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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dc.contributor.advisorGómez Bossa, Mauricio
dc.contributor.advisorFernández Mercado, Robinson Segundo
dc.contributor.advisorGómez Barbosa, Mónica de Jesús
dc.contributor.authorGuerrero Teherán, María Carolina
dc.contributor.authorSimanca Simancas, Erick Fernando
dc.coverage.spatialBarranquillaspa
dc.creator.emailmariaguerrero19@hotmail.comspa
dc.creator.emailericksimanca@hotmail.comspa
dc.date.accessioned2023-12-04T19:22:39Z
dc.date.available2023-12-04T19:22:39Z
dc.date.created2021
dc.description.abstractObjetivo: 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.spa
dc.description.abstractenglishPreeclampsia, 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.spa
dc.description.sponsorshipUniversidad Libre Seccional Barranquilla -- Facultad de Ciencias de la Salud -- Especialización en Ginecología y Obstetriciaspa
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dc.identifier.urihttps://hdl.handle.net/10901/27736
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dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.subjectCesáreaspa
dc.subjectPreeclampsiaspa
dc.subjectRelación cerebroplacentariaspa
dc.subjectEmergencia obstétricaspa
dc.subjectEstado fetal no satisfactoriospa
dc.subject.lembComplicaciones del embarazospa
dc.subject.lembPreeclampsiaspa
dc.subject.lembCesáreaspa
dc.subject.lembCrecimiento fetalspa
dc.subject.subjectenglishCesarean sectionspa
dc.subject.subjectenglishPreeclampsiaspa
dc.subject.subjectenglishCerebroplacental relationshipspa
dc.subject.subjectenglishObstetric emergencyspa
dc.subject.subjectenglishNonreassuring fetal statusspa
dc.titleRelación 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 - 2021spa
dc.type.driverinfo:eu-repo/semantics/bachelorThesisspa
dc.type.localTesis de Especializaciónspa

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