Bibliographic citations
Moran, G., (2020). Relación entre resultado cardiotocográfico patológico y apgar en cesáreas de emergencia en el Hospital Iquitos, 2019 [Universidad Nacional de la Amazonía Peruana]. http://repositorio.unapiquitos.edu.pe/handle/20.500.12737/7102
Moran, G., Relación entre resultado cardiotocográfico patológico y apgar en cesáreas de emergencia en el Hospital Iquitos, 2019 []. : Universidad Nacional de la Amazonía Peruana; 2020. http://repositorio.unapiquitos.edu.pe/handle/20.500.12737/7102
@misc{sunedu/3115953,
title = "Relación entre resultado cardiotocográfico patológico y apgar en cesáreas de emergencia en el Hospital Iquitos, 2019",
author = "Moran Dioses, Gabriela Miluzca",
publisher = "Universidad Nacional de la Amazonía Peruana",
year = "2020"
}
Assessment of fetal well-being during labor is routinely performed using external electronic fetal heart rate monitors. (20) this is the most widely used screening tool for fetal distress during labor in women with high-risk pregnancies. It is thought to be of great value in identifying poor fetal outcomes early, indicating the need for interventions to improve the chance of neonatal survival (22).Electro cardiotocography is responsible for providing a continuous recording of fetal heart rate (FHR), uterine activity (UA) and fetal movements (MF), (24) where the baseline will be evaluated in periods of 10 min and normal values are included between 110 and 160 bpm. Normal variability is considered if it is comprised between 5 and 25 ppm; reduced if it is less than 5 ppm and an increased variability if it is greater than 25 ppm. Accelerations are defined as an abrupt increase in the fetal heart rate above baseline greater than 15 bpm and lasting greater than 15 seconds. Decelerations are defined as reductions from baseline greater than 15 bpm in amplitude and lasting greater than 15 seconds. The different types of deceleration such as early decelerations are decreases in the fetal heart rate of low amplitude, short duration, with normal variability, coinciding with the contractions, translating compression of the fetal cephalic pole and not being associated with hypoxia / acidosis. (23) The cesarean section is a surgical intervention that consists of the extraction of the fetus by abdominal route through an incision in the uterus. (30,31) (36) The WHO establishes that the rate of cesarean sections should range between 10 and 15% of all pregnancies. (28) (31) The Apgar Test, a method for evaluating the adaptation and vitality of the newborn after birth, evaluates five parameters (36). Perinatal asphyxia can be defined as the aggression produced to the fetus or the newborn (NB) due to the lack of oxygen and / or the lack of adequate tissue perfusion, the Maternal Fetal Medicine Committee and the Fetal and Newborn Committee, The American College of Obstetrics and Gynecology and the American Academy of Pediatrics, respectively, established the criteria for defining asphyxia (41, 42). 1. Significant mixed or metabolic acidemia, with a pH less than 7.0 in a sample of arterial blood from the umbilical cord. 2. Persistently low Apgar score (0-3) for more than 5 minutes. 3. Clinical neurological abnormalities in the immediate neonatal period including: seizures, hypotonia, coma, or hypoxic ischemic encephalopathy. 4. Bases below 16 mmol / L. The present academic work on RELATION BETWEEN PATHOLOGICAL CARDIOTOCOGRAPHIC RESULT AND APGAR IN EMERGENCY CESAREA, developed during the period 2019 at Iquitos Hospital, with the main objective of determining the relationship between pathological cardiotocographic result and Apgar in emergency cesarean sections, the methodology used to The research was based on filling out a data collection form, the research is observational, correlational, analytical, retrospective with a non-experimental, cross-sectional design.
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