Trabajo de parto pretermino asociado a vaginosis bacteriana.
| dc.contributor.advisor | Pasos Baño, Ana María | |
| dc.contributor.author | Yépez López, Evelyn Stefany | |
| dc.date.accessioned | 2020-09-30T15:17:33Z | |
| dc.date.available | 2020-09-30T15:17:33Z | |
| dc.date.issued | 2020 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/8443 | |
| dc.description | The association of cervical vaginal infections and pregnancy has been related to preterm labor in 5-10%, with high costs of care due to hospital bed occupation, antimicrobials as well as the emotional cost of relatives, in addition, the repercussions on the effects caused to premature infants, the objective of the case is to verify the processes applied during the management of bacterial vaginosis and the risk of preterm delivery in a 36-week pregnant woman based on the management algorithm of the Ministry of Public Health. A case of a 36-week pregnancy is presented by first trimester ultrasound, she came self-referred for presenting pain in the contractile type hypogastrium radiating to the lumbar region of mild intensity, of approximately 12 hours of evolution. She refers to having recurrent vaginal infections (bacterial vaginosis). The diagnostic methodology is based on previous prenatal controls, a history of lung maturation administered a month ago, a culture of vaginal discharge with a result of Gardnerella vaginalis, anamnesis and physical examination were performed: gestational age, presence of uterine contractions, cervical modifications (effacement neck> 50% and 3 cm dilation), it was complemented with complete hematic biometry, blood chemistry, urinalysis, for which preterm labor associated with bacterial vaginosis was diagnosed. Among the main risk factors for preterm delivery is a history of a previous preterm delivery and a diagnosis of Bacterial Vaginosis. | es_ES |
| dc.description | The association of cervical vaginal infections and pregnancy has been related to preterm labor in 5-10%, with high costs of care due to hospital bed occupation, antimicrobials as well as the emotional cost of relatives, in addition, the repercussions on the effects caused to premature infants, the objective of the case is to verify the processes applied during the management of bacterial vaginosis and the risk of preterm delivery in a 36-week pregnant woman based on the management algorithm of the Ministry of Public Health. A case of a 36-week pregnancy is presented by first trimester ultrasound, she came self-referred for presenting pain in the contractile type hypogastrium radiating to the lumbar region of mild intensity, of approximately 12 hours of evolution. She refers to having recurrent vaginal infections (bacterial vaginosis). The diagnostic methodology is based on previous prenatal controls, a history of lung maturation administered a month ago, a culture of vaginal discharge with a result of Gardnerella vaginalis, anamnesis and physical examination were performed: gestational age, presence of uterine contractions, cervical modifications (effacement neck> 50% and 3 cm dilation), it was complemented with complete hematic biometry, blood chemistry, urinalysis, for which preterm labor associated with bacterial vaginosis was diagnosed. Among the main risk factors for preterm delivery is a history of a previous preterm delivery and a diagnosis of Bacterial Vaginosis. | es_ES |
| dc.description.abstract | La asociación de infecciones vaginales cervicales y embarazo, se ha relacionado con trabajo de parto pretérmino en un 5-10%, con costos elevados de atención por ocupación de cama hospitalaria, antimicrobianos, así como el costo emocional de los familiares, además, las repercusiones en los efectos causados a los prematuros, el objetivo del caso es verificar los procesos aplicados durante el manejo de la vaginosis bacteriana y el riesgo de parto de pretérmino en una gestante de 36 semanas en base al algoritmo de manejo del Ministerio de Salud Pública. Se presenta caso de primigesta de 36 semanas por ecografía de primer trimestre, acudió autorreferida por presentar dolor en hipogastrio tipo contráctil irradiado a región lumbar de leve intensidad, de aproximadamente 12 horas de evolución. Refiere presentar infecciones vaginales recurrentes (Vaginosis bacteriana). La metodología de diagnóstico se basa en los controles prenatales previos, antecedentes de maduración pulmonar administrada hace un mes, cultivo de secreción vaginal con resultado de Gardnerella vaginalis, se realizó anamnesis y examen físico: edad gestacional, presencia de contracciones uterinas, modificaciones cervicales (borramiento del cuello >50% y dilatación 3 centímetros), se complementó con biometría hemática completa, bioquímica sanguínea, uroanálisis por lo que se diagnosticó trabajo de parto pretérmino asociado a vaginosis bacteriana. Entre los principales factores de riesgo para el parto pretérmino está el antecedente de un parto pretérmino anterior y el diagnóstico por Vaginosis Bacteriana. | 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 | Vaginosis Bacteriana | es_ES |
| dc.subject | Trabajo de Parto Pretermino | es_ES |
| dc.title | Trabajo de parto pretermino asociado a vaginosis bacteriana. | es_ES |
| dc.type | bachelorThesis | es_ES |
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