Examinando por Materia "Fetal well-being"

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Acceso abierto
Intrapartum electronic fetal monitoring in the non-reassuring fetal state
(Universidad Privada Norbert Wiener, 2021-03-10) Mejía Quiroz, Zenia Rosa; Ayala Peralta, Félix Dasio
Materials and Methods: Bibliographic searches were conducted in 12 selected databases. Results: Among the reviewed studies, there were 21 original articles, 6 theses, and 3 systematic reviews. Most studies focused on term pregnancies in labor without previous pathologies and/or complications, except for 6 studies. The cardiotocographic patterns (MEFI) associated with non-reassuring fetal status included baseline tachycardia, bradycardia, unstable baseline, absence of accelerations, repeated late decelerations, prolonged decelerations, absence of fetal cycles, and marked, reduced, or absent variability. In 7 studies, the presence of accelerations or moderate variability was associated with preserved fetal well-being. In 2 studies, a higher incidence of cerebral palsy was observed, one of which was linked to a major obstetric complication. In 2 studies, there was an impact on perinatal mortality, but one was associated with an obstetric emergency. Conclusion: Most reviewed studies highlight the importance of intrapartum cardiotocographic tracing for detecting the onset of fetal hypoxia. Intrapartum fetal monitoring is a sensitive indicator for identifying fetuses with reassuring fetal status. MEFI does not have a significant impact on the prevention of cerebral palsy and mortality.
Acceso abierto
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.
Acceso abierto
Usefulness of the non-stressful test in the surveillance of fetal well-being in pregnant women with diabetes. hospital The Mercedes-2018.
(Universidad Privada Norbert Wiener, 2021-09-09) Villarreal Aguinaga, Carmen; Ayala Peralta, Félix Dasio
This academic work aims to identify the parameters of the Non-Stress Test used in monitoring fetal well-being in a diabetic pregnant woman attended at Las Mercedes Hospital in 2018. The clinical case is of a pregnant woman who was admitted in an emergency with a history of fetal death and diabetes mellitus, diagnosed with: 29 weeks of gestation, vulvovaginitis, threatened preterm labor, and diabetes due to history. Laboratory tests confirmed uncontrolled diabetes, diabetic ketoacidosis, and urinary tract infection. Multidisciplinary treatment was initiated, with strict glycemic control and monitoring of fetal well-being. The initial Non-Stress Test showed a non-reactive pattern with silent variability, absence of accelerations, and decelerations. The clinical evolution of the patient was stable, but as metabolic control improved, variability improved, and a reactive pattern was obtained. The patient stayed for 45 days and after a medical meeting, a cesarean section was performed at 35 weeks, resulting in a female newborn weighing 2710 grams, with an APGAR score of 8 at one minute and 9 at five minutes. The patient was discharged in stable condition 48 hours after the cesarean. Conclusion: The usefulness of the Non-Stress Test for monitoring fetal well-being in diabetic pregnant women is evident.