Examinando por Materia "Fetal death"

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(Universidad Privada Norbert Wiener, 2012) Mauricio Yanavilca, Daniela Shirley; Orderique Torres, Luis Fernando
Objective: To determine the risk factors for intrauterine fetal death at the María Auxiliadora Support Hospital from 2005 to 2010. Materials and Methods: Epidemiological, analytical, case-control study. Results: The fetal death rate per 1,000 live births during the study period was 20.7. Preconceptional variables significantly associated with statistically significant odds ratios (OR) included adolescents (6.8), elderly women (4.6), nulliparity (11.8), marital status (4.7), and illiteracy (8.76). Conceptional variables with significant ORs included lack of prenatal care (17.1), anemia (7.21), placenta previa (6.91), multiple pregnancy (6.75), heart disease (6.03), eclampsia (5.37), premature rupture of membranes (5.14), cephalopelvic disproportion (4.53), premature placental abruption (4.70), urinary tract infection (4.24), preeclampsia (4.13), prolonged labor (4.04), intrauterine growth restriction (3.36), and diabetes (2.69). Intrapartum variables with significant results included breech presentation (3.49) and prolonged labor (6.65). Conclusions: There are important preconceptional, conceptional, and intrapartum risk factors for fetal death. Reducing these factors could significantly decrease fetal mortality.
Acceso abierto
Importance of cardiotocography and its interpretation in gestational diabetes"
(Universidad Privada Norbert Wiener, 2019-06-28) Villanueva Arequipeño, Liz Soledad; Fernández Ledesma, Scarlett Estela
To present the clinical case of a 39-year-old pregnant woman, multigravida at 37.3 weeks according to second-trimester ultrasound, with no prior history of diabetes or family history of diabetes. However, her obstetric history included fetal death, spontaneous abortion, and hospitalization one month earlier for uncontrolled gestational diabetes. The patient presented to the emergency department of a healthcare institution on August 26, 2017, at 10:24 a.m. due to decreased fetal movements for two days. Two fetal well-being tests were performed: a non-stress test (NST) with a non-reassuring pattern and a biophysical profile (BPP) indicating 37 weeks of gestation with a score of 6/8, nuchal cord, and an estimated fetal weight of 3329 grams. Blood glucose was 63 mg/dL. An endocrinology consultation recommended continuous glucose monitoring, dietary adjustments, and insulin treatment. With these clinical findings, the patient was transferred to the delivery room, where a stress test (CST) yielded unsatisfactory results. At 10:44 p.m., due to the absence of an indication for delivery and a glucose level of 62 mg/dL, the on-duty physician recommended hospitalization. Fetal heart rates were monitored every three hours during the night and found to be normal. However, at 8:00 a.m., fetal heart sounds were absent, confirmed by ultrasound, leading to an abdominal delivery. Operative findings: fetal death, female fetus, APGAR 0/0, Capurro: 37 weeks, weight: 3280 grams, placenta: 500 grams with complete cotyledons, intact membranes, thick meconium-stained amniotic fluid in small quantities, and a slightly tightened single nuchal cord. Conclusion: Proper recording and interpretation of cardiotocographic parameters in electronic fetal monitoring in diabetic pregnant women are crucial to identifying fetal risks, ensuring timely management, and preventing maternal and perinatal complications.
Acceso abierto
Subclinical choriamnionitis and stillbirth in a hospital in Lima Level II-2
(Universidad Privada Norbert Wiener, 2019-09-10) Robles Sánchez, Gleiky Janet; Sanchez Aranda, Katerin Fiorela; Sanz Ramirez, Ana María
The clinical case of a 25-year-old patient at 26 weeks of gestation diagnosed with fetal death is evaluated. The patient previously underwent four prenatal checkups, all seemingly normal, and was under syndromic treatment for a vaginal infection. After vaginal delivery, the placenta and fetal membranes were evaluated in the pathology department, leading to a diagnosis of subclinical chorioamnionitis caused by E. coli. It is concluded that predisposing factors, nonspecific management for certain infections, and the limited scientific evidence on this pathology highlight the importance of prenatal care, reducing risk factors, and timely treatment of conditions that may arise during pregnancy.