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Conducta obstétrica en paciente primigesta de 17 años con embarazo de 36.5 semanas y amenaza de parto pretérmino.
| dc.contributor.advisor | Pasos Baño, Ana María | |
| dc.contributor.author | Morla Anchundia, Lessly Jelipsa | |
| dc.date.accessioned | 2022-05-12T21:36:56Z | |
| dc.date.available | 2022-05-12T21:36:56Z | |
| dc.date.issued | 2022 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/11576 | |
| dc.description | The purpose of this study was: to identify the main maternal risk factors associated with: threat of preterm delivery in a 17-year-old primigravid woman at 36.5 weeks of gestation. The risk of preterm delivery in the general population is estimated to be between 6% and 10%. According to the Pan American Health Organization (PAHO), in Ecuador the INEC reported 15,185 cases of threatened preterm labor, which were registered as false labor (ICD-10 O.47), these cases constituted 0.22% of hospital admissions nationwide. The threat of preterm labor, both globally and locally, is associated with significant morbidity and serious complications, thus its investigation constitutes a research tool to identify those susceptible maternal organisms. Methodology.- For the selection of the case, the observation of the Clinical History was made, which was obtained from the statistical area of the Basic Hospital of Liberty "Dr. Rafael Serrano López” confidentiality was kept since a numerical code was assigned to identify the patient. For theoretical support, a bibliographic review of the clinical practice guidelines of the Ministry of Public Health, indexed journals of the academic Google was carried out, it was detected as risk factors for premature rupture of membranes, cervico-vaginitis, urinary tract infection and anemia. The obstetric management applied is that every patient who consults the emergency room due to uterine contractions will be evaluated by baseline monitoring, to verify the presence of uterine contractions, evaluation of the fetal heart rate, vaginal touch to evaluate cervical conditions, transvaginal ultrasound to measure the cervix length, hospitalization, lung maturation. The delivery route was vaginal, the maternal outcome was favorable, without complications and the fetal outcome was a single live birth. | es_ES |
| dc.description | The purpose of this study was: to identify the main maternal risk factors associated with: threat of preterm delivery in a 17-year-old primigravid woman at 36.5 weeks of gestation. The risk of preterm delivery in the general population is estimated to be between 6% and 10%. According to the Pan American Health Organization (PAHO), in Ecuador the INEC reported 15,185 cases of threatened preterm labor, which were registered as false labor (ICD-10 O.47), these cases constituted 0.22% of hospital admissions nationwide. The threat of preterm labor, both globally and locally, is associated with significant morbidity and serious complications, thus its investigation constitutes a research tool to identify those susceptible maternal organisms. Methodology.- For the selection of the case, the observation of the Clinical History was made, which was obtained from the statistical area of the Basic Hospital of Liberty "Dr. Rafael Serrano López” confidentiality was kept since a numerical code was assigned to identify the patient. For theoretical support, a bibliographic review of the clinical practice guidelines of the Ministry of Public Health, indexed journals of the academic Google was carried out, it was detected as risk factors for premature rupture of membranes, cervico-vaginitis, urinary tract infection and anemia. The obstetric management applied is that every patient who consults the emergency room due to uterine contractions will be evaluated by baseline monitoring, to verify the presence of uterine contractions, evaluation of the fetal heart rate, vaginal touch to evaluate cervical conditions, transvaginal ultrasound to measure the cervix length, hospitalization, lung maturation. The delivery route was vaginal, the maternal outcome was favorable, without complications and the fetal outcome was a single live birth. | es_ES |
| dc.description.abstract | El propósito de este estudio fue identificar los principales factores de riesgo maternos asociados a amenaza de parto pretérmino, en una mujer primigesta de 17 años a las 36,5 semanas de gestación. El riesgo de parto prematuro en la población general se estima entre un 6% y un 10%. Según la Organización Panamericana de la Salud (OPS), en Ecuador el INEC reporto 15.185 casos de amenaza de parto pretérmino, los cuales fueron registrados como Falso trabajo de parto (CIE-10 O.47), estos casos constituyeron 0,22% de egresos hospitalarios en todo el país. Metodología.- Para la selección del caso se realizó la observación de la Historia Clínica que fue obtenida del área de estadística del Hospital Básico de la Libertad “Dr. Rafael Serrano López” se guardó la confidencialidad ya que para identificar a la paciente se asignó un código numérico. Para el sustento teórico se realizó la revisión bibliográfica de las guías de práctica clínica del Ministerio de Salud Pública, revistas indexadas del Google académico, se detectó como factores de riesgo a la rotura prematura de membranas, cérvico-vaginitis, infección de vías urinarias y anemia. El manejo obstétrico aplicado es que toda paciente que consulte a urgencia por contracciones uterinas será evaluada mediante Monitoreo basal, para constatar la presencia de contracciones uterinas, evaluación de la frecuencia cardíaca fetal, tacto vaginal para evaluar las condiciones cervicales, ecografía transvaginal para medición de la longitud del cérvix, hospitalización, maduración pulmonar. La vía del parto fue vaginal, el resultado materno fue favorable, sin complicaciones y el resultado fetal producto nacido vivo único. | es_ES |
| dc.format.extent | 35 p. | es_ES |
| dc.language.iso | es | es_ES |
| dc.publisher | Babahoyo: UTB-FCS, 2022 | 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 | Primigesta | es_ES |
| dc.subject | Amenaza de parto pretérmino | es_ES |
| dc.title | Conducta obstétrica en paciente primigesta de 17 años con embarazo de 36.5 semanas y amenaza de parto pretérmino. | es_ES |
| dc.type | bachelorThesis | es_ES |
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