Utilidad del índice de líquido amniótico intraparto para predecir la resultante neonatal. Hospital Gineco-Obstétrico Enrique C. Sotomayor. Periodo 2010 - 2011
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2013
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Objetivo: Determinar la utilidad del índice de líquido amniótico para predecir la resultante neonatal en el Hospital Enrique Sotomayor. Métodos: estudio retrospectivo llevado a cabo en el área de alto riesgo del hospital Gineco – obstétrico ´’Enrique C Sotomayor’’ en el que se analizaron los casos clínicos de embarazos mayores de 30 semanas con ILA menor a 5 valorado ecográficamente en el periodo comprendido entre el 1 de enero del 2010 hasta el 31 de enero del 2011. Resultados: en el periodo de estudio encontramos 205 pacientes con oligohidramnios el 50% presentó un ILA 4 – 5 cc, el 20% de 2 – 3 cc y el 30% menos de 2cc; el 65% de neonatos presentó un peso igual o superior a 2500 gramos; el 90% presentó un apgar mayor a 6 en el primer minuto; el 52% fueron recién nacidos a término acorde a la edad gestacional. El 62% de los embarazos fue resuelto por cesárea segmentarea. Conclusiones: los datos obtenidos guardan mucha relación con la bibliografía revisada, sin embargo se sugiere seguir reforzando la conducta intraparto de la institución
Objective: To determine the usefulness of amniotic fluid index to predict the resulting neonatal Enrique Sotomayor Hospital. Methods: A retrospective study conducted in high risk area hospital OB - Obstetrician Enrique C. Sotomayor'''' which analyzed clinical cases of pregnancies after 30 weeks with less than 5 ILA sonographically assessed in the period between January 1, 2010 until January 31, 2011. Results: During the study period 205 patients with oligohydramnios found 50% showed ILA 4-5 cc, 20% of 2-3 cc and 2cc 30% less, 65% of infants showed a weight equal to or greater to 2500 grams, 90% presented a higher apgar score 6 in the first minute, 52% were term infants according to gestational age. The 62% of pregnancies was terminated by cesarean segmentarea. Conclusions: The data obtained loosely related to the literature reviewed, however it is suggested intrapartum conduct further strengthen the institution
Objective: To determine the usefulness of amniotic fluid index to predict the resulting neonatal Enrique Sotomayor Hospital. Methods: A retrospective study conducted in high risk area hospital OB - Obstetrician Enrique C. Sotomayor'''' which analyzed clinical cases of pregnancies after 30 weeks with less than 5 ILA sonographically assessed in the period between January 1, 2010 until January 31, 2011. Results: During the study period 205 patients with oligohydramnios found 50% showed ILA 4-5 cc, 20% of 2-3 cc and 2cc 30% less, 65% of infants showed a weight equal to or greater to 2500 grams, 90% presented a higher apgar score 6 in the first minute, 52% were term infants according to gestational age. The 62% of pregnancies was terminated by cesarean segmentarea. Conclusions: The data obtained loosely related to the literature reviewed, however it is suggested intrapartum conduct further strengthen the institution
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EMBARAZO, LIQUIDO AMNOTICO, INTRAPARTO, RESULTANTE NEONATAL, ESTUDIOS RETROSPECTIVOS, HOSPITAL GINECO-OBSTETRICO OBSTETRICO C. SOTOMAYOR, CANTON GUAYAQUIL, ECUADOR