Fetal monitoring APP
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Fecha
2022
Autores
Pantoja Claros, Yeritza
Lacouture Abuchaibe, Odette
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Ediciones Universidad Simón Bolívar
Facultad de Ciencias de la Salud
Facultad de Ciencias de la Salud
Resumen
Según el instituto nacional de salud, en Colombia, encontramos una alta tasa de mortalidad perinatal y neonatal tardía (que es el periodo comprendido entre las 22 semanas de gestación, o un feto con peso mayor a 500 gramos, hasta los 28 días posterior al nacimiento), las cuales durante los últimos 15 años han permanecido constantes, con tasas que oscilan entre 17.9 por 1.000 nacidos vivos para el año 2008 y 15.3 x 1000 nacidos vivos para el año 2021; siendo la tercera causa de estas muertes la asfixia y causas relacionadas. Es por lo anterior, que es supremamente importante la vigilancia maternofetal estricta durante el embarazo, hasta el momento del parto, para esto contamos con el control prenatal y pruebas de bienestar fetal como el monitoreo fetal, siendo la herramienta de primera línea y de más fácil acceso en todas las instituciones de salud, desde el primer nivel hasta alta complejidad.
En la práctica médica diaria, el personal de salud nos vemos enfrentados a atender todo tipo de poblaciones, sin embargo, la paciente obstétrica siempre será de gran impacto ya que la atención o el abordaje que les brindemos pude impactar en el bienestar del binomio madre-hijo o desencadenar en un resultado materno perinatal adverso.
La monitoria fetal como prueba de bienestar fetal, debe ser de fácil aplicabilidad y reproducibilidad no solo en el ámbito clínico sino académico, ya que puede contribuir a disminuir posibles riesgos y/o complicaciones durante la gestación que puede desencadenar en un evento materno perinatal adverso; esta tecnología aplicable de forma no invasiva mediante la obtención de un registro cardiotocográfico puede ser realizada a gestantes no solo en el ámbito hospitalario, sino que incluso podemos abordar más población que no pueda acceder a los servicios de salud ya sea por sus condiciones sociodemográficas o económicas, y es allí en donde podemos impactar positivamente desde los primeros niveles de atención garantizando una identificación oportuna y toma de decisiones adecuada.
According to the National Institute of Health, in Colombia, we find a high late perinatal and neonatal mortality rate (which is the period between 22 weeks of gestation, or a fetus weighing more than 500 grams, up to 28 days after birth), which during the last 15 years have remained constant, with rates ranging between 17.9 per 1,000 live births for the year 2008 and 15.3 x 1,000 live births for the year 2021; the third cause of these deaths being asphyxia and related causes. It is because of this reason that strict maternal-fetal surveillance is extremely important during pregnancy, until the time of delivery, for which we have prenatal care and fetal well-being tests such as fetal monitoring, being the first-line and easiest access tool in all health institutions, from primary care to high complexity. In daily medical practice, health personnel are faced with attending all types of populations; however, the obstetric patient will always be of great impact, since the care or approach we provide can have an impact on the well-being of the mother-child binomial or lead to an adverse maternal-perinatal outcome. Fetal monitoring as a test of fetal well-being should be easy to apply and reproducible not only in the clinical but also in the academic setting, since it can contribute to reduce possible risks and/or complications during gestation that can lead to an adverse perinatal maternal event; This technology, applicable in a non-invasive way by obtaining a cardiotocographic registry, can be applied to pregnant women not only in the hospital setting, but we can even address more population that cannot access health services either by their socio-demographic or economic conditions, and it is there where we can have a positive impact from the first levels of care ensuring timely identification and appropriate decision making.
According to the National Institute of Health, in Colombia, we find a high late perinatal and neonatal mortality rate (which is the period between 22 weeks of gestation, or a fetus weighing more than 500 grams, up to 28 days after birth), which during the last 15 years have remained constant, with rates ranging between 17.9 per 1,000 live births for the year 2008 and 15.3 x 1,000 live births for the year 2021; the third cause of these deaths being asphyxia and related causes. It is because of this reason that strict maternal-fetal surveillance is extremely important during pregnancy, until the time of delivery, for which we have prenatal care and fetal well-being tests such as fetal monitoring, being the first-line and easiest access tool in all health institutions, from primary care to high complexity. In daily medical practice, health personnel are faced with attending all types of populations; however, the obstetric patient will always be of great impact, since the care or approach we provide can have an impact on the well-being of the mother-child binomial or lead to an adverse maternal-perinatal outcome. Fetal monitoring as a test of fetal well-being should be easy to apply and reproducible not only in the clinical but also in the academic setting, since it can contribute to reduce possible risks and/or complications during gestation that can lead to an adverse perinatal maternal event; This technology, applicable in a non-invasive way by obtaining a cardiotocographic registry, can be applied to pregnant women not only in the hospital setting, but we can even address more population that cannot access health services either by their socio-demographic or economic conditions, and it is there where we can have a positive impact from the first levels of care ensuring timely identification and appropriate decision making.
Descripción
Palabras clave
Registro cardiotocográfico, Bienestar fetal, Aplicación (app), ACOG, NICE, FIGO, Cardiotocographic recording, Fetal well-being, Application (app)
