(Br.) Obstetricia

Browse

Browsing (Br.) Obstetricia by browse.metadata.advisor "Ballena Chumioque, Pedro"

Filter results by typing the first few letters
Now showing 1 - 6 of 6
  • Thumbnail Image
    Item
    Asfixia perinatal: factores de riesgo en el parto vaginal. hospital de apoyo N° 3 Salud – Chepén, 1990 – 1992
    (Universidad Nacional de San Martín. Fondo Editorial, 1994) Terry Arellano, Leonor Consuelo; Estacio Pino, Nestor; Ballena Chumioque, Pedro
    A study of 1,781 R.N.V. Product of 1,752 vaginal births attended at the Maternity Hospital of support No. 3 - Health - Chepén in the period from January 1, 1990 to December 31, 1992; Selecting 73 stories corresponding to R.N. With APGAR less than 7 a minute and five minutes, according to the inclusion criteria; Which were compared with a random sample of 177 R.N. Whose APGAR a minute score was 7 to 10; With the objective of determining the incidence of perinatal asphyxia according to degree of severity, identify risk factors (maternal, fetal and mechanical) through relative risk, associated complications and specific mortality of perinatal asphyxia in the last 3 years. The incidence of perinatal asphyxia found is similar to that of other authors. The relative risk of maternal, fetal and mechanical factors in vaginal delivery was found to be the most significant to non-prenatal control, maternal age under 20 years and over 35, multiparity, anemia, toxemia, RPMD, prematurely IUGR, presentation Breech, twin pregnancy, prolonged expulsive and dystocic parturition as causes of perinatal asphyxia. The complications observed in the R.N. With asphyxia was related to the intensity of the previous obstetric asphyxia and the techniques of resuscitation in the delivery room. The asphyxia mortality rate is almost similar to that reported by other authors in different parts of the country, being the main cause of perinatal mortality. Finally, a card is presented for the identification of the risk of perinatal asphyxia during pregnancy, which can be used as an instrument to identify the woman who is prone to having a R.N. With perinatal asphyxia decreasing maternal and perinatal morbidity and mortality; And thus facilitate future research (Annex 3).
  • Thumbnail Image
    Item
    Aspectos epidemiológicos del parto de pretérmino en el hospital II IPSS Tarapoto 1989 – 1993
    (Universidad Nacional de San Martín. Fondo Editorial, 1994) Navarro Torres, Maria Antonieta; Villacorta Panduro, Edward; Granda Granda, Adan; Ballena Chumioque, Pedro
    In hospital II IPSS - Tarapoto in the period comprised 1,989 - 1,993, there were a total of 8,699 deliveries, of which 676 were preterm deliveries with an average incidence of 7.8%. Among the demographic characteristics, it was found that the patients had an average age of 25.33 years, came from the urban area, with secondary education, married civil status, multiparous women, domestic workers and with an intergenesico period less or equal to 2 years. In terms of maternal history and associated pathologies, abortion and preterm delivery predominated in the first, and in the second, RPM and UTI predominated in the sample. 56.21% had ANC, with an average hemoglobin of 10.97 Gr. Only 9.9% of all patients received tocolytics, the most used drug being the Dilator. The most common way of delivery was vaginal (80.51%), followed by abdominal (19.49%); Cephalic fetal presentation (77.78%) and fetal fetal presentation predominated (18,255). In the characteristics of the newborn, the male gender (52.65%) had a mean gestational age of 33.17 weeks, an average weight of 1.755 gr. And an average APGAR per minute of 7, 6 points. On the other hand, maternal morbimortality was studied, with carioamnionitis (5.1%) and endometritis (4.8%) being the main causes of morbidity. There were no cases of specific maternal death due to prematurity. Regarding perinatal morbidity and mortality, the main causes of extreme prematurity and sepsis
  • Thumbnail Image
    Item
    Factores asociados a la prematuridad en el hospital de apoyo N° 2 Yarinacocha - región Ucayali - Perú periodo julio 1994 a junio 1995
    (Universidad Nacional de San Martín. Fondo Editorial, 1996) Reategui Lozano, Jessy; Alegre Garayar, Raúul Pablo; Ballena Chumioque, Pedro
    The birth of preterm or premature is that whose gestational age at birth is among the 20-36 weeks, calculated from the date of the last menstrual period. The present study tipo\ descriptive with collection prospective of data, \se performed in the Hospital's support NQ 2 Yarinacocha-Pucallpa, during e ~ period of July 1,994 to June 1,995; in order to determine the factors associated with prematurity; After a statistical analysis of the data, it was concluded that these are: age mother less than 21 years, the occupation housewife, civil esta.do ' maiden, birth period of less than 2 years, maternal anaemia, to ~ edentes of abortion and birth of pretermin9 pr-delivery excluded, in the pathologies of break prematur-membranes, urinary tract infection and ~ emorr-agia in the third trimestr-e; being the causes of mor-bimortalidad perinatal asphyxia and sepsis. We recommend is try of raise the level socio-economic of the population, encourage the control prenatal...
  • Thumbnail Image
    Item
    Hemorragia post – parto en el hospital de apoyo Integrado Tarapoto, 1992
    (Universidad Nacional de San Martín. Fondo Editorial, 1992) Rengifo Rios, Catalina; Melendez Torres, Nery; Llontop Reategui, Augusto Ricardo; Ballena Chumioque, Pedro
    Was performed at the Hospital of Integrated Support Tarapoto descriptive, longitudinal, prospective, analytical study to determine the frequency of postpartum hemorrhage associated factors, causes and determine the average volume impacts hemodynamics of the mother. They took full term pregnant women, excluding patients with medical and obstetric complications. 399 cases were recorded, with an average volume of blood loss was 543.45 cc., Found 44.1% of cases with post-partum hemorrhage, the volume of 1259.23 cc., Which impact on the hemodynamics of the patient. The associated risk factors were prolonged labor, time delivery and fetal weight. The causes of bleeding were associated with dissociated membranes (44.74%), lethargy / hypotonia uterine (28.95%), retained placenta (18.42%), cervical laceration (5.26%) and third degree laceration (2.63%). Finally, the linear correlation analysis shows an inverse relationship with post-duck hematocrit, systolic and diastolic blood pressure and a direct relationship to heart rate.
  • Thumbnail Image
    Item
    Prevalencia de la lactancia materna y ablactancia en la ciudad de Tarapoto, Región San Martín – Perú 1993
    (Universidad Nacional de San Martín. Fondo Editorial, 1993) Lazo Cavalier, Roxana; Llontop Reategui, Augusto Ricardo; Ballena Chumioque, Pedro
    El presente estudio prospectivo sobre lactancia materna y ablactancia, es de tipo descriptivo longitudinal. Se llevó a cabo en la ciudad de Tarapoto entre los meses de Noviembre de 1992 y Julio de 1993 con la finalidad de conocer la prevalencia de la lactancia materna y la ablactancia, tipificar la fase en la que se cuenta ubicada la ciudad de Tarapoto y establecer el factor fundamental que determina la ablactancia precoz. Se dividió la ciudad de Tarapoto en 8 estratos; estadísticamente se seleccionó el tamaño de muestra obteniéndose 252 manzanas de las 636 que la conforman, y para aplicar la encuesta, se capacitó personal, a recopilar la información se trabajó con 725 datos de los cuales se ha deducido que existe una población significativamente de mujeres adolescentes (15%) , el 62,4% de madres que dan de lactar pertenecen a los grupos de más alta de tasa de fecundidad (20-30 años); el 60.5% no tienen adecuado nivel instructivo y el 84% son amas de casa. La TGF (2.38%) se incrementa conforme a la edad. La lactancia materna es considerada como método anticonceptivo por el 59.2% de mujeres; sólo el 18.3% de ellas la usan como tal, porque en su mayoría (78%) utilizan algún tipo de método, siendo el DIU (25%) el de mayor uso. El 56% de madres que proporcionan lactancia han iniciado su menstruación. La prevalencia de la ablactancia es del 76% predominando los carbohidratos (66,6%) en la alimentación, y la prevalencia de la lactancia es el 94.1%, con una duración promedio de 8,6 meses, datos que nos permiten tipificar a la ciudad de Tarapoto en la fase tradicional. El nivel educativo es el factor principal que determina la ablactancia precoz y son los centros asistenciales quienes proporcionan fundamentalmente la lactancia materna.
  • Thumbnail Image
    Item
    Ruptura prematura de membrana, incidencia factores predisponentes, tipo de parto en el Hospital de Apoyo Integrado II IPSS – Tarapoto, agosto 1992 – febrero 1993
    (Universidad Nacional de San Martín. Fondo Editorial, 1993) Rodriguez Hidalgo, Maria Rosario; Valera Vega, Orfelina; Estacio Pino, Nestor; Salas Pillaca, Leocadia; Ballena Chumioque, Pedro
    Se realizó el presente estudio de carácter prospectivo comparativo en el Hospital Integrado II IPSS – Tarapoto entre el 1ro de Agosto 1992 – 20 de Febrero de 1993 para conocer la incidencia y hacer comparaciones con datos ya establecidos por otros autores, además identificar los factores asociados a la RPM y finalmente conocer en qué porcentaje incrementan las inducciones y estimulaciones y de esta manera tener un conocimiento de acuerdo a nuestra realidad. De un total de 983 partos se encontró 142 gestantes con RPM; representando una incidencia del 14%, se seleccionó a 240 gestantes entre 20 – 42 semanas que cumplieron con los requisitos del protocolo, la mitad de ellos presento el grupo experimental (120 con RPM) y la otra mitad 120 constituyó el grupo control sin RPM, después del cual nos ha permitido afirmar que los factores asociados a la RPM en nuestro medio fueron, Primigestas, las Leucorreas, Coito en las dos últimas semanas previas al parto y ausencia o insuficiente control pre-natal. Posteriormente al análisis utilizando la chi cuadrado nos muestra una relación entre paridad y relaciones sexuales; y finalmente en base a nuestros resultados proponemos pautas y así poder planificar una atención adecuada.