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Conducta obstétrica en primigesta de 21 años de edad con embarazo de 37,6 semanas y síndrome de hellp.
| dc.contributor.advisor | Vélez, Luis | |
| dc.contributor.author | Mera Ganchozo, Jennifer Karina | |
| dc.date.accessioned | 2021-06-02T14:51:15Z | |
| dc.date.available | 2021-06-02T14:51:15Z | |
| dc.date.issued | 2021 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/9418 | |
| dc.description | Hypertensive disorders of pregnancy are a group of complications whose connection is hypertension, they are classified according to their characteristics, which help us to differentiate them. HELLP Syndrome is a complication of pre-eclampsia-eclampsia; Present in pregnancy or postpartum, it consists of hemolysis, elevated transaminases, and decreased platelet count. Although its cause is not defined, it is associated with maternal endothelial damage. Its diagnosis is based on laboratory tests rather than on the appearance of symptoms because they are nonspecific and its main treatment is the termination of pregnancy. This syndrome is related to serious perinatal complications and increased maternal mortality. In the present clinical case, we have a 21-year-old primigravida with a pregnancy of +/- 37.6 weeks by date of the last menstruation, who attended a hospital of level II care, with a clinical picture characterized by pain in the upper right quadrant and hypogastrium. Accompanied by general malaise of +/- 2 days of evolution, I present at the moment breast score of 7 points. A toxemic profile was performed that was reported without alterations, the gynecologist on duty with a diagnosis of severe preeclampsia decided on pertinent treatment by termination of pregnancy via cesarean section, in the postoperative period she presented an alteration in the control laboratory tests and referred it as code red to a higher-level hospital diagnosed with HELLP Syndrome. | es_ES |
| dc.description | Hypertensive disorders of pregnancy are a group of complications whose connection is hypertension, they are classified according to their characteristics, which help us to differentiate them. HELLP Syndrome is a complication of pre-eclampsia-eclampsia; Present in pregnancy or postpartum, it consists of hemolysis, elevated transaminases, and decreased platelet count. Although its cause is not defined, it is associated with maternal endothelial damage. Its diagnosis is based on laboratory tests rather than on the appearance of symptoms because they are nonspecific and its main treatment is the termination of pregnancy. This syndrome is related to serious perinatal complications and increased maternal mortality. In the present clinical case, we have a 21-year-old primigravida with a pregnancy of +/- 37.6 weeks by date of the last menstruation, who attended a hospital of level II care, with a clinical picture characterized by pain in the upper right quadrant and hypogastrium. Accompanied by general malaise of +/- 2 days of evolution, I present at the moment breast score of 7 points. A toxemic profile was performed that was reported without alterations, the gynecologist on duty with a diagnosis of severe preeclampsia decided on pertinent treatment by termination of pregnancy via cesarean section, in the postoperative period she presented an alteration in the control laboratory tests and referred it as code red to a higher-level hospital diagnosed with HELLP Syndrome. | es_ES |
| dc.description.abstract | Los trastornos hipertensivos del embarazo son un grupo de complicaciones cuya conexión es la hipertensión, se clasifican según sus características las que nos ayudan a diferenciarlos. El Síndrome de HELLP es una complicación de la preeclampsia-eclampsia; presente en el embarazo o postparto, consiste en hemolisis, elevación de las transaminasas y disminución del conteo plaquetario. Aunque su causa no se encuentra definida se la asocia a un daño endotelial materno. Su diagnóstico está basado en exámenes de laboratorios más que en la aparición de la sintomatología debido a que son inespecíficos y su tratamiento principal es la finalización del embarazo. Este síndrome está relacionado con graves complicaciones perinatales y aumento de la mortalidad materna. En el presente caso clínico tenemos a una primigesta de 21 años de edad con embarazo de +/- 37.6 semanas por fecha de última menstruación, que acudió a un hospital de II nivel de atención, con cuadro clínico caracterizado por dolor en cuadrante superior derecho e hipogastrio acompañado de malestar general de +/- 2 días de evolución, presento al momento score mama de 7 puntos. Se le realizo perfil toxémico que se reportó sin alteraciones, el ginecólogo de turno con diagnóstico de preeclampsia grave decide tratamiento pertinente mediante terminación de embarazo vía cesárea, en periodo posquirúrgico presento alteración en los exámenes de laboratorio de control y se la refirió como código rojo a un hospital de mayor nivel con diagnóstico de Síndrome de HELLP. | es_ES |
| dc.format.extent | 53 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 | Síndrome de HELLP | es_ES |
| dc.subject | Parto | es_ES |
| dc.subject | Embarazo | es_ES |
| dc.subject | Presión arterial | es_ES |
| dc.title | Conducta obstétrica en primigesta de 21 años de edad con embarazo de 37,6 semanas y síndrome de hellp. | es_ES |
| dc.type | bachelorThesis | es_ES |
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