Conducta obstétrica en paciente 34 años con 21 semanas de embarazo y malformaciones fetales.
| dc.contributor.advisor | Gavilánez Carbo, Miosotis Belén | |
| dc.contributor.author | Panchano Martínez, Estefanía Alexandra | |
| dc.date.accessioned | 2023-06-02T16:49:12Z | |
| dc.date.available | 2023-06-02T16:49:12Z | |
| dc.date.issued | 2023 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/14208 | |
| dc.description | Congenital malformations are structural and functional defects produced in embryonic or fetal development, of various etiologies, some are preventable, so prenatal diagnosis is essential to determine prognosis and obstetric future. The causative agents of congenital defects can be genetic, environmental or by interaction of both. 10% of the malformations are attributed to environmental causes, 25% to genetic factors and 65% to unknown factors, probably of a multifactorial order. There are approximately 4000 forms of these anomalies, however, they are included in two large groups which are: structural and functional. It is for these reasons that malformations are positioned as one of the important causes of infant mortality, disabilities and also chronic diseases. Congenital anomalies affect approximately one in 33 newborns, causing 3.2 million disabilities each year, and it is estimated that approximately 270,000 newborns die during their first 28 days of life. While the intake of folic acid during and before pregnancy can significantly reduce the risk of malformations, including spina bifida, anencephaly and other heart defects. (tango, 2021). The development of the clinical case is based on a 34-year-old multiparous patient with 21 weeks of gestation due to FUM on 08/13/2020 with an intergenic period of 2 months, her last pregnancy ended in abortion, she does not refer to a Personal Pathological history of allergies, toxic and surgical , risk factors age, lack of prenatal check-ups, not having an adequate diet and their habitat, however there are several theories put forward since by means of ultrasound it was possible to show that the fetus had a fetal malformation of anencephaly was incompatible with life and termination of pregnancy by abortion. Through this research I want to encourage the importance of prenatal check-ups carried out early and month by month in order to identify risk factors that can endanger pregnancy and provide adequate obstetric conduct. | es_ES |
| dc.description | Congenital malformations are structural and functional defects produced in embryonic or fetal development, of various etiologies, some are preventable, so prenatal diagnosis is essential to determine prognosis and obstetric future. The causative agents of congenital defects can be genetic, environmental or by interaction of both. 10% of the malformations are attributed to environmental causes, 25% to genetic factors and 65% to unknown factors, probably of a multifactorial order. There are approximately 4000 forms of these anomalies, however, they are included in two large groups which are: structural and functional. It is for these reasons that malformations are positioned as one of the important causes of infant mortality, disabilities and also chronic diseases. Congenital anomalies affect approximately one in 33 newborns, causing 3.2 million disabilities each year, and it is estimated that approximately 270,000 newborns die during their first 28 days of life. While the intake of folic acid during and before pregnancy can significantly reduce the risk of malformations, including spina bifida, anencephaly and other heart defects. (tango, 2021). The development of the clinical case is based on a 34-year-old multiparous patient with 21 weeks of gestation due to FUM on 08/13/2020 with an intergenic period of 2 months, her last pregnancy ended in abortion, she does not refer to a Personal Pathological history of allergies, toxic and surgical , risk factors age, lack of prenatal check-ups, not having an adequate diet and their habitat, however there are several theories put forward since by means of ultrasound it was possible to show that the fetus had a fetal malformation of anencephaly was incompatible with life and termination of pregnancy by abortion. Through this research I want to encourage the importance of prenatal check-ups carried out early and month by month in order to identify risk factors that can endanger pregnancy and provide adequate obstetric conduct. | es_ES |
| dc.description.abstract | Las malformaciones congénitas son defectos estructurales y funcionales producidos en el desarrollo embrionario o fetal, de diversas etiologías algunas son prevenibles por lo que el diagnóstico prenatal es indispensable para determinar pronóstico y futuro obstétrico. Los agentes causales de los defectos congénitos pueden ser genéticos, ambientales o por interacción de ambos. El 10% de las malformaciones se atribuyen a causas ambientales el 25% a factores genéticos y el 65% a factores desconocidos probablemente de orden multifactorial. Existen aproximadamente 4000 formas de estas anomalías, sin embargo, se engloban en dos grandes agrupaciones las cuales son: estructurales y funcionales. Es por estas razones que las malformaciones se posicionan como una de las causas importantes en mortalidad infantil, las discapacidades y además las enfermedades crónicas. Las anomalías congénitas afectan aproximadamente a uno de cada 33 neonatos causando 3,2 millones de discapacidades en el año y se calcula que un aproximado de 270.000 de los recién nacidos mueren durante sus 28 primeros días de vida. Mientras que la ingesta de ácido fólico durante y antes del embarazo puede reducir significativamente el riesgo de malformaciones, entre ellas espina bífida, anencefalia y otros defectos cardiacos. (tango, 2021). El desarrollo del caso clínico está basado en una paciente de 34 años multípara con 21 semanas de gestación por FUM 13 /08/2020 con un periodo intergenésico de 2 meses su ultimo embarazo termino en aborto no refiere antecedentes Patológicos Personales de alergias, tóxicos y quirúrgicos , factores de riesgo la edad, el déficit de controles prenatales, el no tener una alimentación adecuada y su habitad, sin embargo existen varias teorías planteadas ya que por medio de la ecografía se pudo evidenciar que el feto se encontraba con malformación fetal de anencefalia era incompatible con la vida y terminación de la gestación por aborto. Por medio de esta investigación quiero incentivar la importancia de realizarse los controles prenatales de manera precoz y mes a mes con la finalidad de identificar los factores de riesgo que pueden poner en peligro la gestación y brindar una conducta obstétrica adecuada. | es_ES |
| dc.format.extent | 30 p. | es_ES |
| dc.language.iso | es | es_ES |
| dc.publisher | Babahoyo: UTB-FCS, 2023 | 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 | Malformaciones congénitas | es_ES |
| dc.subject | Anencefalia | es_ES |
| dc.subject | Espina bífida | es_ES |
| dc.subject | Aborto | es_ES |
| dc.subject | Feto | es_ES |
| dc.title | Conducta obstétrica en paciente 34 años con 21 semanas de embarazo y malformaciones fetales. | es_ES |
| dc.type | bachelorThesis | es_ES |
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