Peso Placentario como Factor de Restricción de Crecimiento Intrauterino
Palabras clave:
peso placentario, restricción de crecimiento intrauterino, índice feto placentario, embarazo de alto riesgo
Resumen
Objetivo Determinar si el peso placentario se asocia con restricción del crecimiento fetal. Material y métodos Estudio Prospectivo, no experimental, observacional, transversal, casos y controles llevado a cabo del 1 de diciembre del 2023 al 31 de agosto del 2024. Criterios de inclusión: Pacientes con embarazo mayor de 28 semanas, con diagnóstico ultrasonográfico de restricción de crecimeinto fetal y pacientes con diagnóstico ultrasonográfico de peso fetal adecuado para edad gestacional. Criterios de exclusión: pacientes que pidan alta voluntaria o se trasladen a otro hospital antes de la resolución del embarazo, embarazadas que no se pese la placenta. Resultados Se incluyeron 46 pacientes divididas en dos grupos: grupo A 22 pacientes con diagnóstico de restricción de crecimiento fetal y grupo B 24 pacientes sin restricción fetal. La comorbilidad materna que predominó en el grupo A fue la preeclampsia con criterios de severidad. La media del peso placentario del grupo A fue 360.4gr. y grupo B 480.2gr. (p=0.005). La media del peso fetal del grupo A fue de 1985.68gr y grupo B 3269.04gr. (p=0.001). Al analizar el indice feto placentario de las pacientes con restricción de crecimeinto fetal, tomando como punto de referencia el minimo de las pacientes sin restricción de 5.1, se encontró que en el 31.81% el factor de riesgo de RCIU fue la placenta. Conclusiones El tamaño de la placenta contribuye a una tercera parte de los casos de restricción de crecimeinto intrauterino.
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Citas
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https://doi.org/10.1002/uog.22134
4. Resnik, R. (2002). Intrauterine growth restriction. Obstetrics And Gynecology (New York. 1953. Online)/Obstetrics And Gynecology, 99(3), 490-496. https://doi.org/10.1016/s0029-7844(01)01780-x
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https://doi.org/10.1016/j.ajog.2022.12.017
6. Padilla-Amigo C, López-Félix J, Martínez-Villafaña E, Sierra-Lozada N. Predicción de la restricción del crecimiento fetal con el algoritmo del tamiz 11-14. Ginecol Obstet Mex 2022; 90 (1): 1-7. https://doi.org/10.24245/gom.v90i1.6302
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https://doi.org/10.2174/1573396314666180712114531
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https://doi.org/10.46932/sfjdv2n5-012
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https://www.medigraphic.com/pdfs/revinvcli/nn-2010/nn102e.pdf
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Publicado
2025-02-01
Cómo citar
López Álvarez , B. E., & Conde Gutiérrez, Y. del S. (2025). Peso Placentario como Factor de Restricción de Crecimiento Intrauterino. Ciencia Latina Revista Científica Multidisciplinar, 8(6), 10745-10763. https://doi.org/10.37811/cl_rcm.v8i6.15802
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Ciencias de la Salud
Derechos de autor 2025 Blanca Estela López Álvarez , Yazmín del Socorro Conde Gutiérrez
Esta obra está bajo licencia internacional Creative Commons Reconocimiento 4.0.
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