Browsing by Author "Agudo Carpio, Sarita Eulalia"

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Estudio comparativo entre la atención del alumbramiento activo modificado y la atención del alumbramiento activo
(Revista de la Facultad de Ciencias Médicas de la Universidad de Cuenca, 2012-01) Cárdenas Herrera, Oswaldo José; Ariño A., Roberto; Arias Ch., María; Rodríguez D., Marina; Ramires C., Diana; Cuenca C., Elsa; Franco R., Gloria; Agudo Carpio, Sarita Eulalia; Guevara P., Omar; López A., Verónica; Mendoza E., Gladys; Vinueza A., Henry; Heras C., Elizabeth; Matute Ch., Jéssica; Piedra L., María; Flores Durán, Carlos Teodoro; Herrera L., Angel; Flores E., Carlos
Background. The bleeding of the third stage of labor in one of the three leading causes of mother morbidity and mortality in Ecuador and worldwide. Objective. To compare the results of the modified active third stage of labor procedure, which proves the placental descent vaginally, with the active third stage of labor at the Health Ministry procedure. Materials and Methods. There were randomly assigned 300 pregnant women in labor, in each group, for the two attention procedures, using different protocols. Attention was assessed at the third stage of labor, duration and blood less, frequency of partial or total placental attention and amount of blood loss during the first hour post third stage of labor in pregnant at Vicente Corral Moscoso Hospital in Cuenca City. Hypothesis. The modified-active third stage of labor decreases the time and the blood loss than the active third stage of labor. Results. The average length of modified-active third stage of labor was 4,35 ± 1,359 minutes and the active third stage of labor 4,22 ± 1,603 with a p value of 0.297, which means that the two types of attention are similar. The average blood at modified-active third stage of labor was 193.01 ± 66.974 cubic centimeters and active third of labor 182.97 ± 54.62 with a p value of 0.045 which being slightly better the active one. Conclusions. The two attention procedures have similar results, although not best the modified active third level of labor
Prevalencia de estado fetal no satisfactorio y factores asociados, en el Hospital Vicente Corral Moscoso, Cuenca Ecuador 2012
(2012) Agudo Carpio, Sarita Eulalia; Carrión Ordóñez, José; Herrera Calvo, Roberto Javier
Background: The morbimortality for Fetal State not satisfactory due to perinatal asphyxia that is the major cause of early neonatal mortality in many countries in Latin America. Objective: To know the prevalence of the unsatisfactory fetal state and the major associated factors in pregnant women Vicente Corral Moscoso Hospital, Cuenca, Ecuador, 2012. Methodology: Cross-sectional study of prevalence, accomplished at the Department of Gynecology and Obstetrics Vicente Corral Moscoso Hospital with 740 parturients. Hypothesis: Unsatisfactory State Fetal occurs with more frequently when associated to hypertensive disorders, pregnant teens, maternal anemia, preterm labor, premature rupture of membranes, in the absence of these factors.. Results: The prevalence of Unsatisfactory State Fetal, was 14.9%, the associated factors presented the following effect size in this population: pregnant adolescent RP 0.95 (95% CI 0.65-1.38, p = 0.77), hypertensive disorder of pregnancy RP 2.73 (95% CI 1.94-3.83, p = 0.00), maternal anemia RP 1.88 (95% CI 1.32-2.69, p = 0.00), preterm labor RP 2.69 (95% CI 1.89-3.82, p = 0.00), rupture premature membrane RP 4.61 (95% CI 3.36-6.34, p = 0.00), pregnancy post-term RP 1.79 (CI 95% 1.01 – 3.02, p= 0.043), nulliparous RP 2.04 ( 95% CI 1.38-3.03,p = 0.000.Neonatal complications showed the following prevalence: Apgar score of 0-3 points in the first minute: 1.4% to 0.7%, the score between 4-6 points in the first minute 4.2% and the fifth minute 1.9%, the 27.3% of newborns with unsatisfactory Fetal State entered to the Neonatal Unit. Conclusions: Unsatisfactory Fetal State presented a high prevalence in the local population. The factors raised in this study were associated, with the teenage pregnancy exception. Also is other associated with post-term pregnancy and nulliparity. KEYWORDS: PREVALENCE, STATE FETAL UNSATISFACTORY, ASSOCIATED FACTORS, APGAR, NEONATAL INTENSIVE CARE UNIT. DeCS: FETAL DISTRESS-EPIDEMIOLOGY; RISK FACTORS; APGAR SCORE; NEONATOLOGY-STATISTICS & NUMERICAL DATA;HOSPITAL REGIONAL VICENTE CORRAL MOSCOSO; CUENCA-ECUADOR
Tabaquismo, pobreza y enfermedad en la ciudad de Cuenca. Tabaquismo y condiciones sociales, económicas y culturales en la parroquia Huayna Cápac de la ciudad de Cuenca, 2002-2003
(2004) Agudo Carpio, Sarita Eulalia; Aigaje Quiluma, Gloria Etelvina; Bermeo Vallejo, María Augusta; Mosquera Vallejo, Lorena Elizabeth; Flores Durán, Carlos Teodoro