Conducta obstétrica ante embarazo de 38.5 semanas con anencefalia.
| dc.contributor.advisor | Alvarado Franco, Hugo | |
| dc.contributor.author | Jaramillo Pacheco, Petra Carolina | |
| dc.date.accessioned | 2022-05-11T21:46:41Z | |
| dc.date.available | 2022-05-11T21:46:41Z | |
| dc.date.issued | 2022 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/11544 | |
| dc.description | The following clinical case is based on a 37-year-old female patient, in whom an anencephalic fetus is detected by ultrasound at 18 weeks of gestation at the Hospital del Triunfo and the option of terminating the pregnancy is proposed, however due to ideas Based on personal beliefs, the patient rejected the option and decided to continue with her gestational cycle. In this way, after several weeks of gestation, the patient is referred from the hospital area to the Gynecology emergency area of the "Martin Icaza" Hospital with a diagnosis of pregnancy of +/- 38 weeks of gestation plus neural-type fetal malformation (anencephaly), As part of personal pathological history, he does not refer wrongdoing and as Gyneco-obstetric history it is displayed: gestations 3, childbirth 0, abortion 1, caesarean section 2. When the patient is referred from the first level of care, she does not report any signs or added symptoms, she is prepared for cesarean section after performing fetal monitoring, vital signs control, laboratory tests and communicating to anesthesiology and neonatology. Thus, in the postpartum phase, the patient remains stable, oriented in time, space and afebrile. In this clinical case, the baby from a patient with anencephaly managed to survive around 2 weeks, 4 days, equivalent to a total of 18 days. In Ecuador, according to INEC data, the neonatal mortality rate is 4.6 per 1,000 live births in 2020 and anencephaly is part of the list of causes of neonatal deaths, so this research document focuses on the compilation of data that allow defining causes and risk factors, that help obstetric professionals to take measures that promote optimal health and carry out, as an obstetric professional, the proper referral of patients to treatments in psychological contexts based on providing an environment of emotional support, treatment of disorders related to the loss of a newborn and to accept the diagnosis. | es_ES |
| dc.description | The following clinical case is based on a 37-year-old female patient, in whom an anencephalic fetus is detected by ultrasound at 18 weeks of gestation at the Hospital del Triunfo and the option of terminating the pregnancy is proposed, however due to ideas Based on personal beliefs, the patient rejected the option and decided to continue with her gestational cycle. In this way, after several weeks of gestation, the patient is referred from the hospital area to the Gynecology emergency area of the "Martin Icaza" Hospital with a diagnosis of pregnancy of +/- 38 weeks of gestation plus neural-type fetal malformation (anencephaly), As part of personal pathological history, he does not refer wrongdoing and as Gyneco-obstetric history it is displayed: gestations 3, childbirth 0, abortion 1, caesarean section 2. When the patient is referred from the first level of care, she does not report any signs or added symptoms, she is prepared for cesarean section after performing fetal monitoring, vital signs control, laboratory tests and communicating to anesthesiology and neonatology. Thus, in the postpartum phase, the patient remains stable, oriented in time, space and afebrile. In this clinical case, the baby from a patient with anencephaly managed to survive around 2 weeks, 4 days, equivalent to a total of 18 days. In Ecuador, according to INEC data, the neonatal mortality rate is 4.6 per 1,000 live births in 2020 and anencephaly is part of the list of causes of neonatal deaths, so this research document focuses on the compilation of data that allow defining causes and risk factors, that help obstetric professionals to take measures that promote optimal health and carry out, as an obstetric professional, the proper referral of patients to treatments in psychological contexts based on providing an environment of emotional support, treatment of disorders related to the loss of a newborn and to accept the diagnosis. | es_ES |
| dc.description.abstract | El siguiente caso clínico se fundamenta en paciente de sexo femenino de 37 años de edad, en quien se detecta feto anencefálico mediante ecografía a las 18 semanas de gestación en el Hospital del Triunfo y se le plantea opción de interrupción del embarazo, sin embargo por ideas personales basadas en creencias la paciente rechazo la opción y decide continuar con su ciclo gestacional. De tal manera luego de varias semanas de gestación paciente es referida de área hospitalaria hacia el área de emergencia de Ginecología del Hospital “Martin Icaza” con diagnostico de embarazo de +/- 38 semanas de gestación más malformación fetal del tipo neural (anencefalia), como parte de antecedentes patológicos personal no refiere contrahecho y como antecedentes Gineco-obstétricos se despliega: gestas 3, parto 0, aborto 1, cesárea 2. Paciente al ser referida del primer nivel de atención no refiere ni signos, ni síntomas agregados, es preparada para cesaría luego de realizar el monitoreo fetal, control de signos vitales, exámenes de laboratorio y comunicar a anestesiología y neonatología. Así en fase postparto la paciente se mantiene estable, orientada en tiempo, espacio y afebril. En este caso clínico él bebe de paciente con cuadro de anencefalia logro sobrevivir alrededor de 2 semanas, 4 días, equivalente a un total de 18 días. En el Ecuador según datos del INEC la tasa de mortalidad neonatal es de 4,6 por cada 1000 nacidos vivos en el 2020 y la anencefalia forma parte de la lista de causas de muertes neonatales, por lo que este documento investigativo se centra en la recopilación de datos que permitan definir causas y factores de riesgo, que ayuden a los profesionales obstétricos a tomar medidas que faculten la salud optima y realizar como profesional obstetra la debida derivación de paciente a tratamientos en contextos psicológicos fundamentados en proporcionar un entorno de apoyo emocional, tratamiento de trastornos relacionadas a la perdida de neonato y para aceptar el diagnóstico. | es_ES |
| dc.format.extent | 44 p. | es_ES |
| dc.language.iso | es | es_ES |
| dc.publisher | Babahoyo: UTB-FCS, 2022 | 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 | Multípara | es_ES |
| dc.subject | Gestante | es_ES |
| dc.subject | Anencefalia | es_ES |
| dc.subject | Mortalidad neonatal | es_ES |
| dc.title | Conducta obstétrica ante embarazo de 38.5 semanas con anencefalia. | es_ES |
| dc.type | bachelorThesis | es_ES |
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