Examinando por Materia "Amniotic Fluid"
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Ítem Acceso abierto Effectiveness of gastric lavage in newborns with meconium-stained amniotic fluid.(Universidad Privada Norbert Wiener, 2018-07-08) Velásquez Ojeda, Jennifer; Calsin Pacompia, WilmerObjective: To analyze the available evidence from studies carried out on the effectiveness of gastric lavage in newborns with meconium amniotic fluid. Material and method: The study had a systematic review design. The instrument was the Pubmed, Medline and ElSevier database. The population consisted of 40 scientific articles and the sample of 10. 90% of the studies were quantitative and designed randomized clinical trials and 10% were qualitative and systematic review designed. The evidence analysis technique was through the GRADE method. Results: Of the 10 articles reviewed, 80% show that gastric lavage is not effective nor is it recommended as a routine practice in newborns with vigorous meconium amniotic fluid, 10% show that gastric lavage is effective and promotes tolerance to feeding and the final 10% shows that gastric lavage favors recovery. Conclusions: Of the 10 articles reviewed, 8/10 evidence that gastric lavage is not effective, the next 1/10 evidence that gastric lavage is not effective and the final 1/10 evidence that it is effective in the recovery of newborns. born with vigorous meconium amniotic fluid.Publicación Acceso abierto Relación entre el test no estresante y los resultados perinatales en gestantes a término en el Centro de Salud Justicia Paz y Vida Nivel 1-4, Huancayo, diciembre del 2022 - febrero del 2023(Universidad Privada Norbert Wiener, 2025-04-04) Castilla Rivera, Elizabeth Rosario; García Puicón, Lady YaninaEl estudio determinó la relación entre el test no estresante y los resultados perinatales en gestantes a término en el Centro de Salud Justicia Paz y Vida Nivel 1-4, Huancayo, diciembre del 2022 - febrero del 2023” Se siguió un diseño no experimental, retrospectivo de nivel correlacional y tipo básica. Se evaluaron las historias clínicas de 80 gestantes a término atendidas en el periodo de estudio, y para la colecta de datos se empleó una ficha de recolección de datos. En cuanto a los resultados de la línea basal, el 98.8% estuvo en un nivel normal (120 a 16 LCF); asimismo, el 75.0% tuvo una variabilidad normal (10 a 25), el 86.3% estuvo en un rango superior a 5 en aceleraciones; el 93.8% tuvo un rango ausente en desaceleraciones, el 93.8% estuvo en un rango normal (>5) en movimiento fetal, y el 93.8% tuvo un puntaje entre 7 a 10, indicando que el TNE fue reactivo. Con respecto al test de Apgar, el 78.8% obtuvo un puntaje entre 7 a 10, indicándolo como normal, para el color del líquido amniótico, el 63.7% tuvo un color claro, por el lado de la vía de parto, la mayoría, el 78.8%, tuvo un parto vaginal. El trabajo concluye señalando que los resultados reactivos del TNE tienen una relación significativa con un puntaje normal del Apgar (p-valor Chi=0.001<0.05), y con una vía de parto vaginal (p-valor Chi=0.029<0.05), más no con el color del líquido amniótico (p-valor Chi=0.902>0.05) en gestantes a término en el Hospital El Carmen, Huancayo, diciembre 2022 - febrero 2023.Ítem Acceso abierto 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 ManuelMaterial 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.
