{"id":23651,"date":"2018-03-09T09:14:17","date_gmt":"2018-03-09T09:14:17","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/manejo-obstetrico-patologia-asociada-y-pronostico-perinatal-de-los-grandes-preterminos-menores-o-iguales-a-las-28-semanas\/"},"modified":"2018-03-09T09:14:17","modified_gmt":"2018-03-09T09:14:17","slug":"manejo-obstetrico-patologia-asociada-y-pronostico-perinatal-de-los-grandes-preterminos-menores-o-iguales-a-las-28-semanas","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/manejo-obstetrico-patologia-asociada-y-pronostico-perinatal-de-los-grandes-preterminos-menores-o-iguales-a-las-28-semanas\/","title":{"rendered":"Manejo obstetrico, patolog\u00eda asociada y pron\u00f3stico perinatal de los grandes pret\u00e9rminos menores o iguales a las 28 semanas"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Angel Aguaron De La Cruz <\/strong><\/h2>\n<p>Durante el per\u00edodo 1995-2001 nacieron en el hospital gregorio mara\u00f1\u00f3n 322 ni\u00f1os menores o iguales a la 28 semanas, de los cuales 46 nacieron muertos y 25 murieron en la sala de partos. Se analizan las caracter\u00edsticas de las madres, viendo que tanto la inmigraci\u00f3n como las t\u00e9cnicas de reproducci\u00f3n asistida son los factores de riesgo m\u00e1s significativos para la producci\u00f3n de un parteo antes de las 28 semanas.  adem\u00e1s aumentan los fetos muertos intra\u00fatero, la patolog\u00eda gestacional y las malas condiciones durante el parto que producir\u00e1n un aumento significativo de la mortalidad neonatal, morbilidad y da\u00f1o neurol\u00f3gico posterior. Por lo tanto no se podr\u00e1 disminuir la mortalidad a los l\u00edmites esperados mientras no se incida a nivel de medicina primaria sobre estos dos factores de riesgo.  se analiza la morbilidad grave durante el periodo neonatal, viendo que, por un mejor manejo obst\u00e9trico y los grandes avances neonatales se ha disminuido gran parte de esta morbilidad grave (hemorragia intraventricular, sepsis precoz, retinopat\u00eda del pretermino, enterocolitis necrotizante, enfermedad de membrana hialina, hipoplasia pulmonar, hemorragia subependimaria, sin embargo no se ha podido disminuir dos patolog\u00edas con \u00edntima relaci\u00f3n sobre la mortalidad neonatal y el da\u00f1o neurol\u00f3gico de los que viven al alta hospitalaria como son la spsis tard\u00eda y la displasia broncopulmonar siendo necesario la creaci\u00f3n de comit\u00e9s de investigaci\u00f3n que conozcan el sistema inmunol\u00f3gico del periodo perinatal y posteriormente poner los medios y el tratamiento adecuados para disminuir estas patolog\u00edas.  se estudia tambi\u00e9n el da\u00f1o neurol\u00f3gico y su relaci\u00f3n con el parto y la patolog\u00eda en el periodo neonatal, as\u00ed como, con el seguimiento neurol\u00f3gico. por \u00faltimo, se estudia la rehabilitaci\u00f3n en estos ni\u00f1os y su efectividad dependiendo de la gravedad del da\u00f1o neurol\u00f3gico.  conclusiones  1,- necesidad de control de la gestaci\u00f3n a nivel d<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Manejo obstetrico, patolog\u00eda asociada y pron\u00f3stico perinatal de los grandes pret\u00e9rminos menores o iguales a las 28 semanas<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Manejo obstetrico, patolog\u00eda asociada y pron\u00f3stico perinatal de los grandes pret\u00e9rminos menores o iguales a las 28 semanas <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Angel Aguaron De La Cruz <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 18\/06\/2003<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Jos\u00e9 Antonio Clavero  Nu\u00f1ez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Escudero fernandez <\/li>\n<li>Antonio Gonz\u00e1lez gonz\u00e1lez (vocal)<\/li>\n<li>Juan  ignacio \u00e1lvarez de los heros (vocal)<\/li>\n<li>Jos\u00e9 Manuel Bajo arenas (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Angel Aguaron De La Cruz Durante el per\u00edodo 1995-2001 nacieron en el hospital gregorio mara\u00f1\u00f3n 322 ni\u00f1os [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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