Examinando por Materia "Placental Insufficiency"

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Acceso abierto
Acute puerperal uterine inversion as a cause of postpartum hemorrhage treated at the Huaral Hospital
(Universidad Privada Norbert Wiener, 2024-05-03) Poicon Machcco, Sheyla Lesli; Ayala Peralta, Félix Dasio
A clinical case of acute postpartum uterine inversion as the cause of postpartum hemorrhage treated at the Huaral Hospital. This is an observational, descriptive, retrospective study of a clinical history review of a pregnant woman whose delivery was complicated by acute uterine inversion, leading to postpartum hemorrhage. The patient was a second-time pregnant woman at 37 weeks, with a diagnosis of premature rupture of membranes and a history of preterm delivery three years prior, resulting in fetal death at 27 weeks. In the current pregnancy, she had a vaginal delivery, with a male newborn, Apgar score of 8 at one minute and 9 at five minutes, weighing 2980 grams, and clear amniotic fluid. During the delivery of the placenta, resistance was noted, and controlled suprapubic pressure and traction of the umbilical cord were applied. Uterine inversion occurred, leading to massive hemorrhage and hypovolemic shock. Immediate attempts at uterine repositioning were unsuccessful, and because of strongly adhered placental remnants, an exploratory laparotomy was performed to restore the uterus, and Landaure sutures were applied. The patient’s condition worsened, and a total hysterectomy with right oophorectomy was performed. In the intensive care unit, disseminated intravascular coagulation and renal failure were detected, leading to her referral to a third-level hospital.
Acceso abierto
Cardiotocographic characteristics of the non-stressful test in placental insufficiency associated with fetal distress. Hospital Maria Auxiliadora - 2018
(Universidad Privada Norbert Wiener, 2019-06-13) Arias Egocheaga, Miriam Yessica; Sanz Ramirez, Ana María
Objective: Identify the cardiotocographic characteristics of the non-stressful test in placental insufficiency associated with fetal distress. María Auxiliadora Hospital – 2018. Material and Method: Observational, descriptive, retrospective study.