Revista Colombiana de Obstetricia y Ginecologia最新文献

{"title":"Sexual and reproductive health of afrocolombian women victims of the armed conflict in Bojayá, Chocó, Colombia, 2019. Mixed methods study","authors":"Jonathan Alexander Peralta-Jiménez, Zulma Consuelo Urrego-Mendoza","doi":"10.18597/rcog.3763","DOIUrl":"10.18597/rcog.3763","url":null,"abstract":"<p><p>Objectives: To explore sexual and reproductive health survived the Bojaya massacre, taking into consideration the physical and psychological aspects involved in the full expression of sexuality and reproduction, based on the analysis of clinical assessment records collected\u0000in 2018.\u0000Material and methods: Mixed study. Descriptive quantitative case series and qualitative narrative study. The quantitative component included 44 women who were direct survivors of an explosive device and the qualitative component that included 10 of them with sexual dysfunction. Convenient sampling was used. Healthcare records were the sources of information. Sociodemographic variables, obstetrical and gynecological history, sexual dysfunction and mental health symptoms, signs and diagnoses based on the ICD X were measured. Descriptive epidemiological analysis and qualitative narrative analysis, identifying emerging themes pertaining to the problems experienced and prioritized, as well as significant related events.\u0000Results: Mean age was 45 years; 54% had gynecological symptoms; 32% had difficulty accessing contraception; 23% had sexual dysfunctions; 13.63% had a history of sexual violence and 34% of domestic violence; 61.63% had post-traumatic stress disorder. The qualitative component showed evidence of frequent intimate partner violence, family issues and distress due to untreated symptoms.\u0000Conclusions: Routine assessment in women survivors of armed conflicts must include aspects such as potential sexual dysfunction, post-traumatic disorders and a history of polyvictimization. Further descriptive and analytical studies are needed in order to explore these aspects and their interrelations.</p>","PeriodicalId":35675,"journal":{"name":"Revista Colombiana de Obstetricia y Ginecologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9084901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47950503","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":"Nueva variante del gen STAG3 causante de insuficiencia ovárica prematura","authors":"Susana Gómez-Rojas, Jorge Enrique Aristizábal-Duque, Luis Muñoz-Fernández, M. P. Sarmiento-Ramón, M. Pereira-Gómez","doi":"10.18597/rcog.3806","DOIUrl":"https://doi.org/10.18597/rcog.3806","url":null,"abstract":"RESUMEN Objetivos: describir un caso de falla ovárica secundaria a una variante patogénica homocigota en el gen STAG3 no reportada previamente. Materiales y métodos: paciente de 16 años con amenorrea primaria y ausencia de características sexuales secundarias, en quien se documentó hipotiroidismo autoinmune, pobre desarrollo genital y cintilla gonadal, por lo cual se realizó secuenciación de exorna clínico. Se identificó una variante homocigota patogénica previamente no reportada en el gen STAG3, el cual ha sido relacionado con insuficiencia ovárica prematura (IOP). Conclusiones: en este caso, la realización de exorna clínico fue determinante para identificar una alteración del gen STAG, probablemente asociada a la IOP y el pronóstico a largo plazo de la paciente. Se establece una nueva variante patogénica c.2773delT; p.Ser925Profs*6 del gen STAG3 asociada a la IOP.","PeriodicalId":35675,"journal":{"name":"Revista Colombiana de Obstetricia y Ginecologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48468945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"La Revista Colombiana de Obstetricia y Ginecología ingresa a PubMed Central® (PMC)","authors":"Hernando Gaitán-Duarte, C. F. Grillo-Ardila, J. Rubio-Romero","doi":"10.18597/rcog.3862","DOIUrl":"https://doi.org/10.18597/rcog.3862","url":null,"abstract":"","PeriodicalId":35675,"journal":{"name":"Revista Colombiana de Obstetricia y Ginecologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48153720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Características clínicas y resultado materno perinatal en mujeres con diagnóstico confirmado por COVID-19 en un hospital de Perú. Estudio de cohorte retrospectivo","authors":"Luisa Mirtha Estrada-Chiroque, Milagros Orostegui-Arenas, Maria del Pilar Burgos-Guanilo, Juan Manuel Amau-Chiroque","doi":"10.18597/rcog.3776","DOIUrl":"https://doi.org/10.18597/rcog.3776","url":null,"abstract":"RESUMEN Objetivos: describir las características clínicas, sociodemográficas y la frecuencia de complicaciones maternas y perinatales en mujeres gestantes con diagnóstico confirmado de COVID-19 atendidas en un hospital de alta complejidad en Perú. Materiales y métodos: estudio de cohorte retrospectivo descriptivo. Se incluyeron mujeres con 20 semanas o más de gestación con diagnóstico de infección por COVID-19 atendidas en un hospital de referencia nacional del Seguro Social del Perú entre marzo y diciembre del 2020; se excluyeron mujeres cuya gestación no culminó en la institución participante. Las variables medidas fueron: características sociodemográficas y obstétricas de la gestante, nexo epidemiológico, severidad de la infección por COVID-19, síntomas y datos de laboratorio, morbi-mortalidad materna, presencia de anticuerpos en el recién nacido, peso, adaptación y mortalidad perinatal. El análisis fue descriptivo. El protocolo fue aprobado por el comité de ética en investigación del Instituto de Evaluación de Tecnologías en Salud e Investigación de EsSalud. Resultados: los criterios de inclusión y exclusión fueron cumplidos por 322 mujeres. La población de estudio se caracterizó por ser predominantemente mujeres menores de 35 años, con educación superior. El 95% de las gestantes presentó síntomas leves o imperceptibles. Los síntomas predominantes fueron fiebre (85%), tos (52%) y cefalea (18%); se documentó leucocitosis (31%), linfopenia (24%) y trombocitopenia (5%). Se registraron 2 muertes maternas (0,6%) y 22 (7,2%) defunciones perinatales. El 0,9% de los neonatos exhibieron una prueba reactiva positiva para COVID-19. Conclusiones: durante la gestación, la infección producida por el SARS-CoV-2 suele ser asintomática o leve. En las gestantes con infección moderada y severa se presentaron más frecuentemente complicaciones maternas y perinatales. Se requieren más estudios que analicen el impacto materno fetal de la infección por COVID-19 durante la gestación en la región.","PeriodicalId":35675,"journal":{"name":"Revista Colombiana de Obstetricia y Ginecologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45672289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Demonstration of the application of the global cesarean section rate model (C-Model) and the Robson Classification to estimate and characterize excess numbers of institutional c-sections","authors":"John Jairo Zuleta-Tobón","doi":"10.18597/rcog.3649","DOIUrl":"10.18597/rcog.3649","url":null,"abstract":"<p><strong>Objective: </strong>To carry out an academic exercise based on real local data regarding the application of the C-Model v1.0 to determine how data are gathered and used to generate the model, how the model is applied in order to identify potential excess numbers of cesarean sections in an institution, and when identified, how the model is applied to distribute deliveries according to the Robson Classification system and explain excess numbers.</p><p><strong>Methodology: </strong>The standardized ratio and absolute difference between the observed proportion and the expected probability of c-sections according to the C-Model v1.0 were estimated for each institution using real databases of five hospitals in Colombia. Convenience selection was used to meet the objectives. Based on the assumptions underpinning group distributions according to the Robson classification, proposed explanations for excess numbers and differences among institutions are presented.</p><p><strong>Results: </strong>Applying the C-Model, the c-section standardized ratio identified different excess numbers of the procedure in the presence of similar institutional c-section proportions. Important variability was found in the proportion of c-sections among women with similar clinical and obstetric characteristics, which might explain the excess numbers identified.</p><p><strong>Conclusion: </strong>The C-Model allows to estimate expected c-section proportions according to the specific characteristics of the women seen at each institution; their distribution according to the Robson Classification is a way to explore the origin and particulars of those differences.</p>","PeriodicalId":35675,"journal":{"name":"Revista Colombiana de Obstetricia y Ginecologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c5/27/2463-0225-rcog-72-04-3649.PMC8833240.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39603419","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":"Importance of nutrition in pregnant women","authors":"Sara Eloísa Del Castillo-Matamoros, Natalia E Poveda","doi":"10.18597/rcog.3825","DOIUrl":"10.18597/rcog.3825","url":null,"abstract":"","PeriodicalId":35675,"journal":{"name":"Revista Colombiana de Obstetricia y Ginecologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0e/f9/2463-0225-rcog-72-04-3825.PMC8833237.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39603414","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":"Prevalence of sexual dysfunction among pregnant women attending prenatal care at a hospital in Rionegro, Colombia, 2020-2021","authors":"Enrique Olivares-Noguera,&nbsp;Rodrigo Alejandro Montoya-Moreno,&nbsp;Aníbal Arteaga-Noriega","doi":"10.18597/rcog.3761","DOIUrl":"https://doi.org/10.18597/rcog.3761","url":null,"abstract":"<p><strong>Objective: </strong>To describe the prevalence of sexual dysfunction in a group of pregnant women, and to explore potential factors associated with this condition in this population.</p><p><strong>Material and methods: </strong>Descriptive cross-sectional study in pregnant women 15 years of age and older, sexually active during gestation, receiving prenatal care at the San Juan de Dios Hospital in Rionegro between January and March, 2021. The exclusion criteria were patients with disabilities or cognitive impairment, or classified as having a mental disorder according to the World Health Organization (WHO); pregnant women with chronic, placental, ovulation, hemorrhagic or infectious conditions; and patients whose pregnancy was the result of sexual assault. The Female Sexual Function Index (FSFI) questionnaire was applied, and sociodemographic and sexual and reproductive health variables were measured. Results are expressed as absolute and relative frequencies for qualitative variables, and as medians and interquartile ranges for quantitative variables.</p><p><strong>Results: </strong>The mean age in years was 27.5 (IQR: 21.3-31.0) and the mean gestational age was 28.5 weeks (IQR: 21.3-34.8). After administering the FSFI, it was found that 37 women (37.7%) had sexual dysfunction (score < 26.5). The median scores for the participants without sexual dysfunction and those with sexual dysfunction were 29.4 (IQR 26.8-32) and 22.3 (IQR 20-24), respectively. The mean scores for each domain were: desire 3.6 (IQR: 3.0-4.2); arousal 4.5 (IQR: 3.6-5.1); lubrication 4.8 (IQR: 3.9-5.4); orgasm 4.4 (IQR: 3.6-5.2); pain 4.4 (IQR: 3.6-6.0); and satisfaction 5.4 (IQR: 4.8-6.0). The total score (p<0.05) was better in older women and those with one or more children.</p><p><strong>Conclusion: </strong>Sexual dysfunction occurs at least in one third of pregnant women, especially during the third trimester. Sexual dysfunction should be considered in daily clinical practice, given that approaching the topic from an education perspective can help reduce a problem that affects the couple and quality of life. It is critical to undertake additional research that includes assessment of the effectiveness and safety of educational strategies in this population with sexual dysfunction.</p>","PeriodicalId":35675,"journal":{"name":"Revista Colombiana de Obstetricia y Ginecologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/84/fb/2463-0225-rcog-72-04-3761.PMC8833239.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39603417","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":"Eating behavior in a group of overweight pregnant women in two municipalities of Antioquia, Colombia: qualitative study","authors":"Stefanya Ramírez-Martínez,&nbsp;Sandra L Restrepo-Mesa","doi":"10.18597/rcog.3740","DOIUrl":"https://doi.org/10.18597/rcog.3740","url":null,"abstract":"<p><strong>Objective: </strong>To describe eating behaviors in a group of overweight pregnant women.</p><p><strong>Material and methods: </strong>Qualitative study from the focused ethnography perspective that included pregnant women over the age of 18 years, with overweight or obesity or excess weight gain during pregnancy, who attended the pre-natal care program at two public healthcare institutions belonging to the government-subsidized regime under the General Social Security System in two municipalities of the Department of Antioquia (Colombia). Thirteen individual semi-structured and three group interviews were carried out. Analysis was based on triangulation and open and axial coding.</p><p><strong>Results: </strong>Overall, 22 pregnant women participated in the study. Five determinants of eating behavior in this population were found: low socioeconomic level that limits access to a variety of foods, social support network, health condition during previous pregnancies or during the current gestation, generic dietary and nutritional recommendations provided by healthcare staff and, finally, knowledge of the participants regarding diet and the implications of maternal overweight for the health of the mother and the child.</p><p><strong>Conclusion: </strong>It is imperative to provide dietary and nutritional education and care based on the particular characteristics that influence the adoption of changes in eating behaviors among overweight pregnant women; prenatal care professionals must be trained to promote standardized criteria and care that is tailored to the social reality of the pregnant woman.</p>","PeriodicalId":35675,"journal":{"name":"Revista Colombiana de Obstetricia y Ginecologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3d/7b/2463-0225-rcog-72-04-3740.PMC8833238.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39603415","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":"Health science research barriers and facilitators in the midst of the COVID-19 crisis: scoping review","authors":"Karen Daniela Neira-Fernández,&nbsp;Laura Gaitán-Lee,&nbsp;Olga Janneth Gómez-Ramírez","doi":"10.18597/rcog.3788","DOIUrl":"https://doi.org/10.18597/rcog.3788","url":null,"abstract":"<p><strong>Objective: </strong>The COVID-19 pandemic has imposed a great challenge on health research because of the pressing need to respond promptly and effectively to this crisis situation. It is important to offer a high level perspective of the main barriers and facilitators found when conducting health science studies during the COVID-19 crisis and to discuss the research initiatives suggested by global, regional or local health research authorities.</p><p><strong>Materials and methods: </strong>A systematic scoping review was carried out. A literature search was conducted in the Medline, Cochrane Library, Lilacs and Google Scholar databases. Original research studies, review and opinion articles and editorials available in full text published in Spanish, English or Portuguese between January 2020 and May 2021 were included. Two authors working independently selected the papers and collected the data. The barriers and facilitators identified were described and organized in four categories according to the literature: sociocultural, administrative, organizational and methodological. Official documents and communications from global, regional and local health and research authorities were also included. Results are presented in narrative and table form.</p><p><strong>Results: </strong>Overall, 26 documents were selected for data analysis and synthesis. The barriers most frequently mentioned in the literature include issues with access to participants, ethics committees paperwork, biological risk for the researchers, and lack of inter and intra-institutional coordination. On the other hand, the facilitators identified include the adoption of on-line solutions, cooperative work among research actors, and a more flexible informed consent process. Regarding the initiatives disseminated by health and research authorities, four strategies were identified: prioritization of research questions, cooperation and inclusion promotion, fight against infodemia, and strengthening of the methodological quality of the studies.</p><p><strong>Conclusions: </strong>Continued cooperation and interoperability among institutions, countries and disciplines to facilitate future research processes is a challenge in the context of the pandemic; similarly, it is now important to maintain open science and funding of cooperative studies when other priorities emerge. Likewise, there is an evident need to develop and sustain efficient information management systems to help with decision-making. Ongoing review of the effects of the pandemic on health research practice is needed in order to gain comprehensive insights of what we need to learn as a society from this crisis.</p>","PeriodicalId":35675,"journal":{"name":"Revista Colombiana de Obstetricia y Ginecologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e1/0a/2463-0225-rcog-72-04-3788.PMC8833242.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39603418","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":"Delays in maternal care and hypertensive complications at the Sabogal hospital, Callao, Peru, 2021. Case-control Study","authors":"Ruth Moran-Relaiza,&nbsp;Fanny Liliana López-Obando,&nbsp;Adela Pérez-Baldeón","doi":"10.18597/rcog.3737","DOIUrl":"https://doi.org/10.18597/rcog.3737","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate if there is association between delay II in maternal care and complications of Pregnancy-induced hypertension (PIH) at the Alberto Sabogal Hospital in the context of the Covid19 pandemic.</p><p><strong>Material and methods: </strong>Case-control study carried out in a reference hospital in the Callao region, Peru. The study included women aged 19 or over, treated for emergency caesarean section attended in the obstetric areas COVID-19 and non-COVID-19 in the months of January to April 2021. Pregnant women with pre-existing diseases, as well as those with other obstetric complication were excluded. Patients with complications of pregnancy-induced hypertension (PIH) were included as cases, and those without these complications as controls. Age, origin, occupation, type of delay and type of complication of PIH were measured. A questionnaire was used according to the Thadeus and Mayne model and documentary review. The association between delay II and complications of PIH was evaluated through the odds ratio (OR).</p><p><strong>Results: </strong>It was found that the cases had a higher risk of having been exposed to type II delays than the controls (OR: 7.72; 95% CI: 3.44-17.35). There was an association between delay II and hypertensive complications. It was identified that delay II was associated with the origin of the patient.</p><p><strong>Conclusion: </strong>In the period of the Covid-19 pandemic, women who had complications from PIH were more exposed to type II delays than controls at the Alberto Sabogal hospital in Callao, Peru. Prospective studies are required to confirm this association and the effects of congestion of hospital services by patients with covid-19 on other maternal-perinatal outcomes in the region.</p>","PeriodicalId":35675,"journal":{"name":"Revista Colombiana de Obstetricia y Ginecologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f5/c1/2463-0225-rcog-72-04-3737.PMC8833241.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39603416","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}