Examinando por Materia "Cardiotocografía"

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Acceso abierto
RESULTADOS DE LA CARDIOTOCOGRAFIA EN RELACION A DISTOCIA FUNICULAR, CONDICION DEL RECIEN NACIDO Y TIPO DE PARTO EN EL HOSPITAL REGIONAL DOCENTE “LAS MERCEDES” DE CHICLAYO EN EL AÑO 2016-2017
(Universidad Privada Norbert Wiener, 2018-03-23) Vidaurre Cortez, Giovanna; Huaman Elera, Jose Manuel
MATERIAL Y MÉTODOS: Se realizó un estudio cuantitativo, no experimental, prospectivo, longitudinal, analítico. La muestra fue obtenida por muestreo no probabilístico o por conveniencia. Se recolectó información de la revisión de historias clínicas. La prueba estadística utilizada fue el chi cuadrado. RESULTADOS: Las características maternas sociodemográficas de mayor porcentaje fueron edad adulta, grado de instrucción secundaria, nulíparas y gestación a término. La presencia de distocia funicular registró línea de base normal, variabilidad silente (7,2%), ausencia de aceleraciones (46,4%), desaceleraciones variables (43,5%), movimientos fetales presentes; el resultado del test no estresante reactivo fue 62,8% y test estresante positivo no reactivo 30,8%. Lo más frecuente fue líquido amniótico claro, circular simple de cordón, rechazable y ubicado en el cuello del recién nacido. El mayor porcentaje de parto fue por cesárea. Los recién nacidos con apgar 7 a 10 al minuto y distocia funicular tuvieron test no estresante reactivo o test estresante negativo reactivo. La cardiotocografía mostró una baja sensibilidad, alta especificidad, un valor predictivo positivo 75%, valor predictivo negativo de 52,4% y una relación estadísticamente significativa entre resultados cardiotocográficos y distocia funicular. CONCLUSIÓN: Hay una relación estadísticamente significativa (p<0,05) ente los resultados cardiotocográficos y la presencia de distocia funicular. El test no estresante tuvo relación estadísticamente significativa con el tipo de parto.
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 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.
Acceso abierto
Risk of loss of fetal well-being by cardiotocography and status at birth
(Universidad Privada Norbert Wiener, 2023-05-09) Miranda Roca, Karen Beatriz; Alfaro Fernández, Paul Rubén
The work is a narrative review of publications where the search for studies was carried out using keywords in the following databases: PubMed, ScienceDirect, Dialnet, Redalyc, ALICIA, Elsevier and Google Scholar. 362 studies were identified, of which, after a selection process, 34 articles that met the inclusion criteria were included. Among the main results, the studies highlight that newborns who had cardiotocographic tracings suggestive of Loss of fetal well-being have a high rate of meconium (77% of studies), Apgar > 7 (73% of studies) and a low percentage of acidosis neonatal and respiratory morbidity (77% and 75% of studies). Not enough evidence was found regarding neonatal resuscitation and admission to the NICU. In conclusion, the evidence in the reviewed studies indicates that, with the exception of the presence of meconium fluid, there is not sufficient certainty of an unfavorable state at birth in the newborn previously diagnosed with Risk of loss of fetal well-being by Cardiotocography. Thus, Cardiotocography, used routinely in patients without risk factors, increases the risk of unnecessary cesarean sections and instrumental deliveries.
Acceso abierto
Risk of loss of fetal well-being in pregnant women treated at the María Auxiliadora hospital - San Juan de Miraflores 2020
(Universidad Privada Norbert Wiener, 2022-08-04) Medina Tolentino, Maritza Isabel; Sanz Ramirez, Ana María
Retrospective, observational, descriptive study where the clinical history of a preterm pregnant woman was reviewed, with a positive non-reactive cardiotocographic tracing showing signs of uteroplacental insufficiency, presented at María Auxiliadora Hospital in January 2020. The case includes anamnesis, general and specific examination upon emergency admission, stress test, management, and evolution, with a bibliographic review for case discussion. The clinical history reviewed was for the case of a 21-year-old nulliparous woman from Loreto, mestizo, housewife, who was admitted to the emergency service at María Auxiliadora Hospital for uterine contraction pain, diagnosed with a 35-week pregnancy based on first-trimester ultrasound, latent phase of labor, and prematurity. An electronic fetal monitoring was requested, resulting in a positive non-reactive stress test, with recurrent type II decelerations during labor, leading to an emergency cesarean section. A male newborn weighing 2,494 grams was delivered with thick meconium, an APGAR score of 6 at one minute, and 9 at five minutes.
Acceso abierto
To determine the relationship that exists between the predictive value of intrapartum cardiotocography and the Apgar of the newborn of patients treated at the II-E Banda Hospital of Shilcayo, 2022
(Universidad Privada Norbert Wiener, 2023-05-08) Del Águila Arévalo, Reidelinda; Benites Vidal, Elvira Soledad
Objective: "To determine the relationship between the predictive value of intrapartum cardiotocography and the Apgar score of newborns of patients attended at the Hospital II-E Banda de Shilcayo, 2022." Materials and Methods: Quantitative, deductive, analytical approach with a correlational observational design. The population consisted of 172 clinical histories, with a sample of 77. The technique used was document analysis, and the instrument was a data collection form, with descriptive and inferential analysis performed using SPSS version 27. Results: The results of intrapartum fetal monitoring were: the baseline was normal in 100%, the variability was normal in 64%, accelerations were normal in 82%, early and late decelerations were absent in 100%, and variable decelerations were absent in 97%. Regarding the Apgar score at one minute, it was normal in 95%, while at five minutes, it was normal in 100%. Conclusions: There is a relationship between the predictive value of intrapartum cardiotocography and the Apgar score of newborns of patients attended at the Hospital II-E Banda de Shilcayo, 2022.
Acceso abierto
Utilidad de monitoreo fetal electrónico intraparto en la detección de distocia funicular e hipoxia fetal en gestantes a término atendida en el Centro Materno Infantil Tahuantinsuyo Bajo 2019
(Universidad Privada Norbert Wiener, 2024-11-14) Centeno Malqui, Tiany Luz; Reyes Serrano, Bertha Nathaly
Objetivo: Describir los hallazgos de monitoreo fetal electrónico intraparto en la detección de distocia funicular e hipoxia fetal en una primigesta de 40 semanas atendida en Centro Materno Infantil Tahuantinsuyo Bajo en el año 2019. Material y métodos: Estudio observacional, descriptivo, retrospectivo y revisión de caso clínico sobre el manejo de una primigesta de 40 semanas que presenta trazado del monitoreo fetal electrónico durante el trabajo de parto compatible con distocia funicular e hipoxia fetal atendida en el Centro Materno Infantil Tahuantinsuyo Bajo se realizó revisión de literatura para discusión de caso clínico. Descripción del caso clínico: Primigesta de 24 años, que acude a emergencia por presentar contracciones uterinas frecuentes con embarazo de 40 semanas por fecha de ultima menstruación y fase latente de labor de parto; por lo que se le indica hospitalización. El Monitoreo fetal electrónico intraparto (MEFI) inicial en fase latente de trabajo de parto revela revela línea de base de 110-160 lpm, variabilidad de 6 a 25 lpm y ausencia de aceleraciones cuyo resultado corresponde a categoría I. Durante la fase activa de trabajo de parto el MEFI revela línea de base taquicárdica, variabilidad disminuida, ausencia de aceleraciones y presencia de desaceleraciones variables recurrentes, cuyo resultado corresponde a Categoría II. El manejo obstétrico fue vaginal, obteniendo un recién nacido con APGAR 5 al minuto y 9 a los 5 minutos, peso 3242 g, líquido amniótico claro y circular simple al cuello fetal. Conclusión: Los hallazgos en MEFI de categoría II como son taquicardia fetal, variabilidad disminuida, ausencia de aceleraciones y desaceleraciones variables recurrentes son compatibles con hipoxia fetal por distocia funicular que permitieron culminar el parto vaginal en forma oportuna.