Aplicación del oxido nitroso al 50% más oxÍgeno durante la fase activa del trabajo de parto en primigestas de 15 a 25 años en Hospital Gineco-Obstétrico Enrique C. Sotomayor durante el período de junio 2015 hasta abril del 2016
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
Resumen
La utilización de óxido nitroso al 50% junto con oxígeno se considera una alternativa eficaz en analgesia del trabajo de parto. Este trabajo está realizado con el fin de evaluar los resultados del uso del óxido nitroso al 50% + oxigeno empleado para la disminución del dolor en la fase activa del trabajo de parto en el HOSPITAL GINECO-OBSTETRICO ENRIQUE C SOTOMAYOR. Con un universo de 300 usuarias primigestas de las cuales se tomó como muestra a 100 de ellas sabiendo que la utilización de óxido nitroso al 50% junto con oxígeno se considera una alternativa como analgesia en el trabajo de parto, siendo empleada en el 4060% de las pacientes primigestas, la literatura describe que es seguro para la embarazada y para el feto el cual no presenta ningún tipo de alteración o complicación. Aunque una de las ventajas de la utilización del óxido nitroso es no requerir anestesistas durante el parto, implica seguir una serie de pautas y precauciones: como darle a saber a la paciente la forma de la administración de este método y de los posibles efectos adversos para ella tales como; nauseas vómitos y mareos. Este es un estudio de carácter Descriptivo, Prospectivo y de Corte Transversal. Ya que a traves de encuesta realizada a 100 pacientes llegamos a obtener resultados óptimos a comparación de la teoría ya descrita en libros, revistas y la web. Los resultados que llegamos a obtener fueron de que en el hospital Enrique C. Sotomayor de cada 100 pacientes primigestas solo un 30% de ellas se le administró este método y que de estas 30 pacientes al 90% de ellas le disminuyo el umbral dolor, mas no así las contracciones uterinas es decir que el trabajo de parto progreso de manera normal.
This work is performed in order to know the results of the use of nitrous oxide 50% + oxygen to decrease pain levels during labor in the Hospital Obstetric-Gynecologic ENRIQUE C. SOTOMAYOR with a universe of 300 primiparous of which a sample of 100 of them was taken; knowing that the use of nitrous oxide 50% with oxygen is considered a good and an effective analgesic alternative in labor, being employed in 40-60% of primigravidas, the literature describes that nitrous oxide is safe for pregnant women and her fetus and this last one does not present any alteration or complication. Although one of the advantages of using nitrous oxide is the lack of need of anesthesia during delivery, the process involves following a set of guidelines and precautions such as providing information to the patient about the administration of this method and the possible non harmful side effects like nausea, vomit and dizziness. This work is a descriptive study, prospective and of cross-sectional character. THROUGH the survey administered to 100 patients we got optimal results in comparison to the theory describe in books, magazines and the web. The results we got in the Hospital Enrique c Soto mayor is that in 100 primiparous patients in only 30% of them this method was administered and of these 30 patients even 90% during labor the pain threshold decreased but not the uterine contractions i.e. labor process immediately until the delivery.
This work is performed in order to know the results of the use of nitrous oxide 50% + oxygen to decrease pain levels during labor in the Hospital Obstetric-Gynecologic ENRIQUE C. SOTOMAYOR with a universe of 300 primiparous of which a sample of 100 of them was taken; knowing that the use of nitrous oxide 50% with oxygen is considered a good and an effective analgesic alternative in labor, being employed in 40-60% of primigravidas, the literature describes that nitrous oxide is safe for pregnant women and her fetus and this last one does not present any alteration or complication. Although one of the advantages of using nitrous oxide is the lack of need of anesthesia during delivery, the process involves following a set of guidelines and precautions such as providing information to the patient about the administration of this method and the possible non harmful side effects like nausea, vomit and dizziness. This work is a descriptive study, prospective and of cross-sectional character. THROUGH the survey administered to 100 patients we got optimal results in comparison to the theory describe in books, magazines and the web. The results we got in the Hospital Enrique c Soto mayor is that in 100 primiparous patients in only 30% of them this method was administered and of these 30 patients even 90% during labor the pain threshold decreased but not the uterine contractions i.e. labor process immediately until the delivery.
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EMBARAZO, PRIMIGESTAS, TRABAJO DE PARTO, OXIDO NITROSO, OXIGENO, UMBRAL DEL DOLOR, EPIDEMIOLOGIA DESCRIPTIVA, ESTUDIOS PROSPECTIVOS, HOSPITAL GINECO-OBSTETRICO ENRIQUE C. SOTOMAYOR, CANTÓN GUAYAQUIL, ECUADOR