Relación cerebroplacentaria en la predicción de cesárea de emergencia en gestantes preeclámpticas de más de 34 semanas y feto con crecimiento acorde a la edad gestacional en una empresa social del Estado de Barranquilla año 2020 - 2021

Objetivo: Evaluar la relación cerebroplacentaria en la predicción de cesárea de emergencia en gestantes con preeclampsia y fetos con crecimiento acorde a la edad gestacional mayores de 34 semanas en una Empresa Social del Estado de Barranquilla de AÑO 2020 – 2021 Metodología: Se realizó un estudio d...

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Autores:: Guerrero Teherán, María Carolina
Simanca Simancas, Erick Fernando

Tipo de recurso:

Fecha de publicación:: 2021

Institución:: Universidad Libre

Repositorio:: RIU - Repositorio Institucional UniLibre

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dc.title.spa.fl_str_mv	Relación cerebroplacentaria en la predicción de cesárea de emergencia en gestantes preeclámpticas de más de 34 semanas y feto con crecimiento acorde a la edad gestacional en una empresa social del Estado de Barranquilla año 2020 - 2021
title	Relación cerebroplacentaria en la predicción de cesárea de emergencia en gestantes preeclámpticas de más de 34 semanas y feto con crecimiento acorde a la edad gestacional en una empresa social del Estado de Barranquilla año 2020 - 2021
spellingShingle	Relación cerebroplacentaria en la predicción de cesárea de emergencia en gestantes preeclámpticas de más de 34 semanas y feto con crecimiento acorde a la edad gestacional en una empresa social del Estado de Barranquilla año 2020 - 2021 Cesárea Preeclampsia Relación cerebroplacentaria Emergencia obstétrica Estado fetal no satisfactorio Cesarean section Preeclampsia Cerebroplacental relationship Obstetric emergency Nonreassuring fetal status Complicaciones del embarazo Preeclampsia Cesárea Crecimiento fetal
title_short	Relación cerebroplacentaria en la predicción de cesárea de emergencia en gestantes preeclámpticas de más de 34 semanas y feto con crecimiento acorde a la edad gestacional en una empresa social del Estado de Barranquilla año 2020 - 2021
title_full	Relación cerebroplacentaria en la predicción de cesárea de emergencia en gestantes preeclámpticas de más de 34 semanas y feto con crecimiento acorde a la edad gestacional en una empresa social del Estado de Barranquilla año 2020 - 2021
title_fullStr	Relación cerebroplacentaria en la predicción de cesárea de emergencia en gestantes preeclámpticas de más de 34 semanas y feto con crecimiento acorde a la edad gestacional en una empresa social del Estado de Barranquilla año 2020 - 2021
title_full_unstemmed	Relación cerebroplacentaria en la predicción de cesárea de emergencia en gestantes preeclámpticas de más de 34 semanas y feto con crecimiento acorde a la edad gestacional en una empresa social del Estado de Barranquilla año 2020 - 2021
title_sort	Relación cerebroplacentaria en la predicción de cesárea de emergencia en gestantes preeclámpticas de más de 34 semanas y feto con crecimiento acorde a la edad gestacional en una empresa social del Estado de Barranquilla año 2020 - 2021
dc.creator.fl_str_mv	Guerrero Teherán, María Carolina Simanca Simancas, Erick Fernando
dc.contributor.advisor.none.fl_str_mv	Gómez Bossa, Mauricio Fernández Mercado, Robinson Segundo Gómez Barbosa, Mónica de Jesús
dc.contributor.author.none.fl_str_mv	Guerrero Teherán, María Carolina Simanca Simancas, Erick Fernando
dc.subject.spa.fl_str_mv	Cesárea Preeclampsia Relación cerebroplacentaria Emergencia obstétrica Estado fetal no satisfactorio
topic	Cesárea Preeclampsia Relación cerebroplacentaria Emergencia obstétrica Estado fetal no satisfactorio Cesarean section Preeclampsia Cerebroplacental relationship Obstetric emergency Nonreassuring fetal status Complicaciones del embarazo Preeclampsia Cesárea Crecimiento fetal
dc.subject.subjectenglish.spa.fl_str_mv	Cesarean section Preeclampsia Cerebroplacental relationship Obstetric emergency Nonreassuring fetal status
dc.subject.lemb.spa.fl_str_mv	Complicaciones del embarazo Preeclampsia Cesárea Crecimiento fetal
description	Objetivo: Evaluar la relación cerebroplacentaria en la predicción de cesárea de emergencia en gestantes con preeclampsia y fetos con crecimiento acorde a la edad gestacional mayores de 34 semanas en una Empresa Social del Estado de Barranquilla de AÑO 2020 – 2021 Metodología: Se realizó un estudio de casos y controles. La muestra estuvo constituida por dos grupos, un control compuesto por gestantes con diagnóstico de Preeclampsia y feto con crecimiento acorde con la edad gestacional igual o mayor de 34 semanas a las que se les realiza cesárea de emergencia por otras causas y los casos fueron gestantes con diagnóstico de Preeclampsia y feto con crecimiento acorde con la edad gestacional igual o mayor de 34 semanas, con RCP alterado, a las que se les realiza cesárea de emergencia por estado fetal no satisfactorio. Se realizó un análisis descriptivo de la información y se realizaron asociados utilizando Chi cuadrado y Odd ratio Resultados: La edad promedio fue de 23.5±5.5. La adscripción al SGSS fue del 96% de la población para el régimen Subsidiado o Vinculado. La comorbilidad más frecuente fue HTA y la complicación gestacional más frecuente fue HTA-G. El RCP fue de 1,52±0,77 para los casos y de 2,08±0,83 controles (p: 0,0068), se encontró asociación significativa entre RCP y Motivos de la Cesárea de emergencia (p: 0.0002) y un OR de 18.7 para el RCP alterado y Cesárea por estado fetal no satisfactorio comparado con RCP Normal y Cesárea por otras causas. Conclusiones: El RCP es un buen predictor para Cesárea por estado fetal no satisfactorio, ya que permite evaluar el estado fetal antes de entrar a trabajo de parto.
publishDate	2021
dc.date.created.none.fl_str_mv	2021
dc.date.accessioned.none.fl_str_mv	2023-12-04T19:22:39Z
dc.date.available.none.fl_str_mv	2023-12-04T19:22:39Z
dc.type.coar.fl_str_mv	http://purl.org/coar/resource_type/c_7a1f
dc.type.local.spa.fl_str_mv	Tesis de Especialización
dc.type.driver.spa.fl_str_mv	info:eu-repo/semantics/bachelorThesis
dc.identifier.uri.none.fl_str_mv	https://hdl.handle.net/10901/27736
url	https://hdl.handle.net/10901/27736
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spelling	Gómez Bossa, MauricioFernández Mercado, Robinson SegundoGómez Barbosa, Mónica de JesúsGuerrero Teherán, María CarolinaSimanca Simancas, Erick FernandoBarranquilla2023-12-04T19:22:39Z2023-12-04T19:22:39Z2021https://hdl.handle.net/10901/27736Objetivo: Evaluar la relación cerebroplacentaria en la predicción de cesárea de emergencia en gestantes con preeclampsia y fetos con crecimiento acorde a la edad gestacional mayores de 34 semanas en una Empresa Social del Estado de Barranquilla de AÑO 2020 – 2021 Metodología: Se realizó un estudio de casos y controles. La muestra estuvo constituida por dos grupos, un control compuesto por gestantes con diagnóstico de Preeclampsia y feto con crecimiento acorde con la edad gestacional igual o mayor de 34 semanas a las que se les realiza cesárea de emergencia por otras causas y los casos fueron gestantes con diagnóstico de Preeclampsia y feto con crecimiento acorde con la edad gestacional igual o mayor de 34 semanas, con RCP alterado, a las que se les realiza cesárea de emergencia por estado fetal no satisfactorio. Se realizó un análisis descriptivo de la información y se realizaron asociados utilizando Chi cuadrado y Odd ratio Resultados: La edad promedio fue de 23.5±5.5. La adscripción al SGSS fue del 96% de la población para el régimen Subsidiado o Vinculado. La comorbilidad más frecuente fue HTA y la complicación gestacional más frecuente fue HTA-G. El RCP fue de 1,52±0,77 para los casos y de 2,08±0,83 controles (p: 0,0068), se encontró asociación significativa entre RCP y Motivos de la Cesárea de emergencia (p: 0.0002) y un OR de 18.7 para el RCP alterado y Cesárea por estado fetal no satisfactorio comparado con RCP Normal y Cesárea por otras causas. Conclusiones: El RCP es un buen predictor para Cesárea por estado fetal no satisfactorio, ya que permite evaluar el estado fetal antes de entrar a trabajo de parto.Universidad Libre Seccional Barranquilla -- Facultad de Ciencias de la Salud -- Especialización en Ginecología y ObstetriciaPreeclampsia, a very common pathological condition of pregnancy included within the spectrum of hypertensive disorders associated with placental endotheliosis, is closely related to alterations in fetal growth and placental disease, and the cerebro-placental ratio (CPR) has been established as a useful parameter in the identification of fetuses at risk of alterations in their growth potential. OBJECTIVE: To evaluate the cerebro-placental ratio in the prediction of emergency cesarean section in pregnant women with preeclampsia and fetuses with growth according to gestational age older than 34 weeks in a Public Hospital of Barranquilla from YEAR 2019 - 2020. METHODOLOGY: A cross-sectional study was carried out with exploratory analysis of cases and controls. The sample consisted of two groups, a control made up of pregnant women with a diagnosis of Preeclampsia and a fetus with growth in accordance with the gestational age equal to or greater than 34 weeks who underwent emergency cesarean section for other causes and the cases were pregnant with diagnosis of Preeclampsia and fetus with growth according to gestational age equal to or greater than 34 weeks, with altered CPR, who underwent emergency cesarean section due to unsatisfactory fetal status. A descriptive analysis of the information was carried out and associated using Chi square and Odd ratio.RESULTS: The average age was 23.5 ± 5.5. The affiliation to the SGSS was 96% of the population for the Subsidized or Linked scheme. The most frequent comorbidity was HTN and the most frequent gestational complication was HT-G. The CPR was 1.52 ± 0.77 for cases and 2.08 ± 0.83 controls (p: 0.0068), a significant association was found between CPR and reasons for emergency cesarean section (p: 0.0002) and an OR of 18.7 for altered CPR and Cesarean section for unsatisfactory fetal status compared to Normal CPR and Cesarean section for other causes.CONCLUSION: CPR is a good predictor for Caesarean section due to Nonreassuring fetal status, since it allows evaluating the fetal status before entering labor.PDFCesáreaPreeclampsiaRelación cerebroplacentariaEmergencia obstétricaEstado fetal no satisfactorioCesarean sectionPreeclampsiaCerebroplacental relationshipObstetric emergencyNonreassuring fetal statusComplicaciones del embarazoPreeclampsiaCesáreaCrecimiento fetalRelación cerebroplacentaria en la predicción de cesárea de emergencia en gestantes preeclámpticas de más de 34 semanas y feto con crecimiento acorde a la edad gestacional en una empresa social del Estado de Barranquilla año 2020 - 2021Tesis de Especializacióninfo:eu-repo/semantics/bachelorThesishttp://purl.org/coar/resource_type/c_7a1fGraham J Burton, Christopher W Redman, James M Roberts, Ashley Moffett. 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Malone, The role of brain sparing in the prediction of adverse outcomes in intrauterine growth restriction: results of the multicenter porto study, Am. J. Obstet. Gynecol. 211 (2014) 288 e281-288.e285Brown MA, Magee LA, Kenny LC, et al, International Society for the Study of Hypertension in Pregnancy (ISSHP). Hypertensive disorders of pregnancy: ISSHP classification, diagnosis, and management recommendations for international practice. Hypertension 2018;72:24-43Than NG, Romero R, Tarca AL, et al. Integrated systems biology approach identifies novel maternal and placental pathways of preeclampsia. Front Immunol 2018;9:1661. doi:10.3389/ fimmu.2018.01661Abalos E, Cuesta C, Grosso AL, Chou D, Say L. Global and regional estimates of preeclampsia and eclampsia: a systematic review. Eur J Obstet Gynecol Reprod Biol 2015;170:1-7. doi:10.1016/j. ejogrb.2013.05.005P. von Dadelszen, L.A. Magee, Preventing deaths due to the hypertensive disorders of pregnancy, Best Practice Res. Clin. Obstetr. 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Relación cerebroplacentaria en la predicción de cesárea de emergencia en gestantes preeclámpticas de más de 34 semanas y feto con crecimiento acorde a la edad gestacional en una empresa social del Estado de Barranquilla año 2020 - 2021

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