Browsing by Author "Sarmiento Tapia, Nimrod Ludim"

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Complicaciones maternas en primigestas adolescentes y no adolescentes, Hospital Vicente Corral Moscoso, periodo 2019
(Universidad de Cuenca, 2020-03-12) Zhiña Zhagui, Sergio Rolando; Sarmiento Tapia, Nimrod Ludim
Background: maternal complications during pregnancy occur frequently, even when most of these disorders can be prevented, so it is important to recognize the most common complications to provide adequate treatment and reduce maternal mortality. Objective: to determine the frequency of maternal complications in teenage and non-adolescent primigests of the Vicente Corral Moscoso Hospital, during the 2019 period. Methodology: observational, descriptive, cross-sectional study. 300 pregnant women who met the inclusion criteria participated, the information was collected through surveys and clinical records. For the statistical analysis, the SPSS version 15 program is found. The results are selected using custom tables, for the qualitative variables the frequencies and percentages and for the quantitative means and standard deviations. Results: the general prevalence of maternal complications was 57%, of which 55.6% occurred in adults and 44.4% in adolescents. The frequency of caesarean sections was 32% in adults versus 27.3% in adolescents. Both anemia and postpartum hemorrhage were more frequent complications in the group of adolescents with 16.7% and 11.3% respectively; in adults the hypertensive disorders of pregnancy with 20.7% and perineal tear with 14.7% were presented in a higher percentage. Conclusions: the prevalence of maternal complications was high, evidencing more frequently in adult pregnant women.
Complicaciones obstétricas en gestantes con edad igual o mayor a 35 años, usuarias del Hospital Vicente Corral Moscoso. Cuenca, periodo 2018.
(Universidad de Cuenca, 2020-03-11) Alvarez Cambi, Marco Antonio; Sarmiento Tapia, Nimrod Ludim
Background: the decrease in maternal and perinatal morbidity and mortality has become a main objective in the health system, however, it is known that pregnant women with ages close to the cessation of their fertility have a higher rate of maternal fetal complications, at just as the factors associated with their age lead to multiple adverse outcomes. Objectives: to determine obstetric complications in pregnant women aged 35 years or older, in the obstetrics area, users of Vicente Corral Moscoso Hospital, 2018 period. Methodology: observational, analytical, cross-sectional study, 540 medical records were reviewed, information on the study variables was collected using a form prepared by the author. For the analysis, SPSS version 15 program was used. For qualitative variables, frequencies and percentages were applied and for the quantitative mean and standard deviation, the Chi-square statistic and prevalence ratio were used to establish association with 95% CI. Results: the average age was 38.05 years, 44.8% were married, 55% with primary education, 56% ended their pregnancy vaginally; the general prevalence of complications was 38.5%, a relationship was found age ≥ 40 years (RR: 1.4 CI 1, -1.7, p 0.0014) AHT (RR: 1.9 CI 1, 3-2.9, p 0.04). Conclusions: the general prevalence of complications was 38.5%. An association was found between age ≥ 40 years and AHT to present an obstetric complication. Keywords: High risk pregnancy. Pregnancy complications. Maternal age
Hiperuricemia asociada a complicaciones materno-fetales en pacientes con preeclampsia, Hospital Vicente Corral Moscoso, Cuenca, 2017
(2019) Martínez Espinoza, Bárbara Belén; Sarmiento Tapia, Nimrod Ludim; Vintimilla Maldonado, Jaime Rosendo
Objective: To determine the association between hyperuricemia and maternal and fetal complications in women from 28 weeks of gestation, diagnosed of preeclampsia and hospitalized in the Department of Obstetrics of the Hospital Vicente Corral Moscoso, during the year 2017. Materials and Methods: A cross-sectional study was carried out in a sample of 185 preeclamptic patients. The sample size was calculated with 95% confidence, 14% prevalence of HELLP syndrome, 5% inference error; the patients entered the study sequentially. The data were taken directly and analyzed with the SPSS software, version 15. The magnitude of the risk was performed with the prevalence ratio and its 95% confidence interval, and the significance with the Fisher exact test, correction of Yachts and the Chi square. Results: Age fluctuated between 15 and 45 years, 42% lived in free union, 51% resided in urban areas; the number of gestas varied between 1 and 11; the termination of pregnancy was between 28 and 41 weeks, with cesarean section being the main route. The prevalence of hyperuricemia was 36.8% (95% CI: 29.9-43.5). A significant association of hyperuricemia with eclampsia (RP 2.83, 95% CI: 2.32-3.44 and corrected p-value 0.017), low weight (RP 2.28, 95% CI: 1.57-3.31 and p-value 0.000) and prematurity (RP 1.73, 95% CI: 1.17-2.57 and p-value 0.017). Conclusions: The prevalence of hyperuricemia is lower than that found in other studies. High values of uric acid can predict the development of complications such as eclampsia, low birth weight and prematurity.
La Informática en el área perinatal
(1990) Sarmiento Tapia, Nimrod Ludim; Molina Novillo, Javier Alonso; Barros Chica, Arturo José; Flores Durán, Carlos Teodoro
Intervenciones y complicaciones perinatales relacionadas al ingreso hospitalario durante la fase latente de la labor de parto. Revisión sistemática
(Universidad de Cuenca, 2021-10-13) Guerra Lagos, Leonardo Javier; Sarmiento Tapia, Nimrod Ludim
Background: The incidence of perinatal interventions and complications are more common in patients who hospitalized in the latent phase of labor. Current evidence suggest that latent phase is define as acervical dilatation less than 6 centimeters. General objective: To evaluate the perinatal interventions and complications related to hospitaladmission during the latent phase of labor. Methodology: observational, systematic review. The search terms used in English were “Labor Stage, First”, “Labor Onset”, “Patient Admission”, “Delivery, Obstetric”. Studies with full text, quintile one to two, with methodological, analytical, retrospective, prospective, descriptive designs between the years 1998-2020 were included. Results: admission in latent phase of labor is related to a higher risk of cesarean section (p <0.05), use of oxytocin during labor (p <0.05), epidural anesthesia (p <0.05), number of vaginalexaminations (p <0.05), and labor duration since admission (p <0.05). The variety of published results for the other interventions did not determine any other association. Conclusions: admission in latent phase of labor (<6 cm of dilation) is related to an increased risk of prolonged labor, number of vaginal examinations, epidural anesthesia, use of oxytocin tostimulate labor; and as a result the probability of cesarean section increases
Perfil clínico y epidemiológico de las pacientes con embarazo ectópico ingresadas en el departamento de Ginecología del Hospital Vicente Corral Moscoso, Cuenca 2014-2015
(2016) Mogrovejo Avila, Andrea Rosana; Sarmiento Tapia, Nimrod Ludim; Arévalo Peláez, Carlos Eduardo
OBJECTIVE Determine the clinical and epidemiological profile of patients with ectopic pregnancy who attended the gynecology department Vicente Corral Moscoso Hospital during January 2014 June 2015, and getting feedback about the impact that this disease represents. MATERIALS AND METHODS Qualitative and quantitative study. Quantitative was in a population of 56 patients. Data were collected by direct interview and analyzed using SPSS software version 2015, and qualitative interviews in 6 patients, and analyzed with the ATLAS. Ti program. RESULTS The minimum age was 15 years, maximum 45 and the median 26. The feats ranged from 1 to 6 and childbirth 1 and 5. The sexual life started from 13 years to 25. The sexual partners ranged between 1 and 5. The 30.77% ever used intrauterine device. 4% reported a history of ectopic pregnancy, and 89.31% with tubal location. 37.50% of ultrasound findings was liquid at the bottom of most adnexal mass sack, and 94.60% received surgical treatment. Most patients had anxiety, accompanied by pain and suffering, and they wanted their pregnancy culminating successfully, and were afraid to repeat his ectopic pregnancy. CONCLUSION Most clinical and epidemiological findings are consistent with those reported in the literature, and is accompanied by suffering, pain and fear of pregnancy
Prevalencia y factores asociados a acidosis fetal en pacientes con diagnóstico de estado fetal no tranquilizador, Hospital Vicente Corral Moscoso, 2017.
(2019) Pazmiño Mendieta, Ana Belén; Sarmiento Tapia, Nimrod Ludim
Antecedent: Fetal control during labor through cardiotocographic recording decreases morbidity and mortality and detects hypoxia and requires verification of fetal acidosis by umbilical cord ph. Objective: The objective of the following research is to determine the prevalence of fetal acidosis and the associated factors dependent on the mother in patients diagnosed with a non-reassuring fetal condition admitted to the Department of Obstetrics of the Hospital Vicente Corral Moscoso during the 2017 year. Methodology: A cross-sectional study was conducted in 185 patients with alteration in fetal monitoring. The sample size was measured with a 14% of prevalence, a 95% of confidence level, and a 5 % of precision and infinite population. The data were collected using direct interviews and medical records. The pH of the umbilical cord was taken in newborns with cardiac alterations in the monitoring. The information was analyzed in the SPSS system, version 15. Results: The predominant age group is from 20-35 years old, with a 62.7 %. A 55.7% are from urban residence, 91.4 % is a schooling between 6 and 12 years of study, and 77.8 % corresponds to a group with overweight and obesity. The prevalence of acidosis was 34.6 %. Of these, 51.6 % with the rupture of the membranes presented fetal acidosis with RP 1.49 (1.01-2.21) and p 0.046. The meconium liquid was present in a 68.8 %, with RP 1.53 (0.99-2.38) and p 0.048. Hypertensive disorders manifested in 26.6% with RP 1.55 (1.02-2.35) p 0.054 Conclusions: The prevalence of fetal acidosis was not similar to what it was reported in the literature, but it was associated with the rupture of the membranes, presence of meconium fluid.
Tratamiento de las verrugas con dinitroclorobenceno en escolares de Cuenca
(1985) Washco Castro,Wilson Fabián; Zambrano Zambrano, Donald; Yamunaqué León, Jorge Arturo; Sarmiento Tapia, Nimrod Ludim; Encalada Córdova, Franklin