To determine the relationship that exists between the predictive value of intrapartum cardiotocography and the Apgar of the newborn of patients treated at the II-E Banda Hospital of Shilcayo, 2022

Abstract

Objective: "To determine the relationship between the predictive value of intrapartum cardiotocography and the Apgar score of newborns of patients attended at the Hospital II-E Banda de Shilcayo, 2022." Materials and Methods: Quantitative, deductive, analytical approach with a correlational observational design. The population consisted of 172 clinical histories, with a sample of 77. The technique used was document analysis, and the instrument was a data collection form, with descriptive and inferential analysis performed using SPSS version 27. Results: The results of intrapartum fetal monitoring were: the baseline was normal in 100%, the variability was normal in 64%, accelerations were normal in 82%, early and late decelerations were absent in 100%, and variable decelerations were absent in 97%. Regarding the Apgar score at one minute, it was normal in 95%, while at five minutes, it was normal in 100%. Conclusions: There is a relationship between the predictive value of intrapartum cardiotocography and the Apgar score of newborns of patients attended at the Hospital II-E Banda de Shilcayo, 2022.

Caso clínico de inversión uterina puerperal aguda como causa de hemorragia posparto atendida en el Hospital de Huaral. Estudio de tipo observacional, descriptivo, retrospectivo de revisión de historia clínica de gestante cuyo parto culminó con manejo de inversión uterina puerperal aguda como causa de hemorragia posparto. Segundigesta de 37 semanas, con diagnóstico de ruptura prematura de membranas, antecedente de parto pretérmino hace 3 años de óbito fetal de 27 semanas. En actual gestación, se produjo parto vaginal, recién nacido de sexo masculino, Apgar 8 al minuto y 9 a los cinco minutos, peso 2980 gr, líquido amniótico claro. Durante alumbramiento se evidencia resistencia para extracción de placenta, se continua presión suprapúbica y tracción controlada de cordón umbilical; se produce inversión uterina total, hemorragia masiva y shock hipovolémico; inmediatamente se realiza maniobras de restitución de útero sin éxito; al presentar restos placentarios fuertemente adheridos se realiza laparotomía exploratoria para restitución de útero y puntos Landaure; evoluciona desfavorablemente realizándose histerectomía total con ooforectomía derecha. En unidad de cuidados intensivos se detecta coagulación intravascular diseminada y falla renal por lo cual es referida al hospital de tercer nivel.