Muerte fetal intrauterina por trabajo de parto asistido en domicilio.
| dc.contributor.advisor | Yupa, Ana | |
| dc.contributor.author | Romo Chango, Jennifer Alexandra | |
| dc.date.accessioned | 2020-09-29T20:24:18Z | |
| dc.date.available | 2020-09-29T20:24:18Z | |
| dc.date.issued | 2020 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/8411 | |
| dc.description | The purpose of this study is to present the clinical case of intrauterine fetal death, in which an analysis of this health problem was carried out, which resulted in psychological damage to the mother and inadequate control of the delivery process. carried out by the midwife of the rural community of Simiatug de Simiatug, Cantón Guaranda, and added that the patient did not cooperate in the prenatal controls, which in the present case led to the problem of studying. It should be noted that this patient was with the midwife assisted for more than 12 hours from the start of labor, she reported that she was given pumpkin seed water to help her dilate faster, accompanied by sudden manual compressions to bend the product. The patient did not refer whether or not the midwife was trained by the Ministry of Public Health or certified, so she studied this case. This is a 19-year-old female patient, a primiparous woman who is pregnant at 39 weeks gestation by Date of Last Menstruation (FUM), where first-level health care personnel stated that they found the patient being attended by the community midwife, without the necessary means, lack of cleanliness and with inadequate maneuvers, after the obstetric evaluation with Digital Doppler, it is referred that there was no fetal heartbeat, so they decided to refer to the Alfredo Noboa Hospital in Montenegro second level; Upon arrival, the patient was in the active phase of labor, so she was admitted to the Gynecology Service for a complete evaluation. After the gyneco-obstetric evaluation, obtaining imaging tests, it was evident that there was no heartbeat or fetal movements, and it was decided to end the pregnancy vaginally, where a female product was obtained without vital signs. Follow-up was carried out with psychology, for presenting emotional lability and family planning counseling, opting for the oral hormonal method. | es_ES |
| dc.description | The purpose of this study is to present the clinical case of intrauterine fetal death, in which an analysis of this health problem was carried out, which resulted in psychological damage to the mother and inadequate control of the delivery process. carried out by the midwife of the rural community of Simiatug de Simiatug, Cantón Guaranda, and added that the patient did not cooperate in the prenatal controls, which in the present case led to the problem of studying. It should be noted that this patient was with the midwife assisted for more than 12 hours from the start of labor, she reported that she was given pumpkin seed water to help her dilate faster, accompanied by sudden manual compressions to bend the product. The patient did not refer whether or not the midwife was trained by the Ministry of Public Health or certified, so she studied this case. This is a 19-year-old female patient, a primiparous woman who is pregnant at 39 weeks gestation by Date of Last Menstruation (FUM), where first-level health care personnel stated that they found the patient being attended by the community midwife, without the necessary means, lack of cleanliness and with inadequate maneuvers, after the obstetric evaluation with Digital Doppler, it is referred that there was no fetal heartbeat, so they decided to refer to the Alfredo Noboa Hospital in Montenegro second level; Upon arrival, the patient was in the active phase of labor, so she was admitted to the Gynecology Service for a complete evaluation. After the gyneco-obstetric evaluation, obtaining imaging tests, it was evident that there was no heartbeat or fetal movements, and it was decided to end the pregnancy vaginally, where a female product was obtained without vital signs. Follow-up was carried out with psychology, for presenting emotional lability and family planning counseling, opting for the oral hormonal method. | es_ES |
| dc.description.abstract | El propósito de este estudio es presentar el caso clínico de muerte fetal intrauterina, en el que se realizó un análisis de este problema de salud, que resultó en daño psicológico para la madre y control inadecuado del proceso de parto. realizado por la partera de la comunidad rural de Simiatug de Simiatug, Cantón Guaranda, y agregó que la paciente no cooperó en los controles prenatales, lo que en el presente caso condujo al problema de estudiar. Cabe recalcar que esta paciente estuvo con la partera asistida por más de 12 horas desde el inicio de la labor de parto, refirió que le dio agua de pepa de zapallo para que ayudara a dilatar más rápido, acompañada de compresiones manuales bruscas para el acodamiento del producto. La paciente no refiero si la partera era o no capacitada por el Ministerio de Salud Pública ni certificada por lo que estudio este caso. Se trata de una paciente de sexo femenino, de 19 años de edad, primigesta cursando un embarazo de 39 semanas de gestación por Fecha de Ultima Menstruación (FUM), en donde el personal de salud de primer nivel de atención manifestaban que encontraron a la paciente siendo atendida por la comadrona de la comunidad, sin los medios necesarios, falta de limpieza y con maniobras inadecuadas, posterior a la valoración obstétrica con Doppler Digital se refiere que no se presenciaba latido cardiaco fetal por lo que deciden referencia al Hospital Alfredo Noboa Montenegro de segundo nivel; a su llegada la paciente se encontraba en fase activa de la labor de parto, por lo que se ingresó al Servicio de Ginecología para la valoración completa. Posterior a la valoración gineco-obstétrica, obtención de exámenes de imagen se evidenció que no existía latido cardiaco, ni movimientos fetales, decidiéndose terminar el embarazo por vía vaginal en donde se obtiene producto de sexo femenino sin signos vitales. Se realizó seguimiento con psicología, por presentar labilidad emocional y consejería en planificación familiar optando por método hormonal oral. | es_ES |
| dc.format.extent | 48 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 | Muerte Fetal Intrauterina | es_ES |
| dc.subject | Partera | es_ES |
| dc.subject | Comunidad | es_ES |
| dc.subject | Agua de pepa de zapallo | es_ES |
| dc.subject | Primigestas | es_ES |
| dc.subject | Maniobras inadecuadas | es_ES |
| dc.subject | Ausencia de movimientos | es_ES |
| dc.subject | Ausencia de latidos | es_ES |
| dc.title | Muerte fetal intrauterina por trabajo de parto asistido en domicilio. | es_ES |
| dc.type | bachelorThesis | es_ES |
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