Examinando por Materia "Umbilical cord prolapse"

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    Usefulness of fetal cardiotocography in the diagnosis of funicular dystocia in a pregnant woman treated at the level II-2 hospital in Tarapoto.
    (Universidad Privada Norbert Wiener, 2021-08-05) Cortez Ramirez, Henry; Ayala Peralta, Félix Dasio
    Materials and Methods: This is an observational, descriptive, retrospective study and case review on the management of a primigravida at 37 weeks presenting a cardiotocographic trace compatible with umbilical cord prolapse. Case Description: A 19-year-old primigravida presenting with elevated hypertension at 37 weeks gestation, not in labor, and was hospitalized to rule out preeclampsia. The initial Non-Stress Test (NST) revealed a baseline of 145 bpm, variability of 8, presence of variable decelerations, with the result of an active, reactive fetus showing clear signs of cord compression. The Stress Test (ST) revealed a baseline of 160 bpm, variability of 5, absence of accelerations and fetal movements, with 60% presence of variable decelerations, and a non-reactive, positive result for the stress test. She underwent an emergency cesarean section, delivering a newborn with an APGAR score of 7 at one minute and 9 at five minutes, weighing 2620 g, with clear amniotic fluid and a double-loop umbilical cord around the fetal neck. Conclusion: The findings of variable decelerations on fetal cardiotocography helped in diagnosing umbilical cord prolapse, allowing timely cesarean section and a newborn in good condition.