Examinando por Materia "Distocia"

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Acceso abierto
Effectiveness of electronic fetal monitoring in the diagnosis of funicular dystocia in pregnant women at term in the Hospital level III-2 of Lima.
(Universidad Privada Norbert Wiener, 2023-08-23) Castillo Cerda, Élida Isolina; Jinchuña Quispe, Gricelda Lidia; Ayala Peralta, Félix Dasio
Clinical case of a full-term pregnant woman with a reactive positive stress test showing signs suggestive of umbilical cord compression managed at a level III healthcare facility in Lima. Observational, descriptive, retrospective study based on a systematic review of the perinatal clinical history of a 31-year-old pregnant woman presenting with reduced fetal movements, diagnosed with a multigravida pregnancy at 41 weeks and 5 days based on her last menstrual period, and suspected placental insufficiency. Doppler ultrasound revealed a single nuchal cord around the fetal neck. The cardiotocographic tracing showed a baseline fetal heart rate of 138 bpm, decreased variability of 5–9, 1 to 4 accelerations, variable decelerations below 40%, and 5 or more fetal movements. Fisher score was 7/10 with signs suggestive of umbilical cord compression. The pregnancy was delivered via cesarean section, resulting in a live male newborn with an Apgar score of 8 at 1 minute and 9 at 5 minutes, weighing 3,598 g, with a single nuchal cord and gestational age of 40 weeks by Capurro. Conclusion: Fetal electronic monitoring is a useful procedure for detecting umbilical cord dystocia in full-term pregnant women.
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 María
Objetivo: 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.
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.