Perinatologia y Reproduccion Humana最新文献_第9页

Mortalidad neonatal en una institución de tercer nivel de atención 三级护理机构的新生儿死亡率

Perinatologia y Reproduccion Humana Pub Date : 2016-07-01 DOI: 10.1016/j.rprh.2016.11.005

S. Carrera Muiños, M. Hernández Sarmiento, L.A. Fernández Carrocera, G. Cordero González, E. Corral Kassian, P.I. Barrera Martínez, E. Yllescas Medrano

{"title":"Mortalidad neonatal en una institución de tercer nivel de atención","authors":"S. Carrera Muiños, M. Hernández Sarmiento, L.A. Fernández Carrocera, G. Cordero González, E. Corral Kassian, P.I. Barrera Martínez, E. Yllescas Medrano","doi":"10.1016/j.rprh.2016.11.005","DOIUrl":"10.1016/j.rprh.2016.11.005","url":null,"abstract":"<div><h3>Introduction</h3><p>Neonatal mortality is an important indicator of the quality of newborn care. Approximately 60% of all infant deaths in the first year of life occur during the neonatal period.</p></div><div><h3>Objective</h3><p>To determine the newborn mortality rate in a tertiary level care centre, and identify causes of death.</p></div><div><h3>Material and method</h3><p>A retrospective study was conducted on all infants who died in the first twenty eight days of life. A record was made of gestational age, weight at birth, and causes and age at death.</p></div><div><h3>Results</h3><p>The mortality rate was 18.5 per 1000 live births, of which 51.6% occurred in the first 24h due to genetic anomalies, 25.4% between 1-7 days of life, mainly due to neurological and respiratory diseases, and 22.8% after 7days, mainly due to cardiac malformations. The mean age at death was: 31.1 (23.1-39.1) weeks. The mean weight at death was 1,345g (390-3,325g).</p></div><div><h3>Conclusions</h3><p>Mortality rate was 18.5 per 1,000 live births and the overall main cause of death were cardiac malformations.</p></div>","PeriodicalId":32275,"journal":{"name":"Perinatologia y Reproduccion Humana","volume":"30 3","pages":"Pages 97-102"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rprh.2016.11.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55288157","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

¿Las mujeres prefieren las cesáreas? 女性更喜欢剖腹产吗?

Perinatologia y Reproduccion Humana Pub Date : 2016-07-01 DOI: 10.1016/j.rprh.2016.11.002

A. Vallejos Parás , S. Espino y Sosa , M. López Cervantes , L. Durán Arenas

引用次数: 1

Efectos adversos a corto plazo de dexametasona posnatal con dosis bajas para fines de extubación 低剂量地塞米松用于拔管的产后短期不良反应

Perinatologia y Reproduccion Humana Pub Date : 2016-07-01 DOI: 10.1016/j.rprh.2016.11.003

E. Yllescas Medrano, B. López Valle, L.A. Fernández Carrocera, G. Cordero González, S. Carrera Muiños

{"title":"Efectos adversos a corto plazo de dexametasona posnatal con dosis bajas para fines de extubación","authors":"E. Yllescas Medrano, B. López Valle, L.A. Fernández Carrocera, G. Cordero González, S. Carrera Muiños","doi":"10.1016/j.rprh.2016.11.003","DOIUrl":"10.1016/j.rprh.2016.11.003","url":null,"abstract":"<div><h3>Introduction</h3><p>The use of post-natal steroids in the treatment of ventilation-dependent patients is controversial. Dexamethasone has been shown to be an aid in extubation, but its short and long-term adverse effects such as hyperglycaemia, hypertension, gastrointestinal bleeding, and perforation are also well-known.</p></div><div><h3>Objectives</h3><p>To describe the short-term treatment with dexamethasone scheme at low doses.</p></div><div><h3>Material and methods</h3><p>A retrospective descriptive study was conducted on patients admitted to neonatal intensive care unit during the period January 2005 to December 2010, and who were maintained with endotracheal intubation for more than 10 days and administered postnatal steroids for extubation. The scheme used was: Newborn infants weighing≤1,500g, a dose of 0.15mg/kg/day, and≥1,501g weight, a dose 0.25mg/kg/day, reduced by 50% every third day to complete 9 to 12 days of late extubation. An analysis was made of the short-term adverse effects.</p></div><div><h3>Results</h3><p>A total of 46 patients received post-natal steroids for late extubation. The patient characteristics were as follows: gestational age of between 25 and 39 weeks, and weight 560-3140g. The mean age when starting on steroids was 34 days. Successful extubation was achieved within 7 days of receiving the post-natal steroid. Only one adverse effect of short-term hyperglycaemia was found in 13.9% of patients. There were no other adverse effects, such as hypertension, gastrointestinal bleeding, or perforation.</p></div><div><h3>Conclusions</h3><p>In the use of post-natal steroids with low doses to help in extubation, hyperglycaemia was found as a side effect in the short term management with low doses.</p></div>","PeriodicalId":32275,"journal":{"name":"Perinatologia y Reproduccion Humana","volume":"30 3","pages":"Pages 138-142"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rprh.2016.11.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55288134","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

Retiro temprano vs. tardío del CPAP en recién nacidos prematuros de 26-30 semanas de gestación con antecedente de síndrome de dificultad respiratoria y aplicación de surfactante 妊娠26-30周有呼吸困难综合征史的早产儿CPAP早退与晚退并应用表面活性剂

Perinatologia y Reproduccion Humana Pub Date : 2016-07-01 DOI: 10.1016/j.rprh.2016.10.004

G. Cordero González , L. Betanzos , M.O.L. Echániz Avilés , E. Yllescas Medrano , S. Carrera Muiños , L.A. Fernández Carrocera

{"title":"Retiro temprano vs. tardío del CPAP en recién nacidos prematuros de 26-30 semanas de gestación con antecedente de síndrome de dificultad respiratoria y aplicación de surfactante","authors":"G. Cordero González , L. Betanzos , M.O.L. Echániz Avilés , E. Yllescas Medrano , S. Carrera Muiños , L.A. Fernández Carrocera","doi":"10.1016/j.rprh.2016.10.004","DOIUrl":"10.1016/j.rprh.2016.10.004","url":null,"abstract":"<div><h3>Introduction</h3><p>Currently, the initial ventilatory treatment of preterm infants with respiratory distress syndrome consists of applying CPAP. The results of studies like COIN, CURPAP and SUPPORT highlight the benefits of its use. CPAP should be maintained until clinical and gasometric stability is achieved; however, some authors suggest that continuing it until 36 weeks of corrected gestational age may favour the lung growth that was delayed due to premature birth.</p></div><div><h3>Material and methods</h3><p>A retrospective study was conducted to compare clinical and ventilatory outcome of preterm infants (26-30 corrected gestational age) treated using the INSURE (intubate-surfactant-extubate) technique, divided into 2 groups: early (A<24h) vs. late withdrawal (B>24h and<72h) after having achieved clinical and gasometric stability.</p></div><div><h3>Results</h3><p>A total of 51 patients were included. When CPAP was withdrawn for the first time, there were no differences in any variable; however, patients who required mechanical ventilation for a second time showed significant differences in the days with mechanical ventilation (p=.008).</p></div><div><h3>Conclusions</h3><p>Prolonging CPAP after having achieved clinical and gasometric stability did not benefit ventilation or oxygenation; however when used for more than 24h in the group of patients who required mechanical ventilation for a second time, the total days of mechanical ventilation decreased.</p></div>","PeriodicalId":32275,"journal":{"name":"Perinatologia y Reproduccion Humana","volume":"30 3","pages":"Pages 122-126"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rprh.2016.10.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55288013","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

Calcio sérico total e ionizado en el segundo trimestre del embarazo como predictor de preeclampsia 妊娠中期血清总钙和游离钙作为子痫前期的预测因子

Perinatologia y Reproduccion Humana Pub Date : 2016-07-01 DOI: 10.1016/j.rprh.2016.11.004

X. Bermúdez-Peñaloza, E. Reyna-Villasmil, J. Mejía-Montilla, J. Santos-Bolívar, D. Torres-Cepeda, N. Reyna-Villasmil, A. Fernández-Ramírez

{"title":"Calcio sérico total e ionizado en el segundo trimestre del embarazo como predictor de preeclampsia","authors":"X. Bermúdez-Peñaloza, E. Reyna-Villasmil, J. Mejía-Montilla, J. Santos-Bolívar, D. Torres-Cepeda, N. Reyna-Villasmil, A. Fernández-Ramírez","doi":"10.1016/j.rprh.2016.11.004","DOIUrl":"10.1016/j.rprh.2016.11.004","url":null,"abstract":"<div><h3>Objective</h3><p>To establish usefulness of serum concentrations of total and ionised calcium in the second trimester of pregnancy as a predictor of the development of pre-eclampsia.</p></div><div><h3>Material and methods</h3><p>A prospective and observational was performed on 504 nulliparous pregnant women between 17 and 20 weeks gestation, who attended the Antenatal Clinic of the Hospital Central “Dr. Urquinaona”, Maracaibo, Venezuela. An analysis was performed on the general characteristics, total and ionised serum calcium concentrations, and prognosis efficacy.</p></div><div><h3>Results</h3><p>The cases were 41 pregnant women who developed pre-eclampsia (Group A) and 463 pregnant women that were considered as controls (Group B). No significant differences were observed in maternal age, gestational age, and systolic and diastolic blood pressure at the time of the ultrasound evaluation (p=ns). Gestational age at the time of pre-eclampsia diagnosis in group A was 35.0±3.2 weeks. It was found that patients who developed preeclampsia had significantly lower values of total (6.6±2.3mg/dL) and ionised calcium (0.9±0.2mmol/L) compared with those patients who did not develop pre-eclampsia 8.1±0.9mg/dL and 1.2±0.4mmol/L; respectively; p<.001). It was observed that none of the markers had a value under curve greater than 0.75 that would make it significant and would allow its use for the prediction of pre-eclampsia.</p></div><div><h3>Conclusion</h3><p>Serum concentrations of total and ionised calcium in the second trimester are not useful to predict the development of pre-eclampsia.</p></div>","PeriodicalId":32275,"journal":{"name":"Perinatologia y Reproduccion Humana","volume":"30 3","pages":"Pages 103-108"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rprh.2016.11.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55288145","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

Proteína C reactiva plasmática en el segundo trimestre para predicción de parto pretérmino 妊娠中期血浆C反应蛋白预测早产

Perinatologia y Reproduccion Humana Pub Date : 2016-06-01 DOI: 10.1016/j.rprh.2016.06.008

I. Suarez-Torres, E. Reyna-Villasmil, J. Mejia-Montilla, N. Reyna-Villasmil, D. Torres-Cepeda, J. Santos-Bolívar, A. Fernández-Ramírez

{"title":"Proteína C reactiva plasmática en el segundo trimestre para predicción de parto pretérmino","authors":"I. Suarez-Torres, E. Reyna-Villasmil, J. Mejia-Montilla, N. Reyna-Villasmil, D. Torres-Cepeda, J. Santos-Bolívar, A. Fernández-Ramírez","doi":"10.1016/j.rprh.2016.06.008","DOIUrl":"10.1016/j.rprh.2016.06.008","url":null,"abstract":"<div><h3>Objective</h3><p>To establish the prognostic usefulness of plasma concentrations of C-reactive protein in second trimester for the prediction of preterm delivery.</p></div><div><h3>Materials and method</h3><p>A case-control study was conducted on a sample of 613 pregnant women attending the Dr. Urquinaona Central Hospital, Maracaibo, Venezuela. Group A (n=52) women with preterm birth and group B (n=561) women with term birth, (control group) of pregnant women who had term deliveries. The plasma concentrations of C-reactive protein were compared between the 2 groups.</p></div><div><h3>Results</h3><p>The mean gestation age at measurement of plasma concentrations of C-reactive protein was 26.2±1.1 weeks in group A and 25.9±1.1 weeks in group B (<em>P</em>       <.0001). A cut-off value of 1.6mg/dL had a value under curve of 0.71 with a sensitivity of 71.1%, specificity of 54.1%, positive predictive value of 12.5%, and negative predictive value of 95.3%.</p></div><div><h3>Conclusion</h3><p>Plasma C-reactive protein concentrations in second trimester are elevated in pregnant women, who later had preterm delivery, but are not useful for predicting this.</p></div>","PeriodicalId":32275,"journal":{"name":"Perinatologia y Reproduccion Humana","volume":"30 2","pages":"Pages 57-62"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rprh.2016.06.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55287598","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

Panorama histórico y epidemiológico del virus Zika. Un nuevo agente infeccioso de riesgo perinatal 寨卡病毒的历史和流行病学概述。一种新的围产期危险传染因子

Perinatologia y Reproduccion Humana Pub Date : 2016-06-01 DOI: 10.1016/j.rprh.2016.08.001

R. Figueroa Damián

引用次数: 0

Factores asociados a asfixia perinatal en un hospital de Callao, Perú 秘鲁卡亚奥一家医院围产期窒息相关因素

Perinatologia y Reproduccion Humana Pub Date : 2016-06-01 DOI: 10.1016/j.rprh.2016.06.009

F. Romero , E. Herles , A. Lino , F. Rojas , M. Flores , V. Flores , E.L. Gutiérrez

{"title":"Factores asociados a asfixia perinatal en un hospital de Callao, Perú","authors":"F. Romero , E. Herles , A. Lino , F. Rojas , M. Flores , V. Flores , E.L. Gutiérrez","doi":"10.1016/j.rprh.2016.06.009","DOIUrl":"10.1016/j.rprh.2016.06.009","url":null,"abstract":"<div><h3>Objective</h3><p>To determine the factors associated with perinatal asphyxia in the Neonatal Department of the Hospital Nacional IV Alberto Sabogal Sologuren, during 2014.</p></div><div><h3>Patients and methods</h3><p>Case-control study. The subjects were newborns diagnosed with perinatal asphyxia and the controls were healthy newborns of the same age range, chosen randomly in the same period of study.</p></div><div><h3>Results</h3><p>A total of 80 cases and 160 controls completed the sample of this study. Independent variables associated with perinatal asphyxia were: a) prenatal gestational factors: higher education (OR=.12 [95% CI: .04-.40]) and adequate prenatal care (OR=.32 [95% CI: .14-.76); b) prenatal obstetric factors: pre-eclampsia (OR=5.07 [95% CI: 2.28-11.28]), prolonged labour (OR=10.77 [95% CI: 3.64-31.87]), abruptio placentae (OR=38.08 [95% CI: 5.44-266.46]), and chorioamnionitis (OR=6.13 [95% CI: 1.06-35.62]), and c) neonatal factors: preterm newborns (OR=3.66 [95% CI: 1.71-7.82]), and intrauterine growth restriction (OR=9.05 [95% CI: 2.14-38.27]).</p></div><div><h3>Conclusions</h3><p>In Hospital of Callao, Peru, the main risk factors of perinatal asphyxia were: abruptio placentae, prolonged labour, chorioamnionitis, pre-eclampsia, intrauterine growth restriction, and preterm newborn. The protective factors for were: higher education level and adequate prenatal care.</p></div>","PeriodicalId":32275,"journal":{"name":"Perinatologia y Reproduccion Humana","volume":"30 2","pages":"Pages 51-56"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rprh.2016.06.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55287693","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: 3

La familia política como factor de conflictos en la pareja con esterilidad 政治家庭是不孕夫妇冲突的一个因素

Perinatologia y Reproduccion Humana Pub Date : 2016-06-01 DOI: 10.1016/j.rprh.2016.06.002

J. Carreño Meléndez, F. Morales Carmona

{"title":"La familia política como factor de conflictos en la pareja con esterilidad","authors":"J. Carreño Meléndez, F. Morales Carmona","doi":"10.1016/j.rprh.2016.06.002","DOIUrl":"10.1016/j.rprh.2016.06.002","url":null,"abstract":"<div><p>Professional practice as group psychotherapists with women with infertility fixes its attention on the conflict expressed by patients when they talk about the pressures that they are subjected to by the political family making accusations about their infertility. When two people come together both families also do so in a practical and symbolic way, without there being a blood relationship. This may be a factor for disagreements, which sometimes ends up with the separation, or segregation of women because of infertility. Perhaps, in a functional couple where the priority is procreation, problems in living together start to be uncovered, with the aim of dispelling one of them. It is common to hide that infertility is of male origin, as such that it takes the social pressures off the man. Families become dysfunctional when there are no generational changes. Every family goes through a temporary deconstruction, incorporation and the formation of a new nuclear family within its core. It depends on the family history if the transit of such an unstructured one is with or without conflict.</p></div>","PeriodicalId":32275,"journal":{"name":"Perinatologia y Reproduccion Humana","volume":"30 2","pages":"Pages 82-89"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rprh.2016.06.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55287462","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

Obstructed hemivagina with pyocolpos: An unusual presentation after delivery 半阴道梗阻伴脓瘘:产后一种不寻常的表现

Perinatologia y Reproduccion Humana Pub Date : 2016-06-01 DOI: 10.1016/j.rprh.2016.06.001

A.S. El-Agwany

引用次数: 1