Examinando por Materia "Macrosomia"

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Acceso abierto
Maternal and neonatal factors associated with perinatal death at Jorge Voto Bernales Hospital – ESSALUD, 2013 – 2017
(Universidad Privada Norbert Wiener, 2024-07-31) Espíritu Gurbillón, Patricia Carola; González Rebaza, Kely; Torres Osorio, Juan Macedonio
A case-control study was conducted. The sample consisted of 90 perinatal deaths at 28 weeks or more and/or weighing 1000 grams or more, and a control group of 2 live births for each perinatal death selected randomly, making a total of 180 controls. Eleven maternal variables and five neonatal variables were analyzed using the chi-square test and odds ratio with a 95% confidence interval (p<0.05). The results showed that the perinatal mortality rate was 3.91 per 1000 live births. The associated risk factors were: lack of prenatal care (OR=4.17), presence of obstetric pathology (OR=2.23), non-cephalic fetal presentation (OR=9.08), non-spontaneous onset of labor (OR=6.70), prematurity (OR=25.38), small for gestational age (OR=10.55), and congenital anomalies. The conclusions highlight that among maternal factors, the lack of prenatal care and the presence of obstetric pathology were prominent. Neonatal factors showed a stronger association, mainly prematurity and the presence of congenital malformations.
Acceso abierto
Postpartum hemorrhage due to uterine atony
(Universidad Privada Norbert Wiener, 2022-02-10) Quispe Cossio, Dalila Isabel; Velasquez Rojas, Yesabella Natali; Rodriguez Chávez, Carlos Leonidas
This case presents a 41-year-old patient, a grand multipara with a history of 5 vaginal deliveries, one of which was macrosomic. Additionally, she has mild preeclampsia. She is admitted at 3 centimeters dilated and experiences hypodynamia during labor, which leads to the stimulation of labor. The delivery initially progresses normally, but then uterine atony develops, which is managed with the application of the red code.