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Conducta obstétrica en primigesta añosa con embarazo de 38 semanas más atonía uterina.
| dc.contributor.advisor | Pasos Baño, Ana María | |
| dc.contributor.author | Peralta Alchundia, Michelle Stephanie | |
| dc.date.accessioned | 2021-11-12T17:23:46Z | |
| dc.date.available | 2021-11-12T17:23:46Z | |
| dc.date.issued | 2021 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/10496 | |
| dc.description | The objective of the present clinical case is to assess obstetric behavior in elderly primiparous women with a 38-week pregnancy plus uterine atony, since it is one of the main causes with more than 50% of maternal death, the methodology applied to write the case It was the obtaining of the information from the clinical history of the León Becerra Camacho Hospital, keeping the confidentiality criteria, for the bibliographic support the review of the clinical practice guidelines of the Ministry of Public Health and information from indexed journals of the academic Google was carried out, the main clinical data were risk factors such as: age, number of prenatal check-ups, delivery route, fetal weight, family pathological history of Diabetes Mellitus. Tools were applied such as the MAMA Score, which obtained a score of 0, obstetric ultrasound to rule out retention of placental remains, complementary tests to discharge blood disorders, and speculoscopy to assess the birth canal and rule out vaginal tears. Obstetric management was based on the MOM Score protocol and obstetric keys, active management of the third period was applied, the red code maternal alarm was activated. the patient was observed for the next 24 hours by demonstrating hemodynamic stability of moderate anemia, which was the same controlled with intravenous iron, an antishok suit was removed, discharging a hemodynamically stable patient at 48 hours The neonatal result, single product alive, 2750 apgar weight of 8 with no signs of fetal distress. | es_ES |
| dc.description | The objective of the present clinical case is to assess obstetric behavior in elderly primiparous women with a 38-week pregnancy plus uterine atony, since it is one of the main causes with more than 50% of maternal death, the methodology applied to write the case It was the obtaining of the information from the clinical history of the León Becerra Camacho Hospital, keeping the confidentiality criteria, for the bibliographic support the review of the clinical practice guidelines of the Ministry of Public Health and information from indexed journals of the academic Google was carried out, the main clinical data were risk factors such as: age, number of prenatal check-ups, delivery route, fetal weight, family pathological history of Diabetes Mellitus. Tools were applied such as the MAMA Score, which obtained a score of 0, obstetric ultrasound to rule out retention of placental remains, complementary tests to discharge blood disorders, and speculoscopy to assess the birth canal and rule out vaginal tears. Obstetric management was based on the MOM Score protocol and obstetric keys, active management of the third period was applied, the red code maternal alarm was activated. the patient was observed for the next 24 hours by demonstrating hemodynamic stability of moderate anemia, which was the same controlled with intravenous iron, an antishok suit was removed, discharging a hemodynamically stable patient at 48 hours The neonatal result, single product alive, 2750 apgar weight of 8 with no signs of fetal distress. | es_ES |
| dc.description.abstract | El presente caso clínico tiene como objetivo valorar la conducta obstétrica en primigesta añosa con embarazo de 38 semanas más atonía uterina, ya que se trata de una de las principales causas con más del 50% de muerte materna, la metodología aplicada para la redacción del caso fue la obtención de la información de la historia clínica del Hospital León Becerra Camacho, guardando los criterios de confidencialidad, para el sustento bibliográfico se realizó la revisión de las guías de práctica clínica del Ministerio de Salud Pública e información de revistas indexadas del Google académico, los principales datos clínicos fueron factores de riesgo como: edad, número de controles prenatales, vía del parto, peso fetal antecedentes patológicos familiares de Diabetes Mellitus. Se aplicaron herramientas como el Score MAMA que obtuvo una puntuación de 0, ultrasonido obstétrico para descartar retención de restos placentarios, exámenes complementarios para descargar trastornos sanguíneos y la especuloscopia para valorar el canal del parto y descartar desgarros vaginales. El manejo Obstétrico se basó en el protocolo de Score MAMÁ y claves obstétricas, se aplicó el manejo activo del tercer periodo, se activó la alarma materna código rojo. El resultado materno fue una hemorragia del post parto que fue controlada con la administración de uterotónicos se necesitó la aplicación del traje antishok como dicta el código rojo se observó a la paciente por las siguientes 24 horas al demostrar estabilidad hemodinámica de anemia moderada la misma que fue controlada con hierro intravenoso se procedió a retirar traje antishok dando de alta a una paciente hemodinamiecamente estable a las 48 horas El resultado neonatal producto único vivo peso 2750 apgar de 8 sin signos de sufrimiento fetal | es_ES |
| dc.format.extent | 57 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 | Atonía uterina | es_ES |
| dc.subject | Hemorragia | es_ES |
| dc.subject | Posparto | es_ES |
| dc.subject | Primigesta | es_ES |
| dc.title | Conducta obstétrica en primigesta añosa con embarazo de 38 semanas más atonía uterina. | es_ES |
| dc.type | bachelorThesis | es_ES |
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