Examinando por Materia "Obstetric complications"

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(Universidad Privada Norbert Wiener, 2012) Mauricio Yanavilca, Daniela Shirley; Orderique Torres, Luis Fernando
Objective: To determine the risk factors for intrauterine fetal death at the María Auxiliadora Support Hospital from 2005 to 2010. Materials and Methods: Epidemiological, analytical, case-control study. Results: The fetal death rate per 1,000 live births during the study period was 20.7. Preconceptional variables significantly associated with statistically significant odds ratios (OR) included adolescents (6.8), elderly women (4.6), nulliparity (11.8), marital status (4.7), and illiteracy (8.76). Conceptional variables with significant ORs included lack of prenatal care (17.1), anemia (7.21), placenta previa (6.91), multiple pregnancy (6.75), heart disease (6.03), eclampsia (5.37), premature rupture of membranes (5.14), cephalopelvic disproportion (4.53), premature placental abruption (4.70), urinary tract infection (4.24), preeclampsia (4.13), prolonged labor (4.04), intrauterine growth restriction (3.36), and diabetes (2.69). Intrapartum variables with significant results included breech presentation (3.49) and prolonged labor (6.65). Conclusions: There are important preconceptional, conceptional, and intrapartum risk factors for fetal death. Reducing these factors could significantly decrease fetal mortality.
Acceso abierto
Causes and obstetric complications related to postpartum hemorrhage
(Universidad Privada Norbert Wiener, 2022-01-10) Neira Carrión, Carmen Flor; Benites Vidal, Elvira Soledad
Objective: To determine the causes and obstetric complications related to postpartum hemorrhage. Design: A qualitative bibliographic review. Study scope: Conducted through an exhaustive review of scientific studies published in various databases, including indexed journals. Study subjects: Thirty-one articles published between 2016 and 2020 were considered, meeting the eligibility criteria. Results: 39% of the reviewed studies employed a descriptive methodology, 26% were systematic reviews, 13% used an analytical methodology, 13% were cohort studies, and 9% were case-control studies. The most frequent obstetric cause during pregnancy in patients with postpartum hemorrhage was multiple gestation (29%), during delivery was perineal tear (47%), during the puerperium was uterine atony (62%), and the complication of postpartum hemorrhage was maternal mortality (13%). Conclusions: The study concludes that there is scientific evidence regarding the causes and obstetric complications related to postpartum hemorrhage.
Acceso abierto
Refocused prenatal care and obstetric complications during childbirth and postpartum in pregnant women at the San Juan de Lurigancho Hospital and the Pampas-Tayacaja Hospital. Period 2018.
(Universidad Privada Norbert Wiener, 2019-12-19) Quintana Laupa, Deysel; Delgado Sánchez, José Luis
Objective: To determine whether focused prenatal care is related to obstetric complications during labor and postpartum in pregnant women attended at the San Juan de Lurigancho (SJL) Hospital in Lima and the Pampas Tayacaja-Huancavelica (PTH) Hospital during 2018. Materials and Methods: This was a non-experimental, basic, comparative, observational, retrospective, cross-sectional study. The hypothetical-deductive method was used. The study population consisted of 768 pregnant women from SJL Hospital and 480 from PTH Hospital, who received prenatal care services from July to December 2018. A sample of 122 pregnant women from the first hospital and 106 from the second was taken. Results: The frequency of focused care was 4.1% in SJL and 14.2% in PTH. The most common age group in both hospitals was 20 to 34 years (71.50%), with 13.6% over 35 years and 14.90% adolescents. The most frequent complication in both hospitals was first-degree tears, observed in 31.1% (SJL) and 10.40% (PTH). Second-degree tears were more prevalent at SJL Hospital (9.80%) and absent at PTH Hospital. Postpartum hemorrhage occurred in 0.9% of cases at PTH Hospital, with no cases at SJL Hospital. No statistically significant differences in labor and postpartum complications were found between focused and non-focused patients (p>0.05). However, the proportion of complications was lower among focused patients. Conclusion: The incidence of focused prenatal care was significantly higher in Huancavelica than in Lima. No statistically significant differences were found in labor and postpartum complications between focused and non-focused patients.
Acceso abierto
Relationship between anemia in pregnant women and obstetric complications: hypertension, hemorrhages, low birth weight and preterm birth
(Universidad Privada Norbert Wiener, 2021-03-24) Toribio Paliza, Magaly; Alfaro Fernández, Paul Rubén
Objective: To determine evidence on the relationship between anemia in pregnant women and obstetric complications through a systematic review. Design: The study was a qualitative systematic review. Study setting: The study was conducted through an exhaustive review of scientific studies published in various virtual databases. Study subjects: The sample consisted of 30 articles published in indexed journals between 2016 and 2020. Instrumentation: The Grade system was used in this study to evaluate each article. Results: Of the 30 selected articles, 23 demonstrated high quality according to the GRADE system. The most frequently studied complications in the articles were obstetric hemorrhages and low birth weight, with 14 articles each. Pregnancy anemia increases the risk of preeclampsia in pregnant women with 12.0% significance, obstetric hemorrhages with 18.0%, low birth weight with up to 18.0% association, and preterm birth with a 20.0% higher percentage of significant association. Conclusions: According to the reviewed evidence, gestational anemia significantly increases the risk of obstetric complications by 68.0%.
Acceso abierto
Sociocultural characteristics and obstetric complications of pregnancy in teenagers
(Universidad Privada Norbert Wiener, 2022-08-26) Llamoca Huarcaya, Evelyn; Marín Guevara, Leticia Gloria
Objective: To determine the scientific evidence regarding the sociocultural characteristics and obstetric complications of pregnancy in adolescents. Materials and methods: The study was a qualitative narrative review and consisted of 30 articles published between 2016 and 2021 in the following virtual databases: Scielo, Pubmed, Lilacs, and Elsevier. The GRADE system was used to evaluate the strength of recommendation of each reviewed article. Results: 26% of the studies were case-control studies. Regarding the level of recommendation, 33% of the reviewed studies were of moderate level. The social characteristics according to the reviewed scientific evidence were age between 15 to 19 years, single, housewife occupation, cohabiting marital status, and sexual initiation between the ages of 14 to 19. The cultural characteristics according to the reviewed scientific evidence were secondary education, school dropout, lack of knowledge about contraceptive methods, and coming from dysfunctional families. The obstetric complications of pregnancy in adolescents were urinary infection, anemia, hypertensive diseases, premature rupture of membranes, fetal distress, and abortion. Conclusion: There is high-level scientific evidence regarding the sociocultural characteristics and obstetric complications of pregnancy in adolescents.