Examinando por Materia "Gestante pretérmino"
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Ítem Acceso abierto Risk of loss of fetal well-being in pregnant women treated at the María Auxiliadora hospital - San Juan de Miraflores 2020(Universidad Privada Norbert Wiener, 2022-08-04) Medina Tolentino, Maritza Isabel; Sanz Ramirez, Ana MaríaRetrospective, observational, descriptive study where the clinical history of a preterm pregnant woman was reviewed, with a positive non-reactive cardiotocographic tracing showing signs of uteroplacental insufficiency, presented at María Auxiliadora Hospital in January 2020. The case includes anamnesis, general and specific examination upon emergency admission, stress test, management, and evolution, with a bibliographic review for case discussion. The clinical history reviewed was for the case of a 21-year-old nulliparous woman from Loreto, mestizo, housewife, who was admitted to the emergency service at María Auxiliadora Hospital for uterine contraction pain, diagnosed with a 35-week pregnancy based on first-trimester ultrasound, latent phase of labor, and prematurity. An electronic fetal monitoring was requested, resulting in a positive non-reactive stress test, with recurrent type II decelerations during labor, leading to an emergency cesarean section. A male newborn weighing 2,494 grams was delivered with thick meconium, an APGAR score of 6 at one minute, and 9 at five minutes.
