five neonatal variables were analyzed using the chi-square test and odds ratio with a 95% confidence interval (p<0.05). The results showed that the perinatal mortality rate was 3.91 per 1000 live births. The associated risk factors were: lack of prenatal care (OR=4.17), presence of obstetric pathology (OR=2.23), non-cephalic fetal presentation (OR=9.08), non-spontaneous onset of labor (OR=6.70), prematurity (OR=25.38), small for gestational age (OR=10.55), and congenital anomalies. The conclusions highlight that among maternal factors, the lack of prenatal care and the presence of obstetric pathology were prominent. Neonatal factors showed a stronger association, mainly prematurity and the presence of congenital malformations.
Acceso abierto
Pregnant woman with uncontrolled chronic hypertension associated with advanced maternal age and hypothyroidism, complicated by fetal death, attended at the National Hospital Daniel Alcides Carrión 2017.
(Universidad Privada Norbert Wiener, 2023-02-07) Caceres Rojas, Mariela Pilar; Cruz Stuart, Liz Janette; Torres Osorio, Juan Macedonio
An academic paper is presented that discusses the case of a multigravida at 19 weeks of gestation with uncontrolled chronic hypertension, advanced maternal age, hypothyroidism, and complicated by fetal death. Initially, she was attended to in the emergency department of the Peru-Korea Maternal Child Center (I-4), where she was referred to the Daniel Alcides Carrión National Hospital (III-1). After her blood pressure was controlled, she was discharged with instructions to begin prenatal care in the outpatient clinic. A few days later, the patient was treated at the Bahía Blanca health center (I-2) for a hypertensive crisis and was urgently transferred to the local Ventanilla hospital (II-1). After evaluation, she was once again referred to the Daniel Alcides Carrión National Hospital, where she required hospitalization in the Intensive Care Unit and multidisciplinary management due to the complications that arose from the hypertensive condition.
Acceso abierto
Severe preeclampsia and intrauterine growth restriction
(Universidad Privada Norbert Wiener, 2022-11-10) Bravo Rodriguez, Cynthia Mercedes; Pariona Huamán, Jeaneth Rossini; Torres Osorio, Juan Macedonio
This is an observational, descriptive, retrospective study, reviewing a medical record of a case that occurred at the National Maternal Perinatal Institute of Lima during May - June 2017. Personal, pathological, obstetric history, clinical examination, auxiliary tests, specialized management, and the patient's evolution from admission to hospital discharge were included. Additionally, the case was compared with bibliographic references. Results: The clinical case involved a 32-year-old multiparous pregnant woman from Loreto, of mixed race, a housewife, who was referred from the Valle Verde Health Post to Tingo María Hospital due to a blood pressure of 160/110 mmHg in her fifth prenatal check-up. She was later referred to the National Maternal Perinatal Institute, where she was admitted through the emergency service with a diagnosis of a 32-week, 5-day pregnancy by last menstrual period, no labor, suspected hypertensive disorder of pregnancy: suspected severe preeclampsia, suspected intrauterine growth restriction. The patient was medicated and treated, and the pregnancy was concluded with a diagnosis of severe preeclampsia, intrauterine growth restriction, and gestational diabetes. The newborn was a male weighing 1190 kg, with 33 weeks by Capurro, Apgar: 8 at the first minute and 9 at five minutes, small for gestational age. Conclusions: Preeclampsia is a pregnancy-related disease that affects both the mother and fetus, accounting for a considerable proportion of maternal and perinatal deaths.