Examinando por Materia "Chorioamnionitis"

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Acceso abierto
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.
Acceso abierto
Chorioamnionitis as a cause of preterm birth
(Universidad Privada Norbert Wiener, 1905-07-09) Diaz Cisneros, Mariluz Roxana; Martinez Vera, Yessika Marilin; Ayala Peralta, Félix Dasio
This is an observational, descriptive, retrospective study, reviewing a medical record of a case that occurred at the National Maternal Perinatal Institute of Lima during May 2017. Personal, pathological, obstetric history, clinical examination, auxiliary tests, specialized management, and the patient's evolution from admission to hospital discharge were included. Additionally, the case was compared with bibliographic references. Results: The clinical case involved an advanced maternal age patient (37 years), primigravida with a gestational age of 26 weeks and 6 days, diagnosed with chorioamnionitis and preterm labor. The patient initially presented with a threat of preterm labor, followed by premature rupture of membranes. Predominant criteria included rising leukocytosis over time and an increased level of C-reactive protein, leading to the diagnosis of chorioamnionitis and the decision to terminate the pregnancy, resulting in a live female newborn weighing 1040 grams, APGAR 1-5, who was admitted to the ICU. Placental pathology study: Chorioamnionitis. Conclusions: Chorioamnionitis is an ascending infectious pathology that, if not managed in time, leads to both maternal and perinatal complications.
Acceso abierto
Factors associated with intraventricular hemorrhage in neonates
(Universidad Privada Norbert Wiener, 1905-07-09) Bernabe Ponte, Corina; Miranda Palomino, Rosa Angélica; Avila Vargas Machuca, Jeannette Giselle
Methodology: Systematic review of 10 articles, we found that 20% (02) correspond to Peru, with 80% (08) correspond to Saudi Arabia, Mexico, Spain, Poland, China, Iran, Pakistan and Nigeria. All of them mostly represent quantitative case-control studies with 80%. Likewise, a systematic review was found published in Saudi Arabia (10%) and we also have a cross-sectional quantitative study (10%) belonging to Nigeria. Results: The factors associated with intraventricular hemorrhage are low birth weight and lower gestational age. They also mention as factors associated with the male sex, weight less than 1000 g, Apgar score less than 6 at five minutes, necrotizing enterocolitis, complications of ventilatory support, invasive procedures such as orotracheal intubation, resuscitation due to asphyxiation, chorioamnionitis, respiratory disease. , distress syndrome, hypotension and multiple birth; They are factors associated with developing intraventricular hemorrhage Conclusions: According to everything mentioned above, corresponding to 100% of the articles analyzed, it is concluded that they are factors associated with intraventricular hemorrhage in neonates.
Acceso abierto
Findings of cardiotocographic records in intrapartum fetal monitoring in a pregnant woman with chorioamnionitis treated at the Ii-2 hospital in Tarapoto 2018
(Universidad Privada Norbert Wiener, 2023-04-14) Del Aguila Panduro, Milagros; Ayala Peralta, Félix Dasio
Observational, descriptive, retrospective study of a systematic review of the clinical history and intrapartum cardiotocographic record of a pregnant woman with chorioamnionitis at Hospital II-2 Tarapoto, in July 2018. Personal and obstetric history, findings from the cardiotocographic trace according to the Fisher and NICHD tests, diagnosis, obstetric management, and a literature review for discussion of the cardiotocographic findings were included. The clinical case presented is of a 15-year-old primigravida at 39 weeks by the last menstrual period, admitted to the hospital in labor. During the progression, she presented maternal and fetal tachycardia, tachysystole, fever, and leukocytosis. The cardiotocographic trace of 62 minutes recorded a baseline of 160 beats per minute, normal variability, absence of accelerations, and the presence of a prolonged variable deceleration, abnormal uterine activity. According to the NICHD test, this corresponds to category II, and according to Fisher, it indicates a fetus in questionable condition. The pregnant woman delivered a stillborn infant with meconium-stained amniotic fluid with a foul odor. The author concludes that intrapartum fetal electronic monitoring is useful for identifying alterations in fetal heart rate related to chorioamnionitis; however, it does not predict the final perinatal outcome.
Acceso abierto
Resultados maternos, neonatales y factores de riesgo de ruptura prematura de membranas en tercigesta atendida en un hospital de IV nivel en Lima – 2023
(Universidad Privada Norbert Wiener, 2024-12-06) Zamudio Belleza, Karem; Sanz Ramírez, Ana María
La rotura prematura de membranas (RPM) es la ruptura de las membranas fetales antes del parto, lo que puede ocurrir antes o después de las 37 semanas de gestación. Se estima que afecta entre el 5% y el 15% de los embarazos a nivel mundial. La RPM contribuye significativamente a la mortalidad neonatal, siendo una de las principales causas de muerte en recién nacidos. Además, puede provocar complicaciones como sufrimiento fetal, sepsis, hemorragias e incluso aumentar el riesgo de parálisis cerebral o muerte en el bebé a largo plazo. En cuanto a la madre, la RPM puede causar infecciones maternas, corioamnionitis, desprendimiento de la placenta y aumentar el riesgo de complicaciones durante el parto, como la necesidad de una cesárea. Se presenta el caso de una gestante tercigesta nulípara con amenaza de parto pretérmino (APPT) y rotura prematura de membranas (RPM) de 1 día, con abordaje de maduración fetal, antibioticoterapia y tocólisis. La paciente fue manejada de manera multidisciplinaria, enfrentando la complicación de la RPM y la corioamnionitis, culminando en una cesárea de urgencia. La evolución postoperatoria fue favorable, aunque se mantuvo bajo observación y tratamiento para prevenir complicaciones. Se recomendó un seguimiento continuo y cuidados especiales para la madre y la recién nacida prematura. El informe destaca la importancia de un enfoque centrado en el paciente, donde las necesidades y preferencias individuales son consideradas en todas las etapas del manejo clínico.