Conducta obstétrica en primigesta añosa con embarazo de 38 semanas más atonía uterina.

The objective of the present clinical case is to assess obstetric behavior in elderly primiparous women with a 38-week pregnancy plus uterine atony, since it is one of the main causes with more than 50% of maternal death, the methodology applied to write the case It was the obtaining of the information from the clinical history of the León Becerra Camacho Hospital, keeping the confidentiality criteria, for the bibliographic support the review of the clinical practice guidelines of the Ministry of Public Health and information from indexed journals of the academic Google was carried out, the main clinical data were risk factors such as: age, number of prenatal check-ups, delivery route, fetal weight, family pathological history of Diabetes Mellitus. Tools were applied such as the MAMA Score, which obtained a score of 0, obstetric ultrasound to rule out retention of placental remains, complementary tests to discharge blood disorders, and speculoscopy to assess the birth canal and rule out vaginal tears. Obstetric management was based on the MOM Score protocol and obstetric keys, active management of the third period was applied, the red code maternal alarm was activated. the patient was observed for the next 24 hours by demonstrating hemodynamic stability of moderate anemia, which was the same controlled with intravenous iron, an antishok suit was removed, discharging a hemodynamically stable patient at 48 hours The neonatal result, single product alive, 2750 apgar weight of 8 with no signs of fetal distress.

• Autore principale: Peralta Alchundia, Michelle Stephanie (author)
• Natura: bachelorThesis
• Pubblicazione: 2021
• Soggetti: Atonía uterina; Hemorragia; Posparto; Primigesta
• Accesso online: http://dspace.utb.edu.ec/handle/49000/10496