PARTO PRETERMINO Flashcards

1
Q

PARTO PRETERMINO

A

ANTES DE LA SEM 37
(259 DIAS DE FUM)

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2
Q

TRABAJO DE PARTO PRETERMINO

A

-CONTRACCIONES UTERINAS (>4 EN 20 MIN)
-CAMBIOS CERVICALES (20.1 A 36.6 SDG)

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3
Q

CAUSAS DE PARTO PRETERMINO

A

RPM
PATOLOGIA MATERNA/AITROGENICO

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4
Q

FACTORES DE RIERGO PARTO PRETERMINO

A

ITS
VAGINOSIS
IVU
BACTERIURIA ASINTOMATICA
POLIHIDRAMNIOS
DEFECTOR MULLERIANOS
CONO CERVICAL
EMB.MULTIPLE

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5
Q

TAMIZAJE PARTO PRETERMINO

A

1- SEM 18-22 ECOGRAFIA TV
(CAMBIOS CERVICALES)
2- CRIBADO DE LONGITUD CERVICAL (USD ENDOVAGINAL)
>ANTC 3 PERDIDAS
>ANTC PP MENOR A 34 SEM

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6
Q

DIAGNOSTICO PARTO PRETERMINO

A

<36 SDG
CONTRACCIONES:
-2 CONTRACCIONES (10 MIN)
-4 CONTRACCIONES (20 MIN)
-8 CONTRACCIONES (60 MIN)

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7
Q

MANEJO AMBULATORIO ( AMENAZA PARTO PRETERMINO)

A
  1. TOCOLITICOS ORALES
    NIFEDIPINO (32 SDG)
    INDOMETACINA (<32 SDG)
  2. MADURACION PULMONAR
  3. EGO Y CULTIVO VAGINAL
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8
Q

MANEJO HOSPITALIZACION( AMENAZA PARTO PRETERMINO

A
  1. TOCOLITICOS PARENTERALES
    ATOSIVAN (B2 AGONISTAS)
  2. MADURACION PULMONAR
  3. EGO Y CULTIVO VAGINAL
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9
Q

TRABAJO DE PARTO PRETERMINO (HOSPITALIZAR)

A
  1. MADURACION PULMONAR (<34 SDG)
  2. NEUROPROTECCION FETAL (<32 SDG)
  3. SIN TOCOLITICOS
  4. EGO Y CULTIVO VAGINAL
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10
Q

NEUROPROTECCION FETAL (PARTO PRETERMINO)

A

SULFATO DE MG´(MgSO4)

-ANTES DE LAS 32 SEM
-REDUCE PARALISIS CEREBRAL

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11
Q

PREVENCION (TAMIZAJE PREVIO) < 25 MM A LA SEMANA 22-24

A

PROGESTERONA (VAGINAL/ORAL)
HASTA SEM 34

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12
Q

PREVENCION (TAMIZAJE PREVIO) <15 MM A LAS 14-15 SDG

A

CERCLAJE
HASTA SEM 34

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