Examinando por Materia "Gestantes a Término"

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    Severe preeclampsia and intrauterine growth restriction
    (Universidad Privada Norbert Wiener, 2022-11-10) Bravo Rodriguez, Cynthia Mercedes; Pariona Huamán, Jeaneth Rossini; Torres Osorio, Juan Macedonio
    This is an observational, descriptive, retrospective study, reviewing a medical record of a case that occurred at the National Maternal Perinatal Institute of Lima during May - June 2017. Personal, pathological, obstetric history, clinical examination, auxiliary tests, specialized management, and the patient's evolution from admission to hospital discharge were included. Additionally, the case was compared with bibliographic references. Results: The clinical case involved a 32-year-old multiparous pregnant woman from Loreto, of mixed race, a housewife, who was referred from the Valle Verde Health Post to Tingo María Hospital due to a blood pressure of 160/110 mmHg in her fifth prenatal check-up. She was later referred to the National Maternal Perinatal Institute, where she was admitted through the emergency service with a diagnosis of a 32-week, 5-day pregnancy by last menstrual period, no labor, suspected hypertensive disorder of pregnancy: suspected severe preeclampsia, suspected intrauterine growth restriction. The patient was medicated and treated, and the pregnancy was concluded with a diagnosis of severe preeclampsia, intrauterine growth restriction, and gestational diabetes. The newborn was a male weighing 1190 kg, with 33 weeks by Capurro, Apgar: 8 at the first minute and 9 at five minutes, small for gestational age. Conclusions: Preeclampsia is a pregnancy-related disease that affects both the mother and fetus, accounting for a considerable proportion of maternal and perinatal deaths.