Acretismo placentario importancia del diagnóstico oportuno
| dc.contributor.advisor | Yupa Pallchisaca, Ana | |
| dc.contributor.author | Simon Troya, Jomally Lisbeth | |
| dc.date.accessioned | 2020-09-29T21:21:28Z | |
| dc.date.available | 2020-09-29T21:21:28Z | |
| dc.date.issued | 2020 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/8419 | |
| dc.description | Placental acretism is a pathology typical of gestation, a catastrophic alteration in Obstetrics. Currently, the use of early diagnostic methods such as Doppler ultrasound, serum markers, and magnetic resonance imaging help to decrease maternal and fetal morbidity. The World Health Organization recently called it a new pandemic directly related to patients with two or more caesarean sections. In Ecuador, the rate caesarean section is high and therefore the diagnosis of placental accretism has increased. Its first clinical manifestation is postpartum hemorrhage, sometimes accompanied by signs such as tachycardia, hypotension and episodes of anemia. The main treatment is total obstetric hysterectomy, due to its frequent association with placenta previa and previous caesarean section scars. This procedure is a challenge to the surgical skills of the obstetrician, so it is necessary to know other treatment alternatives. The little collaboration of the patients, that in some cases is because to present epidemiological characteristics such as, low schooling that leads them to have fewer prenatal checkups than is advisable or sometimes no checkups makes it difficult to get an early diagnosis. There are some factors such as placental retention, placenta previa, multiparity, history, uterine curettage among others. | es_ES |
| dc.description | Placental acretism is a pathology typical of gestation, a catastrophic alteration in Obstetrics. Currently, the use of early diagnostic methods such as Doppler ultrasound, serum markers, and magnetic resonance imaging help to decrease maternal and fetal morbidity. The World Health Organization recently called it a new pandemic directly related to patients with two or more caesarean sections. In Ecuador, the rate caesarean section is high and therefore the diagnosis of placental accretism has increased. Its first clinical manifestation is postpartum hemorrhage, sometimes accompanied by signs such as tachycardia, hypotension and episodes of anemia. The main treatment is total obstetric hysterectomy, due to its frequent association with placenta previa and previous caesarean section scars. This procedure is a challenge to the surgical skills of the obstetrician, so it is necessary to know other treatment alternatives. The little collaboration of the patients, that in some cases is because to present epidemiological characteristics such as, low schooling that leads them to have fewer prenatal checkups than is advisable or sometimes no checkups makes it difficult to get an early diagnosis. There are some factors such as placental retention, placenta previa, multiparity, history, uterine curettage among others. | es_ES |
| dc.description.abstract | El acretismo placentario es una patología propia de la gestación, una alteración catastrófica en Obstetricia. En la actualidad la utilización de métodos de diagnóstico temprano como el ultrasonido Doppler, marcadores séricos y resonancia magnética ayudan a disminuir la morbimortalidad materna y fetal. Hace poco la Organización Mundial de la Salud, lo calificó como una nueva pandemia directamente relacionada con pacientes con dos o más cesáreas. En Ecuador, la tasa de cesáreas es alta y por ende se ha incrementado el diagnóstico de acretismo placentario. Su primera manifestación clínica es la hemorragia postparto, en alguna ocasión es acompañada de signos secundarios como taquicardia, hipotensión y episodios de anemia. El principal tratamiento es la histerectomía obstétrica total, debido a su frecuente asociación con placenta previa y cicatriz de cesárea anterior. Este procedimiento es un desafío a las habilidades quirúrgicas del médico obstetra, por lo que es necesario conocer otras alternativas de tratamiento. La poca colaboración de las pacientes que en algunos casos es por presentar características epidemiológicas como: baja escolaridad que las lleva a tener menos controles prenatales de lo aconsejable o en ocasiones ningún control hace muy difícil obtener un diagnóstico precoz. Existen algunos factores como retención placentaria, placenta previa, multiparidad, historial de legrado entre otros. | es_ES |
| dc.format.extent | 35 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 | Acretismo placentario | es_ES |
| dc.subject | Mortalidad materna | es_ES |
| dc.subject | Hemorragia posparto | es_ES |
| dc.subject | Histerectomía | es_ES |
| dc.subject | Diagnóstico oportuno | es_ES |
| dc.title | Acretismo placentario importancia del diagnóstico oportuno | es_ES |
| dc.type | bachelorThesis | es_ES |
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