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Conducta obstétrica en primigesta de 21 años de edad embarazada de 28.3 semanas con ruptura prematura de membranas
| dc.contributor.advisor | Pasos Baño, Ana María | |
| dc.contributor.author | Valencia Cabeza, Joselyn Alexandra | |
| dc.date.accessioned | 2021-06-02T14:16:29Z | |
| dc.date.available | 2021-06-02T14:16:29Z | |
| dc.date.issued | 2021 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/9411 | |
| dc.description | TOPIC: Premature rupture of membranes is the loss of integrity of the chorioamniotic membranes that occurs from 20 weeks to before the onset of labor, with an incidence of 2 to 20% of total pregnancy, for this reason it is encourages to carry out the report of the case of a 21-year-old patient with a 28.3-week pregnancy at the Hospital Sagrado Corazón de Jesús. OBJECTIVE: It was proposed to analyze the case of this pregnant woman who presents a premature rupture of membranes and was diagnosed by speculoscopy and ultrasound, presents predisposing factors that complicate the clinical picture. METHODOLOGY: The study is observational, clinical and descriptive. For this reason, the expectant management of said pathology varies according to the weeks of gestation. Expectant management is not justified in gestations with less than 24 weeks, so termination of pregnancy is the most recommended due to the unfavorable neonatal and maternal prognosis. Between week 24 and 34.6, it is recommended to perform fetal maturation, prophylactic antibiotic therapy. In gestation with more than 35 weeks, termination of pregnancy is suggested. RESULT AND CONCLUSION: Pregnant woman with premature rupture of membranes that is managed with antibiotic therapy and lung maturation, however labor progresses. The management of the patient was expectant according to the MSP guidelines. Patient who had regular controls in CS, but his predisposing factors for RPM were not diagnosed, which led to late treatment of the pathology. | es_ES |
| dc.description | TOPIC: Premature rupture of membranes is the loss of integrity of the chorioamniotic membranes that occurs from 20 weeks to before the onset of labor, with an incidence of 2 to 20% of total pregnancy, for this reason it is encourages to carry out the report of the case of a 21-year-old patient with a 28.3-week pregnancy at the Hospital Sagrado Corazón de Jesús. OBJECTIVE: It was proposed to analyze the case of this pregnant woman who presents a premature rupture of membranes and was diagnosed by speculoscopy and ultrasound, presents predisposing factors that complicate the clinical picture. METHODOLOGY: The study is observational, clinical and descriptive. For this reason, the expectant management of said pathology varies according to the weeks of gestation. Expectant management is not justified in gestations with less than 24 weeks, so termination of pregnancy is the most recommended due to the unfavorable neonatal and maternal prognosis. Between week 24 and 34.6, it is recommended to perform fetal maturation, prophylactic antibiotic therapy. In gestation with more than 35 weeks, termination of pregnancy is suggested. RESULT AND CONCLUSION: Pregnant woman with premature rupture of membranes that is managed with antibiotic therapy and lung maturation, however labor progresses. The management of the patient was expectant according to the MSP guidelines. Patient who had regular controls in CS, but his predisposing factors for RPM were not diagnosed, which led to late treatment of the pathology. | es_ES |
| dc.description.abstract | TEMA: La ruptura prematura de membranas es la perdida de la integridad de las membranas corioamnióticas que se producen desde las 20 semanas hasta antes del inicio del trabajo de parto, con una incidencia del 2 al 20% del total de embarazo, por tal motivo se incentiva a realizar el informe del caso de una paciente de 21 años con embarazo de 28.3 semanas en el Hospital Sagrado Corazón de Jesús. OBJETIVO: Se propuso analizar el caso de dicha gestante que presenta una ruptura prematura de membranas y fue diagnosticada mediante especuloscopia y ecografía, presenta factores predisponentes que complican el cuadro clínico. METODOLOGIA: El estudio es observacional, clínico y descriptivo Por tal motivo el manejo expectante de dicha patología varía según las semanas de gestación. En gestaciones con menos de 24 semanas el manejo expectante no se justifica, por lo que la interrupción del embarazo es lo más recomendado en virtud del pronóstico neonatal y materno desfavorable. Entre la semana 24 a la 34.6 se recomienda realizar maduración fetal, antibioticoterapia profiláctica. En gestación con más de 35 semanas se sugiere la terminación del embarazo. RESULTADO Y CONCLUSION: Gestante con ruptura prematura de membranas que se maneja con antibioticoterapia y maduración pulmonar, sin embardo progresa el parto. El manejo de la paciente fue expectante de acuerdo a la guía del MSP. Paciente que tuvo controles de forma regular en CS, pero que no le diagnosticaron sus factores predisponentes para RPM por lo que conllevo a tratar tardíamente la patología. | es_ES |
| dc.format.extent | 46 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 | Ruptura | es_ES |
| dc.subject | Prematura | es_ES |
| dc.subject | Membranas | es_ES |
| dc.subject | Corioamnionitis | es_ES |
| dc.title | Conducta obstétrica en primigesta de 21 años de edad embarazada de 28.3 semanas con ruptura prematura de membranas | es_ES |
| dc.type | bachelorThesis | es_ES |
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