Ciencias de la Salud
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Item Polihidramnios en Embarazo de 33 Semanas más Hipermadurez Placentaria(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Carrera Medicina, 2016-10-01) Borja Caiza, Catherine Elizabeth; Mera Ramos, Gerardo Vinicio Dr. Esp.Polyhydramnios is the excessive increase of amniotic fluid 1500-2000 ml or better define distwice normal for gestational age. This is a rare condition less than 0.5%, althoughit is more common in twin, diabetic pregnancy or fetal malformations. Can occur in two way sacute presented in a rough manner between 20 and 24 weeks and chronic which is established progressive from week 24 to above 28.As the week because of complications such as premature rupture of membranes, preterm labor or postpartum hemorrhage by the large uterine distention. Determining the volume of amniotic fluid can be performed using ultrasound is the main tooldue to good penetration of ultrasound with minimal absorption. Because of its interposition in to the uterine cavity, between uterineti estructures, placental, and fetal cableways, allows a good display. Since the assessment of the placenta is essential because itallowsustomeet the growingfetus and itslast ten weeks are crucial in determining the maturity and placental development and assess early treatment Polyhydramnios. The following case is a patient female 17 years of age with gynecological and obstetric history of menarche at age 11, irregular menstrual cycles 1time / month for 5 days IVSA 15 years, CS # 3 diseases not sexually transmitted, paptes , current gestas 1 abortions 0, with the date of the last menstrual period 20-02- 2015 according toreliable patient taking a pregnancy Patient comes accompanied by hermotherto the emergency room of the Provincial Teaching Hospital Ambato referring abdominal pain more or less two hours contraction type located in lower abdomen and lumbar region radiating to more moderate removal of mucous splug and decreased fetal movements. Beingassessedbyphysicalexaminationfindingobstetricianbellypregnantuterus, cephalic single fetus, movingleft back, with a FCF of 136-140, decreased fetal movements and sporadic uterine activity, lower limb edema +. Genital region transvaginal no loss of fluid sise videnced touch 4 cm dilation and effacement of 70% with intact membranes ginecoide pelvis. Results ecosonography obstetric Doppler flow metry + PBF + 32.4 weeks of pregnancy not consistent with LMP, amniotic fluid index of 27.2, posterior placenta fundic 3.9cm thick, with grade III signs of maturity.