Examinando por Materia "Fetal macrosomia"

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(Universidad Privada Norbert Wiener, 2017-12-07) Cruzado Valeriano, Delly Hermelinda; Cuba Navarrete, Luduvina Editta; Ayala Peralta, Félix Dasio
Uterine rupture is a clinical situation that may occur during labor or, more rarely, during pregnancy, with severe consequences for both maternal and fetal life. The possibility of uterine rupture in an intact uterus is rare, but prevalent risk factors such as multiparity, dystocia, fetal macrosomia, use of oxytocin, breech deliveries, obstetric trauma, internal and external fetal versions, uterine abnormalities, misuse of prostaglandins, and instrumental deliveries are described. This clinical case involves a 44-year-old multiparous patient at 38 weeks of gestation with uterine hypokinesia and a third-degree facial presentation. Fetal bradycardia was noted, and an immediate cesarean section revealed uterine rupture with posterior uterine segment rupture, followed by a cesarean hysterectomy and unilateral right salpingo-oophorectomy. The patient recovered well and was discharged with her newborn on the 7th postoperative day.
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(Universidad Privada Norbert Wiener, 2017) Sánchez Lujan, Marita Masiel; Yataco Montoya, Bettsy María; Ayala Peralta, Félix Dasio
This research aimed to identify maternal and perinatal complications during vaginal delivery of macrosomic newborns at the Instituto Nacional Materno Perinatal between January and December 2016. Methodology: An observational, descriptive, and retrospective study was conducted by reviewing 139 maternal discharge records. Results: The average maternal age was 34.8 ± 3.4 years. Sociodemographic characteristics: 79.1% were cohabiting, 67.6% had completed secondary education, 81.2% were housewives, and 97.1% belonged to a middle socioeconomic status. Obstetric variables: Prenatal care was deficient in 43.1% of cases, and 24.5% received no prenatal care. Pre-gestational BMI indicated 47.5% of women were overweight, and 11.5% had a gestational age over 42 weeks. Multiparity was observed in 79.1% of cases, with fetal macrosomia and maternal obesity as the predominant risk factors. Regarding newborns, 64% were male and 36% female. Most newborns had a moderate Apgar score at one minute (76.3%) and a normal score at five minutes (61.9%). Maternal complications: The most common were postpartum hemorrhage (56.8%), dysfunctional labor (55.4%), and soft tissue tears (54.7%). Perinatal complications: The most frequent were moderate depression at birth (33.1%), acute fetal distress (30.22%), shoulder dystocia (25.9%), and other complications (10.8%).
Acceso abierto

(Universidad Privada Norbert Wiener, 2017) Sánchez Lujan, Marita Masiel; Ayala Peralta, Félix Dasio
This research aimed to identify maternal and perinatal complications during vaginal delivery of macrosomic newborns at the Instituto Nacional Materno Perinatal between January and December 2016. Methodology: An observational, descriptive, and retrospective study was conducted by reviewing 139 maternal discharge records. Results: The average maternal age was 34.8 ± 3.4 years. Sociodemographic characteristics: 79.1% were cohabiting, 67.6% had completed secondary education, 81.2% were housewives, and 97.1% belonged to a middle socioeconomic status. Obstetric variables: Prenatal care was deficient in 43.1% of cases, and 24.5% received no prenatal care. Pre-gestational BMI showed 47.5% of women were overweight, and 11.5% had a gestational age over 42 weeks. Multiparity was observed in 79.1% of cases, with fetal macrosomia and maternal obesity as the predominant risk factors. Regarding the newborns, 64% were male and 36% female. Most newborns had a moderate Apgar score at one minute (76.3%) and a normal score at five minutes (61.9%). Maternal complications: The most common were postpartum hemorrhage (56.8%), dysfunctional labor (55.4%), and soft tissue tears (54.7%). Perinatal complications: The most frequent were moderate depression at birth (33.1%), acute fetal distress (30.22%), shoulder dystocia (25.9%), and other complications (10.8%).
Acceso abierto
Maternal factors related to fetal macrosomia in parturient women attended at the Hospital de Huaycán during the year 2019
(Universidad Privada Norbert Wiener, 2020-02-26) Paccori Yanac, Leonor Vanesa; Sanz Ramirez, Ana María
Objective: To determine the maternal factors associated with fetal macrosomia in parturients attended at the Huaycán Hospital in 2019. Methodology: This was a correlational, cross-sectional, retrospective study. The sample consisted of 147 medical records of postpartum women with macrosomic newborns, analyzed using Pearson's correlation coefficient (r). Results: Maternal age (r=0.17) was associated with adulthood in 67% of cases, pre-pregnancy BMI (r=0.19) with overweight in 42%, educational level (r=0.11) with secondary education, history of macrosomic fetus (r=0.19), maternal parity (r=0.18) with multiparity in 50%, number of prenatal checkups (r=0.07), excessive weight gain (r=0.02), gestational age (r=0.005), mode of delivery (r=0.17), and history of diabetes mellitus (r=0.10) showed significant correlations. Conclusions: The study concluded that the maternal factors analyzed had a low but positive significant correlation with fetal macrosomia. Maternal age (20–34 years), pre-pregnancy BMI (overweight >25 kg/m²), multiparity, and excessive weight gain showed the highest prevalence in fetal macrosomia.
Acceso abierto
Risk factors for macrosomia in pregnant women, 2020
(Universidad Privada Norbert Wiener, 2021-08-04) Mercado Castillo, Rosa María Isidora; Alfaro Fernández, Paul Rubén
Objective: To conduct a review of publications on the risk factors influencing macrosomia. Materials and Methods: A systematic review of 20 primary original studies was conducted using databases such as Pubmed, Scielo, and Cochrane. Each study was examined to determine its strength and quality of evidence according to the Grade scale. Results: The review of 20 scientific articles on risk factors for macrosomia in pregnant women was performed using specialized search engines such as Pubmed, Scielo, and Cochrane. The studies were categorized into systematic review design, cohort studies (10%, 2 articles), case-control studies (85%, 17 articles), and systematic review (5%, 1 article). Conclusions: Analyzing the evidence from the publications, 70% (14/20) were related to gestational weight as a fetal risk factor for macrosomia. Additionally, gestational diabetes (GD) was present in 30% (6/20) of the systematic reviews analyzed, identifying it as another significant risk factor for fetal macrosomia.