{"id":79265,"date":"2018-03-09T23:25:06","date_gmt":"2018-03-09T23:25:06","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/gestacion-prolongada-induccion-del-parto-manejo-expectante-morbimortalidad-perinatal\/"},"modified":"2018-03-09T23:25:06","modified_gmt":"2018-03-09T23:25:06","slug":"gestacion-prolongada-induccion-del-parto-manejo-expectante-morbimortalidad-perinatal","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/gestacion-prolongada-induccion-del-parto-manejo-expectante-morbimortalidad-perinatal\/","title":{"rendered":"Gestaci\u00f3n prolongada, inducci\u00f3n del parto, manejo expectante, morbimortalidad perinatal."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Virginia Benito Reyes <\/strong><\/h2>\n<p>Objetivo: se trata de demostrar que la actitud expectante con vigilancia del bienestar fetal anteparto en el manejo de las gestaciones prolongadas de bajo riesgo, no se asocia con mayor morbimortalidad perinatal.  dise\u00f1o: se realiza un estudio prospectivo comparando dos pautas de actuaci\u00f3n en el manejo de gestaciones prolongadas; la pauta expectante con vigilancia fetal anteparto y la pauta activa que consiste en la inducci\u00f3n sistem\u00e1tica del parto al alcanzar las 42 semanas de gestaci\u00f3n.  \u00e1mbito del estudio: participan mujeres con gestaci\u00f3n prolongada de bajo riesgo controladas en la consulta de final de gestaci\u00f3n del hospital universitario materno infantil de canarias. Participan un total de 200 mujeres que se han seleccionado por muestreo consecutivo una vez comprobado que cumplen los criterios de selecci\u00f3n establecidos previamente. La asignaci\u00f3n a una de las dos pautas de estudio se realiza de forma aleatoria.  objetivos finales:  1. Comparar la morbimortalidad perinatal del grupo de gestaciones prolongadas con manejo expectante y vigilancia del estado fetal anteparto con la del grupo de gestaciones prolongadas con inducci\u00f3n rutinaria en la semana 42 de gestaci\u00f3n.  2. Conocer si, en las gestaciones prolongadas con manejo expectante, la combinaci\u00f3n del control cl\u00ednico, amnioscopia, c\u00e1lculo ecogr\u00e1fico del \u00edndice de l\u00edquido amni\u00f3tico y el test no estresante, permiten valorar el estado fetal anteparto garantizando la identificaci\u00f3n de fetos con riesgo de p\u00e9rdida del bienestar fetal.  3. Calcular la tasa de ces\u00e1reas en ambos grupos de estudio, as\u00ed como las indicaciones obst\u00e9tricas que originan las mismas, prestando especial atenci\u00f3n al n\u00famero de extracciones fetales urgentes en cada grupo.  4. Evaluar los efectos de las intervenciones obst\u00e9tricas, tanto en la conducta activa como en la conducta expectante, sobre los resultados adversos maternos.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Gestaci\u00f3n prolongada, inducci\u00f3n del parto, manejo expectante, morbimortalidad perinatal.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Gestaci\u00f3n prolongada, inducci\u00f3n del parto, manejo expectante, morbimortalidad perinatal. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Virginia Benito Reyes <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Palmas de gran canaria<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 27\/03\/2006<\/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> Garc\u00eda Hern\u00e1ndez Jos\u00e9 Angel<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Sosa henr\u00edquez <\/li>\n<li>honorio Armas ramos (vocal)<\/li>\n<li>nieves Luisa Gonz\u00e1lez gonz\u00e1lez (vocal)<\/li>\n<li>Luis Pe\u00f1a quintana (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Virginia Benito Reyes Objetivo: se trata de demostrar que la actitud expectante con vigilancia del bienestar fetal 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