Asociación entre la vía del parto y los desenlaces perinatales en fetos con restricción del crecimiento intrauterino con doppler fetal normal o en estadio 1 en el hospital universitario clínica san Rafael

La restricción de crecimiento intrauterino trae consigo grandes retos en la obstetricia con alta tasa de eventos perinatales adversos y incluso la muerte fetal. En varias publicaciones se ha visto como aún se encuentran muchos vacíos respecto a cuando es el mejor momento para el nacimiento y antes d...

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Autores:
Castelblanco Rojas, Andrés Mauricio
Montoya Hurtado, Laura Cristina
Tipo de recurso:
Trabajo de grado de pregrado
Fecha de publicación:
2022
Institución:
Universidad Militar Nueva Granada
Repositorio:
Repositorio UMNG
Idioma:
spa
OAI Identifier:
oai:repository.unimilitar.edu.co:10654/42236
Acceso en línea:
http://hdl.handle.net/10654/42236
Palabra clave:
Intrauterine growth restriction, childbirth, cesarean section, condition unsatisfactory fetus, perinatal asphyxia, neonatal death
Intrauterine growth restriction
childbirth
cesarean
condition unsatisfactory fetus
perinatal asphyxia
neonatal death
GINECOLOGIA
OBSTETRICIA
ULTRASONOGRAFÍA PRENATAL
RETARDO DEL CRECIMIENTO FETAL
ULTRASONOGRAFÍA DOPPLER
ENFERMEDADES FETALES
Restricción del crecimiento intrauterino, parto, cesárea, estado fetal no satisfactorio, asfixia perinatal, muerte neonatal
Restricción del crecimiento intrauterino
parto
cesárea
estado fetal no satisfactorio
asfixia perinatal
muerte neonatal
Rights
openAccess
License
http://creativecommons.org/licenses/by-nc-nd/4.0/
id UNIMILTAR2_1b1d74f24ec4b3f47bc05f7930bad468
oai_identifier_str oai:repository.unimilitar.edu.co:10654/42236
network_acronym_str UNIMILTAR2
network_name_str Repositorio UMNG
repository_id_str
dc.title.spa.fl_str_mv Asociación entre la vía del parto y los desenlaces perinatales en fetos con restricción del crecimiento intrauterino con doppler fetal normal o en estadio 1 en el hospital universitario clínica san Rafael
dc.title.translated.spa.fl_str_mv Association between the route of delivery and outcomes perinatals in growth-restricted fetuses intrauterine with normal fetal doppler or in stage 1 in the hospital universitario clinica San Rafael
title Asociación entre la vía del parto y los desenlaces perinatales en fetos con restricción del crecimiento intrauterino con doppler fetal normal o en estadio 1 en el hospital universitario clínica san Rafael
spellingShingle Asociación entre la vía del parto y los desenlaces perinatales en fetos con restricción del crecimiento intrauterino con doppler fetal normal o en estadio 1 en el hospital universitario clínica san Rafael
Intrauterine growth restriction, childbirth, cesarean section, condition unsatisfactory fetus, perinatal asphyxia, neonatal death
Intrauterine growth restriction
childbirth
cesarean
condition unsatisfactory fetus
perinatal asphyxia
neonatal death
GINECOLOGIA
OBSTETRICIA
ULTRASONOGRAFÍA PRENATAL
RETARDO DEL CRECIMIENTO FETAL
ULTRASONOGRAFÍA DOPPLER
ENFERMEDADES FETALES
Restricción del crecimiento intrauterino, parto, cesárea, estado fetal no satisfactorio, asfixia perinatal, muerte neonatal
Restricción del crecimiento intrauterino
parto
cesárea
estado fetal no satisfactorio
asfixia perinatal
muerte neonatal
title_short Asociación entre la vía del parto y los desenlaces perinatales en fetos con restricción del crecimiento intrauterino con doppler fetal normal o en estadio 1 en el hospital universitario clínica san Rafael
title_full Asociación entre la vía del parto y los desenlaces perinatales en fetos con restricción del crecimiento intrauterino con doppler fetal normal o en estadio 1 en el hospital universitario clínica san Rafael
title_fullStr Asociación entre la vía del parto y los desenlaces perinatales en fetos con restricción del crecimiento intrauterino con doppler fetal normal o en estadio 1 en el hospital universitario clínica san Rafael
title_full_unstemmed Asociación entre la vía del parto y los desenlaces perinatales en fetos con restricción del crecimiento intrauterino con doppler fetal normal o en estadio 1 en el hospital universitario clínica san Rafael
title_sort Asociación entre la vía del parto y los desenlaces perinatales en fetos con restricción del crecimiento intrauterino con doppler fetal normal o en estadio 1 en el hospital universitario clínica san Rafael
dc.creator.fl_str_mv Castelblanco Rojas, Andrés Mauricio
Montoya Hurtado, Laura Cristina
dc.contributor.advisor.none.fl_str_mv Geney Montes, María Cristina
dc.contributor.author.none.fl_str_mv Castelblanco Rojas, Andrés Mauricio
Montoya Hurtado, Laura Cristina
dc.subject.keywords.spa.fl_str_mv Intrauterine growth restriction, childbirth, cesarean section, condition unsatisfactory fetus, perinatal asphyxia, neonatal death
Intrauterine growth restriction
childbirth
cesarean
condition unsatisfactory fetus
perinatal asphyxia
neonatal death
topic Intrauterine growth restriction, childbirth, cesarean section, condition unsatisfactory fetus, perinatal asphyxia, neonatal death
Intrauterine growth restriction
childbirth
cesarean
condition unsatisfactory fetus
perinatal asphyxia
neonatal death
GINECOLOGIA
OBSTETRICIA
ULTRASONOGRAFÍA PRENATAL
RETARDO DEL CRECIMIENTO FETAL
ULTRASONOGRAFÍA DOPPLER
ENFERMEDADES FETALES
Restricción del crecimiento intrauterino, parto, cesárea, estado fetal no satisfactorio, asfixia perinatal, muerte neonatal
Restricción del crecimiento intrauterino
parto
cesárea
estado fetal no satisfactorio
asfixia perinatal
muerte neonatal
dc.subject.decs.spa.fl_str_mv GINECOLOGIA
OBSTETRICIA
ULTRASONOGRAFÍA PRENATAL
RETARDO DEL CRECIMIENTO FETAL
ULTRASONOGRAFÍA DOPPLER
ENFERMEDADES FETALES
dc.subject.proposal.spa.fl_str_mv Restricción del crecimiento intrauterino, parto, cesárea, estado fetal no satisfactorio, asfixia perinatal, muerte neonatal
Restricción del crecimiento intrauterino
parto
cesárea
estado fetal no satisfactorio
asfixia perinatal
muerte neonatal
description La restricción de crecimiento intrauterino trae consigo grandes retos en la obstetricia con alta tasa de eventos perinatales adversos y incluso la muerte fetal. En varias publicaciones se ha visto como aún se encuentran muchos vacíos respecto a cuando es el mejor momento para el nacimiento y antes de que los cambios secundarios a hipoxia crónica y acidosis sean irreversibles. El seguimiento con ecografía y doppler fetoplacentario a un feto con desaceleración en la curva de crecimiento son una gran herramienta en la toma de decisiones y evitar eventos adversos con mejoría de sobrevida y pronostico a estos fetos
publishDate 2022
dc.date.issued.none.fl_str_mv 2022-11-22
dc.date.accessioned.none.fl_str_mv 2023-02-07T13:41:28Z
dc.date.available.none.fl_str_mv 2023-02-07T13:41:28Z
dc.type.local.spa.fl_str_mv Tesis/Trabajo de grado - Monografía - Especialización
dc.type.driver.spa.fl_str_mv info:eu-repo/semantics/bachelorThesis
dc.type.coar.*.fl_str_mv http://purl.org/coar/resource_type/c_7a1f
format http://purl.org/coar/resource_type/c_7a1f
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/10654/42236
dc.identifier.instname.spa.fl_str_mv instname:Universidad Militar Nueva Granada
dc.identifier.reponame.spa.fl_str_mv reponame:Repositorio Institucional Universidad Militar Nueva Granada
dc.identifier.repourl.spa.fl_str_mv repourl:https://repository.unimilitar.edu.co
url http://hdl.handle.net/10654/42236
identifier_str_mv instname:Universidad Militar Nueva Granada
reponame:Repositorio Institucional Universidad Militar Nueva Granada
repourl:https://repository.unimilitar.edu.co
dc.language.iso.spa.fl_str_mv spa
language spa
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dc.coverage.spatial.spa.fl_str_mv Hospital Universitario Clínica San Rafael
dc.coverage.temporal.spa.fl_str_mv 2017 - 2019
dc.coverage.sede.spa.fl_str_mv Medicina
dc.publisher.program.spa.fl_str_mv Ginecología y obstetricia
dc.publisher.faculty.spa.fl_str_mv Facultad de Medicina
dc.publisher.grantor.spa.fl_str_mv Universidad Militar Nueva Granada
institution Universidad Militar Nueva Granada
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spelling Geney Montes, María CristinaCastelblanco Rojas, Andrés MauricioMontoya Hurtado, Laura CristinaEspecialista en Ginecología y obstetriciaHospital Universitario Clínica San Rafael2017 - 2019Medicina2023-02-07T13:41:28Z2023-02-07T13:41:28Z2022-11-22http://hdl.handle.net/10654/42236instname:Universidad Militar Nueva Granadareponame:Repositorio Institucional Universidad Militar Nueva Granadarepourl:https://repository.unimilitar.edu.coLa restricción de crecimiento intrauterino trae consigo grandes retos en la obstetricia con alta tasa de eventos perinatales adversos y incluso la muerte fetal. En varias publicaciones se ha visto como aún se encuentran muchos vacíos respecto a cuando es el mejor momento para el nacimiento y antes de que los cambios secundarios a hipoxia crónica y acidosis sean irreversibles. El seguimiento con ecografía y doppler fetoplacentario a un feto con desaceleración en la curva de crecimiento son una gran herramienta en la toma de decisiones y evitar eventos adversos con mejoría de sobrevida y pronostico a estos fetos1. FORMULACIÓN DEL PROBLEMA 8 1.1. Planteamiento del problema 8 1.2. Justificación 9 1.3. Pregunta de investigación 10 2. MARCO TEÓRICO 11 3. OBJETIVOS 31 4. HIPÓTESIS 32 5. METODOLOGÍA 33 6. RESULTADOS 51 7. DISCUSIÓN 68 8. CONCLUSIONES 72 9. BIBLIOGRAFIA 73 10. ANEXOS 82Intrauterine growth restriction brings with it great challenges in obstetrics with a high rate of adverse perinatal events and even fetal death. In several publications, it has been seen how there are still many gaps regarding when is the best time for birth and before the changes secondary to chronic hypoxia and acidosis are irreversible. Follow-up with ultrasound and fetoplacental Doppler to a fetus with a slowdown in the growth curve are a great tool for decision-making and to avoid adverse events with improved survival and prognosis for these fetuses.Especializaciónapplicaction/pdfspahttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial-NoDerivatives 4.0 InternationalAcceso abiertoAsociación entre la vía del parto y los desenlaces perinatales en fetos con restricción del crecimiento intrauterino con doppler fetal normal o en estadio 1 en el hospital universitario clínica san RafaelAssociation between the route of delivery and outcomes perinatals in growth-restricted fetuses intrauterine with normal fetal doppler or in stage 1 in the hospital universitario clinica San RafaelTesis/Trabajo de grado - Monografía - Especializacióninfo:eu-repo/semantics/bachelorThesishttp://purl.org/coar/resource_type/c_7a1fIntrauterine growth restriction, childbirth, cesarean section, condition unsatisfactory fetus, perinatal asphyxia, neonatal deathIntrauterine growth restrictionchildbirthcesareancondition unsatisfactory fetusperinatal asphyxianeonatal deathGINECOLOGIAOBSTETRICIAULTRASONOGRAFÍA PRENATALRETARDO DEL CRECIMIENTO FETALULTRASONOGRAFÍA DOPPLERENFERMEDADES FETALESRestricción del crecimiento intrauterino, parto, cesárea, estado fetal no satisfactorio, asfixia perinatal, muerte neonatalRestricción del crecimiento intrauterinopartocesáreaestado fetal no satisfactorioasfixia perinatalmuerte neonatalGinecología y obstetriciaFacultad de MedicinaUniversidad Militar Nueva GranadaGratacós E, Figueras F. (2014). Fetal growth restriction as a perinatal and long-term health problem. Clinical challenges and opportunities for future (4P) fetal medicine. Fetal diagnosis and therapy, 36(2), 85.Figueras F, Caradeux J, Crispi F, Eixarch E, Peguero A, Gratacos E. (2018). Diagnosis and surveillance of late-onset fetal growth restriction. American journal of obstetrics and gynecology, 218(2S), S790–S802.e1.Lin C, Moawad A, Rosenow P, River P. (1980). Acid-base characteristics of fetuses with intrauterine growth retardation during labor and delivery. Am J Obstet Gynecol;137:553-9.Boers K, Vijgen S, Bijlenga D, van der Post J , et al. (2010). Induction versus expectant monitoring for intrauterine growth restriction at term: randomised equivalence trial (DIGITAT). BMJ (Clinical research ed.), 341, c7087.Dijxhoorn M, Visser G, Touwen B, Huisjes H. (1987). 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Incidencia de estado fetal no satisfactorio en restricción de crecimiento intrauterino y feto pequeño para la edad gestacional: estudio de una cohorte. Bogotá: Fundación Universitaria de Ciencias de la SaludAjah, L. O., Ibekwe, P. C., Onu, F. A., Onwe, O. E., Ezeonu, T. C., & Omeje, I. (2016). Evaluation of Clinical Diagnosis of Fetal Distress and Perinatal Outcome in a Low Resource Nigerian Setting. Journal of clinical and Universitario Clínica San Rafael Carrera 8 N. 17-45 Sur | Bogotá | Colombia Teléfono: +57 1 3282300 clinicasanrafael.com.co 74 diagnostic research : JCDR, 10(4), QC08–QC11.ORIGINALcastelblancorojasandresmauricio2022.pdfcastelblancorojasandresmauricio2022.pdfTRABAJO DE GRADOapplication/pdf1323059http://repository.unimilitar.edu.co/bitstream/10654/42236/1/castelblancorojasandresmauricio2022.pdfe6b39bc2382a9b38c07feeddd6a26177MD51comiteetica.pdfcomiteetica.pdfcarta autorizacion comite eticaapplication/pdf1660231http://repository.unimilitar.edu.co/bitstream/10654/42236/2/comiteetica.pdf83f2739ecb146bf23a8a8136727b8754MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-83420http://repository.unimilitar.edu.co/bitstream/10654/42236/3/license.txta609d7e369577f685ce98c66b903b91bMD5310654/42236oai:repository.unimilitar.edu.co:10654/422362023-02-07 08:41:29.794Repositorio Institucional 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