Revista Colombiana de Obstetricia y Ginecologia最新文献

{"title":"Maternal outcomes according to the type of placenta previa in a high complexity hospital in Cali, Colombia. Retrospective cohort study","authors":"Diana Fernanda Argote-Ríos,&nbsp;Luisa Fernanda Zapata-Salazar,&nbsp;Diana Martínez-Ruíz,&nbsp;Stiven Ernesto Sinisterra-Díaz,&nbsp;Daniela Sarria-Ortiz,&nbsp;Albaro José Nieto-Calvache","doi":"10.18597/rcog.3852","DOIUrl":"https://doi.org/10.18597/rcog.3852","url":null,"abstract":"<p><strong>Objectives: </strong>To describe the frequency of maternal complications in pregnant women with major or minor placenta previa (PP), and to assess a potential association between PP type and the presence of severe maternal bleeding and other associated outcomes.</p><p><strong>Materials and methods: </strong>Retrospective descriptive cohort. The study included pregnant women with 20 weeks of gestation or more and a confirmed diagnosis of placenta previa who were seen in a high complexity hospital in Cali (Colombia), between January 2011 and December 2020. Women with a diagnosis of placenta previa and concomitant placenta accreta were excluded. The collected variables were maternal age, body mass index, smoking, obesity, parity, presence of bleeding, postpartum hemorrhage, management of postpartum hemorrhage, transfusion, and maternal ICU admission. A descriptive analysis was performed. The protocol was approved by the ethics committee of Fundaciónn Valle de Lili.</p><p><strong>Results: </strong>A total of 146 patients met the inclusion criteria. The population consisted of women with a mean age of 32 years, with no history of prior surgery, with a prenatal diagnosis of placente previa at week 22; 70 % were major placenta previa cases. The most frequent complications were postpartum hemorrhage (37.9 % vs. 16.3 % for patients with major and minor placenta previa, respectively), transfusion requirement (23.3 and 9.3 %, respectively), and maternal ICU admission (40.8 % vs. 18.6 %, respectively). There were no cases of maternal death.</p><p><strong>Conclusions: </strong>There is a high frequency of complications in women with placenta previa, and it is probably higher in cases of major placenta previa. Further studies are needed to compare the frequency of maternal complications according to the type of placenta previa.</p>","PeriodicalId":35675,"journal":{"name":"Revista Colombiana de Obstetricia y Ginecologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b8/35/2463-0225-rcog-74-01-3852.PMC10174715.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9802718","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}

{"title":"Monkey pox: importance in female sexual health","authors":"Angela María Alvarez-Gómez, Sandra María Vélez-Cuervo, Walter Darío Cardona-Maya","doi":"10.18597/rcog.3942","DOIUrl":"10.18597/rcog.3942","url":null,"abstract":"","PeriodicalId":35675,"journal":{"name":"Revista Colombiana de Obstetricia y Ginecologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4d/b3/2463-0225-rcog-74-01-3942.PMC10174714.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9454144","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}

{"title":"Immature nasopharyngeal teratoma with prenatal diagnosis: Case report and review of the literature","authors":"Angy Lorena Meneses-Parra,&nbsp;Rafael Eduardo Tarazona-Bueno,&nbsp;Rafael Leonardo Aragón-Mendoza,&nbsp;Marcela Altman-Restrepo","doi":"10.18597/rcog.3906","DOIUrl":"https://doi.org/10.18597/rcog.3906","url":null,"abstract":"<p><strong>Objectives: </strong>To report the case of a pregnant woman with prenatal diagnosis of fetal immature nasopharyngeal teratoma, and to conduct a review of the literature describing the prognosis of this condition.</p><p><strong>Materials and methods: </strong>We report the case of a 27-year-old pregnant woman who received care at the Obstetrics and Gynecology Unit of a reference hospital in Bogotá (Colombia) because of a finding during a prenatal visit of evidence of polyhydramnios, secondary to a nasopharyngeal teratoma. A literature search was conducted in the Medline vía PubMed, Scopus, SciELO and ScienceDirect databases, restricted by language (English and Spanish) and date of publication (January 2001 to January 2021). Case reports and case series covering the prognosis of this condition were included.</p><p><strong>Results: </strong>Overall, 168 titles were retrieved, 55 of which met the inclusion criteria. Perinatal outcomes for a total of 58 fetuses with a diagnosis of immature nasopharyngeal teratoma detected during the prenatal stage were reported. In the identified cases, perinatal mortality was 25.4 % and the percentage of fetal demise was close to 3.6 %.</p><p><strong>Conclusions: </strong>Immature nasopharyngeal teratoma is an infrequent condition. The available literature suggests that fetal prognosis depends on the degree of compromise of intracranial structures and the possibility of resecting the lesion. Further studies are needed to assess the prognosis of fetuses with immature nasopharyngeal teratoma.</p>","PeriodicalId":35675,"journal":{"name":"Revista Colombiana de Obstetricia y Ginecologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ef/01/2463-0225-rcog-74-01-3906.PMC10174717.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9802716","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}

{"title":"From the Publication of Medical Articles in Colombia and Other Demons","authors":"Ximena Briceño-Morales,&nbsp;Clara Briceño Morales","doi":"10.18597/rcog.3998","DOIUrl":"https://doi.org/10.18597/rcog.3998","url":null,"abstract":"","PeriodicalId":35675,"journal":{"name":"Revista Colombiana de Obstetricia y Ginecologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/25/7e/2463-0225-rcog-74-01-3998.PMC10171333.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9802715","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}

{"title":"La maestra ha muerto, viva su memoria.","authors":"Alejandro Antonio Bautista-Charry","doi":"10.18597/rcog.4013","DOIUrl":"https://doi.org/10.18597/rcog.4013","url":null,"abstract":"El pasado 16 de febrero de 2023, siendo las 20:23 horas, la maestra entregó su alma al creador, luego de padecer las dolencias físicas de los bienaventurados, a consecuencia de una patología desoladora. La gran curiosidad de esta circunstancia era que había nacido en la Clínica Marly de Bogotá (18 de junio de 1950) y terminó sus últimos instantes en la misma institución. Encomendado por el editor de la Revista a realizar este homenaje, gracias a mi cercanía sentimental con la maestra, he continuado con su legado por más de 30 años en el Departamento de Obstetricia y Ginecología y, como ella misma decía, “con la impronta del Instituto Materno Infantil, Universidad Nacional de Colombia”. Allí me acogió como ahijado académico y, luego de guiar mis primeros pasos en la docencia, se convirtió en mi amiga incondicional hasta los últimos momentos de su existencia. Tengo muchísimas anécdotas de ese periodo en el que compartimos revistas médicas, casos clínicos, escritura de artículos, celebraciones sociales, homenajes, congresos nacionales, ayudantías quirúrgicas, entre otros, teniendo siempre una palabra sabia, un apunte jocoso y hasta un regaño amable. Para mí, ella se había convertido en mi madrina, mi profesora, mi amiga, mi colega, mi consejera. Recientemente, en mi posesión como miembro correspondiente de la Academia Nacional de Medicina, el 23 de febrero del presente año, en mi presentación expresé mi tristeza por su ausencia y me referí a ella como mi “mentora” en mi ejercicio profesional. 1. Director del Departamento de Obstetricia y Ginecología, Facultad de Medicina, Universidad Nacional de Colombia, Bogotá (Colombia). https://doi.org/10.18597/rcog.4013","PeriodicalId":35675,"journal":{"name":"Revista Colombiana de Obstetricia y Ginecologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a4/27/2463-0225-rcog-74-01-4013.PMC10184663.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10195574","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}

{"title":"Evolution of cesarean sections in Colombia and its association with the legal standing of the institutions where deliveries take place","authors":"John Jairo Zuleta-Tobón","doi":"10.18597/rcog.3901","DOIUrl":"https://doi.org/10.18597/rcog.3901","url":null,"abstract":"<p><strong>Objectives: </strong>To describe how the frequency of cesarean section has evolved in Colombia since 1998, both in overall terms as well as discriminated according to the legal standing of the healthcare providers (IPSs) where delivery takes place, and to estimate the size of the association between the legal standing of the institutions and the performance of cesarean sections between 2015 and 2017.</p><p><strong>Material and methods: </strong>A cross-sectional cohort study that describes the frequency of cesarean deliveries between 1998 and 2020, plus an analytical component to estimate the association between the legal nature and the route of delivery between 2015 and 2017, based on the birth records of the Colombian National Statistics Administrative Department (DANE). The prevalence ratio was used as an estimator of this association.</p><p><strong>Results: </strong>In 1998, the proportion of cesarean deliveries was 25.7 %; it increased to 46.4 % by 2015 and then dropped to 44.6 % by 2020. After 1998, the proportion of cesarean sections in public hospitals increased from 26.2 % to 42.9 % by 2014, while in private providers it increased from 45.0 % to 57.7 % by 2013. The prevalence ratio of cesarean sections in private versus public institutions was 1.57 (95 % CI: 1.56-1.57).</p><p><strong>Conclusions: </strong>After a long period of sustained growth, there is now a reduction in the proportion of cesarean sections in the country. In public health care institutions, these procedures increased in greater proportion during most of the study period, while in private healthcare providers they are carried out at a higher frequency in all subgroups of women. It will be necessary to evaluate in the future, using more robust methodologies, whether the decrease in the frequency of cesarean section is a real or secular trend.</p>","PeriodicalId":35675,"journal":{"name":"Revista Colombiana de Obstetricia y Ginecologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e0/ec/2463-0225-rcog-74-01-3901.PMC10057327.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10205717","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}

{"title":"Consensus for the treatment of upper urinary tract infections during pregnancy","authors":"Juan Sebastián Molina-Muñoz, Jimena Cuadrado-Angulo, Carlos Fernando Grillo-Ardila, Edith Angel-Müller, Jorge Alberto Cortés, Aura Lucía Leal-Castro, Maria Teresa Vallejo-Ortega","doi":"10.18597/rcog.3984","DOIUrl":"10.18597/rcog.3984","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;To generate evidence-based recommendations through formal consensus regarding the treatment of upper urinary tract infections during gestation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Materials and methods: &lt;/strong&gt;Experts in microbiology, public health, internal medicine, infectious diseases, obstetrics, maternal fetal medicine and obstetric and gynecological infections participated in the consensus development group. The group also included professionals with training in clinical epidemiology, systematic data search, and representatives from the Health Secretariat and the Bogota Obstetrics and Gynecology Association. The participants disclosed their conflicts of interest. Starting with a clinical question, outcomes were graded and a systematic search was conducted in the Medline via PubMed, Embase, Lilacs, and Bireme databases. The search was expanded to include institutional repositories and antimicrobial resistance surveillance systems, with no language or date restrictions. The search was updated on October 1, 2022. The GRADE (Grading of Recommendations Assessment, Development and Evaluation) methodology was used to assess the quality of the evidence and determine the strength of the recommendations. Finally, the RAND/UCLA (Research and Development/University of California Los Angeles) methodology was applied for the formal consensus. This document was reviewed by academic peers before publication.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The following are the consensus recommendations.\u0000Recommendation 1. The initial management of pregnant women with upper urinary tract infections (UTIs) should be approached in a hospital setting.\u0000Recommendation 2. The use of second generation cephalosporins is the suggested first option for empirical antimicrobial management in pregnant women with upper UTI in order to improve the rates of clinical and microbiological cure.\u0000Recommendation 3. Because of the risk-benefit balance, the use of aminoglycosides is suggested as a second option for empirical antimicrobial treatment in pregnant women presenting with upper UTIs in the second and third trimester.\u0000Recommendation 4. The use of third-generation cephalosporins is suggested as the third option for empirical antimicrobial treatment in pregnant women with upper UTIs given that the risk of inducing microbial resistance is high with this group of antibiotics.\u0000Recommendation 5. The use of carbapenems is suggested as a first option in pregnant women with upper UTIs and a history of infections caused by microorganisms with resistance to third or fourth-generation cephalosporins.\u0000Recommendation 6. The use of aminoglycosides or fourth-generation cephalosporins is suggested as a second option in pregnant women with upper UTIs and a history of infection caused by microorganisms with resistance to third-generation cephalosporins, taking risk-benefit into account.\u0000Recommendation 7. The use of piperacillin/tazobactam is suggested as a third option in pregnant women with upp","PeriodicalId":35675,"journal":{"name":"Revista Colombiana de Obstetricia y Ginecologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e1/0e/2463-0225-rcog-74-01-3984.PMC10171331.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9802714","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}

{"title":"Letter to the editor regarding the article entitled \"Reflections on the performance of the Colombian Minister of Health regarding the management of the COVID-19 pandemic, sexual and reproductive health and public health\"","authors":"Orlando Javier Flórez-Victoria","doi":"10.18597/rcog.3978","DOIUrl":"https://doi.org/10.18597/rcog.3978","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":35675,"journal":{"name":"Revista Colombiana de Obstetricia y Ginecologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b9/28/2463-0225-rcog-73-04-3978.PMC9856600.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10609074","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}

{"title":"New Opinion Section of the Colombian Obstetrics and Gynecology Journal","authors":"Hernando Gaitán-Duarte","doi":"10.18597/rcog.3982","DOIUrl":"https://doi.org/10.18597/rcog.3982","url":null,"abstract":"","PeriodicalId":35675,"journal":{"name":"Revista Colombiana de Obstetricia y Ginecologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/19/7e/2463-0225-rcog-73-04-3982.PMC9856607.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10609075","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}

{"title":"Estimated frequency of instrumented vaginal delivery in Colombia between 2015 and 2019. Population registry-based cross-sectional study","authors":"Nicolás Rozo-Agudelo,&nbsp;Sebastian Camilo Daza-Barrera","doi":"10.18597/rcog.3878","DOIUrl":"https://doi.org/10.18597/rcog.3878","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the frequency of instrumented delivery in Colombia and by regions between 2015 and 2019.</p><p><strong>Materials and methods: </strong>Cross-sectional study based on population registries. Records of women with a gestational age of more than 28 weeks and vaginal delivery were included. Consecutive sampling was used. The information was taken from live birth certificates of the National Administrative Department of Statistics (DANE). Sociodemographic and clinical variables were described. The frequency of instrumented deliveries was calculated and described by year and by department.</p><p><strong>Results: </strong>Overall, 3,224,218 live birth records were included. Of these 1,719,405 (53.33 %) were vaginal deliveries and 1,468,726 (45.55 %) were cesarean births. At a national level, the frequency of instrumented deliveries between 2015 and 2019 was 36,087 births (1.11 %); Antioquia and Bogotá, D.C. were the places with the highest occurrence, with 16,201 (4.5 %) and 13,686 (2.52 %), respectively.</p><p><strong>Conclusions: </strong>The occurrence of instrumented vaginal delivery in Colombia is the lowest and tends to diminish. Training of healthcare professionals in this approach during labor must not be abandoned, particularly in Obstetrics and Gynecology training programs. Further studies should be conducted to determine whether the increased adequate use of this technique could contribute to a lower rate of cesarean sections, and also to describe the clinical setting in which its use is safe for both the mother and the fetus. Prospective studies are required to identify the causes leading to the lower use of this obstetric tool as well as the risks and benefits in terms of maternal and perinatal outcomes.</p>","PeriodicalId":35675,"journal":{"name":"Revista Colombiana de Obstetricia y Ginecologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c3/a4/2463-0225-rcog-73-04-3878.PMC9856611.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10618943","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}