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Hemorragia del tercer trimestre por Acretismo Placentario.
| dc.contributor.advisor | Schwager Saltos, Gino | |
| dc.contributor.author | Martínez Suarez, Alexandra Arelis | |
| dc.date.accessioned | 2020-09-29T16:40:36Z | |
| dc.date.available | 2020-09-29T16:40:36Z | |
| dc.date.issued | 2020 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/8396 | |
| dc.description | Obstetric hemorrhage that occurs in the third trimester of pregnancy is associated with greater morbidity / mortality of the mother and fetus, pregnancy beyond the age of 30 years, the increase in the frequency of cesarean births, can increase the incidence of pathologies related to obstetric hemorrhage, adequate prenatal control and the performance of antepartum diagnosis through the use of gray scale ultrasound, color Doppler, power Doppler and Nuclear Magnetic Resonance is an insurmountable opportunity that allows us an adequate surgical planning of the delivery and the eventual need for a hysterectomy and / or blood transfusion, when determining placental accreta. This research shows the case of a 30-year-old 11-month-old patient with 37 weeks of gestation with insufficient prenatal controls who presents transvaginal bleeding of approximately 45 minutes with apparent physical effort as an apparent cause, arrives at the general hospital through the emergency area where an assessment is received By a gynecology specialist, speculoscopy is performed to determine the origin and amount of bleeding, there are no alterations in the product, there is no uterine dynamics, an obstetric ultrasound is performed where the placenta previa is evidenced, she is operated on in an emergency, obtaining a single live product without complications When cleaning the uterine cavity, areas of placental accreta were evident, so it was decided to perform a hysterectomy with preservation of the attachments, during the intraoperative period, she presented bleeding of approximately 1000 ml, so she was transfused 2 units of blood products, she remained hospitalized for 3 days. stay in control In his general state, he is discharged with a satisfactory evolution. | es_ES |
| dc.description | Obstetric hemorrhage that occurs in the third trimester of pregnancy is associated with greater morbidity / mortality of the mother and fetus, pregnancy beyond the age of 30 years, the increase in the frequency of cesarean births, can increase the incidence of pathologies related to obstetric hemorrhage, adequate prenatal control and the performance of antepartum diagnosis through the use of gray scale ultrasound, color Doppler, power Doppler and Nuclear Magnetic Resonance is an insurmountable opportunity that allows us an adequate surgical planning of the delivery and the eventual need for a hysterectomy and / or blood transfusion, when determining placental accreta. This research shows the case of a 30-year-old 11-month-old patient with 37 weeks of gestation with insufficient prenatal controls who presents transvaginal bleeding of approximately 45 minutes with apparent physical effort as an apparent cause, arrives at the general hospital through the emergency area where an assessment is received By a gynecology specialist, speculoscopy is performed to determine the origin and amount of bleeding, there are no alterations in the product, there is no uterine dynamics, an obstetric ultrasound is performed where the placenta previa is evidenced, she is operated on in an emergency, obtaining a single live product without complications When cleaning the uterine cavity, areas of placental accreta were evident, so it was decided to perform a hysterectomy with preservation of the attachments, during the intraoperative period, she presented bleeding of approximately 1000 ml, so she was transfused 2 units of blood products, she remained hospitalized for 3 days. stay in control In his general state, he is discharged with a satisfactory evolution. | es_ES |
| dc.description.abstract | La hemorragia obstétrica que se presenta en el tercer trimestre del embarazo se asocia con mayor morbilidad/mortalidad de la madre y el feto, el embarazo a edades pasado los 30 años, el aumento en la frecuencia de nacimientos por cesárea, pueden incrementar la incidencia de patologías relacionadas con la hemorragia obstétrica, un adecuado control prenatal y la realización del diagnóstico anteparto mediante el uso de ecografía de escala de grises, Doppler color, el power Doppler y de Resonancia Magnética Nuclear es una oportunidad insuperable que nos permite una adecuada planificación quirúrgica del parto y la eventual necesidad de una histerectomía y/o transfusión de sangre, al determinar acretismo placentario. Esta investigación muestra el caso de una paciente de 30 años 11 meses con 37semas de gestación con controles prenatales insuficientes que presenta sangrado transvaginal de 45 minutos aproximadamente teniendo como causa aparente esfuerzo físico, llega al hospital general por el área de emergencia en donde se recibe valoración por médico especialista en ginecología, se realiza especuloscopía para determinar origen y cantidad de sangrado, no presenta alteraciones en el producto, no presenta dinamia uterina, se realiza ecografía obstétrica en donde se evidencia placenta previa, es intervenida de emergencia obteniéndose producto único vivo sin complicaciones, al realizar extracción placentaria se evidencia zonas de acretismo placentario y por persistencia de sangrado uterino se decide realizar histerectomía con conservación de anexos, en el transoperatorio presenta un sangrado aproximado de 1000ml por lo que se transfunde hemoderivados (2 paquetes globulares), permanece hospitalizada por 3 días en control permanente de sus estado general se le da el alta con evolución satisfactoria. | es_ES |
| dc.format.extent | 33 p. | es_ES |
| dc.language.iso | es | es_ES |
| dc.publisher | Babahoyo: UTB-FCS, 2020 | 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 | HM: Hemorragia Obstétrica | es_ES |
| dc.subject | AP: Acretismo Placentario | es_ES |
| dc.subject | PA: Placenta Anormal | es_ES |
| dc.subject | MMF: morbimortalidad materna fetal | es_ES |
| dc.title | Hemorragia del tercer trimestre por Acretismo Placentario. | es_ES |
| dc.type | bachelorThesis | es_ES |
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