Cardiotocographic findings of the non-stressing test and perinatal results in terminal witnesses attended at the Ferreñafe referential hospital from january to june 2017.

Abstract

Objective: To identify the relationship between cardiotocographic findings from the non-stress test and perinatal outcomes in term pregnant women attended at the Ferreñafe Reference Hospital, from January to June 2017. Materials and Methods: Observational, non-experimental, quantitative, descriptive, retrospective, and cross-sectional study. A review of 42 medical records of pregnant women who underwent the non-stress test (NST) and ended in either vaginal or cesarean delivery. Results: 50% were at 38 weeks, 60% had between 7 to 10 prenatal visits, and 40% were primigravidas. The cardiotocographic findings of the non-stress test and the mode of delivery in term pregnancies indicate that 93% delivered vaginally and 7% by cesarean section. At one minute, 71% had an APGAR score between 7 to 10, and at five minutes, 100% had a score between 7 to 10. Conclusion: Obstetric history of the pregnant women indicates that the majority were at 38 weeks of gestation. Most had between 7 to 10 prenatal visits. Primigravidas were more prevalent. Regarding delivery, vaginal delivery predominated over cesarean section. The APGAR score at one minute was between 7 to 10 for 71% of newborns, and at five minutes, all had scores between 7 to 10.

Objetivo: Describir los factores de riesgo de la Preeclampsia con criterios de severidad en Gestante atendida en el Centro de Salud Chavin de Pariarca. Materiales y Métodos: La metodología fue observacional, retrospectivo, descriptivo se recolecta información de la historia clínica de la gestante atendida con el diagnostico de Preeclampsia con criterios de severidad. Se incluyeron variables como antecedentes personales y obstétricos, complicaciones materno perinatales y manejo obstétrico. Se hizo revisión de la literatura para discusión de los hallazgos encontrados. Resultados: Se presente el caso clínico de una gran multípara de 44 años de edad con 38 semanas de edad gestacional que ingresa por el servicio de emergencia por presentar cefalea, epigastralgia, presión arterial de 198/110mmHg y diagnóstico de preeclampsia con criterios de severidad. La terapia fue con administración de sulfato de magnesio, antihipertensivos e hidratación. El parto culmino mediante cesárea de emergencia obteniendo un recién nacido de sexo femenino con peso 3,710gr, APGAR 7 al minuto y 9 a los 5 minutos, liquido verde claro. Conclusiones: La edad materna avanzada, gran multiparidad, obesidad, antecedente de preeclampsia en su gestación anterior se identificaron como factores de riesgo para preeclampsia con criterios de severidad.