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Examinando por Materia "Perinatal complications"

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    (Universidad Privada Norbert Wiener, 2017) Sánchez Lujan, Marita Masiel; Yataco Montoya, Bettsy María; Ayala Peralta, Félix Dasio
    This research aimed to identify maternal and perinatal complications during vaginal delivery of macrosomic newborns at the Instituto Nacional Materno Perinatal between January and December 2016. Methodology: An observational, descriptive, and retrospective study was conducted by reviewing 139 maternal discharge records. Results: The average maternal age was 34.8 ± 3.4 years. Sociodemographic characteristics: 79.1% were cohabiting, 67.6% had completed secondary education, 81.2% were housewives, and 97.1% belonged to a middle socioeconomic status. Obstetric variables: Prenatal care was deficient in 43.1% of cases, and 24.5% received no prenatal care. Pre-gestational BMI indicated 47.5% of women were overweight, and 11.5% had a gestational age over 42 weeks. Multiparity was observed in 79.1% of cases, with fetal macrosomia and maternal obesity as the predominant risk factors. Regarding newborns, 64% were male and 36% female. Most newborns had a moderate Apgar score at one minute (76.3%) and a normal score at five minutes (61.9%). Maternal complications: The most common were postpartum hemorrhage (56.8%), dysfunctional labor (55.4%), and soft tissue tears (54.7%). Perinatal complications: The most frequent were moderate depression at birth (33.1%), acute fetal distress (30.22%), shoulder dystocia (25.9%), and other complications (10.8%).
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    (Universidad Privada Norbert Wiener, 2017) Sánchez Lujan, Marita Masiel; Ayala Peralta, Félix Dasio
    This research aimed to identify maternal and perinatal complications during vaginal delivery of macrosomic newborns at the Instituto Nacional Materno Perinatal between January and December 2016. Methodology: An observational, descriptive, and retrospective study was conducted by reviewing 139 maternal discharge records. Results: The average maternal age was 34.8 ± 3.4 years. Sociodemographic characteristics: 79.1% were cohabiting, 67.6% had completed secondary education, 81.2% were housewives, and 97.1% belonged to a middle socioeconomic status. Obstetric variables: Prenatal care was deficient in 43.1% of cases, and 24.5% received no prenatal care. Pre-gestational BMI showed 47.5% of women were overweight, and 11.5% had a gestational age over 42 weeks. Multiparity was observed in 79.1% of cases, with fetal macrosomia and maternal obesity as the predominant risk factors. Regarding the newborns, 64% were male and 36% female. Most newborns had a moderate Apgar score at one minute (76.3%) and a normal score at five minutes (61.9%). Maternal complications: The most common were postpartum hemorrhage (56.8%), dysfunctional labor (55.4%), and soft tissue tears (54.7%). Perinatal complications: The most frequent were moderate depression at birth (33.1%), acute fetal distress (30.22%), shoulder dystocia (25.9%), and other complications (10.8%).
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    Clinical features and complications perinatal care of pregnant women with a diagnosis of preeclampsia
    (Universidad Privada Norbert Wiener, 2022-08-26) Gonzales Gamarra, Geraldine Vicentina; Sanz Ramirez, Ana María
    The study was a qualitative literature review. The population consisted of 91 articles published in the following virtual databases: Scielo, Lilacs, Journal, and Elsevier, with a sample of 33 articles. The technique used was documentary analysis. The most frequent clinical signs reported in the various studies were headache (16%), edema (13%), tinnitus (13%), blurred vision (13%), and epigastralgia (6%). Regarding perinatal complications, 35% of the studies reported prematurity, 18% low birth weight, 13% intrauterine growth retardation, and 13% fetal death. Other complications included NICU admission (9%), oligohydramnios (4%), and heart defects (4%). There is scientific evidence demonstrating the clinical characteristics and perinatal complications of pregnant women diagnosed with preeclampsia.
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    Gender-based violence in pregnant women as a risk factor for maternal and perinatal complications
    (Universidad Privada Norbert Wiener, 2022-01-17) Quevedo Tafur, Fernando Marcius; Benites Vidal, Elvira Soledad
    The study had a qualitative approach, as it primarily sought to interpret the data and information found, using an observational and retrospective design, categorized as a review of publications, with the purpose of impartially synthesizing various primary research studies from reliable sources. 29 scientific articles were reviewed, and most of the results indicated that the type of violence experienced by pregnant women primarily focuses on psychological, physical, sexual, and emotional violence. The most prevalent maternal complications identified were related to depressive episodes, followed by abortion, hypertensive disorders in pregnancy, and maternal death, among others. Regarding perinatal complications, the main issues were low birth weight, prematurity, inadequate APGAR score, small for gestational age (SGA), and fetal death. It can be concluded first that there is scientific evidence demonstrating that gender-based violence in pregnant women influences maternal and perinatal complications, and second, that maternal and perinatal complications lead to disorders that culminate in psychological damage, such as depression and suicide attempts, and physical damage, such as abortion.
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    Gestational diabetes, a risk factor for perinatal complications
    (Universidad Privada Norbert Wiener, 2022-09-18) Donaires Peralta, Patricia Fiorela; Caldas Herrera, Maria Evelina
    Objective: To determine if gestational diabetes is a risk factor for perinatal complications according to a narrative review. Design: The study was a qualitative narrative review, where a digital search was conducted for various articles related to gestational diabetes and perinatal complications. Study area: For this narrative review, a methodical collection of scientific articles published in different academic databases was carried out. Periodical publications from various journals were also considered. Cohort and case-control articles were selected for the study. Furthermore, the studies included were articles published from 2018 to 2021. Study subjects: Thirty scientific articles were considered for this study, which met the criteria. Conclusion: Based on the evidence from this review, it is affirmed that gestational diabetes is a risk factor for perinatal complications, and this condition can worsen if the woman had a previous episode of diabetes before pregnancy.
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    Maternal and perinatal complications in pregnant women with Covid-19.
    (Universidad Privada Norbert Wiener, 2021-10-07) Sandoval Barrantes, Grecia Jackeline; Arone Palomino, Susana Filomena
    Objective: To identify the scientific evidence regarding maternal and perinatal complications in pregnant women with COVID-19. Design: This study was a non-experimental narrative systematic review, involving an exhaustive electronic search of articles related to maternal and perinatal complications in pregnant women with COVID-19. Study setting: The systematic review selected various articles from academic databases, including systematic reviews, retrospective, prospective, cohort, and case-control studies, published between 2019 and 2021. Subjects: A total of 35 scientific articles were included in this study. Findings: Maternal and perinatal complications are the dependent variables, and COVID-19 is the independent variable. Pregnant women with pre-existing conditions, risk factors, or over the age of 35 are more likely to be hospitalized, often resulting in pregnancy termination, which can be harmful before 37 weeks of gestation, causing prematurity, low birth weight, intrauterine growth restriction (IUGR), and neonatal pneumonia. Additionally, spontaneous abortions were observed in pregnancies during the first trimester. Pregnant women are more vulnerable to SARS-CoV-2 infection, leading to morbidity and mortality. Conclusions: Maternal complications include hypertensive disorders, placental abruption, disseminated intravascular coagulation, placenta previa, premature rupture of membranes, and spontaneous abortions. Similarly, perinatal complications include intrauterine growth restriction, prematurity, low birth weight, respiratory issues, tachycardia, bradycardia, and neonatal pneumonia.
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    Maternal-perinatal complications associated with insufficient prenatal care in pregnant women treated at the Hipólito Unánue National Hospital, 2019.
    (Universidad Privada Norbert Wiener, 2021-03-25) Torres Espinoza, Sharo Dalicxa; Ayala Peralta, Félix Dasio
    Materials and Methods: The study was analytical, observational, retrospective, with a cohort design, involving a sample of 200 perinatal medical records from the Hipólito Unanue Hospital. Results: The most frequent age range was between 20 and 34 years, representing 75%. Regarding marital status, 74% were cohabiting, 69% had studied up to secondary school, and 77% were housewives. Regarding the number of prenatal visits, it was found that 15% of pregnant women had 5 prenatal visits, 10.5% had 4 visits, and 8% had no prenatal care. Regarding maternal complications, it was determined that pregnant women with insufficient prenatal care had higher levels of significance for urinary tract infections (p=0.045), anemia (p=0.000), and preeclampsia (p=0.024). However, no significant association was found for perinatal complications (p>0.05). Conclusion: There is a significant association between maternal complications and insufficient prenatal care, such as urinary tract infections, anemia, and preeclampsia. However, according to this study, no significant association was found with perinatal complications.
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    Sociodemographic and obstetric risk factors for premature rupture of membranes and its perinatal complications.
    (Universidad Privada Norbert Wiener, 2021-08-10) Salcedo Ramirez, Janis Nichole; Benites Vidal, Elvira Soledad
    Objective: To determine the scientific evidence on sociodemographic and obstetric risk factors for premature rupture of membranes and its perinatal complications. Design: This study was a qualitative systematic review, involving an electronic search of various articles related to sociodemographic and obstetric factors in premature rupture of membranes and its perinatal complications. Study setting: For the development of this systematic review, a methodical compilation of scientific articles published in different academic databases was carried out. Indexed journals and other periodical publications were also used. The study selected various cohort, case-control, and cross-sectional articles published between 2017 and 2021. Subjects: The study included 30 scientific articles. Findings: Premature rupture of membranes and perinatal complications are dependent variables, while obstetric and sociodemographic risk factors are independent variables. Conclusions: Based on the evidence from this systematic review, it can be affirmed that sociodemographic and obstetric factors do indeed influence premature rupture of membranes and its associated perinatal complications.
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