Amenaza de parto pretermino en una gestante multípara de 35 semanas

The threat of preterm or premature delivery can occur between weeks 21 and 37 of gestation. It has an incidence in figures of 5% - 11% of pregnancies, this figure is increasing every year. The main causes are iatrogenic (20%), induced mainly by caesarean sections, those produced by broken bags (35%)...

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Sonraí bibleagrafaíochta
Príomhchruthaitheoir: Chang Jiménez, Wendy Del Rocio (author)
Formáid: bachelorThesis
Teanga:spa
Foilsithe / Cruthaithe: 2018
Ábhair:
Rochtain ar líne:http://dspace.utb.edu.ec/handle/49000/4413
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Achoimre:The threat of preterm or premature delivery can occur between weeks 21 and 37 of gestation. It has an incidence in figures of 5% - 11% of pregnancies, this figure is increasing every year. The main causes are iatrogenic (20%), induced mainly by caesarean sections, those produced by broken bags (35%) and spontaneous deliveries (45%) that are those that can be acted on, with an adequate treatment to delay delivery. Prematurity continues to be the main cause of neonatal morbidity and mortality and is responsible for 70% of neonatal deaths and 50% of the neurological sequelae of the newborn. The etiopathogenesis remains unknown, have referred placentation problems, infections, immunological, uterine, maternal, trauma and surgery, fetal anomalies, and idiopathic conditions. Clinically they are associated with extreme maternal age, socioeconomic deficiencies, history of hypertension, history of prematurity, premature rupture of membranes, restriction of fetal growth, smoking habits and drugs, malnutrition, maternal hypertensive diseases and preeclampsia, maternal infections, multigestation, assisted fertilization, interventionism. Preterm labor has a multifactorial cause, and is the end of the path of a series of fetal or maternal alterations, thus generating a series of pathophysiological events that lead to an increase in proinflammatory cytokines mainly in the amniotic fluid. In the following case analysis we refer to a very frequent pathology such as the THREAT OF PRETERMINE BIRTH presented in a pregnant woman of 28 years multipara with personal pathological history (allergy to penicillin, recurrent urinary tract infections) and obstetrician deeds 5, deliveries 4 abortions 1, currently enrolled with a pregnancy of 35 weeks, the risk factors that influenced the exposed case of the patient were clearly obstetric