Browsing by Author "Ballesteros Quijije, Favia Gabriela"

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Actualización en el uso de sulfato de magnesio en obstetricia. Revisión sistemática
(Universidad de Cuenca, 2021-05-28) Ortiz Saltos, Elsa Raquel; Ballesteros Quijije, Favia Gabriela; Salazar Torres, Zoila Katherine
Background: Magnesium sulfate is a drug widely used in obstetrics for its anticonvulsant, antihypertensive, antineuroinflamatory and fetal neuroprotection effects, thus contributing to the reduction of maternal and neonatal mortality. Objective: describe maternal and neonatal benefits, complications, symptoms and signs of the use of magnesium sulfate in the obstetric field Methodology: observational study, systematic review. Controlled clinical trials, systematic reviews, analytical and descriptive studies were included. The articles analyzed were published in the last five years as quartile evidence 1 to 3, in English and Spanish, and extracted from electronic bases such as Pubmed, Medline, Lilacs and Cochrane Result: Inhibition of seizures was the main beneficial effect in pregnant women after the administration of magnesium and especially premature neonates, this drug was found to be a protective factor in the occurrence of cerebral palsy and intraventricular hemorrhage. Hypotension and hyporeflexia were the most frequent signs of intoxication. Regarding maternal complications, the most common included: renal failure, acute lung edema and postpartum hemorrhage, and in neonatal disorders, bradycardia was described as the most common. Conclusions: magnesium sulfate showed multiple benefits during perinatal administration, especially in the management of seizures and fetal neuroprotection; Although adverse events were evidenced, its benefits outweigh the risks inherent in its use. Limitations: the difficulty of access to high quality information due to its high economic categories.
Estudio clínico aleatorizado multicéntrico de la eficacia de la detención controlada de la cabeza fetal para evitar el desgarro del periné
(2014) Ballesteros Quijije, Favia Gabriela; Abril Matute, Cumandá Patricia; Arévalo Peláez, Carlos Eduardo
Background: The protection of the perineum during delivery, has been recommended in several books of obstetrics, for this performing various maneuvers as controlled stopping of the fetal head and modified Ritgen maneuver, which have not been evaluated deeply, more research should be conducted clinics randomized to recommend its use and thus perform episiotomies narrowly. The goal of this study is to determine the efficacy of controlled stopping of the fetal head compared with modified Ritgen maneuver to avoid perineal tear in the second stage of nulliparous. Methods and Techniques: We conducted a multicenter randomized clinical trial, double blind, carried out in Vicente Corral Moscoso and Jose Carrasco Arteaga Hospitals at Cuenca-Ecuador. The study group was make up 59 nulliparous, which was run controlled stopping of the fetal head, and 57 nulliparous control group in which to perform the modified Ritgen maneuver, in total 116 patients. Results: The incidence of perineal tear in the experimental group was 46 patients with a total of 59, while in the control group were 42 of 57 patients was estimated RR 1.05, 95% CI (0.86-1.28) and a p value 0.590. Conclusions: There is less likely to occur with perineal tears maneuver Ritgen modified, not statistically significant, therefore the implications for clinical practice they're right for the two groups is both types of maneuvers can be used in order to prevent tearing of the perineum. KEYWORDS: ANATOMY, UROGENITAL SYSTEM, GENITALS, FEMALE GENITALS, VAGINA, VULVA, PERINEAL TEAR, CONTROLLED STOPPING OF THE FETAL HEAD, MODIFIED RITGEN MANEUVER, RANDOMIZED TRIAL.
Prevalencia y factores asociados a primera cesárea, Hospital Vicente Corral Moscoso. Cuenca, 2019
(Universidad de Cuenca, 2020-04-24) Barros Cajamarca, Jenny Elizabeth; Ballesteros Quijije, Favia Gabriela
Background: caesarean section is the most frequent obstetric surgery in the world, it helps us to reduce morbidity such as maternal, neonatal and perinatal mortality. There are several causes such as cephalopelvic disproportion, non-reassuring fetal state, hypertensive disorders of pregnancy. Objective: to determine the prevalence and factors associated with first caesarean section in primigests who consult in the obstetrics department of the Vicente Corral Moscoso Hospital during the year 2019. Methodology: analytical, cross-sectional study, with 381 primiparous patients who were randomly selected with inclusion criteria. An information collection form created by the author was filled out. For the analysis the SPSS version 23 system was used, the results are shown in tables using frequency and percentages. In addition, Odds ratio, Chi square, 95% confidence interval, and a value of p <0.05 were used for the hypothesis. Results: adolescent girls represent 38.3%, free union civil status 44.8%, urban origin 56.1%, urban residence 55.3%, secondary education 74.5%, housewives with 64%, overweight corresponds to 52.2%. The prevalence of caesarean section is 38.1% at Vicente Corral Moscoso Hospital, 2019, there was statistical significance but no association with non-reassuring fetal status, presentation dystocia and hypertensive states. Conclusions: the prevalence of first caesarean sections was high with 38.1%, with statistical significance but no association with non-reassuring fetal status, presentation dystocia and hypertensive states, overweight or obesity was associated without statistical significance.