Perinatologia y Reproduccion Humana最新文献

Niveles de estrés en pacientes mexicanas embarazadas seropositivas al VIH 墨西哥艾滋病毒阳性孕妇的压力水平

Perinatologia y Reproduccion Humana Pub Date : 2018-12-01 DOI: 10.1016/j.rprh.2018.08.004

M.P. Meza Rodríguez , S.G. Morales , I.C. Arroyo , M.F. López Meza , R.E. Oviedo García , R. Figueroa Damian

{"title":"Niveles de estrés en pacientes mexicanas embarazadas seropositivas al VIH","authors":"M.P. Meza Rodríguez , S.G. Morales , I.C. Arroyo , M.F. López Meza , R.E. Oviedo García , R. Figueroa Damian","doi":"10.1016/j.rprh.2018.08.004","DOIUrl":"10.1016/j.rprh.2018.08.004","url":null,"abstract":"<div><h3>Introduction</h3><p>A significant proportion of HIV-infected women of reproductive age wish to become pregnant, even when they know the risk for their health and for their children, as well as the probability of vertical transmission of the infection. During this process, stress produces adverse neonatal events, affecting mother-child relationship. Therefore, it is important to determine the stress level of these patients.</p></div><div><h3>Objective</h3><p>To determine the stress levels in HIV positive pregnant patients of the National Institute of Perinatology, Mexico.</p></div><div><h3>Material and method</h3><p>An observational, cross-sectional, descriptive study was carried out on 73 HIV-positive pregnant patients, and the stress level was evaluated using the Nowack test.</p></div><div><h3>Results</h3><p>The areas comprising the Nowack stress profile were within the limits of a healthy population, with the exception of type «A» behaviours (internalized anger, expressed anger, time haste, work speed, impatience, search for improvement, bad driving of vehicles, distrust, anger, hostility), and ARC reagents (substance abuse, alcohol and tobacco use), whose scores were lower than the average, acting as protective resources against this type of behaviour.</p></div><div><h3>Conclusions</h3><p>The majority of HIV-positive pregnant patients presented a level of stress within the average of the healthy population. This is probably associated with the feeling of control that represents the fact of being attached to a first-level institution receiving integrated care.</p></div>","PeriodicalId":32275,"journal":{"name":"Perinatologia y Reproduccion Humana","volume":"32 4","pages":"Pages 155-159"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rprh.2018.08.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48695674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Utilidad diagnóstica del biomarcador relación plaquetas-linfocitos en rotura prematura de membranas de término y pretérmino 生物标志物血小板-淋巴细胞关系在早熟和早熟膜破裂中的诊断价值

Perinatologia y Reproduccion Humana Pub Date : 2018-12-01 DOI: 10.1016/j.rprh.2018.08.007

A. Zavala-Garcia , P. Navarro-Torres-Arpi , C. Padilla-Amigo , I.A. Lara-Barragan-Bernal

{"title":"Utilidad diagnóstica del biomarcador relación plaquetas-linfocitos en rotura prematura de membranas de término y pretérmino","authors":"A. Zavala-Garcia , P. Navarro-Torres-Arpi , C. Padilla-Amigo , I.A. Lara-Barragan-Bernal","doi":"10.1016/j.rprh.2018.08.007","DOIUrl":"10.1016/j.rprh.2018.08.007","url":null,"abstract":"<div><h3>Introduction</h3><p>The rupture of membranes increases perinatal morbidity and mortality due to the risk of chorioamnionitis, prematurity, respiratory distress syndrome, among others, for both the mother and foetus. The platelet-to-lymphocyte ratio has been previously used as an inflammatory biomarker in various pathologies, including the pre-term premature rupture of membranes.</p></div><div><h3>Materials and methods</h3><p>A retrospective, descriptive, and observational, case-control study was conducted on 206 pregnant patients over 22 weeks of gestational age with rupture of membranes (at term and pre-term). A control group included 93 patients with a diagnosis of cephalopelvic disproportion without any other pathology that were interrupted at the Hospital Angeles Pedregal, Mexico, from 2012 to 2017.</p></div><div><h3>Results</h3><p>The platelet-to-lymphocyte ratio was calculated in these patient groups, and was found to be statistically significantly elevated in the group with pre-term premature rupture of membranes compared to the control group. A tendency for a higher platelet count was found in patients with rupture of membranes at both pre-term and at term, and statistically significant when compared to the control group.</p></div><div><h3>Conclusions</h3><p>The results in this study are of great importance due to the diagnostic use of an accessible and low-cost test such as the biometric blood test used to calculate de platelet-to-lymphocyte ratio in patients with pre-term premature rupture of membranes.</p></div>","PeriodicalId":32275,"journal":{"name":"Perinatologia y Reproduccion Humana","volume":"32 4","pages":"Pages 151-154"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rprh.2018.08.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46086531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Mobbing y terceros afectados desde la complejidad 暴徒和第三方受到复杂性的影响

Perinatologia y Reproduccion Humana Pub Date : 2018-12-01 DOI: 10.1016/j.rprh.2018.06.009

S.K. Fernández Marín

引用次数: 1

INTERNACIONALIZACION DE LA RPRH Y AMPLIACION DE SU AMBITO DE INFLUENCIA ACADEMICA 人力资源开发的国际化和学术影响范围的扩大

Perinatologia y Reproduccion Humana Pub Date : 2018-12-01 DOI: 10.1016/j.rprh.2018.11.001

Ricardo Figueroa Damián

引用次数: 0

Mobbing, amistad y enemistad en instituciones médicas 医疗机构中的暴徒、友谊和敌意

Perinatologia y Reproduccion Humana Pub Date : 2018-12-01 DOI: 10.1016/j.rprh.2018.06.008

R. Fuentes Valdivieso

引用次数: 2

¡La simulación aquí y ahora! 模拟就在此时此地!

Perinatologia y Reproduccion Humana Pub Date : 2018-12-01 DOI: 10.1016/j.rprh.2018.08.006

H.E. Olvera Cortés , S. Morales López

引用次数: 0

Uso del paracetamol para el cierre del conducto arterioso en recién nacidos con edad gestacional menor a 35 semanas 在胎龄小于35周的新生儿中使用扑热息痛闭合动脉导管

Perinatologia y Reproduccion Humana Pub Date : 2018-12-01 DOI: 10.1016/j.rprh.2018.08.005

E. Gálvez-Cuitiva, G. Lonngi-Rojas

{"title":"Uso del paracetamol para el cierre del conducto arterioso en recién nacidos con edad gestacional menor a 35 semanas","authors":"E. Gálvez-Cuitiva, G. Lonngi-Rojas","doi":"10.1016/j.rprh.2018.08.005","DOIUrl":"10.1016/j.rprh.2018.08.005","url":null,"abstract":"<div><h3>Objective</h3><p>To describe the experience with the use of paracetamol in the pharmacological closure of the patent ductus arteriosus with haemodynamic repercussion.</p></div><div><h3>Material and methods</h3><p>A retrospective observational study was conducted from 1 January 2014 to 1 June 2017, in a population of less than 35weeks of gestation, less than 5days of life. A total of 70 cases were included and 10 were excluded. Out of the remaining 60 cases, and of these, 6 were offered a second cycle of haemodynamic repercussion. Intravenous paracetamol was used at a dose of 15mg per kg every 6hours, for a total of twelve doses, on those with persistence of the ductus arteriosus, with hemodynamic repercussion. Platelets, liver and kidney function tests were performed, including a transfontanelle ultrasound at 24hours before and after each cycle, as well as a record of the fluid balance from the first to the fifth day.</p></div><div><h3>Results</h3><p>Gestational age and birth weight was unrelated to the closure of the ductus arteriosus (<em>P</em>  =.215). The use of the prenatal corticosteroids is revalidated as a favourable factor for the closure of the patent ductus arteriosus (<em>P</em>  <!-->.001). An effectiveness of 90% was obtained in a total of 60 patients. There was no evidence of interventricular bleeding in the first cycle. There was no increase in liver enzymes or renal function. Two patients died during the study.</p></div><div><h3>Conclusions</h3><p>Paracetamol for the closure of the ductus arteriosus, in contraindication of ibuprofen, showed adequate effectiveness and safety in affected neonates in the city of Bogotá.</p></div>","PeriodicalId":32275,"journal":{"name":"Perinatologia y Reproduccion Humana","volume":"32 4","pages":"Pages 143-150"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rprh.2018.08.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42312128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mobbing o asedio grupal: ¿qué es y cómo identificarlo? 围殴或集体围攻:什么是围殴，如何识别?

Perinatologia y Reproduccion Humana Pub Date : 2018-12-01 DOI: 10.1016/j.rprh.2018.06.007

F. Peña Saint Martin

引用次数: 3

Terapia miofuncional para mejorar eficiencia en la succión en recién nacidos pretérmino 提高早产儿吸力效率的肌功能治疗

Perinatologia y Reproduccion Humana Pub Date : 2018-09-01 DOI: 10.1016/j.rprh.2018.06.004

P. Acuña Carrillo , M. Martina Luna , G. de Luna Sánchez , A. Braverman Bronstein , J. Iglesias Leboreiro , I. Bernárdez Zapata

{"title":"Terapia miofuncional para mejorar eficiencia en la succión en recién nacidos pretérmino","authors":"P. Acuña Carrillo , M. Martina Luna , G. de Luna Sánchez , A. Braverman Bronstein , J. Iglesias Leboreiro , I. Bernárdez Zapata","doi":"10.1016/j.rprh.2018.06.004","DOIUrl":"https://doi.org/10.1016/j.rprh.2018.06.004","url":null,"abstract":"<div><h3>Objective</h3><p>Compare the characteristics of the preterm newborns who received myofunctional therapy with those who didn’t received it, and to analyze the time each group takes to reach effective sucking since the first sucking to the best one during their intrahospital stay.</p></div><div><h3>Methods</h3><p>Retrospective cohort study which included 442 preterm newborns between 28 to 36.6 weeks of gestational age admitted to the Neonatal Intensive Care Unit of Hospital Español de México between March 2014 to October 2016. The patients were divided in two groups: 1) the ones that received myofunctional therapy carried out by two people specialized in early intervention of the premature, and 2) the ones that did not. We registered perinatal history and measure the time it was taken to achieve an efficient sucking since the first sucking according to gestational age and weight.</p></div><div><h3>Results</h3><p>123 were exposed to myofunctional therapy. We observed a significant difference between both groups, being the exposed group the patients with lower gestational age and weight at birth and the ones presenting more comorbidities and days in hospital. The group that did not received myofunctional therapy achieved an earlier effective sucking than the one that received myofunctional therapy adjusted by gestational age and weight presented in the first sucking (mean 2.18 to 6.15 days; p=0.06 to p<0.001).</p></div><div><h3>Conclusion</h3><p>Small for gestational age, lower gestational weight at birth, more comorbidities and longer length of stay are factors that may delay the acquisition of efficiency in sucking. The myofunctional therapy should be started before starting nutritive sucking.</p></div>","PeriodicalId":32275,"journal":{"name":"Perinatologia y Reproduccion Humana","volume":"32 3","pages":"Pages 112-117"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rprh.2018.06.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91975427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Construcción, fiabilidad y exactitud de un cuestionario para evaluar el conocimiento de médicos ginecoobstetras y residentes de ginecología y obstetricia sobre vacunas en el embarazo y lactancia 构建、可靠性和准确性问卷，以评估妇产科医生和妇产科住院医师对孕期和哺乳期疫苗的知识

Perinatologia y Reproduccion Humana Pub Date : 2018-09-01 DOI: 10.1016/j.rprh.2018.07.002

B. Velázquez Torres, K. Morice Chamorro, R. Galván Contreras, J.M. Gallardo Gaona, J.A. Ramírez Calvo, D.M.A. Camarena Cabrera, S. Acevedo Gallegos

{"title":"Construcción, fiabilidad y exactitud de un cuestionario para evaluar el conocimiento de médicos ginecoobstetras y residentes de ginecología y obstetricia sobre vacunas en el embarazo y lactancia","authors":"B. Velázquez Torres, K. Morice Chamorro, R. Galván Contreras, J.M. Gallardo Gaona, J.A. Ramírez Calvo, D.M.A. Camarena Cabrera, S. Acevedo Gallegos","doi":"10.1016/j.rprh.2018.07.002","DOIUrl":"10.1016/j.rprh.2018.07.002","url":null,"abstract":"<div><h3>Introduction</h3><p>The vaccines during pregnancy are a practice with an evidence level of 1A, and are used to prevent the development of communicable diseases in the mother and the foetus. However, there is evidence of ignorance and lack of application in routine practice.</p></div><div><h3>Objectives</h3><p>To develop and validate a tool to measure the level of knowledge of gynaecologists and obstetricians, as well as medical residents on vaccination in pregnant and breast-feeding women.</p></div><div><h3>Type of study</h3><p>A descriptive, cross-sectional-type questionnaire.</p></div><div><h3>Methods</h3><p>The questionnaire was constructed and validated by 30 gynaecologists and residents in obstetrics and gynaecology during a shift chosen randomly.</p></div><div><h3>Statistical analysis</h3><p>Descriptive statistics were used with frequencies and percentages. Reliability testing (test-retest reliability, Cronbach's alpha) and validity (construct Content and appearance), and reproducibility (Kappa index) will be performed.</p></div><div><h3>Results</h3><p>Construction, standardisation and validation of the questionnaire was achieved with a Cronbach's alpha of 0.85 and 0.95 Kappa index. A second phase evaluation should be performed after the implementation of the questionnaire, and validated with the target population to determine the knowledge regarding vaccination in pregnancy and lactation.</p></div><div><h3>Conclusions</h3><p>The final instrument (<span>Appendix 1</span>) contains the appropriate items depending on the accuracy and reliability required to present the knowledge of medical staff (obstetricians-gynaecologists and gynaecology-obstetrics residents) on the subject of vaccination in pregnancy and lactation.</p></div>","PeriodicalId":32275,"journal":{"name":"Perinatologia y Reproduccion Humana","volume":"32 3","pages":"Pages 95-96"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rprh.2018.07.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55288703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0