para el clculo del ponderado fetal clnico se utiliz el mtodo de Johnson y Toshach

(9)
, que emplea la altura uterina; para la medicin de la misma, se coloc el
extremo inferior de la cinta mtrica con la mano derecha sobre el borde superior
del pubis y el extremo inferior con la mano izquierda, con la cinta colocada entre los
dedos ndice y medio, limitando perpendicularmente al extremo superior del tero.
A estos valores se les rest 12, en las presentaciones por encima de la espina
citica, y 11 a las presentaciones al nivel o por debajo de las espinas citicas. Esta
diferencia fue multiplicada por 155 y el valor fue anotado como estimado clnico del
peso fetal. Los datos mencionados fueron recolectados por siete internos de
medicina en su ltima rotacin de internado, de forma prospectiva (durante
prcticas de neonatologa), luego de haber rotado por ginecoobstetricia; de esta
manera se asegur el buen conocimiento de los datos obsttricos. Se obtuvo los
datos de la historia clnica, sobre todo los datos obsttricos.y ecogrficos,
considerndose para el estudio la ltima ecografa realizada en el Hospital Nacional
Guillermo Almenara Irigoyen; y, si algn dato faltaba, se entrevist a la paciente
personalmente (el estimado ecogrfico no deba ser mayor a 7 das antes del
parto).

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