Examinando por Materia "Parto pretérmino"

Mostrando 1 - 6 de 6

Acceso abierto
Infección vaginal asociada a parto pretérmino en el centro de salud Inkawasi, 2021
(Universidad Privada Norbert Wiener, 2022-10-06) Criollo Carrasco, Roxana Lisbeth; Caycho Valencia, Felix Alberto
El método del estudio utilizado fue de tipo deductivo de enfoque cuantitativo, correlacional analítico y el diseño fue no experimental, con una población constituida por 145 historias clínicas de pacientes que terminaron en parto pretérmino atendidas en el Centro de Salud Inkawasi en el año 2021. Llegándose a la conclusión que existe una correlación significativa y directa de la infección vaginal con el parto pretérmino de mujeres atendidas en el Centro de Salud Inkawasi.
Acceso abierto
Maternal complications in pregnant women infected with Covid-19
(Universidad Privada Norbert Wiener, 2022-09-09) Landeo Escalante, Miriam Fiorella; Morales Alvarado, Sabrina Ynés
Objective: To systematize the evidence on maternal complications associated with COVID-19 infection in pregnant women. Methodology: A qualitative study with an observational and retrospective design, consisting of a review of original articles from the PubMed-Medline database published between 2020 and 2022. A sample of 30 articles was selected. The search algorithm used was (outcomes OR “preterm labor” OR preeclampsia OR PROM OR “maternal mortality”) AND (“covid-19” OR “SARS-CoV-2”) AND pregnancy. Results: The majority of articles were retrospective cohort studies (30.0%), published in 2021 (70%), and multinational (33.3%). The most frequently identified maternal complication was preterm birth (70%). Significant Relative Risk values were found for preterm birth (RR between 1.16 and 2.70), premature rupture of membranes (RR between 0.19 and 1.70), preeclampsia (RR between 0.88 and 2.68), and maternal mortality (RR between 1.70 and 22.3). Conclusion: COVID-19 infection is associated with maternal complications during pregnancy, especially preterm birth, premature rupture of membranes, preeclampsia, and maternal mortality.
Acceso abierto
Maternal-perinatal complications in a pregnant woman with pulmonary tuberculosis treated at the Santa Rosa - Pueblo Libre hospital, 2020
(Universidad Privada Norbert Wiener, 2022-12-01) Bendezu Rivera, Rosemary Caroline; Ayala Peralta, Félix Dasio
The study is an observational, descriptive, retrospective case review of a pregnant woman with pulmonary tuberculosis, treated at Santa Rosa Hospital – Pueblo Libre in 2020. The case involves a 29-year-old pregnant woman who presented to the emergency department with contraction-like pain, respiratory difficulty, and tachypnea, diagnosed as a second pregnancy at 32 weeks of gestation by ultrasound, with threatened preterm labor, respiratory sepsis with suspected tuberculosis or pneumonia, chronic malnutrition, and mild anemia. A decision was made to terminate the pregnancy via cesarean section. The newborn was female, weighing 1735 grams, measuring 42 cm, with an Apgar score of 8 at one minute and 9 at five minutes, and a gestational age of 33 weeks according to Capurro. After a series of tests, the patient was diagnosed with pulmonary tuberculosis and was hospitalized for six days, starting treatment with Scheme 1. The maternal complications in this case were: preterm birth, anemia, chronic malnutrition, and respiratory sepsis; while the perinatal complications were prematurity and low birth weight.
Acceso abierto
Premature rupture of membranes in preterm labor associated with maternal complications in the Sergio E. Bernales support hospital, Lima, year 2017
(Universidad Privada Norbert Wiener, 2022-11-04) Cruz Rios, Natalia Luz; Tapia Nuñez, Walter Enrique
Objective: To describe the management of a clinical case of premature rupture of membranes in preterm labor associated with maternal complications. Material and methods: An observational, descriptive retrospective study, reviewing the perinatal clinical history of a case of PROM in preterm labor at a public health facility in Lima during February 2017. Results: The predominant symptom was the loss of amniotic fluid for more than 48 hours. Pulmonary maturation was performed with betamethasone. Antepartum antibiotic therapy with intravenous cefazolin was administered. During the first stage of labor, fever, tachycardia, leukocytosis, and fetal tachycardia occurred, which led to the termination of the pregnancy via cesarean section, resulting in a live newborn weighing 2585 g, meconium-stained, with a gestational age of 39 weeks. Broad-spectrum antibiotic therapy with intravenous ceftriaxone + gentamicin + clindamycin was used post-cesarean. During the postoperative period: wound infection, endometritis, and pelvic peritonitis developed, requiring total abdominal hysterectomy. Conclusion: Prolonged PROM in preterm pregnancy is an important risk factor for maternal morbidity due to causing chorioamnionitis, endometritis, pelvic peritonitis, and wound infection; additionally, the maternal evolution was slow, progressing to acute surgical abdomen, leading to total hysterectomy, resulting in a prolonged hospital stay.
Acceso abierto
Prevalence and treatment of vaginosis bacteria and its relationship with childbirth preterm
(Universidad Privada Norbert Wiener, 2022-09-22) Carhuamaca Cordova, Treicy; Ayala Peralta, Félix Dasio
Objective: To describe the scientific evidence related to bacterial vaginosis and its association with preterm birth. Design: The approach was qualitative, with a retrospective research type and observational design. Study subjects: The sample consisted of 20 scientific articles relevant to the research topic, published between 2016 and 2021, which met the eligibility criteria. Instruments: The Grade system was used to assess the quality of the scientific evidence of the reviewed articles. Results: In 6 studies on the prevalence of bacterial vaginosis during pregnancy, an average of 31.6% was found, representing a "Low" prevalence. Regarding the association between bacterial vaginosis and preterm birth, 6 studies showed an average percentage of 33.6%, reflecting a "Low" association. In the studies that established this association with Odds Ratio, the average Odds Ratio was 3.87, indicating a "Low" strength of association. Finally, the average of 8 studies on the treatment of bacterial vaginosis during pregnancy showed that the use of probiotics and/or lactobacilli had 30% effectiveness, clindamycin had 53%, and metronidazole had an Odds ratio of 0.94. Conclusion: There is an association between bacterial vaginosis and preterm birth.
Acceso abierto
Risk factors associated with preterm birth
(Universidad Privada Norbert Wiener, 2022-11-04) Espinoza Jaimes, Tolemaida Serafina; Ayala Peralta, Félix Dasio
Objective: To analyze the risk factors associated with preterm birth. The study methodology was based on a narrative review that describes the risk factors associated with preterm birth for both mothers and infants worldwide during the period from 2015 to 2020. The scientific articles were selected based on convenience, considering various inclusion criteria and their relevance. A total of 30 studies were selected. The results showed that the risk factors associated with preterm birth were previous preterm birth [OR: 14.1], preeclampsia [OR (95% CI): 10.3], lower maternal education [OR (95% CI): 5.22 (2.01–13.58)], history of fetal death [OR (95% CI): 3.17 (1.20–8.36)], fewer prenatal visits [OR (95% CI): 6.68 (2.71–16.48)], antepartum hemorrhage [OR (95% CI): 2.39 (1.04–5.53)], advanced maternal age [OR (95% CI): 2.23 (0.97–4.85)], urban residence [OR: 6.23], intrauterine growth restriction [OR: 3.77], and urinary infections [OR: 3.7]. It was concluded that the most prevalent risk factors associated with preterm birth were previous preterm birth, preeclampsia, lower maternal education, fewer prenatal visits, and advanced maternal age.