Frequent questions He asks the doctor Beginning  
LEVELS OF RISK IN HIM PREGNANT WOMEN
TO CONSULT

We will classify the gestantes in:

  • Gestantes of high risk, subsidies of specializing attention.
  • Gestantes of low risk, population reveille of the control in primary health care (AP).

The above mentioned stratification is realized in the first consultation, managing thus to diminish the maternal - fetal morbimortalidad. The gestante will be evaluated in each of the later control panel, in order to identify risk factors do not present up to this moment.

A simple method to stratify the risk is the test of Number, which he considers to be a pregnancy of that low risk in which the gestante remembers with clarity the date of the last rule and answers negatively the following questions with regard to:

  • Medical, analytical, and structural problems of the mother:
    • Age 35-year-old 16-year-old or major minor.
    • Obesity with major IMC of 27.
    • Minor height of 1.45
    • Minor 45 kg weight.
  • Pelvic anomalies
  • Uterine malformations or previous uterine surgery
  • Gestation with DIU
  • Serious anemia minor Hb of 10 gr./dl
  • Positive Serología luética
  • Use of drugs
  • Prostitution
  • Gestante or sexual couple VIH bearer or sick with AIDS
  • Other serious associate maternal pathologies: DM, HTA, renal insufficiency, epilepsy, cardiopatía, alcoholism, mental deficiency, serious psychiatric illness
  • Low socioeconomic level or illiteracy
  • Obstetric precedents:
  • Pregnancy precedent ectópico
  • Unfavorable obstetric precedents: distocias, deaths neonatales or fetal previous, premature babies, malformados, polihidramnios, one or more previous Cesarean sections, etc.)
  • Precedent of low weight on having been born.
  • Fetus precedent macrosómico 4.5 kg (major weight).
  • Precedents of two or more miscarriages

This way, they can be established inside the gestantes, two clearly definite types of populations:

  • The first one is constituted by the group of definite pregnant women of high obstetric risk (HOOP) for presenting precedents or alterations during the gestation that determine a clinical risk raised for the mother or the fetus.
  • The second subpopulation there is the rest of the gestantes, considered of low obstetric risk.

WHAT DOCTOR CAN TREAT ME?

To look a specialist Service offered for
Writing: Medical equipment   Update: June, 2009


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