Examinando por Materia "Cesarean Section"

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Anxiety level of pregnant patients undergoing cesarean section at EsSalud II Hospital Ramon Castilla Cercado de Lima 2020
(Universidad Privada Norbert Wiener, 2021-02-07) Peralta Obispo, Lucy Marlinda; Mori Castro, Jaime Alberto
Introduction: In South America it was estimated that 7.7% of women suffer from anxiety and 3.6% of men. The country that suffers the most from anxiety is Brazil, since it has 3.3% of its population, followed by Paraguay with 7.6%, Chile with 6.5%, Uruguay with 6.4%, Argentina with a 6.3%, Cuba with 6.1%, Colombia with 5.8%, Peru and the Dominican Republic with 5.7%, Ecuador with 5.6%, Bolivia with 5.4%, Costa Rica with a 4.6% and finally Mexico with 3.6%. According to the Ministry of Health, the population demanded high attention in health services at the level of anxiety, which is why it is observed that depression increased in the years 2000-2005, being a problem in anxiety and depression care. . The gestational risk increases the level of anxiety, the preparation and the process of this help to face the fear of cesarean surgery. The data collection instrument was the Zung Scale questionnaire by Silvia Grundi Taminche, which includes 20 items grouped into 4 dimensions. The Microsoft Excel program will also be used to validate the instrument.
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Characteristics and factors associated with Uterine Atony in postpartum cesarean women in a Social Security Hospital, 2018- 2023
(Universidad Privada Norbert Wiener, 2024-08-10) Ayala Caballero, Geraldine Andrea; Espinoza Pacheco, Jorge Luis
Objective: To determine the factors associated with uterine atony in cesarean postpartum women at Hospital Suárez Angamos III during the period 2018 to 2023. Material and methods: Quantitative, analytical observational case-control study. The sample size was 144, with uterine atony as the outcome variable and sociodemographic, clinical, and laboratory covariates. A data collection sheet was used, along with descriptive and analytical statistics, calculating the crude and adjusted Odds Ratio (OR) with a significance level of p<0.05. Results: 29.17% (n=14) were over 35 years old, the median blood loss volume was 800cc (IQR: 500-2700), 62.5% (n=30) had comorbidities, 72.92% (n=35) had adequate prenatal care, 25% (n=12) had a long inter-pregnancy interval, 8.33% (n=4) had a history of uterine atony, 50% (n=24) had multiparity, 56.25% (n=27) had previous severe preeclampsia, 91.67% (n=44) had thrombocytopenia, and 79.17% (n=38) had anemia. In the crude and adjusted models using Poisson regression, no statistically significant association with uterine atony was reported. Conclusion: No statistically significant associations were found between uterine atony and sociodemographic, clinical, or laboratory factors in cesarean postpartum women.
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Characterization of retinopathy of prematurity in a perinatal maternal hospital, Lima 2017-2019
(Universidad Privada Norbert Wiener, 2020-08-30) Espinoza Palomino, Yajahyda Yuliza; Fernández Rengifo, Werther Fernando
Objective: Describe the characteristics of retinopathy of prematurity at a Maternal Perinatal Hospital in Lima during the period 2017-2019. Method: The present investigation has a quantitative approach, in terms of the methodological design it is a descriptive investigation, with the documentary analysis technique and the instrument of the data capture sheet, information was collected from the clinical records. Results: The characteristics were, the predominance of the male sex of the newborn with 60%, due to the type of delivery that the mother had, mostly delivery by cesarean section with 60%, mothers who had chorioamnionitis in 60%, due to the birth weight less than 1000 g in 40%, requirement for oxygen therapy with 60%, those who presented neonatal sepsis in 80%, according to the type of pregnancy single in 92%, gestational age less than 32 weeks with 72%, as for respiratory distress syndrome and intrauterine growth retardation, their percentages are less than 20%. Conclusion: The most important characterizations were: predominantly male gender, cesarean delivery, birth weight less than 1000g, oxygen therapy requirement, neonatal sepsis, type of singleton gestation, gestational age less than 32 weeks, mothers who presented chorioamnionitis, these characteristics being the most relevant and of great significance, they are possible risk factors for developing the disease.
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Effectiveness of antibiotic prophylaxis before incision or after cord clamping to reduce the risk of postoperative infectious complications in cesarean section patients
(Universidad Privada Norbert Wiener, 2018-12-02) Cavero Aspajo, Silvia Stefany; Checcllo Escriba, Lizbeth Alcida; Cárdenas de Fernández, María Hilda
MATERIALS AND METHODS: This is a systematic review, its population being 150 scientific articles and its sample being 10 articles. Explorations were carried out in the databases of Cochrane Library, Embase, PubMed, Willey Online Library, Central database, Science Direct and Epistemonikos, to obtain results that compared the effectiveness of antibiotic prophylaxis prior to the incision and after clamping of the umbilical cord to reduce risks of infectious complications. Through the Grade system, the effectiveness of the evidence and the strength of recommendation of the articles were evaluated. RESULTS: 10 studies fully completed the insertion criteria. It was observed in 70% of research that antibiotic prophylaxis before incision is more effective than after clamping the umbilical cord, to reduce the risks of postoperative infectious complications. However, the remaining 30% argue that both antibiotic prophylaxis before of the incision compared to after clamping did not demonstrate superiority, that is, both are effective. CONCLUSIONS: Antibiotic prophylaxis before incision is more effective in preventing the emergence of infectious complications compared after clamping the umbilical cord in cesarean patients.
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Effectiveness of managing complications in post-cesarean patients to reduce maternal morbidity and mortality
(Universidad Privada Norbert Wiener, 2018-12-02) Bendezú Rondan, Maria Cleofe; Gonzales Huamán, Evelyn Alejandra; Calsin Pacompia, Wilmer
Objective: To analyze the effectiveness of managing complications in post-cesarean patients to reduce maternal morbidity and mortality. Materials and Methods: Quantitative type and a systematic review by study design. The population consisted of 20 articles from the bibliographic review and the sample of 10 scientific articles published in scientific databases, the search instrument Database: PubMed , Scielo, Cochrane Library, Reseachgate.net, GRADE system that is validated with the quality of evidence for the evaluation of strength of resistance Results: Of the 100% articles, 10% correspond to Saudi Arabia; 10% to Brazil; 10% to Peru; 10% to Iran; 10% to Taiwan; 10% to USA; 10% to France; 10% to Spain, 10% to Australia, 10% to Colombia; In relation to the type, it is 100% quantitative and the study designs: 40% correspond to clinical trials, 10% to historical cohorts, 20% to retrospectives, and 30% to descriptives. Conclusions: 100% of the evidence indicated that in post-cesarean patients the risk of complications, whether immediate or mediate, increases; this will depend on the management of the health team, reducing maternal morbidity and mortality.
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Effectiveness of preoperative antibiotic prophylaxis in pregnant women undergoing cesarean section in reducing puerperal infections.
(Universidad Privada Norbert Wiener, 2018-03-25) Arce Huillca, Yesenia; Peinado Huaynalaya, Dina Elizabeth; Gamarra Bustillos, Carlos
It is a systematic observational and retrospective review. In the final selection, 10 articles were chosen where the effectiveness of antibiotic prophylaxis in the preoperative period of pregnant women undergoing cesarean section is evidenced to reduce puerperal infections.
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Effectiveness of skin-to-skin contact between father and newborn in the adaptation of cesarean-born infants
(Universidad Privada Norbert Wiener, 2019-06-30) Robles Hurtado, Isabel Jackelin; Ramírez Castillejo, Cynthia Melissa; Calsin Pacompia, Wilmer
Objective: Analyze and systematize the evidence on the effectiveness of father-child skin-to-skin contact in improving the adaptation of newborns born by cesarean section. Materials and Methods: Our research is quantitative, its design was a systematic review, the population was made up of 45 articles and the sample was made up of 10 articles that were published and indexed in the scientific database, in addition the instrument we used was the search of data in Science Direct, Lilacs, Lipecs, Pubmed, Medline and EBSCO, the GRADE system was also used to evaluate the articles, which helped us evaluate the quality of the evidence and the strength of recommendation of our research. Results: Of the 100% of articles reviewed, 50% show its effectiveness in reducing crying and favoring parent-neonate interaction, 30% favor the beginning of early breastfeeding, 10% are effective in terms of temperature control. body of the newborn and the last 10% contributes to the reduction of stress on the part of parents towards their child. Conclusions: It was concluded that 100% of the studies show that parent-child skin-to-skin contact is effective in improving newborn adaptation since it reduces the response to stress and anxiety on the part of parents, and improves parental communication. and children through calls, successfully influences the early start of breastfeeding with active search for the father's nipple, showing the newborn pre-feeding attitude, development of the newborn, improves attachment relationships, reflects the positive effect of touching, hugging and decreased crying
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Efficacy of chewing gum to improve intestinal function in postpartum cesarean patients
(Universidad Privada Norbert Wiener, 2019-11-03) Alejos Suares, Mónica Dominga; Gonzales Oyola, Beatriz Leishle; Uturunco Vera, Milagros Lizbeth
Objective: To systematize the evidence on the effectiveness of chewing gum for improving intestinal function in post-cesarean patients. Materials and Methods: Systematic reviews are an observational, descriptive, and analytical study design that synthesizes the results of multiple primary investigations. They are an essential part of evidence-based nursing due to their rigorous methodology. Results: Authors of the reviewed articles agree that chewing gum is effective in improving intestinal function in post-cesarean patients, aiding in the quick recovery of intestinal function, reducing hospital stay, and being low-cost and easy to administer. Similar findings were observed in other Latin American and European studies on post-cesarean patients. Conclusion: Of the evidence reviewed, 8/10 studies show that chewing gum aids in the early recovery of intestinal function, the elimination of gas, the passage of the first stool, and shortens the hospital stay in post-cesarean patients. Chewing gum for 30 to 60 minutes, at least three times a day, reduces the incidence and consequences of postoperative ileus (POI) after cesareans. Two studies show that chewing gum is a useful and effective strategy but did not find a significant effect on hospital duration; further research is suggested.
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Efficacy of conventional suture versus staples in post cesarean section patients
(Universidad Privada Norbert Wiener, 2018-07-08) Lino Gamarra, Jimena; Fernandez Sobrados, July; Calsin Pacompia, Wilmer
Objective: To analyze and systematize the evidence on the efficacy of conventional sutures versus staples in patients undergoing cesarean surgeries. Materials and Methods: This is a systematic review that included a sample of 10 scientific articles published and indexed in scientific databases such as Cochrane Journal, PubMed, Online Library, and Epistemonikos. Of all the articles included in the study, 7 were conducted in the United States, while 1 was conducted in Nigeria, 1 in China, and 1 in India. Additionally, when grouped by study design, 60% of the articles were meta-analyses, 30% were retrospective cohort studies, and the remaining 10% was a prospective cohort study. Results: 80% of the studies show that conventional sutures are more effective than staples, as they presented fewer complications, less wound dehiscence, better healing in post-cesarean patients, and higher satisfaction, although staples had shorter operative time. 20% of the studies indicate no significant difference between the two groups. Conclusions: It was concluded that conventional sutures are more effective than staples in post-cesarean patients.
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Efficacy of epidural anesthesia versus spinal anesthesia in cesarean-section patients
(Universidad Privada Norbert Wiener, 2018-07-08) Castillo Torres, Jose Eleazar; Sánchez Roldán, Marcela Telma; Calsin Pacompia, Wilmer
Objective: Analyze and systematize the evidence on the effectiveness of epidural versus spinal anesthesia in cesarean patients. Materials and Methods: Of the articles, 90% are quantitative and 10% qualitative, the study design is a systematic review, the population was 20 articles and the sample was 10 articles, they were obtained from the Cochrane Library database, PubMed, etc.; submitted to the GRADE system to identify quality of evidence and strength of recommendation. Results: According to the evidence, it was obtained that 90% are quantitative and 10% qualitative. Of these studies, 20% correspond to the United States, Spain, 10% to Cuba, China, Korea, Canada, India and Germany, with the design of research 20% prospective randomized studies, 20% retrospective cohort, 20% randomized controlled trials, 20% prospective randomized trials, 10% prospective cohort and 10% meta-analysis. Conclusions: It is concluded that 60% of the articles show that spinal anesthesia is effective because it presented lower postoperative pain scores, high spinal block, does not produce fetal suffering, fewer failed blocks; 40% of the articles showed that epidural anesthesia is effective, as it does not present hypotension, does not decrease oxygen saturation, has fewer stages of bradycardia and has high satisfaction of those undergoing cesarean section.
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Epidemiological characteristics and factors associated with cesarean section at the Maternal and Child Center José Carlos Mariátegui from August 2016 to July 2017
(Universidad Privada Norbert Wiener, 2018-01-15) Rojas Morón, Miriam Danaiz; Vargas Arzubiaga, Carla Stephany; Rodriguez Chávez, Carlos Leonidas
Caesarean section is a common surgical intervention in the world that allows saving human lives; it is performed without clinical indications. The general objective is the epidemiological characteristics and factors associated with cesarean section. Furthermore, it was a non-experimental, observational, mixed, retrospective cross-sectional research. The sample consisted of 122 medical records. The results were analyzed in the statistical program SPSS version 21, finding an incidence of 45.97% of dystocic births. With respect to epidemiological characteristics, age, 27.87% of patients are between 30-34 years old and 8.2% are between 15-19 years old. Regarding parity, 38.52% of patients have second digestion and 3.28% are highly multiparous. Marital status: 36.07% are cohabiting and 30.33% are married. Level of education: 37.7% of patients have secondary school and 19.67% have higher education. Occupation: 54.9% are independent and only 11.48% are students. Origin 66.39% are from the coastal area and 0.82% are from abroad In maternal factors associated with cesarean section, 48.36% had a previous cesarean section and 1.64% had soft tissue dystocias. In relation to fetal factors associated with cesarean section, 55.74% did not have any fetal indication for cesarean section and 1.64% had malformations. In relation to mixed factors associated with cesarean section, 95.9% did not have any mixed indication for cesarean section and 0.82% had preeclampsia. Finally, in anesthetic, infectious, surgical and hemorrhagic complications, 100% did not have any of them.
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Factors associated with postpartum hemorrhage in immediate postpartum women treated at the National Hospital Guillermo Almenara Irigoyen, 2020
(Universidad Privada Norbert Wiener, 2022-12-01) Sanchez Rodríguez, Ena Del Pilar; Sanz Ramirez, Ana María
Objective: To determine the factors associated with postpartum hemorrhage in puerperal women attended at the Hospital Nacional Guillermo Almenara Irigoyen in 2020. Method: The proposed study was a retrospective analytical cross-sectional study with a non-experimental design of cases and controls. The sample consisted of 406 immediate puerperal women, with 203 cases and 203 controls. Results: The sociodemographic factors that had a significant association with postpartum hemorrhage were age (p=0.009) (OR=2.4) and occupation (p=0.021) (OR=1.9). The obstetric factors that had a significant association with postpartum hemorrhage were uncontrolled pregnancies (0.000) (OR=4.1), multiparity (0.016) (OR=3.5), anemia during pregnancy (0.012) (OR=2.2), cesarean section (0.001) (OR=5.2), prolonged labor (0.000) (OR=6.8), retained placental remnants (0.022) (OR=4.2), uterine rupture (0.000) (OR=3.3), uterine atony (0.014) (OR=5.4), perineal tear (0.000) (OR=2.3), and uterine inversion (0.004) (OR=4.8). Conclusion: The study concludes that there are sociodemographic and obstetric factors associated with postpartum hemorrhage in puerperal women.
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Level of knowledge about self-care of the patient post-operated on cesarean section at the hospital la caleta in the period October - December 2021589895**
(Universidad Privada Norbert Wiener, 2021-11-21) Herrera Zegarra, Karina Zobeyda; Uturunco Vera, Milagros Lizbeth
It is a basic, descriptive, cross-sectional, observational, quantitative, and non-experimental research, whose objective is to describe the level of knowledge about self-care of post-operative cesarean patients at La Caleta Hospital during the period of October - December 2021. The population will consist of 120 patients who meet the inclusion and exclusion criteria. The data collection technique will be through a survey, and the instrument to be used is a questionnaire that has been previously validated by Rebaza Zavaleta C.T, in his study titled “Educational program for nursing care of surgical patients in the self-care level of pregnant women scheduled for cesarean.” The questionnaire contains 15 single-option questions that allow determining the level of self-care knowledge of the patients; it will be conducted within a 30-minute period. The instrument was validated by 3 experts and has a reliability of 0.805 using Cronbach's Alpha coefficient. The data will be analyzed using descriptive statistics and inferential statistics. The results obtained will be illustrated in diagrams and tables. The present research will respect the basic bioethical principles of research: respect for persons, the principle of beneficence, the principle of non-maleficence, the principle of justice, and the principle of autonomy.
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Maternal-neonatal complications in patients with vaginal delivery after a previous cesarean section at María Auxiliadora Hospital in 2016
(Universidad Privada Norbert Wiener, 2023-08-21) Espino Felipa, Elda Johanna; Caldas Herrera, Maria Evelina
Material and Method: This was a descriptive, observational, retrospective, cross-sectional study. Medical records of 91 patients who had a vaginal delivery after a previous cesarean section in a prior pregnancy were reviewed. Results: Regarding sociodemographic factors, the predominant age group was 25-29 years (31%), 75% had completed secondary education, 94% were housewives, 75% cohabited with their partner, 98% had a history of a previous cesarean section, and 36% were primiparous. Regarding maternal complications, 59% had no complications, while 31% experienced perineal tears, which was the most frequent complication. Among neonatal complications, 92% had no complications. Conclusions: Maternal and neonatal complications in patients undergoing vaginal delivery after a previous cesarean section at Hospital María Auxiliadora included perineal tears, postpartum hemorrhage, and retained placental remnants, with the latter two occurring less frequently. Neonatal complications included low birth weight, low APGAR scores, neonatal death, and acute fetal distress, but 92% of cases had no neonatal complications.
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Previous cesarean section and placenta previa as a risk factor for placental accretism in a pregnancy presented at Hospital Nacional Sergio E. Bernales, 2019
(Universidad Privada Norbert Wiener, 2023-04-21) Marín Cabello, Meliza Lizeth; Ayala Peralta, Félix Dasio
A clinical case is presented of a 37-year-old patient, a multigravida with three previous cesarean sections, who presents to the emergency department after reporting vaginal bleeding of moderate amount for over two hours, associated with uterine contractions, at 34 weeks of gestation.
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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.