MANEJO DE LA RUPTURA PREMATURA DE MEMBRANAS DE PRETÉRMINO
DOI:
https://doi.org/10.47187/cssn.Vol15.IssEd.Esp.304Palabras clave:
rotura prematura de membranas fetales, líquido amniótico, terapéuticaResumen
Introducción: La ruptura prematura de membranas de pretérmino es la ruptura de las membranas corioamnióticas que se producen antes del inicio del trabajo de parto en embarazos pretérmino. Las complicaciones pueden ser la corioamnionitis, la prematurez y demás problemas asociados con estas patologías. Objetivo: Determinar el mejor tratamiento en casos de ruptura prematura de membranas de pretérmino de acuerdo a la evidencia científica más actualizada hasta el momento. Metodología: Se utilizó una pregunta clínica en base al formato PICO: ¿Cuál es el manejo más adecuado en las gestantes con ruptura prematura de membranas de pretérmino, para prevenir complicaciones?, que facilitó la búsqueda de información científica. Se utilizó bases de datos biomédicas como PubMed, Web of Science, UpToDate y DynaMed. Resultados: Se encontraron 452 artículos en las diferentes bases de datos, luego de colocar los filtros y descartar artículos duplicados y artículos que no están dentro de los criterios de inclusión, se utilizaron 36 artículos científicos, como fuente de información en esta investigación. Discusión: La ruptura prematura de membranas de pretérmino puede ocasionar complicaciones que ponen en riesgo la salud materna y perinatal. El diagnóstico se basa en la observación de la salida de líquido amniótico a través del orificio cervical al colocar un espejo vaginal y en casos de duda se puede utilizar pruebas de inmunocromatografía. Conclusiones: El manejo adecuado y oportuno, disminuye las complicaciones que pueden ocurrir por esta patología.
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