Examinando por Materia "Funicular dystocia"

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Acceso abierto
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.