Perinatologia y Reproduccion Humana最新文献_第6页

Misoprostol rectal u oxitocina intramuscular en el manejo de la tercera fase del parto 直肠米索前列醇或肌肉注射催产素在第三阶段分娩中的应用

Perinatologia y Reproduccion Humana Pub Date : 2017-06-01 DOI: 10.1016/j.rprh.2017.10.005

A. Pérez-Rumbos , E. Reyna-Villasmil , N. Reyna-Villasmil , M. Rondón-Tapía

{"title":"Misoprostol rectal u oxitocina intramuscular en el manejo de la tercera fase del parto","authors":"A. Pérez-Rumbos , E. Reyna-Villasmil , N. Reyna-Villasmil , M. Rondón-Tapía","doi":"10.1016/j.rprh.2017.10.005","DOIUrl":"10.1016/j.rprh.2017.10.005","url":null,"abstract":"<div><h3>Objective</h3><p>To compare the effectiveness of rectal misoprostol with intramuscular oxytocin in the management of the third phase of labour.</p></div><div><h3>Materials and method</h3><p>Patients to be treated with rectal misoprostol (group A) or intramuscular oxytocin (group B) were selected and randomised to attend delivery at the Central Hospital ‘Dr. Urquinaona’, Maracaibo, Venezuela. An evaluation was made of the general characteristics, changes in haemoglobin and haematocrit values, post-partum blood loss, and adverse effects.</p></div><div><h3>Results</h3><p>Complete data were obtained from 392 patients (195 from Group A and 197 from Group B), who were included in the final analysis. No significant differences were found between the groups with respect to the general characteristics (<em>P</em>  =ns). There was a significant decrease in the duration of the third phase of labour in Group A compared to patients in Group B (<em>P</em>  <.05). It was observed that the patients in Group A had a tendency to a lower use of additional uterotonics (<em>P</em>  <.05).</p></div><div><h3>Conclusions</h3><p>Misoprostol administered rectally is effective in minimising blood loss and duration of the third phase of labour.</p></div>","PeriodicalId":32275,"journal":{"name":"Perinatologia y Reproduccion Humana","volume":"31 2","pages":"Pages 78-84"},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rprh.2017.10.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45893596","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

Intervención del Instituto Nacional de Perinatología en la reducción de la mortalidad materna 国家围产期研究所对降低孕产妇死亡率的干预

Perinatologia y Reproduccion Humana Pub Date : 2017-06-01 DOI: 10.1016/j.rprh.2017.11.003

M. Cortés Bonilla

引用次数: 0

Relación entre sobrepeso y obesidad materna con cardiopatías congénitas. Estudio retrospectivo caso-control en el área norte de Buenos Aires 母亲超重和肥胖与先天性心脏病的关系。布宜诺斯艾利斯北部地区回顾性病例对照研究

Perinatologia y Reproduccion Humana Pub Date : 2017-06-01 DOI: 10.1016/j.rprh.2017.10.007

S.M. Benítez , A.C.J. Barreto Paternina , E.A. Duro

{"title":"Relación entre sobrepeso y obesidad materna con cardiopatías congénitas. Estudio retrospectivo caso-control en el área norte de Buenos Aires","authors":"S.M. Benítez , A.C.J. Barreto Paternina , E.A. Duro","doi":"10.1016/j.rprh.2017.10.007","DOIUrl":"10.1016/j.rprh.2017.10.007","url":null,"abstract":"<div><h3>Background</h3><p>There are discrepancies around maternal pre-conception overweight and obesity and structural congenital heart disease (CHD). The worldwide prevalence of overweight and obesity has increased in women of reproductive age and this could have an impact on the health care of newborn babies.</p></div><div><h3>Objectives</h3><p>To estimate the risk for CHD associated with pre-conception maternal overweight and obesity in the study area.</p></div><div><h3>Material and methods</h3><p>A quantitative, analytical, and observational retrospective case-control and anonymised study was conducted on newborns babies with a CHD entered in the National Registry of Congenital Malformations (RENAC). They were compared against others without any malformations, in a proportion of 1:1 between 2011 and 2014.</p></div><div><h3>Results</h3><p>A total of 22 mother-infants pairs were included in the RENAC. According to the pre-conception BMI, the prevalence of overweight was 4/22, obesity 6/22, and normal weight 12/22. The distribution of other factors present between cases and controls was similar, with no significant differences. The distribution of CHD was similar in those with normal weight (12/22) and overweight and obesity (10/22), with no statistically significant differences. Compared with normal-weight women, the relative risk of CHD associated with maternal overweight and obesity was 1 (95% CI; 0.55-1.81) with an odds ratio of 1 (95% CI; 0.30-3.27). Septal defects were the most frequent CHD (Q21).</p></div><div><h3>Conclusions</h3><p>No significant relationship was found between pre-conception maternal overweight-obesity and CHD in our newborns.</p></div>","PeriodicalId":32275,"journal":{"name":"Perinatologia y Reproduccion Humana","volume":"31 2","pages":"Pages 73-77"},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rprh.2017.10.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49517753","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

Adiponectina plasmática en mujeres obesas y no obesas con síndrome de ovarios poliquísticos

Perinatologia y Reproduccion Humana Pub Date : 2017-06-01 DOI: 10.1016/j.rprh.2017.10.018

J. Mejia-Montilla , M. Álvarez-Mon , E. Reyna-Villasmil , D. Torres-Cepeda , N. Reyna-Villasmil , A. Fernández-Ramírez , A. Bravo-Henríquez

{"title":"Adiponectina plasmática en mujeres obesas y no obesas con síndrome de ovarios poliquísticos","authors":"J. Mejia-Montilla , M. Álvarez-Mon , E. Reyna-Villasmil , D. Torres-Cepeda , N. Reyna-Villasmil , A. Fernández-Ramírez , A. Bravo-Henríquez","doi":"10.1016/j.rprh.2017.10.018","DOIUrl":"10.1016/j.rprh.2017.10.018","url":null,"abstract":"<div><h3>Objective</h3><p>To determine plasma adiponectin concentrations in obese and non-obese women with polycystic ovary syndrome (PCOS).</p></div><div><h3>Materials and methods</h3><p>A Case control study was conducted on women with a diagnosis of PCOS and age-matched healthy controls, with regular menstruation and normal ultrasound ovaries, were selected. Participants were divided into four groups (Group A: PCOS and obese; Group B: PCOS and non-obese; Group C: obese controls, and Group D: non-obese controls) according to body mass index (obese >30kg/m<sup>2</sup> and non-obese <25kg/m<sup>2</sup>). Concentrations of sexual hormones, sex hormone-binding globulin, serum glucose, insulin, and adiponectin, were measured.</p></div><div><h3>Results</h3><p>Obese and non-obese women with PCOS had higher luteinising hormone, follicle stimulating hormone, androstenedione, testosterone, and insulin levels compared to women in the obese and non-obese control group, respectively (<em>P</em>              <.0001). It was observed that adiponectin concentrations had a positive and significant association with fasting blood glucose and insulin in PCOS women (<em>P</em>  <!-->.05).</p></div><div><h3>Conclusion</h3><p>There are significant differences in plasma adiponectin concentrations between obese and non-obese women with polycystic ovary syndrome and normal controls.</p></div>","PeriodicalId":32275,"journal":{"name":"Perinatologia y Reproduccion Humana","volume":"31 2","pages":"Pages 62-67"},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rprh.2017.10.018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41672026","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

Pérdida sanguínea y uso de hemoderivados en casos de cesárea e histerectomía por acretismo placentario 剖腹产和胎盘吸积子宫切除术的失血和血液衍生物的使用

Perinatologia y Reproduccion Humana Pub Date : 2017-06-01 DOI: 10.1016/j.rprh.2017.10.010

J.F. Solórzano Vázquez , G. Ruvalcaba Ortiz , S. Hernández Higareda , C.N. Morales de Avila

{"title":"Pérdida sanguínea y uso de hemoderivados en casos de cesárea e histerectomía por acretismo placentario","authors":"J.F. Solórzano Vázquez , G. Ruvalcaba Ortiz , S. Hernández Higareda , C.N. Morales de Avila","doi":"10.1016/j.rprh.2017.10.010","DOIUrl":"10.1016/j.rprh.2017.10.010","url":null,"abstract":"<div><h3>Background</h3><p>Placenta accreta is a pathology that is associated with an elevated risk of haemorrhage, thus endangering the life of the obstetric patients. It is a public health problem, due to maternal morbidity and mortality.</p><p>There are multiple lines of management; however caesarean hysterectomy is the method of choice to resolve a pregnancy with placental accreta.</p><p>It is a procedure of high risk, even as a programmed surgery. The surgical and medical teams are challenged by the risk of massive haemorrhage and need to have rapid access to blood products to maintain haemostasis and haemodynamic balance.</p></div><div><h3>Objective</h3><p>To quantify blood loss, as well as the amount of blood derivatives used in patients in whom a caesarean hysterectomy was required due to placenta accreta.</p></div><div><h3>Material and methods</h3><p>A cross-sectional study was conducted that included patients that required a caesarean hysterectomy due to placenta accreta within a period of 4 years.</p></div><div><h3>Results</h3><p>A total of 106 cases of placenta accreta were studied, with 64.15% of the patients having a history of abortion and curettage, and 76.41% had at least 1 caesarean section. The mean blood loss was 2523.87 millilitres, with over 23.5% having a massive haemorrhage (> 3000 cc). Red blood cells transfusions were necessary in 68.98% of the cases. Fresh frozen plasma was given to 29.24% of the patients, and platelet concentrates were used in 6.6% of the cases.</p></div><div><h3>Conclusions</h3><p>Timely detection of placenta accreta in patients, an adequate surgical technique and experience, as well as the use of blood derivatives, are the cornerstones in the management of this disease.</p></div>","PeriodicalId":32275,"journal":{"name":"Perinatologia y Reproduccion Humana","volume":"31 2","pages":"Pages 55-61"},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rprh.2017.10.010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47078523","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

Índice de perfusión periférica en la UCI neonatal: una respuesta a la monitorización no invasiva del recién nacido crítico 新生儿重症监护室外周灌注指数:对关键新生儿无创监测的一种反应

Perinatologia y Reproduccion Humana Pub Date : 2017-06-01 DOI: 10.1016/j.rprh.2017.10.015

I. De La Peña Sanabria , M. Ochoa Martelo , H. Baquero Latorre , J. Acosta-Reyes

引用次数: 6

Proyecto de atención preventiva de mujeres con alto riesgo reproductivo 为生殖风险高的妇女提供预防性保健项目

Perinatologia y Reproduccion Humana Pub Date : 2017-06-01 DOI: 10.1016/j.rprh.2017.11.001

A. Cardona Pérez , M. Cortés Bonilla , N. Velázquez Ramírez , M.J. Díaz Jiménez , Y. Varela Chávez , R. Figueroa Damián

{"title":"Proyecto de atención preventiva de mujeres con alto riesgo reproductivo","authors":"A. Cardona Pérez , M. Cortés Bonilla , N. Velázquez Ramírez , M.J. Díaz Jiménez , Y. Varela Chávez , R. Figueroa Damián","doi":"10.1016/j.rprh.2017.11.001","DOIUrl":"10.1016/j.rprh.2017.11.001","url":null,"abstract":"<div><p>The reduction in maternal mortality has been seen as a global priority over the past twenty years or so. Many countries, including Mexico, have been committed to developing strategies to meet the aims of the fourth Millennium Development Goal of the Nations United. The maternal mortality due to obstetric causes has shown a downward trend in Mexico in the last twenty years. However, an upward trend is observed when analysing maternal mortality due to indirect causes.</p><p>With the objective of contributing to the reduction of maternal mortality due to indirect causes, the <em>Instituto Nacional de Perinatología</em> has proposed the project of ‘High-Risk Reproductive Modules’. This consists in the application of a set of pre-conception care interventions, to be applied in Medical Units where women with serious illnesses receive medical attention, and who, on being adequately controlled and within reproductive age, become pregnant, with the pregnancy being a factor of poor prognosis for the patient.</p><p>The project is a strategy in the medical care of women within reproductive age with chronic or systemic diseases, which includes two fundamental objectives: 1) improvement of health care services, 2) improvement of the health of the population. The implementation of this project has the objective of contributing to the reduction of maternal mortality due to an indirect cause, and by using this strategy to reduce the existing gaps in health conditions among the population of our country.</p></div>","PeriodicalId":32275,"journal":{"name":"Perinatologia y Reproduccion Humana","volume":"31 2","pages":"Pages 96-104"},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rprh.2017.11.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43110309","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: 6

Caracterización epidemiológica de la retinopatía del prematuro en el Hospital de la Amistad Corea-México. Período 2005 a 2014 早产儿视网膜病的流行病学特征在Corea-México友谊医院。2005年至2014年

Perinatologia y Reproduccion Humana Pub Date : 2017-03-01 DOI: 10.1016/j.rprh.2017.10.001

L.M. Cauich-Aragón, M.A. De la Fuente-Torres, E. Sánchez-Buenfil, R. Farías-Cid

{"title":"Caracterización epidemiológica de la retinopatía del prematuro en el Hospital de la Amistad Corea-México. Período 2005 a 2014","authors":"L.M. Cauich-Aragón, M.A. De la Fuente-Torres, E. Sánchez-Buenfil, R. Farías-Cid","doi":"10.1016/j.rprh.2017.10.001","DOIUrl":"10.1016/j.rprh.2017.10.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Retinophaty of prematurity (ROP) is a disease in which abnormal neovascularization develops in the retina and could be a cause of blindness.</p></div><div><h3>Objective</h3><p>To determine severe ROP prevalence.</p></div><div><h3>Material and methods</h3><p>In this retrospective, observational, descriptive, transverse study, we did a review of the clinical records of premature patients with <u><</u> 34 weeks of gestation and a birth weight <u><</u> 1,750g, and neonates with a gestational age >34 weeks and birth weight > 1,750g if they have risk factors for ROP. From 2005 to 2014, all the newborns were examined by a retinologist. ROP prevalence per year was determined, only the prevalence for severe ROP was compared because it requires treatment and has a high risk for blidness.</p></div><div><h3>Results</h3><p>One hundred forty-three newborns were included, 29 (20.2%) had severe ROP. When comparing for years there was a peak during 2005, with a descend in the prevalence of severe ROP in 2014, so in ten years there was a downward trend.</p></div><div><h3>Conclusions</h3><p>Severe ROP cumulated prevalence was 20.2%, similar to that observed in other latinoamerican countries. The high prevalence observed from 2005 to 2009, is explained because we examined patients refered from other institutions without screening programs for ROP. In 2010 we observed a descend in the prevalence, because only patient from our institution were included. From 2011 to 2014 we report none blind children with ROP.</p></div>","PeriodicalId":32275,"journal":{"name":"Perinatologia y Reproduccion Humana","volume":"31 1","pages":"Pages 21-27"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rprh.2017.10.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49286552","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

Resultados perinatales en mujeres mexicanas con lupus eritematoso sistémico 墨西哥系统性红斑狼疮妇女的围产期结果

Perinatologia y Reproduccion Humana Pub Date : 2017-03-01 DOI: 10.1016/j.rprh.2017.10.009

B. Farfan-Labonne , I. Luis-Vásquez , A. Ávila-Carrasco , J. Ramírez-Peredo , M. Rodríguez-Bosch , J. Beltrán-Montoya , E. Reyes-Muñoz

{"title":"Resultados perinatales en mujeres mexicanas con lupus eritematoso sistémico","authors":"B. Farfan-Labonne , I. Luis-Vásquez , A. Ávila-Carrasco , J. Ramírez-Peredo , M. Rodríguez-Bosch , J. Beltrán-Montoya , E. Reyes-Muñoz","doi":"10.1016/j.rprh.2017.10.009","DOIUrl":"10.1016/j.rprh.2017.10.009","url":null,"abstract":"<div><h3>Objective</h3><p>To determine the perinatal outcomes among Mexican women with singleton pregnancy and systemic lupus erythematosus.</p></div><div><h3>Material and methods</h3><p>Historical cohort study on women diagnosed with systemic lupus erythematosus, singleton pregnancy, prenatal care, and resolution between 2010 and 2015. The incidence of the following perinatal outcomes was calculated: pre-term birth, stillbirth, oligohydramnios, miscarriage, premature rupture of membranes, gestational hypertension, preeclampsia, intrauterine growth restriction, and congenital defects.</p></div><div><h3>Results</h3><p>A total of 122 women were included. The characteristics of the study population at admission and resolution were: maternal age 26.2±6 years, maternal weight 63.4±11.1kg, body mass index 26±3.9kg/ m<sup>2</sup>, number of gestations 1.9±1.2, gestational weeks at admission 16.6±6.5, gestational weeks at resolution 36.1±3.4, neonatal weight 2,417-770g. The incidence of adverse perinatal outcomes was: pre-term birth 41.8%, death 1.6%, oligohydramnios 6.6%, miscarriage 5.7%, premature rupture of membranes 9.8%, gestational hypertension 5.7%, preeclampsia 24.6%, early onset preeclampsia 15.6%, anaemia 23%, intrauterine growth restriction 14.7%, congenital defects 2.4%, and caesarean 78.2%.</p></div><div><h3>Conclusions</h3><p>Mexican women with systemic lupus erythematosus have high incidence of pre-term birth, preeclampsia, anaemia, early onset preeclampsia, intrauterine growth restriction, oligohydramnios and caesarean. Furthermore, the incidence of live births is among the highest reported in the literature.</p></div>","PeriodicalId":32275,"journal":{"name":"Perinatologia y Reproduccion Humana","volume":"31 1","pages":"Pages 3-9"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rprh.2017.10.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46902627","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

Estómago intratorácico en un recién nacido: ¿hernia hiatal o verdadero esófago corto congénito? 新生儿胸内胃:裂孔疝还是真正的先天性短食道?

Perinatologia y Reproduccion Humana Pub Date : 2017-03-01 DOI: 10.1016/j.rprh.2017.10.016

B. Martinez-Leo, J. Vidal-Medina, A. Castillo-Aguirre, V. Portugal-Moreno, M. Vargas-Gomez

引用次数: 0