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Conducta obstétrica en primigesta de 46 años de 38.5 semanas con fibromiomatosis.
| dc.contributor.advisor | Escudero Castro, Andrés Fernando | |
| dc.contributor.author | Baque Herrera, Tania Cristina | |
| dc.date.accessioned | 2021-11-11T20:07:14Z | |
| dc.date.available | 2021-11-11T20:07:14Z | |
| dc.date.issued | 2021 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/10479 | |
| dc.description | Topic: uterine fibroids are also known as myomas or leiomyomas, they are the most frequent benign tumors of the upper portion of the female genital tract; the prevalence of uterine leiomyomas during pregnancy is 2%, they are usually asymptomatic, but sometimes they can be complicated by fleshy degeneration and cause an increase in the frequency of spontaneous abortion, premature labor, premature rupture of fetal membranes, bleeding before delivery, childbirth obstructed, cesarean section and postpartum hemorrhage. For this reason, the case report of a 46-year-old patient with a 38-week pregnancy is encouraged at the Dr. Rafael Serrano Lopez Basic Hospital. OBJECTIVE: it was proposed to analyze the case of this pregnant woman who presented uterine fibromyomas and was diagnosed by ultrasound with predisposing factors that complicate the clinical picture. METHODOLOGY: the study is observational, clinical and descriptive. For this reason, the expectant management of this pathology varies according to its location subserosal (10%), intramural (60-70%), submucosal (15-25%) and weeks of gestation. Fetal maturation is recommended between weeks 24 to 34.6 in gestation with more than 35 weeks, termination of pregnancy is suggested. RESULTS AND CONCLUSION: pregnant women with uterine fibromyomata sis increase the risk of complications during pregnancy and delivery. During follow-up, no fibroids were shown to grow; there was even a trend towards reduction in size as the pregnancy progressed and until the moment of its termination, no increased risk of cesarean section could be demonstrated. The management of the patient was expectant according to the MSP guidelines. Patient who had regular controls in CS. | es_ES |
| dc.description | Topic: uterine fibroids are also known as myomas or leiomyomas, they are the most frequent benign tumors of the upper portion of the female genital tract; the prevalence of uterine leiomyomas during pregnancy is 2%, they are usually asymptomatic, but sometimes they can be complicated by fleshy degeneration and cause an increase in the frequency of spontaneous abortion, premature labor, premature rupture of fetal membranes, bleeding before delivery, childbirth obstructed, cesarean section and postpartum hemorrhage. For this reason, the case report of a 46-year-old patient with a 38-week pregnancy is encouraged at the Dr. Rafael Serrano Lopez Basic Hospital. OBJECTIVE: it was proposed to analyze the case of this pregnant woman who presented uterine fibromyomas and was diagnosed by ultrasound with predisposing factors that complicate the clinical picture. METHODOLOGY: the study is observational, clinical and descriptive. For this reason, the expectant management of this pathology varies according to its location subserosal (10%), intramural (60-70%), submucosal (15-25%) and weeks of gestation. Fetal maturation is recommended between weeks 24 to 34.6 in gestation with more than 35 weeks, termination of pregnancy is suggested. RESULTS AND CONCLUSION: pregnant women with uterine fibromyomata sis increase the risk of complications during pregnancy and delivery. During follow-up, no fibroids were shown to grow; there was even a trend towards reduction in size as the pregnancy progressed and until the moment of its termination, no increased risk of cesarean section could be demonstrated. The management of the patient was expectant according to the MSP guidelines. Patient who had regular controls in CS. | es_ES |
| dc.description.abstract | TEMA: Los fibroides uterinos son también nombrados como miomas o leiomiomas, son los tumores benignos más frecuentes de la porción superior del aparato genital femenino; la prevalencia de leiomiomas uterino durante el embarazo es de un 2% suelen ser asintomáticos, pero en ocasiones pueden complicarse por la degeneración carnosa y causan aumento en la frecuencia de aborto espontaneo, parto prematuro, rotura prematura de membranas fetales, hemorragia ante parto, parto obstruido, cesárea y hemorragia post parto. Por tal motivo se incentiva a realizar el informe del caso de una paciente de 46 años de edad con embarazo de 38 semanas en el Hospital Básico Dr. Rafael Serrano López. OBJETIVO: Se propuso analizar el caso de dicha gestante que presenta fibromiomatosis uterina y fue diagnosticada mediante ecografía presenta factores predisponentes que complican el cuadro clínico. METODOLOGÍA: El estudio es observacional, clínico y descriptivo. Por este motivo el manejo expectante de dicha patología varía según su localización: subserosos (10%), intramurales (60-70%), submucosos (15-25%) y semanas de gestación. Entre las semanas 24 a la 34.6 se recomienda realizar maduración fetal. En gestación con más de 35 semanas se sugiere la terminación del embarazo. Resultado y Conclusión: Gestante con fibromiomatosis uterina aumentan el riesgo de complicaciones durante el embarazo y parto. Durante la observación no se confirmó que los miomas aumentaran: aun, conserva una preferencia hacia la reducción de dimensión conforme avanzó el embarazo y concluyo, no se pudo demostrar mayor riesgo de cesárea. El manejo de la paciente fue expectante de acuerdo a la guía del MSP. Paciente que tuvo controles de forma regular en CS. | es_ES |
| dc.format.extent | 56 p. | es_ES |
| dc.language.iso | es | es_ES |
| dc.publisher | Babahoyo: UTB-FCS, 2021 | es_ES |
| dc.rights | Atribución-NoComercial-SinDerivadas 3.0 Ecuador | * |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/ec/ | * |
| dc.subject | Leiomiomas | es_ES |
| dc.subject | Miomatosis | es_ES |
| dc.subject | Fibromas | es_ES |
| dc.subject | Embarazo | es_ES |
| dc.subject | Complicaciones | es_ES |
| dc.title | Conducta obstétrica en primigesta de 46 años de 38.5 semanas con fibromiomatosis. | es_ES |
| dc.type | bachelorThesis | es_ES |
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