Browsing by Author "Orellana Orellana, Mercy del Cisne"

Now showing 1 - 10 of 10

Anemia por deficiencia de hierro en el embarazo. Revisión sistemática
(Universidad de Cuenca, 2021-05-31) Guerrero Cevallos, Esteban Rigoberto; Orellana Orellana, Mercy del Cisne; Salazar Torres, Zoila Katherine
BACKGROUND: iron deficiency in the course of pregnancy is a situation with a high prevalence worldwide and is associated with a high rate of perinatal complications. GENERAL OBJECTIVE: to establish the prevalence, associated factors and adverse perinatal effects of iron deficiency anemia during pregnancy. METHODOLOGY: observational study, systematic review. Descriptive, analytical, retrospective, prospective and cross-sectional articles, published from 2015 to 2020 with quartile one to four, were included in the analysis. For the information search, databases such as: Lilacs, Cochrane library, Pubmed, Scielo, Medline, Trip database will be used. RESULTS: high prevalence of iron deficiency anemia (ADH) during pregnancy (42.7%), normochromic normocytic anemia was the most frequent (68.9%), with a predominance in the first and second trimesters of pregnancy, regardless of geographic areas. Sociodemographic factors were the most relevant determinants in the association of iron deficiency anemia risk, specifically in adolescents, residents in rural areas, low educational and socioeconomic level. Nulliparity was the obstetric factor with the highest probability of risk. The perinatal complications were IUGR, fetal death, hemorrhage postpartum and premature delivery as the most frequent events. Conclusions: the literature consulted showed a high frequency of ADH during pregnancy, being associated mostly with sociodemographic factors, with important repercussions during the perinatal period. Limitations: limited access to relevant and quality information by economic category of the different articles consulted.
Comportamiento de la presión arterial en una población de embarazadas normales de la ciudad de Cuenca. Cuenca. 2015
(2017) Orellana Orellana, Mercy del Cisne; Zea García, Mónica Patricia; Orellana Cabrera, Iván Eladio
Antecedent: the normal pregnant woman has changes in her blood pressure that do not exceed the expected limits within the physiological changes, any elevation above normal is a cause of morbidity and mortality. In practice, we use the values of the Practice Guide on Hypertensive Disorders of Pregnancy adapted from the Society of Obstetricians and Gynecologists of Canada because we do not have a blood pressure curve for our pregnant women. Objective: to determine the variability of blood pressure in a population of normal pregnant women in the city of Cuenca. Methodology: descriptive, longitudinal study; Carried out in the external consultation of 8 centers of the National Health System of Cuenca. The pressure was measured from the 12th to the 40th week. A blood pressure curve was drawn: systolic, diastolic and mean. Results: 338 pregnant women were studied in which the systolic blood pressure was 96.24 ± 8.36 Torr units (range 70 - 122), diastolic 60.18 ± 7.35 (range 40 - 81) and mean 72.12 ± 6.92 (range 50 - 93). The systolic blood pressure curve shows a rise up to the 38a week, while the diastolic blood pressure curve shows an irregular behavior that ends up ascent until the end of the 40a week and the mean arterial pressure curve shows a more noticeable behavior until week 38a. Conclusion: The systolic, diastolic and mean blood pressure averages show a progressive increase with respect to the end of the pregnancy that agrees with what the theoretical basis indicates, but, limits lower than those established as reference standard
Cumplimiento del protocolo de manejo de la paciente con hemorragia obstétrica, Hospital Vicente Corral Moscoso, de enero a diciembre de 2018, Cuenca 2019
(2019-06-28) Lasso Reino, Gabriela Karina; Maldonado Pérez, Michelle Patricia; Orellana Orellana, Mercy del Cisne
Background: obstetric hemorrhage or bleeding during pregnancy, childbirth or puerperium is a medical emergency that requires immediate action, requires multidisciplinary management, based on standard procedures in order to reduce maternal mortality Objective: a descriptive, retrospective, cross-sectional study, carried out with data taken from clinical histories with obstetric hemorrhage diagnosis and that met the selection criteria, gynecology and obstetrics service. Methodology: a descriptive, retrospective, cross-sectional study, carried out with data taken from clinical histories with obstetric hemorrhage diagnosis and that met the selection criteria, gynecology and obstetrics service. Results: in 2018 4776 births were attended; 230 (4.82%) presented obstetric hemorrhage, 51.3% occurred in women between 18 - 25 years, 39.1% free union, 37.0% primigraves; 43.5% nulliparous, 74.3% full-term pregnancy and 10% cesarean section. 9 clinical management actions were execute in 100% compliance emergency; 18 actions in hospitalization: 7 of clinical order in which there was no record and 11 surgical procedures; with compliance of 74.3%. For this, it has been confirmed that the actions are maintained in each case, have been made, in the case that they have not been accomplish, except in cases where it is not applied. Conclusions: The compliance level of the protocol was lower than the recommendation of the Ministry of Health (91.6%).
Eficacia de la poliglactina 910 con irradiación gamma en la reparación del desgarro perineal, Hospital General Regional Vicente Corral Moscoso 2013.
(2014) Jara Cañar, Olger Vicente; Orellana Orellana, Mercy del Cisne; Arévalo Pelaéz, Carlos Eduardo
Background: perineal repair after trauma pelvic floor is one of the most common surgical practice in obstetrics. The perineal short or long term infections, dyspareunia, urinary incontinence, fecal pain are some of the complications that can occur if the breast surgical technique is applied and appropriate suture is used. (1) Hypothesis: polyglactin 910 with gamma radiation is more effective than standard polyglactin 910 to reduce short-term perineal pain, and analgesic requirement until 12 hours postpartum. Objective: To evaluate the efficacy of gamma radiation polyglactin 910 perineal repair in parturients compared with standard polyglactin 910. Material and methods: A randomized clinical study, single-blind statistical masking in the Regional General "Vicente Corral Moscoso", Cuenca, Ecuador Hospital. December 2012 to November 2013, the group of study was 51 primiparous and secundiparous where perineal repair with polyglactin 910 with gamma radiation and the control group at 55 that used standard polyglactin 910 was performed. Results: The patient pain polyglactin 910 with gamma irradiation for repair of perineal tear was used was lower compared to those handled polyglactin 910 with standard RR 0.29 95% CI (0016-0.49) P value 0.000, RRR 0.70 (0.50 to 0.83) RRA 0.47 (0.29 to 0.61) NNT 2.09 (1.61-3.36). Conclusions: By using polyglactin 910 with gamma irradiation in perineal tear grade II pain evaluated in 12 hours postpartum was lower.
Eficacia del bloqueo pudendo bilateral para disminuir el dolor en el periodo expulsivo del trabajo de parto, Hospital Vicente Corral Moscoso, Cuenca 2014
(2016) Sayay Briones, David Alfredo; Orellana Orellana, Mercy del Cisne; Arévalo Peláez, Carlos Eduardo
Introduction: Labor painisperhapsthe most severepainthatwomenmustfaceduringtheirlife. Forthemanagementof labor pain are availablefor more thanhalf a century, several viable treatmentalternatives. However, many maternal, particularlythosefromlowsocioeconomicstratasufferunnecessarily. Methodology: A randomized experimental clinicalstudy. Twogroupswere formed: the interventiongroupwasmade up 106 gilts, whichunderwent bilateral pudendal block; and the control group of 106 nulliparoustowhich no underwentpudendal block, a total of 212 patients. Painintensityby visual analog visual scale, the time duration of thesecond, and sideeffects and maternal and fetal complicationswereanalyzed. Results: Thegroupswere comparable in age and gestationalage of thepatients. Patientsreceiving bilateral pudendalnerve block hadonaveragelowerintensity of painduringchildbirth and theaverage time of thesecondstage (12.43 min.) Waslowercomparedwith control patients (45.9), value p <0.05. No adverse effects in thetreatmentgroupswereobserved. The fetal heartrate and minute Apgar in thefifth minute and neonatal lifewas normal, and comparable withnewborn maternal control group. Conclusions: Thepudendalnerve block decreasestheintensity of pain, shortensthesecondstage, and no maternal and fetal complications
Modificaciones de cuello uterino detectadas por examen de papanicolaou en mujeres beneficiarias del programa de detección oportuna del cáncer (DOC) Hospital Vicente Corral Moscoso durante el año 2003, Cuenca 2005
(2005) Orellana Orellana, Mercy del Cisne; Narváez Ayala, Jorge Oswaldo
Prevalencia de anemia ferropénica y factores asociados en parturientas del Hospital “Vicente Corral Moscoso”, Cuenca 2014
(2015) Delgado Ponce, Andrés Esteban; Orellana Orellana, Mercy del Cisne; Arévalo Peláez, Carlos Eduardo
Introduction: Iron deficiency anemia is one of the nutritional deficits Widely spread around the world. According to the World Health Organization the prevalence of anemia in pregnancy is 41.8 %. Anemia consequences´ are affecting to the mother and baby´s health, among the possible causes could be dietary deficiencies, infections, education level, socio -economic status and others. Objective: Determine the prevalence of iron deficiency anemia in patients who come to Vicente Corral Maternity´s and identify the associated factors with gestational anemia. Material and methods: We conducted a cross-sectional study, with 451 pregnant women from Vicente Corral Moscoso´s Hospital. A questionnaire was validated for the socio-economic status, demographic and clinical data was obtained from the medical history. Hemoglobin values were determinated at Pregestational and after delivery, as well as hematocrit and mean corpuscular volume. Results: The mean age was 23.9 years, 53.7 % women had high school studies and 68.5 % had low socioeconomic status, 52.8 % expressed a reproductive period more than two years and 92.9 % had more than 5 prenatal visits. The prevalence of iron deficiency anemia is 33.70% ; 95% CI : 29.31 to 38.09. Mild anemia 20.2 %, 12.6 % moderate and 0.9 % severe anemia. The level of socioeconomic status, marital status and education is associated with gestational anemia, values of p < 0.05. The number of prenatal visits is considered to be a factor associated with maternal anemia, CI OR 12.7, 95% 4.78-33,7, p = 0.000 and births period 's OR 3.88, 95% CI: 1, 74 to 8.64 , p = 0.000 . Conclusions: The prevalence of anemia is high and it is associated with number of prenatal controls and intergenesic period
Prevalencia y factores asociados a hemorragia uterina anormal en adultas, Hospital José Carrasco Arteaga, Cuenca junio-diciembre 2019
(Universidad de Cuenca, 2021-06-02) Peralta Bojorque, Ana Carolina; Orellana Orellana, Mercy del Cisne
Background: Anormal uterine bleeding is the principal cause of gynecologic medical attention in adult women, it is in constant study for searching an exact definition and stablish the use of new diagnostic methods and aplication of updated treatments. Objetive: Determine de prevalence and associated factors of anormal uterine bleeding, in women of 40 to 60, at José Carrasco Arteaga Hospital, Cuenca, 2019. Methodology: Analytical study of transversal cut. Includes 277 medical records of pacients that comply inclusion criteria. The data was analyzed by SPSS v.15 program, the qualitative variables were presented with frequency and percentage values, and the quantitative with central tendency and dispersion measures (médium, SD); the statistic association is determined with Chi square values, and the associated factors with ODDS ratio results, with IC 95%, the hypothesis are accepted with value of p<0,05 Results: There were 277 medical record of women between 40 to 60 years old, medium age 49+-6 years, married (60,3%), secondary instruction (42,9%), urban residence (73,6%), overweight (50,9%) and multiparous (57,8%), 40,1% of them came for anormal uterine bleeding associated with significative relevance p<0.005 to uterine myomatosis (p=0,000), adenomyosis (p=0,02), polyp (p=0,000) and endometrial hyperplasia (p=0,000), being myomatosis the principal cause in 27% of cases. Conclusions: Confirms de high prevalence of AUB, organic cause is the most common especially uterine miomatosis
Relación del peso fetal medido por el método clínico de Johnson y Toshach y el peso real al nacer, Hospital Vicente Corral Moscoso, 2018
(Universidad de Cuenca, 2020-04-24) Jara Silva, Verónica Marlene; Orellana Orellana, Mercy del Cisne
Background: measuring the height of the uterine fundus is a useful and simple method, which helps prenatal surveillance. Objective: to determine the relationship between the fetal weight measured by Johnson Toshach's method and the real weight at birth in term pregnant women admitted to the Department of Obstetrics Hospital Vicente Corral Moscoso during the year 2018. Methodology: descriptive, cross-sectional study. 288 pregnant women who met the inclusion criteria were interviewed, other data were collected from the maternal and pediatric clinical history. The qualitative variables were presented with the frequency and percentage values, the quantitative variables with the mean and DS. The data were tabulated in the SPSS version 15 program, where the Johnson and Toshach method was related to the real weight of the newborn and linear logistic regression was used. Results: the mean age was 24.6 (± 6 SD) years; the most frequent age group were those aged 20 to 24 years old (35.3%); married marital status (42.3%); of secondary education (61.8%). The average gestation was 2 (± 1DS); 17.7% were multiparous with a mean of 39 weeks’ gestation (± 1DS). The average weight for Johnson and Toshach was 3091 (± 0.360DS) grams and for the real weight 3051 (± 0.392DS) grams, there was a statistically significant relationship between these two methods (p 0.000). Conclusions: The Johnson and Toshach method has a significant relationship with the real weight of the newborn in full-term pregnant women without maternal fetal complications.
Tuberculosis: detección bacteriológica de casos en sintomáticos respiratorios parroquia Cojitambo cantón Azogues provincia del Cañar 1990-1991
(1992) Orellana Orellana, Mercy del Cisne; Mejía Chispon, Carlos Patricio; Ipiales, Miriam; Gualpa Pacheco, Manuel Mesias; Andino Vélez, José Gerardo