Conducta obstétrica en primigesta de 21 años de edad embarazada de 28.3 semanas con ruptura prematura de membranas

TOPIC: Premature rupture of membranes is the loss of integrity of the chorioamniotic membranes that occurs from 20 weeks to before the onset of labor, with an incidence of 2 to 20% of total pregnancy, for this reason it is encourages to carry out the report of the case of a 21-year-old patient with a 28.3-week pregnancy at the Hospital Sagrado Corazón de Jesús. OBJECTIVE: It was proposed to analyze the case of this pregnant woman who presents a premature rupture of membranes and was diagnosed by speculoscopy and ultrasound, presents predisposing factors that complicate the clinical picture. METHODOLOGY: The study is observational, clinical and descriptive. For this reason, the expectant management of said pathology varies according to the weeks of gestation. Expectant management is not justified in gestations with less than 24 weeks, so termination of pregnancy is the most recommended due to the unfavorable neonatal and maternal prognosis. Between week 24 and 34.6, it is recommended to perform fetal maturation, prophylactic antibiotic therapy. In gestation with more than 35 weeks, termination of pregnancy is suggested. RESULT AND CONCLUSION: Pregnant woman with premature rupture of membranes that is managed with antibiotic therapy and lung maturation, however labor progresses. The management of the patient was expectant according to the MSP guidelines. Patient who had regular controls in CS, but his predisposing factors for RPM were not diagnosed, which led to late treatment of the pathology.

• Main Author: Valencia Cabeza, Joselyn Alexandra (author)
• Format: bachelorThesis
• Published: 2021
• Subjects: Ruptura; Prematura; Membranas; Corioamnionitis
• Online Access: http://dspace.utb.edu.ec/handle/49000/9411