Examinando por Materia "Rotura prematura de membranas"

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Acceso abierto
Factors associated with premature rupture of membranes in pregnant women - 2021
(Universidad Privada Norbert Wiener, 2022-11-11) Gómez Echavigurín, Rosini; Fernández Ledesma, Scarlett Estela
Objective: To analyze and interpret the factors associated with premature rupture of membranes in pregnant women in 2021 through a systematic review. Methodology: A systematic review to analyze and synthesize data. A qualitative approach with an observational and retrospective design. Data was collected from search engines such as PubMed, Dialnet, Scielo, and LILACS. The data review period was from July to September 2021, with no data older than seven years. Keywords for the search: premature rupture of membranes. The technique used was documentary analysis. Results: Of the selected articles, 9 were case-control studies, 7 were reviews, 3 were descriptive, 3 were retrospective, 3 were cohort, 1 was correlational, 1 was comparative, and 1 was prospective. The results show that for premature rupture of membranes, 40% correspond to sociodemographic factors, 3.3% to economic factors, 30% to clinical factors, and 53.3% to gynecological-obstetric factors. Conclusions: The main factors for premature rupture of membranes in pregnant women aged 20 to 35 are: poor nutritional status (low weight); inadequate prenatal care; low income; urinary and cervical-vaginal infections; a history of premature rupture of membranes, abortion, cesarean section; amniocentesis, multiple pregnancies, cervical incompetence, previous use of an intrauterine device, primigravida, hemorrhage, oligohydramnios, short interpregnancy period, and breech presentation.
Acceso abierto
Maternal-fetal complications associated with premature rupture of membranes
(Universidad Privada Norbert Wiener, 2019-02-13) Artica Aliaga, Shani Shali; Sanz Ramirez, Ana María
The premature rupture of membranes (PROM) is an obstetric condition that occurs when the ovular membranes break before the onset of labor, occurring at the Manuel Angel Higa Arakaki Hospital. This is an observational, descriptive, retrospective study based on medical record reviews, describing the disease from admission, personal and obstetric history, clinical examinations, auxiliary results, diagnosis, management by the specialist, and transfer to a higher-complexity hospital. It was also compared with bibliographic precedents on the case. Results: The clinical case involved a patient aged 21 years with an initial diagnosis of 35-week pregnancy by first-trimester ultrasound, threatened preterm labor, premature rupture of membranes for approximately 5 hours, transverse left presentation, and vaginal septum. After evaluation, a cesarean delivery was decided, revealing severe oligohydramnios, transverse fetus, and risk of cord prolapse. The surgical finding included uterine fibroids, uterine hypotonia, hypovolemic shock, and ultimately maternal death. Conclusions: The clinical case determined that the premature rupture of membranes was associated with a recurrent urinary tract infection, leading to complications. It was evident that medical attention was not timely, which could have prevented maternal mortality.