Muerte fetal intrauterina por trabajo de parto asistido en domicilio.

The purpose of this study is to present the clinical case of intrauterine fetal death, in which an analysis of this health problem was carried out, which resulted in psychological damage to the mother and inadequate control of the delivery process. carried out by the midwife of the rural community of Simiatug de Simiatug, Cantón Guaranda, and added that the patient did not cooperate in the prenatal controls, which in the present case led to the problem of studying. It should be noted that this patient was with the midwife assisted for more than 12 hours from the start of labor, she reported that she was given pumpkin seed water to help her dilate faster, accompanied by sudden manual compressions to bend the product. The patient did not refer whether or not the midwife was trained by the Ministry of Public Health or certified, so she studied this case. This is a 19-year-old female patient, a primiparous woman who is pregnant at 39 weeks gestation by Date of Last Menstruation (FUM), where first-level health care personnel stated that they found the patient being attended by the community midwife, without the necessary means, lack of cleanliness and with inadequate maneuvers, after the obstetric evaluation with Digital Doppler, it is referred that there was no fetal heartbeat, so they decided to refer to the Alfredo Noboa Hospital in Montenegro second level; Upon arrival, the patient was in the active phase of labor, so she was admitted to the Gynecology Service for a complete evaluation. After the gyneco-obstetric evaluation, obtaining imaging tests, it was evident that there was no heartbeat or fetal movements, and it was decided to end the pregnancy vaginally, where a female product was obtained without vital signs. Follow-up was carried out with psychology, for presenting emotional lability and family planning counseling, opting for the oral hormonal method.

• Hoofdauteur: Romo Chango, Jennifer Alexandra (author)
• Formaat: bachelorThesis
• Gepubliceerd in: 2020
• Onderwerpen: Muerte Fetal Intrauterina; Partera; Comunidad; Agua de pepa de zapallo; Primigestas; Maniobras inadecuadas; Ausencia de movimientos; Ausencia de latidos
• Online toegang: http://dspace.utb.edu.ec/handle/49000/8411