Conducta obstétrica en primigesta de 18 años con trastorno hipertensivo en embarazo de 38.5 semanas.
The clinical case that is written is based on an 18-year-old primigravid patient with 38.5 weeks of gestation who was admitted to hospital emergency due to severe preeclampsia with arterial hypertension of 169/114 mmHg, headache, photopsia, edema in both limbs. So the obstetric staff decides to perf...
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| Format: | bachelorThesis |
| Published: |
2022
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| Online Access: | http://dspace.utb.edu.ec/handle/49000/11512 |
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Add Tag | Summary: | The clinical case that is written is based on an 18-year-old primigravid patient with 38.5 weeks of gestation who was admitted to hospital emergency due to severe preeclampsia with arterial hypertension of 169/114 mmHg, headache, photopsia, edema in both limbs. So the obstetric staff decides to perform laboratory tests that came to determine the presence of hypertensive disorder, in such a way that the proper treatment is established to achieve maternal well-being and proceed with an emergency cesarean section. Gestational hypertension at 6 weeks postpartum improves, but in the case of severe preeclampsia, hypertension and proteinuria may remain 3 to 6 months after delivery. Blood pressure should be measured between 3 to 6 days after delivery since postpartum blood pressure peaks on these days. Therefore, when the patient entered the operating room for an emergency caesarean section, the newborn was obtained in stable clinical conditions, thus completing the surgery without complications, after 6 hours of delivery, a pattern of seizures, high blood pressure, hemorrhage, and a fever of 39º C, antihypertensive therapy treatment is administered, intravenously for its stabilization, and it is transferred with a red code to the University Hospital of Guayaquil. |
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