Examinando por Materia "Cardiotocografía fetal"

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    Cardiotocographic findings in a true umbilical cord knot. Prosalud-Chota Clinic 2018.
    (Universidad Privada Norbert Wiener, 2021-12-16) Sánchez Díaz, Gladys; Fernández Ledesma, Scarlett Estela
    Objective: To identify cardiotocographic findings in a true umbilical cord knot in a term pregnant woman at Clínica PROSALUD-Chota. Material and Methods: This is an observational, descriptive, retrospective case study of a term pregnant woman presenting with a non-reactive Non-Stress Test (NST). Findings included non-reactivity, the presence of a mixed deceleration, and spikes suggestive of funicular compression. A literature review was conducted for case discussion. Results: The clinical case involves a term pregnant woman at 39 weeks gestation (by last menstrual period) who presented with a non-reactive NST. Findings included a baseline of 143 bpm, reduced variability, absence of accelerations, a mixed deceleration, and spikes, with more than five fetal movements and a Fisher score of 6/10. After evaluating maternal and fetal conditions, preparation for the operating room was initiated. Operative findings included a triple nuchal cord, a true knot, scant thick meconial amniotic fluid, and a live female newborn weighing 3020 grams with Apgar scores of 6 at 1 minute, 8 at 5 minutes, and 9 at 10 minutes. Conclusion: Fetal cardiotocography is a useful tool for detecting signs of funicular dystocia.
  • Miniatura
    ÍtemAcceso abierto
    Usefulness of fetal cardiotocography in the diagnosis of funicular dystocia in a pregnant woman treated at the level II-2 hospital in Tarapoto.
    (Universidad Privada Norbert Wiener, 2021-08-05) Cortez Ramirez, Henry; Ayala Peralta, Félix Dasio
    Materials and Methods: This is an observational, descriptive, retrospective study and case review on the management of a primigravida at 37 weeks presenting a cardiotocographic trace compatible with umbilical cord prolapse. Case Description: A 19-year-old primigravida presenting with elevated hypertension at 37 weeks gestation, not in labor, and was hospitalized to rule out preeclampsia. The initial Non-Stress Test (NST) revealed a baseline of 145 bpm, variability of 8, presence of variable decelerations, with the result of an active, reactive fetus showing clear signs of cord compression. The Stress Test (ST) revealed a baseline of 160 bpm, variability of 5, absence of accelerations and fetal movements, with 60% presence of variable decelerations, and a non-reactive, positive result for the stress test. She underwent an emergency cesarean section, delivering a newborn with an APGAR score of 7 at one minute and 9 at five minutes, weighing 2620 g, with clear amniotic fluid and a double-loop umbilical cord around the fetal neck. Conclusion: The findings of variable decelerations on fetal cardiotocography helped in diagnosing umbilical cord prolapse, allowing timely cesarean section and a newborn in good condition.