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Examinando por Materia "Preterm birth"

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    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.
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    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.
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    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.
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    Relationship of the short intergenic period as a risk factor for preterm birth
    (Universidad Privada Norbert Wiener, 2020-10-02) Pumajulca Ayravilca, Maria Eucaria; Barbaggelata Huaraca, Adriana Josefina
    The intergenic period is the time interval between the completion of one pregnancy and the conception of the next. When this period is short, maternal and perinatal morbidity increases. Objectives: To explore existing evidence in the scientific literature regarding the relationship between a short intergenic period and preterm birth. Methodology: A bibliographic search was conducted for scientific articles, developing a search protocol in seven databases: MedLine, Dialnet, Tesis en Red, Scielo, PubMed, Prospero, and the virtual library linked to the Universidad Privada Norbert Wiener. Results: Based on 22 studies, all of them aimed to relate the short intergenic period with preterm birth. The relationship between the two variables shows a higher risk of preterm birth and other complications associated with a short intergenic period. However, there is some controversy regarding the prevalence of one pregnancy complication over another. Conclusion: There is evidence in the scientific literature regarding the relationship between a short intergenic period and preterm birth.
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    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.
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