Escolar Documentos
Profissional Documentos
Cultura Documentos
Definiciones
Parto Pretrmino
Trabajo Parto
Pretrmino
Contracciones uterinas (por lo menos 3 en 30 minutos), acompaadas de cambios cervicales: borramiento (50%) o dilatacin (igual o mayor a 3 cm), antes de las 37 semanas (259
das desde la FUM).
Amenaza de
Parto Pretrmino
CDIGO
CODIFICACIN CIE 10
CDIGO
W 84
CODIFICACIN CIAP 2
Embarazo de alto riesgo
Diagnstico
Anamnesis
HALLAZGOS
177
O60
Examen Fsico
Exmenes de
Laboratorio
incompetencia cervical
bacteriuria asintomtica / Pielonefritis aguda
ITS / Vaginosis bacteriana
infeccin estreptococo grupo B
neumona / Paludismo / Fiebre Tifoidea / Apendicitis
Biometra Hemtica
EMO / Urocultivo
Cristalografa / Gram y fresco de secrecin vaginal
Ecografa abdominal para confirmacin de peso fetal y
edad gestacional, ILA, longitud del cuello del tero.
Monitoreo fetal electrnico (si dispone).
DETERMINAR ETIOLOGIA
TRANSFERENCIA A UNIDAD DE NEONATOLOGIA ESPECIALIZADA.
PR O T O C O LO D E M AN E JO D E L T R ABAJO D E PAR T O
PRETERMINO
(Muchos de los pasos / tareas deben realizarse simultaneamente)
NIVEL
I
II
III
178
179
180
EXAMEN CLINICO
EXAMEN ESPECULAR - GRAM FRESCO TACTO VAGINAL
POSITIVA
EMO
CRISTALOGRAFIA
PROTOCOLO
IVU
POSITIVA
PROTOCOLO
RPM
EMBARAZO
MENOR A 34
SEMANAS
EMBARAZO
ENTRE 34 Y
37 SEMANAS
DILATACION
MAYOR A 4 CM
Reposo.
Observacin.
Tocolisis
Nifedipina
PROTOCOLO
DE MANEJO
DEL PARTO
NORMAL
181
NEGATIVA
Bibliografa
Documentos ministeriales relacionados.*
Bibliografa General.*
* Ver al final del documento.
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