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Placenta Previa Oclusiva Parcial diagnóstico y tratamiento en multípara
| dc.contributor.advisor | Yupa, Ana | |
| dc.contributor.author | Sabando Macías, Eliana Katherine | |
| dc.date.accessioned | 2020-09-29T21:05:36Z | |
| dc.date.available | 2020-09-29T21:05:36Z | |
| dc.date.issued | 2020 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/8415 | |
| dc.description | This clinical case study aims to substantiate the importance of timely diagnosis and treatment in pregnant women with placenta previa to reduce maternal-fetal complications. Clinical case: 34-year-old female patient, with a history of multiparity, an abortion 9 years ago, a previous cesarean section 8 years ago, and insufficient pregnancy controls. The patient presents with a clinical picture of approximately 3 hours of evolution, presenting a moderate amount of bright red transvaginal bleeding without other accompanying symptoms. On physical examination, single living fetus globular abdomen, present fetal movements perceptible by the mother, sporadic uterine activity. Multiparous genitalia at speculoscopy showed bright red active bleeding without clots of moderate quantity, a slightly open cervix. Laboratory tests and obstetric ultrasound are requested where she reports: 33 weeks pregnancy; partial occlusive placenta previa. Admission is decided to assess the maternal-fetal binomial. The indicated treatment: absolute rest, hydration, lung maturation, tocolysis, analgesic. It was a preterm pregnancy with expectant management, due to the new episode of bleeding that the patient presented on the eighth day of being hospitalized, it was decided to terminate the pregnancy by discharge (cesarean section). A female APGAR 7-8 weight newborn was obtained with a pre-term diagnosis plus respiratory distress reported by neonatology. Post-caesarean section blood count of the user indicates moderate anemia is managed with parenteral iron. Later the discharge is granted. | es_ES |
| dc.description | This clinical case study aims to substantiate the importance of timely diagnosis and treatment in pregnant women with placenta previa to reduce maternal-fetal complications. Clinical case: 34-year-old female patient, with a history of multiparity, an abortion 9 years ago, a previous cesarean section 8 years ago, and insufficient pregnancy controls. The patient presents with a clinical picture of approximately 3 hours of evolution, presenting a moderate amount of bright red transvaginal bleeding without other accompanying symptoms. On physical examination, single living fetus globular abdomen, present fetal movements perceptible by the mother, sporadic uterine activity. Multiparous genitalia at speculoscopy showed bright red active bleeding without clots of moderate quantity, a slightly open cervix. Laboratory tests and obstetric ultrasound are requested where she reports: 33 weeks pregnancy; partial occlusive placenta previa. Admission is decided to assess the maternal-fetal binomial. The indicated treatment: absolute rest, hydration, lung maturation, tocolysis, analgesic. It was a preterm pregnancy with expectant management, due to the new episode of bleeding that the patient presented on the eighth day of being hospitalized, it was decided to terminate the pregnancy by discharge (cesarean section). A female APGAR 7-8 weight newborn was obtained with a pre-term diagnosis plus respiratory distress reported by neonatology. Post-caesarean section blood count of the user indicates moderate anemia is managed with parenteral iron. Later the discharge is granted. | es_ES |
| dc.description.abstract | El presente estudio de caso clínico pretende fundamentar la importancia de un diagnóstico y tratamiento oportuno en las gestantes con placenta previa para disminuir las complicaciones materno fetal. Caso clínico: paciente femenina de 34 años de edad, con antecedentes de multiparidad, un aborto hace 9 años, cesárea anterior hace 8 años, y controles de embarazo insuficientes. Acude con cuadro clínico de aproximadamente 3 horas de evolución presenta sangrado transvaginal rojo rutilante de modera cantidad sin otra sintomatología acompañante. Al examen físico, abdomen globuloso feto único vivo, movimientos fetales presentes perceptibles por la madre, actividad uterina esporádica. Genitales de multípara a la especuloscopía se evidencia sangrado activo rojo rutilante sin coágulos de moderada cantidad, cérvix entreabierto. Se solicita exámenes de laboratorio y ecografía obstétrica donde reporta: Embarazo de 33 semanas; placenta previa oclusiva parcial. Se decide ingreso para valorar al binomio materno fetal. El tratamiento que se indicó: reposo absoluto, hidratación, maduración pulmonar, tocólisis, analgésico. Se trataba de un embarazo pretérmino con conducta expectante, debido al nuevo episodio de sangrado que presento la paciente al octavo día de estar hospitalizada se decide terminar el embarazo por vía alta (cesárea). Se obtuvo recién nacido de sexo femenino APGAR 7-8 peso con diagnóstico de pre-termino más Síndrome de Distress Respiratorio reportado por neonatología. Hemograma post- cesárea de la usuaria indica anemia modera se maneja con hierro parenteral. Posteriormente se otorga el alta. | es_ES |
| dc.format.extent | 44 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 | Placenta Previa | es_ES |
| dc.subject | Hemorragia Obstétrica | es_ES |
| dc.subject | Diagnostico | es_ES |
| dc.subject | Manejo | es_ES |
| dc.subject | Morbimortalidad materna fetal | es_ES |
| dc.title | Placenta Previa Oclusiva Parcial diagnóstico y tratamiento en multípara | es_ES |
| dc.type | bachelorThesis | es_ES |
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