parto pretermino - progesterona y pesario de arabin
TRANSCRIPT
Trabajo preterminoestablecido
EsperarEstablecer
tratamiento
Historia previa de TP
• Técnica operadora dependiente
Volume 67, Number 10 OBSTETRICAL AND GYNECOLOGICAL SURVEY 2012 Universal Cervical Length Screening for
Prediction and Prevention of Preterm Birth Vincenzo Berghella, MD
Volume 67, Number 10 OBSTETRICAL AND GYNECOLOGICAL SURVEY 2012 Universal Cervical Length Screening for
Prediction and Prevention of Preterm Birth Vincenzo Berghella, MD
Volume 67, Number 10 OBSTETRICAL AND GYNECOLOGICAL SURVEY 2012 Universal Cervical Length Screening for
Prediction and Prevention of Preterm Birth Vincenzo Berghella, MD
Volume 67, Number 10 OBSTETRICAL AND GYNECOLOGICAL SURVEY 2012 Universal Cervical Length Screening for
Prediction and Prevention of Preterm Birth Vincenzo Berghella, MD1 congreso euroamericano de medicina materno fetal 2012
Congenitas
Infecciones
Cirugia
Volume 67, Number 10 OBSTETRICAL AND GYNECOLOGICAL SURVEY 2012 Universal Cervical Length Screening for
Prediction and Prevention of Preterm Birth Vincenzo Berghella, MD1 congreso euroamericano de medicina materno fetal 2012
Volume 67, Number 10 OBSTETRICAL AND GYNECOLOGICAL SURVEY 2012 Universal Cervical Length Screening for
Prediction and Prevention of Preterm Birth Vincenzo Berghella, MD1 congreso euroamericano de medicina materno fetal 2012
Progesterona y riesgo de parto prematuro en mujeres con cuello corto Fonseca EB, Celik E, Parra M, Singh M, Nicolaides KH. Progesterone and the risk of preterm birth among
women with a short cervix. N Engl J Med 2007; 357: 462-9.
Aumento –Previo
Parto -Disminuye
Progesterona y riesgo de parto prematuro en mujeres con cuello corto Fonseca EB, Celik E, Parra M, Singh M, Nicolaides KH. Progesterone and the risk of preterm birth among
women with a short cervix. N Engl J Med 2007; 357: 462-9.
Progesterona y riesgo de parto prematuro en mujeres con cuello corto Fonseca EB, Celik E, Parra M, Singh M, Nicolaides KH. Progesterone and the risk of preterm birth among
women with a short cervix. N Engl J Med 2007; 357: 462-9.
Volume 67, Number 10 OBSTETRICAL AND GYNECOLOGICAL SURVEY 2012 Universal Cervical Length Screening for
Prediction and Prevention of Preterm Birth Vincenzo Berghella, MD
Volume 67, Number 10 OBSTETRICAL AND GYNECOLOGICAL SURVEY 2012 Universal Cervical Length Screening for
Prediction and Prevention of Preterm Birth Vincenzo Berghella, MD
Longitud cervical
Orificio cervical interno y Orificio cervical externo
Ver todo el canal cervical
Plano simetrico con el orificio cervical externo
Mismo tamaño de ambos labios del cuello
Volume 67, Number 10 OBSTETRICAL AND GYNECOLOGICAL SURVEY 2012 Universal Cervical Length Screening for
Prediction and Prevention of Preterm Birth Vincenzo Berghella, MD
Longitud cervical
3 mediciones
La medición mas corta se registra
Esperar 3 minutos para detectar cambios dinamicos
Identificar cambios dinámicos ( lodo, Barro)
Volume 67, Number 10 OBSTETRICAL AND GYNECOLOGICAL SURVEY 2012 Universal Cervical Length Screening for
Prediction and Prevention of Preterm Birth Vincenzo Berghella, MD
Riesgo 14-24 Semanas de Gestación
Normal 30 mm
Bajo riesgo 25 mm ( 2 semanas después)
Alto Riesgo 20 mm
Mal pronostico 10 mm
Volume 67, Number 10 OBSTETRICAL AND GYNECOLOGICAL SURVEY 2012 Universal Cervical Length Screening for
Prediction and Prevention of Preterm Birth Vincenzo Berghella, MD
Volume 67, Number 10 OBSTETRICAL AND GYNECOLOGICAL SURVEY 2012 Universal Cervical Length Screening for
Prediction and Prevention of Preterm Birth Vincenzo Berghella, MD
•Reducción de 42 % del riesgo de parto preterminoantes de la semana 33
1 congreso euroamericano de medicina materno fetal 2012
1 congreso euroamericano de medicina materno fetal 2012
1 congreso euroamericano de medicina materno fetal 2012
1 congreso euroamericano de medicina materno fetal 2012
1 congreso euroamericano de medicina materno fetal 2012
Volume 67, Number 10 OBSTETRICAL AND GYNECOLOGICAL SURVEY 2012 Universal Cervical Length Screening for
Prediction and Prevention of Preterm Birth Vincenzo Berghella, MD
Progesterona y riesgo de parto prematuro en mujeres con cuello corto Fonseca EB, Celik E, Parra M, Singh M, Nicolaides KH. Progesterone and the risk of preterm birth among
women with a short cervix. N Engl J Med 2007; 357: 462-9.
