Examinando por Materia "Cordón Umbilical"
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Publicación Acceso abierto Conocimiento y práctica de higiene del cordón umbilical del recién nacido de madres que acuden al puesto de salud Llacón 2024(Universidad Privada Norbert Wiener, 2024-11-03) Huaman Pozo, Gema; Yaya Manco, Elsa MagalyObjetivo: Disponer la correlación entre el conocimiento y la práctica de higiene del cordón umbilical del recién nacido de madres que acuden al puesto de salud Llacón 2024. Material y métodos: Estudio cuantitativo, el método a emplear es hipotético deductivo, de tipo aplicada, diseño observacional y de corte transversal. Con una muestra poblacional de 25 madres de familia que acuden al Puesto de Salud Llacón.Ítem Acceso abierto Delayed umbilical cord clamping and hemoglobin concentration in newborns at Hospital María Auxiliadora, May - June 2014(Universidad Privada Norbert Wiener, 1905-07-07) Arroyo Fernandez, Milagritos Avelinda; Orderique Torres, Luis FernandoIn the present study, a methodology is used to determine the sociodemographic, cultural, and economic characteristics of women over 18 years old who had an abortion at the Hipólito Unanue National Hospital between January and October of 2015. It was revealed that the sociodemographic characteristics include: early age, cohabiting marital status, secondary education level, currently working, being from the coastal region, residing in El Agustino, and experiencing psychological family pressure due to economic instability. Additionally, the cultural characteristics highlighted include: machismo, due to the lack of partner participation in household chores, a situation unfortunately justified by the respondents; and the Catholic religion, which most respondents profess. Finally, the most notable economic characteristics are: a monthly income between 600 and 1000 soles, monthly expenses less than 600 soles, three people living in the household, no economic dependency, two family members contributing to household expenses, and living in a brick-built house. Keywords: Abortion, Sociodemographic Characteristics, Cultural Characteristics, Economic CharacteristicsÍtem Acceso abierto Effectiveness of antiseptic and natural care in the process of umbilical cord mummification in newborns attended at a maternity hospital(Universidad Privada Norbert Wiener, 2019-07-17) Salvador Vilcapoma, Jessica Lizet; Matta Solis, Hernán HugoObjective: To systematically analyze the evidence on the effectiveness of antiseptic and natural care in the process of mummification of the umbilical cord of newborns treated in a maternity hospital. Material and Methods: The systematic observational and retrospective review of scientific articles found on antiseptic care and natural in the process of falling off the umbilical cord. These databases were cited: Pubmed, Chronane, Scielo, Dialnet; of 10 articles found and evaluated according to the Grade scale to establish their strength and quality as evidence. It is analyzed that 50% (n= 5/10) are clinical trials, 10% (n= 1/10) are meta-analyses, 30% (n= 3/10) are descriptive and 10% (n=1/10) are descriptive. 10) It is quasi-experimental, 60% (n=1/11) are a systematic review, 20% (n= 4/11) are a randomized clinical trial. (RCT) 3 prospective. Results: Of the 10 articles found, 80% point out that antiseptics, especially chlorhexidine, are effective in healing, but they have the effect of lengthening the period of cord detachment, being counterproductive to the healing process. Likewise, 70% of the articles point out other care alternatives such as natural ones, although they do not optimally interfere with disinfection, they also help shorten the lifespan of the umbilical cord without complications. Conclusion: 7 of 10 articles found point out the effectiveness of using natural care to reduce the lifespan of the umbilical cord, also showing that it does not produce a risk of the appearance of infections.Ítem Acceso abierto Effectiveness of dry cord care to prevent umbilical infection in newborns(Universidad Privada Norbert Wiener, 2018-12-02) Mendoza Albiño, Cristina; Saravia Munayco, Liliana; Pretell Aguilar, Rosa MaríaObjective: Systematize the available evidence from studies carried out on dry healing of the umbilical cord to prevent omphalitis in neonates. Material and Methods: The systematic review of 10 scientific articles found on dry care of the healing of the umbilical cord for the prevention of omphalitis in neonates, were cited in the following databases Pubmed, Epistemonikos, Lilacs, Scielo; All of them were analyzed according to the Grade scale to determine their strength and quality of evidence. Results: Of the 10 articles reviewed and analyzed, 60% (n=6/10) are systematic reviews, 20% (n= 2/10) are randomized clinical trials (RCTs) and systematic reviews, and 20% (n= 2/10) is a randomized clinical trial (RCT). Of the 10 articles found, 80% point out the effectiveness of dry care of the umbilical cord for the prevention of omphalitis in newborns, 10% indicate that it is partially effective and 10% conclude that dry cure is not effective to prevent omphalitis. Conclusion: 8 of 10 articles found point out the effectiveness of dry care of the umbilical cord for the prevention of omphalitis in newborns, in developed countries; 1 in 10 indicate that it is partially effective and only 1 in 10 conclude that dry healing is not effective in preventing omphalitis.Ítem Acceso abierto Effectiveness of late umbilical cord clamping for the prevention of intraventricular hemorrhage in premature newborns(Universidad Privada Norbert Wiener, 2017-11-12) Aguilar Miranda, Carmen Giovanna; Mamani Pucuhuanca, Cecilia; Bonilla Asalde, César AntonioMaterials and methods: This is a retrospective observational systematic review and is a fundamental part of evidence-based nursing due to its rigorous methodology, identifying relevant studies to answer specific clinical practice questions. The search was restricted to full-text articles, and the selected articles were subjected to a critical review using the GRADE system to assign the strength of recommendations. In the final selection, 10 articles were chosen, with 90% (9) from the USA and 10% (1) from the United Kingdom. Among the selected articles, there was 1 systematic review, 1 meta-analysis, 1 systematic review plus meta-analysis, 1 quasi-experimental study, 1 prospective cohort study, 1 case-control study, and 4 randomized controlled clinical trials. Results: 90% (9) of the studies agree that delayed cord clamping prevents intraventricular hemorrhage in preterm newborns, compared to early cord clamping. 10% mention that delayed cord clamping has good benefits and further research is needed. Conclusions: In preterm newborns, delayed cord clamping is associated with a reduction in cases of intraventricular hemorrhage.Ítem Acceso abierto Efficacy of dry dressing compared with the use of antiseptics in the prevention of omphalitis and reduction of newborn umbilical cord fall time.(Universidad Privada Norbert Wiener, 2018-07-08) Quintana Medina, Vanessa Judith; Rivera Lozada de Bonilla, OrianaObjective: To systematize the evidence on the effectiveness of dry cord care compared to the use of antiseptics in the prevention of omphalitis and the reduction of the umbilical cord detachment time in newborns. Materials and Methods: Systematic Review, synthesizing the results of multiple primary studies. They are essential in evidence-based nursing due to their rigorous methodology, answering specific clinical practice questions. The search was restricted to full-text articles, and the selected articles underwent a critical reading, using the GRADE system to assign the strength of recommendation. Results: 10 articles were chosen. 70% (7) were from Spain, 20% (2) from Argentina, and 10% (1) from Peru. Studies included in the review were systematic reviews (80%), mainly from Spain (7), followed by Argentina (1) and Peru (1). Additionally, 20% consisted of controlled clinical trials conducted in Argentina (1) and Spain (1). Of the total articles analyzed, 50% consider dry cord care effective in developed countries, while antiseptic care was deemed effective in developing countries. Conclusions: The effectiveness of dry cord care compared to antiseptic use in cord care is the same in preventing infections. The use of antiseptics depends on the hygiene and care conditions provided to the newborn, as these seem to be the determining factor in the risk of neonatal infections. Additionally, antiseptics might increase the time for the umbilical cord to fall off.Ítem Acceso abierto The level of knowledge and practices of umbilical cord care in mothers of newborns treated at the San Juan de Lurigancho Hospital 2022.(Universidad Privada Norbert Wiener, 2022-07-10) Vásquez Puerta, Lluli Corali; Fernández Rengifo, Werther FernandoThe main purpose of the study was to determine the relationship between the level of knowledge and the practice of umbilical cord care in a public hospital, Lima 2022, using a quantitative approach, with an applied research type, with a descriptive and correlational level with a non-experimental design, and cross-sectional, considering a sample of 81 mothers of newborns, to whom two questionnaires will be applied, one for the variable level of knowledge and for the variable practices in the care of the umbilical cord of Quespaz (2021), which are validated and with their reliability and the information will be processed using the SPSS statistical program version 26.0 to obtain the results of the descriptive and inferential analysis.Publicación Acceso abierto Nudo verdadero en cordón umbilical como causa de asfixia perinatal en hospital apoyo Coracora - Ayacucho 2019(Universidad Privada Norbert Wiener, 2025-01-24) Heredia Chocce, Jhime Rosella; Sanz Ramírez, Ana MaríaObjetivo: Identificar nudo verdadero en cordón umbilical como causa de asfixia perinatal en hospital apoyo Coracora – Ayacucho. Material y métodos: Es un estudio observacional, descriptivo, retrospectivo de revisión de historia clínica, de una gestante con 27 semanas de gestación óbito por nudo verdadero como causa de asfixia perinatal atendida en el hospital apoyo Coracora, 2019. Descripción del caso clínico: Primigesta de 27 semanas por fecha de ultima menstruación (FUM), de 35 años de edad, que acude a consulta externa del hospital apoyo Coracora por presentar sangrado vaginal y disminución de movimientos fetales, evidenciándose en la ecografía obstétrica ausencia de latidos cardiacos fetales. Dentro del diagnóstico médico, encontramos lo siguiente: óbito fetal de 25 semanas por biometría fetal / 27 semanas por FUM, placenta previa, feto podálico, hospitalizándose para culminar gestación. Siendo referida a un establecimiento de mayor complejidad a su solicitud. En el establecimiento de referencia Hospital Augusto Hernández Mendoza, se confirma el diagnóstico a través de evaluación, métodos de ayuda diagnóstico y fue preparada para ser intervenida. Dentro de los hallazgos, se extrajo un producto de sexo masculino, óbito fetal, con presencia de doble circular alrededor de cuello y nudo verdadero. Conclusión: La presencia de nudos verdaderos y otros tipos de distocias funiculares son hallazgos que pueden condicionar, hipoxia fetal y/o muertes perinatales inesperadas, el control prenatal, monitoreo fetal y evaluación continua del feto durante la gestación, es de mucha utilidad para la detección de distocias funiculares como nudo verdadero, torsión, procubito y prolapso de cordón umbilical que nos ayudaría a prevenir las complicaciones y/o muertes durante el periodo perinatal.Publicación Acceso abierto Relación entre el pinzamiento tardío del cordón umbilical y la ictericia del recién nacido, en el Hospital Santa Rosa, 2023(Universidad Privada Norbert Wiener, 2025-02-21) Lazo Ayvar, Dísnali; Reyes Serrano, Bertha NathalyIntroducción: El retraso del pinzamiento tardío del cordón, se considera beneficioso para el recién nacido debido al mejor nivel de hemoglobina que alcanza el recién nacido; sin embargo, al realizar este tipo de pinzamiento estamos en sometiéndolo a sufrir de ictericia neonatal. Objetivo: Este estudio tiene como finalidad el de evidenciar la relación entre el pinzamiento tardío del cordón umbilical y la ictericia del recién nacido. Metodología: Es una investigación hipotético – deductiva de estudio de casos, con un enfoque cuantitativo; ya que recopila la información con base en medidas contables y análisis estadístico para contrastar resultados, además es práctica, debido a que posee un propósito aplicativo, porque en base a los resultados busca amplificar el conocimiento y de esta manera aminorar esta afección a futuro. Resultados: Al evaluar a 400 neonatos nacidos con ictericia y sus momentos de pinzado, se obtuvo que como 0.001 es menor que 0.05, la hipótesis nula debe ser rechazada, lo cual coincide con el análisis hecho manualmente y de acuerdo a los datos muestrales, el más influyente es el pinzamiento tardío en la ictericia. Conclusiones: Esta investigación concluye en que existe una relación estrecha entre el pinzamiento tardío del cordón umbilical y la ictericia del recién nacido, no encontrando relación con los antecedentes maternos, además como hallazgos adicionales, este mismo también tiene una relación con las mejores reservas de hierro; en el mejor de los casos, y el riesgo de policitemia, en el otro escenario.
