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Polihidramnios por incompatibildad materno fetal o RH
| dc.contributor.advisor | Cruz Villegas, Janeth | |
| dc.contributor.author | Vasco Moreta, Mónica Raquel | |
| dc.date.accessioned | 2020-09-30T14:51:06Z | |
| dc.date.available | 2020-09-30T14:51:06Z | |
| dc.date.issued | 2020 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/8439 | |
| dc.description | A clinical case is presented in a 26-year-old pregnant woman, multiparous with an unfavorable gynecology-obstetrics history, who attends the emergency area of the obstetrics-gynecology service in a hospital center of II level of care for referring abdominal-pelvic pain of moderate to great intensity of approximately 72 hours of evolution. Obstetric ultrasound is requested where a 36 pregnancy is confirmed. 3 SG, anterior placenta grade II / III, weight: 3769gr, ILA: 25.4cc. On vaginal examination: closed, thick posterior cervix with presence of leucorrhoea in abundant amounts of whitish color. After collecting the laboratory tests, Group: A and RH negative are revealed, so an indirect Coombs test is sent which is reported negative. From the information obtained from the amnesias, physical examination and complementary examinations, a pregnancy of +/- 36 weeks plus moderate polyhydramnios due to maternal-fetal incompatibility plus genital infection in pregnancy was diagnosed. Procedure to be followed in the patient admitted to the obstetrics-gynecology hospitalization area, antibiotic therapy, suspension of analgesia, ultrasound control, biophysical profile, test at rest, fetal monitoring. Patient underwent emergency cesarean section at 39 weeks where it was possible to quantify 7-8 liters of amniotic fluid approximately post-cesarean section and a female newborn was obtained at term, Apgar 7-8 to minute 1-5 correspondingly, without apparent malformations, adequate weight for gestational age with diagnosis of hemolytic disease of the newborn due to RH group incompatibility. | es_ES |
| dc.description | A clinical case is presented in a 26-year-old pregnant woman, multiparous with an unfavorable gynecology-obstetrics history, who attends the emergency area of the obstetrics-gynecology service in a hospital center of II level of care for referring abdominal-pelvic pain of moderate to great intensity of approximately 72 hours of evolution. Obstetric ultrasound is requested where a 36 pregnancy is confirmed. 3 SG, anterior placenta grade II / III, weight: 3769gr, ILA: 25.4cc. On vaginal examination: closed, thick posterior cervix with presence of leucorrhoea in abundant amounts of whitish color. After collecting the laboratory tests, Group: A and RH negative are revealed, so an indirect Coombs test is sent which is reported negative. From the information obtained from the amnesias, physical examination and complementary examinations, a pregnancy of +/- 36 weeks plus moderate polyhydramnios due to maternal-fetal incompatibility plus genital infection in pregnancy was diagnosed. Procedure to be followed in the patient admitted to the obstetrics-gynecology hospitalization area, antibiotic therapy, suspension of analgesia, ultrasound control, biophysical profile, test at rest, fetal monitoring. Patient underwent emergency cesarean section at 39 weeks where it was possible to quantify 7-8 liters of amniotic fluid approximately post-cesarean section and a female newborn was obtained at term, Apgar 7-8 to minute 1-5 correspondingly, without apparent malformations, adequate weight for gestational age with diagnosis of hemolytic disease of the newborn due to RH group incompatibility. | es_ES |
| dc.description.abstract | Se presenta caso clínico en gestante de 26 años de edad, multípara con antecedentes gineco-obstétricos desfavorables quien acude al área de emergencia del servicio gineco-obstétrico en un centro hospitalario de II nivel de atención por referir dolor abdomino-pélvico de moderada a gran intensidad de aproximadamente 72 horas de evolución. Se solicita ecografía obstétrica donde se confirma embarazo de 36. 3 SG, placenta anterior grado II/III, peso: 3769gr, ILA: 25.4cc. Al tacto vaginal: cérvix cerrado, grueso posterior con presencia de leucorrea en abundante cantidad de color blanquecino. Tras recabar los exámenes de laboratorio se revelan Grupo: A y RH negativo, por lo que se envía test de Coombs indirecto el cual es reportado negativo. A partir de la información obtenida de la amnesias, examen físico y exámenes complementarios se diagnostica embarazo de +/-36 semanas más polihidramnios moderado por incompatibilidad materno- fetal más infección genital en el embarazo. Procedimiento a seguir en la paciente ingreso al área de hospitalización gineco-obstétrica, antibioticoterapia, suspensión de analgesia, control ecográfico, perfil biofísico, prueba en reposo, monitoreo fetal. Paciente fue sometida a cesárea de emergencia a las 39 semanas donde se logró cuantificar de 7-8 litros de líquido amniótico aproximadamente post-cesárea y se obtuvo recién nacido femenino a término, Apgar 7-8 al minuto 1-5 correspondientemente, sin malformaciones aparentes, peso adecuado para su edad gestacional con diagnóstico de enfermedad hemolítica del recién nacido por incompatibilidad de grupo RH. | es_ES |
| dc.format.extent | 51 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 | Polihidramnios | es_ES |
| dc.subject | Líquido amniótico | es_ES |
| dc.subject | Incompatibilidad Rh | es_ES |
| dc.subject | Cesárea de emergencia | es_ES |
| dc.subject | Test de Coombs | es_ES |
| dc.title | Polihidramnios por incompatibildad materno fetal o RH | es_ES |
| dc.type | bachelorThesis | es_ES |
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