Examinando por Materia "Distocia funicular"

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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.
Acceso abierto
Periodic accelerations in pregnant women with funicular dystocia at the Juan Pablo II-2019 Maternal and Child Center.
(Universidad Privada Norbert Wiener, 2020-09-25) Quesada Porras, Mónica Leonor; Ayala Peralta, Félix Dasio
Material and Methods This is an observational, descriptive, retrospective study based on a perinatal clinical case review of a term pregnant woman with an intrapartum cardiotocographic tracing suggestive of funicular dystocia (nuchal cord) managed at a primary healthcare facility in Villa El Salvador in November 2019. Results The clinical case involves a 28-year-old nulliparous secundigravida at 40.1/7 weeks of gestation (per obstetric ultrasound), who presented with frequent uterine contractions. Prenatal ultrasound did not detect funicular dystocia. The cardiotocographic tracing showed a baseline variability between 90 and 150 bpm over 80 minutes, a variability range of 6-9 bpm, periodic accelerations during 100% of contractions, and four uterine contractions in 10 minutes. The delivery was completed vaginally, resulting in a live male newborn, with Apgar scores of 9 at 1 minute and 9 at 5 minutes, a birth weight of 3375 grams, a nuchal cord, terminal meconium, and a gestational age of 40 weeks per Capurro. Conclusion Intrapartum fetal monitoring in term pregnancies is a useful procedure for detecting funicular dystocia associated with periodic accelerations.
Acceso abierto
RESULTADOS DE LA CARDIOTOCOGRAFIA EN RELACION A DISTOCIA FUNICULAR, CONDICION DEL RECIEN NACIDO Y TIPO DE PARTO EN EL HOSPITAL REGIONAL DOCENTE “LAS MERCEDES” DE CHICLAYO EN EL AÑO 2016-2017
(Universidad Privada Norbert Wiener, 2018-03-23) Vidaurre Cortez, Giovanna; Huaman Elera, Jose Manuel
MATERIAL Y MÉTODOS: Se realizó un estudio cuantitativo, no experimental, prospectivo, longitudinal, analítico. La muestra fue obtenida por muestreo no probabilístico o por conveniencia. Se recolectó información de la revisión de historias clínicas. La prueba estadística utilizada fue el chi cuadrado. RESULTADOS: Las características maternas sociodemográficas de mayor porcentaje fueron edad adulta, grado de instrucción secundaria, nulíparas y gestación a término. La presencia de distocia funicular registró línea de base normal, variabilidad silente (7,2%), ausencia de aceleraciones (46,4%), desaceleraciones variables (43,5%), movimientos fetales presentes; el resultado del test no estresante reactivo fue 62,8% y test estresante positivo no reactivo 30,8%. Lo más frecuente fue líquido amniótico claro, circular simple de cordón, rechazable y ubicado en el cuello del recién nacido. El mayor porcentaje de parto fue por cesárea. Los recién nacidos con apgar 7 a 10 al minuto y distocia funicular tuvieron test no estresante reactivo o test estresante negativo reactivo. La cardiotocografía mostró una baja sensibilidad, alta especificidad, un valor predictivo positivo 75%, valor predictivo negativo de 52,4% y una relación estadísticamente significativa entre resultados cardiotocográficos y distocia funicular. CONCLUSIÓN: Hay una relación estadísticamente significativa (p<0,05) ente los resultados cardiotocográficos y la presencia de distocia funicular. El test no estresante tuvo relación estadísticamente significativa con el tipo de parto.
Acceso 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.