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Conducta Obstétrica en primigesta de 20 años de edad en puerperio fisiológico ante hemorragia postparto.
dc.contributor.advisor | Chang Hidalgo, Fabricio Ricardo | |
dc.contributor.author | Vélez Espín, Karolyn Stefany | |
dc.date.accessioned | 2021-11-12T17:40:41Z | |
dc.date.available | 2021-11-12T17:40:41Z | |
dc.date.issued | 2021 | |
dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/10498 | |
dc.description | Postpartum Hemorrhage (PPH) is and has become, throughout obstetric history, one of the main alterations that in many cases prevent leading to an adequate reestablishment of physiological conditions once labor and the subsequent puerperium have concluded, there are multiple etiologies that converge, for the production of the same we have, an alteration of uterine tone, tear during the process of childbirth or cesarean section, retention of placental tissue among those that are considered of greater relevance and importance. To determine hemorrhage after delivery we have to establish that blood loss must exceed 500 ml in a vaginal delivery, and 1000 ml in a cesarean delivery, this establishes the possible presentation of dystocia or multiple pregnancies, which may alter labor delivery and make the appropriate decision, what would be the proper management of such work; for which we have an effective tool to greatly reduce the rates of this alteration, such as active management of the third stage of labor (MATEP). Active management of the third stage of labor (MATEP) refers to the procedures and maneuvers that help to avoid the presentation of postpartum hemorrhage, which are described herein, remembering that postpartum hemorrhage is considered as such at the time understood between the first 24 hours after childbirth, up to 6 weeks after it. CLINICAL CASE: A 20-year-old patient, with a 39.4-week pregnancy diagnosed by LMP, with no previous relevant pathologies, both personal and family, with poor controls. The patient in this present study underwent only one control during the entire pregnancy; therefore, it is considered deficient according to the 2013 MSP guide since it says that there must be a minimum of 5 check-ups, first pregnancy, without previous abortions or cesarean sections. | es_ES |
dc.description | Postpartum Hemorrhage (PPH) is and has become, throughout obstetric history, one of the main alterations that in many cases prevent leading to an adequate reestablishment of physiological conditions once labor and the subsequent puerperium have concluded, there are multiple etiologies that converge, for the production of the same we have, an alteration of uterine tone, tear during the process of childbirth or cesarean section, retention of placental tissue among those that are considered of greater relevance and importance. To determine hemorrhage after delivery we have to establish that blood loss must exceed 500 ml in a vaginal delivery, and 1000 ml in a cesarean delivery, this establishes the possible presentation of dystocia or multiple pregnancies, which may alter labor delivery and make the appropriate decision, what would be the proper management of such work; for which we have an effective tool to greatly reduce the rates of this alteration, such as active management of the third stage of labor (MATEP). Active management of the third stage of labor (MATEP) refers to the procedures and maneuvers that help to avoid the presentation of postpartum hemorrhage, which are described herein, remembering that postpartum hemorrhage is considered as such at the time understood between the first 24 hours after childbirth, up to 6 weeks after it. CLINICAL CASE: A 20-year-old patient, with a 39.4-week pregnancy diagnosed by LMP, with no previous relevant pathologies, both personal and family, with poor controls. The patient in this present study underwent only one control during the entire pregnancy; therefore, it is considered deficient according to the 2013 MSP guide since it says that there must be a minimum of 5 check-ups, first pregnancy, without previous abortions or cesarean sections. | es_ES |
dc.description.abstract | La Hemorragia Postparto (HPP) es y se ha convertido, a lo largo de la historia obstétrica en una de las principales alteraciones que impiden en muchas ocasiones conllevar a un adecuado restablecimiento de las condiciones fisiológicas una vez concluido el trabajo de parto y el posterior puerperio, existen múltiples etiologías que confluyen, para la producción del mismo tenemos, una alteración del tono uterino, desgarro durante el proceso del parto o cesárea, retención del tejido placentario entre los que se consideran de mayor relevancia e importancia. Para determinar una hemorragia después del parto tenemos que establecer que la perdida sanguínea debe superar los 500 ml en un parto vaginal, y los 1000 ml en un parto por cesárea, esto establecido la posible presentación de distocias o embarazos múltiples, que puedan alterar el trabajo de parto y tomar la decisión adecuada, de cuál sería el manejo adecuado de dicho trabajo; para lo cual tenemos una herramienta efectiva para reducir de sobremanera los índices de esta alteración como es el manejo activo de la tercera etapa del parto (MATEP). Manejo activo de la tercera etapa del parto (MATEP) se refiere a los procedimientos y maniobras que ayudan a evitar la presentación de la hemorragia postparto, mismas que se encuentran descritas en la presente, recordando que la hemorragia postparto es considera como tal al tiempo comprendido entre las 24 primeras horas posteriores al parto, hasta las 6 semanas posteriores al mismo. CASO CLÍNICO: Paciente de 20 años, con embarazo de 39.4 semanas diagnosticado por FUM, sin patologías previas existentes de relevancia, tanto personales como familiares, con deficientes controles, la paciente de este presente trabajo se realizó solo un control durante todo el embarazo; por lo tanto, se considera deficiente según la guía del MSP del 2013 ya que está dice que deben ser mínimo 5 controles, primigesta, sin abortos ni cesáreas previas. | es_ES |
dc.format.extent | 40 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 | Hemorragia | es_ES |
dc.subject | Clave Roja | es_ES |
dc.subject | Puerperio | es_ES |
dc.subject | Atonía uterina | es_ES |
dc.subject | Prevención | es_ES |
dc.title | Conducta Obstétrica en primigesta de 20 años de edad en puerperio fisiológico ante hemorragia postparto. | es_ES |
dc.type | bachelorThesis | es_ES |