Examinando por Autor "Villarreal Aguinaga, Carmen"

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Acceso abierto
Usefulness of the non-stressful test in the surveillance of fetal well-being in pregnant women with diabetes. hospital The Mercedes-2018.
(Universidad Privada Norbert Wiener, 2021-09-09) Villarreal Aguinaga, Carmen; Ayala Peralta, Félix Dasio
This academic work aims to identify the parameters of the Non-Stress Test used in monitoring fetal well-being in a diabetic pregnant woman attended at Las Mercedes Hospital in 2018. The clinical case is of a pregnant woman who was admitted in an emergency with a history of fetal death and diabetes mellitus, diagnosed with: 29 weeks of gestation, vulvovaginitis, threatened preterm labor, and diabetes due to history. Laboratory tests confirmed uncontrolled diabetes, diabetic ketoacidosis, and urinary tract infection. Multidisciplinary treatment was initiated, with strict glycemic control and monitoring of fetal well-being. The initial Non-Stress Test showed a non-reactive pattern with silent variability, absence of accelerations, and decelerations. The clinical evolution of the patient was stable, but as metabolic control improved, variability improved, and a reactive pattern was obtained. The patient stayed for 45 days and after a medical meeting, a cesarean section was performed at 35 weeks, resulting in a female newborn weighing 2710 grams, with an APGAR score of 8 at one minute and 9 at five minutes. The patient was discharged in stable condition 48 hours after the cesarean. Conclusion: The usefulness of the Non-Stress Test for monitoring fetal well-being in diabetic pregnant women is evident.