Examinando por Materia "Intrapartum fetal monitoring"

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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
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.