Revista de Obstetricia y Ginecología de Venezuela最新文献

Condiciones trombofilicas y su riesgo en una cohorte latinoamericana de gestantes, estudio observacional descriptivo 一项描述性观察研究：拉丁美洲孕妇队列中的血栓性疾病及其风险。

Revista de Obstetricia y Ginecología de Venezuela Pub Date : 2024-02-22 DOI: 10.51288/00840107

Diana Marcela Villamizar Olarte, L. A. Dulcey-Sarmiento

{"title":"Condiciones trombofilicas y su riesgo en una cohorte latinoamericana de gestantes, estudio observacional descriptivo","authors":"Diana Marcela Villamizar Olarte, L. A. Dulcey-Sarmiento","doi":"10.51288/00840107","DOIUrl":"https://doi.org/10.51288/00840107","url":null,"abstract":"Objective: To evaluate thrombophilias associated with venous thromboembolism during pregnancy. Methods: Descriptive observational study. Clinical and laboratory alterations were analyzed, as well as the classification of the related profile of a cohort of Latin American pregnant women with thrombotic events during gestation and up to the 120-day puerperium. Antiphospholipid syndrome antibodies, coagulation protein C, S, antithrombin III, mutations against factor V Leiden, mutations in methylenetetrahydrofolate reductase, hyperhomocysteinemia, prothrombin mutation, and elevation of factors VIII, IX, and XI were performed. Results: The mean age was 24,5 + 7,6 years, of which 9 patients (10,3%) had a history of thromboembolism, 23 patients (26,4%) had had at least one fetal loss. Elevated antiphosphatidylserine antibodies were found in 23 patients (26,4%), elevated antibodies against beta2-glycoprotein in 20 patients (22,9%), positive lupus anticoagulant in 16 patients (18,3%), elevated factor VIII in 13 patients (14,94%), elevated factor IX in 15 patients (17,2%), elevated factor XI in 12 patients (13,7%), prothrombin mutation in 7 patients (8,07%) and the others to a lesser extent. Conclusions: The results found here point to the high prevalence rate of underdiagnosed thrombophilic disorders in pregnant women. There is still a lack of strong evidence to analyze this relationship with worse results during pregnancy. Keywords: Coagulation, Thrombosis, Gynecology.","PeriodicalId":515382,"journal":{"name":"Revista de Obstetricia y Ginecología de Venezuela","volume":"65 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140440259","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}

引用次数: 0

Madurez fetal: utilidad de la estimación de la presión de la arteria pulmonar fetal 胎儿成熟度：胎儿肺动脉压力估测的实用性

Revista de Obstetricia y Ginecología de Venezuela Pub Date : 2024-02-22 DOI: 10.51288/00840109

Jeickson German Mendoza Mora, Rhaiza Josefa Urbina Labrador, Mireya González Blanco

{"title":"Madurez fetal: utilidad de la estimación de la presión de la arteria pulmonar fetal","authors":"Jeickson German Mendoza Mora, Rhaiza Josefa Urbina Labrador, Mireya González Blanco","doi":"10.51288/00840109","DOIUrl":"https://doi.org/10.51288/00840109","url":null,"abstract":"Objective: To evaluate the usefulness of the estimation of fetal pulmonary artery pressure obtained by doppler ultrasound as an indicator of fetal maturity and its correlation with neonatal outcomes in a group of patients attending the delivery room area of the Hospital Central de San Cristobal, between March and July 2023. Methods: This is an observational, descriptive, correlational study. The sample consisted of 90 women (90 fetuses) with a single pregnancy between 34 and 40 weeks of gestation. Results: From the doppler variables analyzed, it was evidenced that the fetal pulmonary artery pressure decreased significantly (p < 0.001) with advancing gestational age. It was determined that there is a significant inverse association between fetal pulmonary artery pressure and fetal maturity (p < 0.001), such that the lower the fetal pulmonary artery pressure value, the higher the percentage of fetal maturity. A fetal pulmonary artery pressure cut-off point located at 55.9 mm Hg jointly determined the highest sensitivity and specificity f or t he d iagnosis o f f etal l ung maturity, i ts s ensitivity being 93.75% and specificity being 80.77%. With a positive predictive value of 92.31% and a negative predictive value of 84%. Conclusion: The estimation of fetal pulmonary artery pressure obtained by doppler ultrasound is useful as an indicator of fetal maturity. Keywords: Doppler, Fetal pulmonary artery pressure, Fetal maturity, Cut-off point","PeriodicalId":515382,"journal":{"name":"Revista de Obstetricia y Ginecología de Venezuela","volume":"15 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140440608","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}

引用次数: 0

Amnios con cobertura antibiótica: eficacia en pacientes sometidas a conización 抗生素覆盖的羊膜：对接受锥切术患者的疗效

Revista de Obstetricia y Ginecología de Venezuela Pub Date : 2024-02-22 DOI: 10.51288/00840105

Haelka Izquierdo León, A. Ardila, Mireya González Blanco

{"title":"Amnios con cobertura antibiótica: eficacia en pacientes sometidas a conización","authors":"Haelka Izquierdo León, A. Ardila, Mireya González Blanco","doi":"10.51288/00840105","DOIUrl":"https://doi.org/10.51288/00840105","url":null,"abstract":"Objective: To compare the evolution of healing in patients in whom amnion with antibiotic coverage was applied, with another group in which it was not applied, after cervical conization performed in cervical pathology consultations of the San Cristobal Central Hospital, between February and May 2023. Methods: Experimental, randomized, longitudinal comparison. It included 66 patients, randomly divided into two groups. Group 1: in which amnion was applied (n = 36/54.5 %); Group 2: no treatment (n = 30/45.5%). The researcher prepared the amnions of placentas obtained by cesarean section or vaginal delivery, in the operating room. Informed consent was obtained from both donors and recipients. Results: On day 14, none of the patients in the group 1 had epithelialization. In the group 2, one patient (2.7%) had 50% epithelialization and 35 (94.6%) had reached 100% (p < 0.001). Epithelialization was total in 13.3% of the first group and 94.6% of the second group (Odds Ratio of 227 (95% CI: 24.0 to 2157.0; p < 0.001). There were no cases of cervical infection. Five patients (16.7%) in the group 1 and one in the group 2 (2.8%) had ectopias (p = 0.051). There was no association between complete or partial epithelialization and clinical characteristics (p ˂ 0.05). Conclusion: Amnion with antibiotic coverage is associated with better healing outcomes in conized patients. Its effectiveness as a medical therapy was proven when placed on the surgical wound. Keywords: Amnion, Epithelion, Placenta.","PeriodicalId":515382,"journal":{"name":"Revista de Obstetricia y Ginecología de Venezuela","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140439323","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}

引用次数: 0

Complicaciones del embarazo en pacientes con ganancia excesiva de peso gestacional en un hospital público peruano 秘鲁一家公立医院妊娠体重增加过快患者的妊娠并发症

Revista de Obstetricia y Ginecología de Venezuela Pub Date : 2024-02-22 DOI: 10.51288/00840106

Mara Romyna Poma-Tovar, R. Paredes-Orue

{"title":"Complicaciones del embarazo en pacientes con ganancia excesiva de peso gestacional en un hospital público peruano","authors":"Mara Romyna Poma-Tovar, R. Paredes-Orue","doi":"10.51288/00840106","DOIUrl":"https://doi.org/10.51288/00840106","url":null,"abstract":"Objective: TTo determine the demographic and clinical characteristics, of pregnant women with excessive gestational weight gain. And determine their relationship with maternal complications. Methods: Analytical, retrospective study. Full-term pregnant women, older than 18 years and with single live fetuses, with legible clinical history and prenatal care card with first and last check-up, treated at a public hospital in Peru between January - June 2022, were included. Patients with mental problems and those with fetuses with malformations, were excluded. The variables measured were: sociodemographic characteristics, obstetric, gestational weight gain, and maternal complications. Excess gestational weight was defined using pre-pregnancy body mass index, difference in weight between the first and last prenatal check-up, and Institute of Medicine guidelines. A descriptive analysis was made and to recognize the relationship between excessive gestational weight and maternal results, the X2 test was used. The National University of San Agustín Institutional Research Ethics Committee granted approval of the study. Results: We included 1021 pregnant women in the study. Of these, 49.0% had excessive gestational weight. 43.0% of overweight patients had maternal complications. A relationship was found between excessive weight gain in pregnancy and gestational diabetes. Conclusions: Patients with excessive weight gain in pregnancy were more likely to have gestational diabetes. Keywords: Body mass index, Gestational weight gain, Pregnancy complications, Gestational diabetes, Peru.","PeriodicalId":515382,"journal":{"name":"Revista de Obstetricia y Ginecología de Venezuela","volume":"33 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140441716","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}

引用次数: 0

Cistoadenoma mucinoso gigante de ovario 卵巢巨型粘液性囊腺瘤

Revista de Obstetricia y Ginecología de Venezuela Pub Date : 2024-02-22 DOI: 10.51288/00840112

Juan Daniel González Machado, Fernando Karel Fonseca Sosa

引用次数: 0

Doble protección anticonceptiva en estudiantes de obstetricia: Un estudio de factores asociados 助产士学生的避孕双重保护：相关因素研究

Revista de Obstetricia y Ginecología de Venezuela Pub Date : 2024-02-22 DOI: 10.51288/00840104

Nicole Rodriguez-Clemente, Brandon E. Guillén-Calle, J. Barja-Ore

{"title":"Doble protección anticonceptiva en estudiantes de obstetricia: Un estudio de factores asociados","authors":"Nicole Rodriguez-Clemente, Brandon E. Guillén-Calle, J. Barja-Ore","doi":"10.51288/00840104","DOIUrl":"https://doi.org/10.51288/00840104","url":null,"abstract":"Objective: To determine which factors are associated with the use of dual protection in obstetrics students from a public university in Lima, Peru. Methods: Analytical cross-sectional study, done in 217 obstetrics students from the Universidad Nacional Mayor de San Marcos.The chi-squared test was applied, in addition to the raw and adjusted prevalence ratio (PR) Results: The prevalence of the use of dual protection was 41.5%. In the bivariate analysis, the factors associated with it included: age from 25 to 29 years old (raw prevalence ratio: 1.57), Lima as a place of origin (raw prevalence ratio: 2.07), previous pregnancy (raw prevalence ratio: 1.91), previous abortion (raw prevalence ratio: 1.92), antecedent of STI in the couple (raw prevalence ratio: 1.81), knowledge about dual protection (raw prevalence ratio: 3,16), and orientation in family planning (raw prevalence ratio: 1.76). In the multivariate analysis, knowledge about contraceptive protection maintained its significant association (adjusted prevalence ratio: 2.44). Conclusions: Knowledge about contraceptive protection is the only reproductive factor that was associated with a higher probability of using this method. Keywords: Contraceptives, Risk Factors, Contraceptive Hormonal, Condoms.","PeriodicalId":515382,"journal":{"name":"Revista de Obstetricia y Ginecología de Venezuela","volume":"9 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140438789","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}

引用次数: 0

Negación psicótica del embarazo. Reporte de caso 否认怀孕的精神病。病例报告

Revista de Obstetricia y Ginecología de Venezuela Pub Date : 2024-02-22 DOI: 10.51288/00840114

E. Reyna-Villasmil

引用次数: 0

Tumor de células de la granulosa tipo juvenil tras la menopausia 绝经后的幼年颗粒细胞瘤

Revista de Obstetricia y Ginecología de Venezuela Pub Date : 2024-02-22 DOI: 10.51288/00840113

Inés Cortiñas Díez, María Fernanda Berzal Cantalejo, María López-Menéndez Arqueros

引用次数: 0

Reflexiones sobre violencia obstétrica 对产科暴力的思考

Revista de Obstetricia y Ginecología de Venezuela Pub Date : 2024-02-22 DOI: 10.51288/00840103

Mireya González-Blanco

引用次数: 0

Alumbramiento patológico por presencia de T de cobre en membranas ovulares. Informe de caso 由于卵膜中存在铜T而导致的病理矾。病例报告

Revista de Obstetricia y Ginecología de Venezuela Pub Date : 2024-02-22 DOI: 10.51288/00840111

M. Bravo

引用次数: 0