Examinando por Materia "Fetal monitoring"

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Non-stressest test in witness with diagnosis of late fetal growth delay attended at a private health institution - 2018
(Universidad Privada Norbert Wiener, 2019-06-20) Surichaqui Espinoza, Dudu Sheleen; Sanz Ramirez, Ana María
Intrauterine growth restriction is a multifactorial condition caused by various maternal, fetal, or placental pathologies and is associated with high rates of maternal and perinatal morbidity and mortality. Accurate diagnosis of this condition is essential to implement a monitoring and management approach that can reduce complications associated with the disease. Currently, there are no therapeutic strategies; therefore, management is based solely on diagnosis and monitoring until the pregnancy is completed to prevent neonatal morbidity and mortality. This report presents the case of a patient at 37 4/7 weeks of gestational age diagnosed with late-onset intrauterine growth restriction. The management of the pregnancy focused on ultrasounds and, most importantly, periodic fetal monitoring through non-stress tests performed three times to monitor fetal well-being until delivery. Cardiotocographic findings included reduced variability, absence of fetal accelerations, and decreased fetal movements. Ultrasound findings revealed blood flow redistribution, leading to the decision to conclude the pregnancy.