Therapeutic effect of different plans used in sedation uterine dynamics of pregnant for the third quarter of pregnancy in newborn well, hospital III Yanahuara. ESSALUD

• Autor: Armida Fernández Vásquez
• Formato: artículo
• Fecha de Publicación: 2019
• Institución: Universidad Católica de Santa María
• Repositorio: Revistas - Universidad Católica de Santa María
• Lenguaje: español
• OAI Identifier: oai:ojs.revistas.ucsm.edu.pe:article/196
• Enlace del recurso: https://revistas.ucsm.edu.pe/ojs/index.php/veritas/article/view/196
• Nivel de acceso: acceso abierto
• Materia: Terapia sedación uterina gestacional

Today, one of the major health problems facing Social Security hospitals, preterm birth is because despite treatment efforts used to extend the length of gestation, are the basic cause of perinatal morbidity and mortality high The present study sought to determine whether any treatment plans that are being ‘used in the management of preterm labor, have a similar effect or one of them is safer than the other, depending on their immediate effects on the newborn and equally effective in the management of this damage.The research was done in a group of 30 pregnant women in the third quarter that initial diagnosis, had an indication for sedation of uterine dynamics and then in the group of 30 newborns of these mothers, allowing us to assess the effect of such treatments in the welfare of each of newborns through tests of fetal wellbeing as APGAR score at one minute and 5 minutes, color of amniotic fluid and evidence received cardiopulmonary resuscitation.The 30 mothers were divided into 3 groups of 10 members each. One group was managed with the Plan A (Administration Dextrosa 5%). Another group with Plan B (Dextrosa Administration 5%, more Diclofenac 1M). Another group with Plan C (Dextrosa administration 5%, more Nifedi pine VO)The instruments used were introduced in each medication treatment plan, the medical records of 30 pregnant and 30 medical records of 30 newbornslt was as a statistical tool Chi Square Test. To process the information using SPSS statistical software version 17.The results showed that the 3 plans successfully used to achieve sedation of uterine dynamics. With Plans A and C, the effects of sedation of uterine dynamics occurring between the 1st to 6 hours in place. The Plan B to the 1st 3 hours after starting. The difference between Plan A and C, is that the Plan A, uterine dynamics resumes in many cases, sedated within hours of the uterus.With the use of Plans A and C, delivery occurred in 20% after several days, with the use of Plan B or he had to terminate the pregnancy (because fetal well-being) to the 55 established hours of treatment.With Plan B, 80% of newborns required cardiopulmonary resuscitation at birth, as opposed to O% of children requiring resuscitation of plans A and C.As for the APGAR score of Newborn Plans A and C,mostly (90%) had an APGAR score of 9 to 10 minutes of life points to 100% of 10 points after 5 minutes.In Plan B, 70% of newborns had one minute Apgar score of 5 to 8 points and 30% from O to 4 points per minute of life. By 5 mm, 60% of newborns had Apgar scores of 7 to 10 points, 20% of infants had an APGAR score of 5 to 6 points and a significant 20% from O to 4 points There are definitely differences between the plans therapeutic, because the welfare of the newborn, the B being less safe than Plans A and C.