Polihidramnios por incompatibildad materno fetal o RH

A clinical case is presented in a 26-year-old pregnant woman, multiparous with an unfavorable gynecology-obstetrics history, who attends the emergency area of the obstetrics-gynecology service in a hospital center of II level of care for referring abdominal-pelvic pain of moderate to great intensity of approximately 72 hours of evolution. Obstetric ultrasound is requested where a 36 pregnancy is confirmed. 3 SG, anterior placenta grade II / III, weight: 3769gr, ILA: 25.4cc. On vaginal examination: closed, thick posterior cervix with presence of leucorrhoea in abundant amounts of whitish color. After collecting the laboratory tests, Group: A and RH negative are revealed, so an indirect Coombs test is sent which is reported negative. From the information obtained from the amnesias, physical examination and complementary examinations, a pregnancy of +/- 36 weeks plus moderate polyhydramnios due to maternal-fetal incompatibility plus genital infection in pregnancy was diagnosed. Procedure to be followed in the patient admitted to the obstetrics-gynecology hospitalization area, antibiotic therapy, suspension of analgesia, ultrasound control, biophysical profile, test at rest, fetal monitoring. Patient underwent emergency cesarean section at 39 weeks where it was possible to quantify 7-8 liters of amniotic fluid approximately post-cesarean section and a female newborn was obtained at term, Apgar 7-8 to minute 1-5 correspondingly, without apparent malformations, adequate weight for gestational age with diagnosis of hemolytic disease of the newborn due to RH group incompatibility.

• Hovedforfatter: Vasco Moreta, Mónica Raquel (author)
• Format: bachelorThesis
• Udgivet: 2020
• Fag: Polihidramnios; Líquido amniótico; Incompatibilidad Rh; Cesárea de emergencia; Test de Coombs
• Online adgang: http://dspace.utb.edu.ec/handle/49000/8439