{"id":25825,"date":"2018-03-09T09:17:22","date_gmt":"2018-03-09T09:17:22","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/amnioinfusion-profilactica-en-partos-con-la%c2%adquido-amniotico-tenido-de-meconio\/"},"modified":"2018-03-09T09:17:22","modified_gmt":"2018-03-09T09:17:22","slug":"amnioinfusion-profilactica-en-partos-con-la%c2%adquido-amniotico-tenido-de-meconio","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/amnioinfusion-profilactica-en-partos-con-la%c2%adquido-amniotico-tenido-de-meconio\/","title":{"rendered":"Amnioinfusi\u00f3n profilactica en partos con l\u00edquido amniotico te\u00f1ido de meconio"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Margarita \u00e1lvarez Miro <\/strong><\/h2>\n<p>La presencia de meconio acontece en el 7-22% de todos los partos. Numerosos trabajos demuestran que en partos con un registro cardiotocogr\u00e1fico anormal que se acompa\u00f1an de l\u00edquido amni\u00f3tico meconial la mortalidad perinatal llega al 3-22.2% y la morbilidad al 7-50%. El cuadro m\u00e1s importante relacionado con la presencia de meconio es el s\u00edndrome de aspiraci\u00f3n meconial. (Sam), el cual acontece en el 1-3% de los partos con l\u00edquido te\u00f1ido y en el 10-30% de los reci\u00e9n nacidos con meconio bajo las cuerdas vocales. Varias con las medidas propuestas para la prevenci\u00f3n del sam, como es la aminioinfusi\u00f3n.  la hip\u00f3tesis de la que parte nuestro trabajo consiste en que la introducci\u00f3n de una soluci\u00f3n est\u00e9ril a la cavidad uterina conseguir\u00e1 disminuir la comprensi\u00f3n de la placenta y el cord\u00f3n umbilical mejorando el equilibrio \u00e1cido-b\u00e1sico del feto y la diluci\u00f3n del meconio contenido en el l\u00edquido amni\u00f3tico, por lo que si se produce una aspiraci\u00f3n intrauterina \u00e9sta ser\u00eda portadora de una menor concentraci\u00f3n de meconio.  como objetivos principales propusimos comprobar el efecto de la amnioinfusi\u00f3n en la disminuci\u00f3n de ces\u00e1reas por riesgo de p\u00e9rdida de bienestar fetla y de la morbilidad neonatal. Se incluyeron 206 gestantes con l\u00edquido amni\u00f3tico meconial valorado subjetivamente como moderado o espeso.  de forma randomizada se asignaron al grupo de amnioinfusi\u00f3n 103 casos y 103 al grupo control. Al grupo de estudio se les realiz\u00f3 amnioinfusi\u00f3n transcervical a trav\u00e9s de un cat\u00e9ter de presi\u00f3n intrauterina de doble v\u00eda de suero salino al 0,9% a temperatura ambiente. Al grupo de estudio se le realiz\u00f3 los mismos cuidados excepto en los referente a la aminioinfusi\u00f3n.  la amnioinfusi\u00f3n produjo una disminuci\u00f3n de la tasa de ces\u00e1rea por sufrimiento fetal rr 0.23,95% ic 0.07-0.79, con incremento del ph al nacimiento (7,24+\/-1-0,1 vs 7.21+\/-0,1) (p&lt;0,05). As\u00ed mismo el procedimiento consigui\u00f3 disminuir la frecuencia d<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Amnioinfusi\u00f3n profilactica en partos con l\u00edquido amniotico te\u00f1ido de meconio<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Amnioinfusi\u00f3n profilactica en partos con l\u00edquido amniotico te\u00f1ido de meconio <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Margarita \u00e1lvarez Miro <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Granada<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 26\/09\/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>Alberto Puertas Prieto<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: alfonso Herruzo nalda <\/li>\n<li>Luis Molto ripoll (vocal)<\/li>\n<li>rosa Mar\u00eda Sabatel lopez (vocal)<\/li>\n<li>m\u00f3nica Mi\u00f1o mora (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Margarita \u00e1lvarez Miro La presencia de meconio acontece en el 7-22% de todos los partos. Numerosos trabajos [&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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[1],"tags":[4192,3487,8052,75032,75033,3489],"class_list":["post-25825","post","type-post","status-publish","format-standard","hentry","category-sin-categoria","tag-alberto-puertas-prieto","tag-alfonso-herruzo-nalda","tag-luis-molto-ripoll","tag-margarita-alvarez-miro","tag-monica-mino-mora","tag-rosa-maria-sabatel-lopez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/25825","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=25825"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/25825\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=25825"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=25825"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=25825"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}