Examinando por Materia "Acceleration"

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Results of cardiotocography in relation to funicular dystocia, condition of the newborn and type of delivery at the “Las Mercedes” regional teaching hospital in Chiclayo in the year 2016-2017
(Universidad Privada Norbert Wiener, 2018-03-23) Moreno Llanos, María Evelyn; Vidaurre Cortez, Giovanna; Huaman Elera, Jose Manuel
Material and methods: A quantitative, non-experimental, prospective, longitudinal, analytical study was carried out. The sample was obtained by non-probabilistic or convenience sampling. Information was collected from the review of medical records. The statistical test used was the chi square. Results: The sociodemographic maternal characteristics with the highest percentage were adulthood, level of secondary education, nulliparous, and full-term gestation. The presence of funicular dystocia recorded a normal baseline, silent variability (7.2%), absence of accelerations (46.4%), variable decelerations (43.5%), present fetal movements; The result of the non-reactive stress test was 62.8% and the positive non-reactive stress test was 30.8%. The most frequent was clear amniotic fluid, simple circular cord, rejectable and located in the neck of the newborn. The highest percentage of births was by cesarean section. Newborns with Apgar scores of 7 to 10 at one minute and funicular dystocia had a non-reactive stress test or a reactive negative stress test. Cardiotocography showed low sensitivity, high specificity, a positive predictive value of 75%, a negative predictive value of 52.4% and a statistically significant relationship between cardiotocographic results and funicular dystocia. Conclusion: There is a statistically significant relationship (p<0.05) between cardiotocographic results and the presence of funicular dystocia. The non-stressful test had a statistically significant relationship with the type of delivery.