OBJECTIVE: To compare maternal and neonatal morbidity and mortality between trial of labor and planned caesarean section in twin pregnancies. MATERIALS AND METHODS : A retrospective cohort study in Donostia University Hospital during 2016 and 2017 including monochorial-biamniotic and bichorial biamniotic twin pregnancies >24+0 weeks of gestation. Gestations with antenatal death of one or both fetuses were excluded. Patients were classified into trial of labor group and planned cesarean section group. Primary outcomes were maternal and neonatal morbidity and mortality. Statistical analysis included χ 2 , Fisher´s exact test, Student´s T-test, Mann-Whitney U test and binary logistic regression models. RESULTS: Of 248 twin births, 173 (69.8%) were included in the attempted delivery group and 75 (30.2%) in the scheduled cesarean section group. No difference was found in maternal morbidity and mortality (OR 0.92; 95% CI 0.36-2.36). The attempted group had lower rates of admission to neonatal intensive care (first twin OR 0.27; 95% of the delivery vs CONCLUSIONS: Although second twins’ umbilical artery pH is lower in trial of labor group, neonatal morbidity is decreased. Therefore, trial of labor in selected cases is an adequate option that does not increase maternal and neonatal morbidity and mortality.
目的:比较试验分娩和计划剖宫产在双胎妊娠中的孕产妇和新生儿发病率和死亡率。材料与方法:2016年至2017年在多诺斯蒂亚大学医院进行回顾性队列研究，包括妊娠24+0周的单绒毛膜双羊膜和双绒毛膜双羊膜双胎。排除一个或两个胎儿产前死亡的妊娠。将患者分为待产组和计划剖宫产组。主要结局是孕产妇和新生儿的发病率和死亡率。统计分析包括χ 2、Fisher精确检验、Student t检验、Mann-Whitney U检验和二元logistic回归模型。结果:248例双胞胎中，尝试分娩组173例(69.8%)，计划剖宫产组75例(30.2%)。产妇发病率和死亡率无差异(OR 0.92;95% ci 0.36-2.36)。尝试组入院新生儿重症监护率较低(首胎OR 0.27;结论:虽然产程组二胎脐带动脉pH值较低，但新生儿发病率降低。因此，在选定的情况下，试产是一个适当的选择，不会增加产妇和新生儿的发病率和死亡率。
{"title":"Desenlaces maternofetales según la comparación entre intento de parto o cesárea programada en embarazos gemelares","authors":"Oihane Vázquez-Maiz, Leire Maitane Ginto-Zabaleta, Maitane Zubikarai-Iturralde, Olaia Aristegui-Guridi, José Ángel Navarrina-Martínez, Arantxa Lekuona-Artola","doi":"10.24245/gom.v88i11.4379","DOIUrl":"https://doi.org/10.24245/gom.v88i11.4379","url":null,"abstract":"OBJECTIVE: To compare maternal and neonatal morbidity and mortality between trial of labor and planned caesarean section in twin pregnancies. MATERIALS AND METHODS : A retrospective cohort study in Donostia University Hospital during 2016 and 2017 including monochorial-biamniotic and bichorial biamniotic twin pregnancies >24+0 weeks of gestation. Gestations with antenatal death of one or both fetuses were excluded. Patients were classified into trial of labor group and planned cesarean section group. Primary outcomes were maternal and neonatal morbidity and mortality. Statistical analysis included χ 2 , Fisher´s exact test, Student´s T-test, Mann-Whitney U test and binary logistic regression models. RESULTS: Of 248 twin births, 173 (69.8%) were included in the attempted delivery group and 75 (30.2%) in the scheduled cesarean section group. No difference was found in maternal morbidity and mortality (OR 0.92; 95% CI 0.36-2.36). The attempted group had lower rates of admission to neonatal intensive care (first twin OR 0.27; 95% of the delivery vs CONCLUSIONS: Although second twins’ umbilical artery pH is lower in trial of labor group, neonatal morbidity is decreased. Therefore, trial of labor in selected cases is an adequate option that does not increase maternal and neonatal morbidity and mortality.","PeriodicalId":12654,"journal":{"name":"Ginecologia y obstetricia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48460735","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}
Ingrid América Cazarez-Ávalos, Demnsi García-Benavente, Cinthia Nallely Toledo-Lorenzo, J. Valle-Leal, Diego Misael López-Valenzuela
OBJECTIVE: To determine the diagnostic performance of the FullPIERS model as a predictor of perinatal complications in patients with preeclampsia from a public hospital in Northwest Mexico. MATERIALS AND METHODS: Retrospective study, for the evaluation of a proper diagnosis, performed in patients with diagnosis of preeclampsia attended at a secondlevel public hospital between October 2018 and February 2019. Inclusion criteria: sufficient data to introduce them into the FullPIERS calculator (saturation of oxygen, platelet retreat, creatinine, aspartate, transaminases and the existence of dysnea). Exclusion criteria: patients with previous diagnosis of acute, pulmonary or renal liver diseases. It is compared to the percentage of the ingrowth risk of each patient versus the number of patients with complications. Calculated: sensitivity, specificity and predictive values of the model. RESULTS: If 100 patients were studied with preeclampsia: 11 with positive results according to the Full PIERS calculator (over 5% risk), and 7 out of 11 were true. For Ingrid América Cazarez-Ávalos, Demnsi García-Benavente, Cinthia Nallely Toledo-Lorenzo, Jaime Guadalupe Valle-Leal, Diego Misael López-Valenzuela Recibido: junio 2019 Aceptado: noviembre 2019 1 Departamento de Ginecología y Obstetricia. 2 Departamento de Educación e Investigación en Salud. Hospital General Regional 1, Instituto Mexicano del Seguro Social, Ciudad Obregón, Sonora, México. Correspondencia Jaime Guadalupe Valle Leal Valle_jaime1@hotmail.com Este artículo debe citarse como Cazarez-Ávalos IA, García-Benavente D, Toledo-Lorenzo CN, Valle-Leal JG, López-Valenzuela DM. Desempeño diagnóstico del modelo FullPIERS como predictor de complicaciones perinatales en pacientes con preeclampsia. Ginecol Obstet Mex. 2020 enero;88(1):1-7. https://doi .org /10.24245/gom. v88i1.3253 Diagnostic performance of FullPIERS model as predictor of perinatal complications in patients with preeclampsia. Ginecología y Obstetricia de México
目的：确定FullPIERS模型作为墨西哥西北部一家公立医院先兆子痫患者围产期并发症的预测指标的诊断性能。材料和方法：回顾性研究，用于评估2018年10月至2019年2月期间在二级公立医院就诊的先兆子痫患者的正确诊断。纳入标准：足够的数据将其引入FullPIERS计算器（血氧饱和度、血小板消退、肌酸酐、天冬氨酸、转氨酶和呼吸困难的存在）。排除标准：既往诊断为急性、肺或肾性肝病的患者。将其与每位患者向内生长风险的百分比与并发症患者的数量进行比较。计算：模型的敏感性、特异性和预测值。结果：如果对100名先兆子痫患者进行研究：根据Full-PIERS计算器，11名患者的结果为阳性（风险超过5%），11名中有7名为真。对于Ingrid América Cazarez-Ávalos、Demnsi García-Benavente、Cinthia Nallely Toledo Lorenzo、Jaime Guadalupe Valle Leal、Diego Misael López Valenzuela Recibido：2019年6月Aceptado：2019年11月1日Ginecoloía和产科部。2 Salud教育和投资部。墨西哥索诺拉州奥夫雷贡市墨西哥社会研究所1区综合医院。通讯员Jaime Guadalupe Valle LealValle_jaime1@hotmail.comEste artículo debe citarse como Cazarez-Ávalos IA、García-Benavente D、Toledo Lorenzo CN、Valle Leal JG、López Valenzuela DM。FullPIERS模型的诊断是先兆子痫患者围产期并发症的预测指标。Ginecol Obstet Mex.2020 enero；88（1）：1-7。https://doi.org/10.24245/gom.v88i1.3253 FullPIERS模型作为先兆子痫患者围产期并发症预测指标的诊断性能。墨西哥妇科
{"title":"Desempeño diagnóstico del modelo FullPIERS como predictor de complicaciones perinatales en pacientes con preeclampsia","authors":"Ingrid América Cazarez-Ávalos, Demnsi García-Benavente, Cinthia Nallely Toledo-Lorenzo, J. Valle-Leal, Diego Misael López-Valenzuela","doi":"10.24245/gom.v88i1.3253","DOIUrl":"https://doi.org/10.24245/gom.v88i1.3253","url":null,"abstract":"OBJECTIVE: To determine the diagnostic performance of the FullPIERS model as a predictor of perinatal complications in patients with preeclampsia from a public hospital in Northwest Mexico. MATERIALS AND METHODS: Retrospective study, for the evaluation of a proper diagnosis, performed in patients with diagnosis of preeclampsia attended at a secondlevel public hospital between October 2018 and February 2019. Inclusion criteria: sufficient data to introduce them into the FullPIERS calculator (saturation of oxygen, platelet retreat, creatinine, aspartate, transaminases and the existence of dysnea). Exclusion criteria: patients with previous diagnosis of acute, pulmonary or renal liver diseases. It is compared to the percentage of the ingrowth risk of each patient versus the number of patients with complications. Calculated: sensitivity, specificity and predictive values of the model. RESULTS: If 100 patients were studied with preeclampsia: 11 with positive results according to the Full PIERS calculator (over 5% risk), and 7 out of 11 were true. For Ingrid América Cazarez-Ávalos, Demnsi García-Benavente, Cinthia Nallely Toledo-Lorenzo, Jaime Guadalupe Valle-Leal, Diego Misael López-Valenzuela Recibido: junio 2019 Aceptado: noviembre 2019 1 Departamento de Ginecología y Obstetricia. 2 Departamento de Educación e Investigación en Salud. Hospital General Regional 1, Instituto Mexicano del Seguro Social, Ciudad Obregón, Sonora, México. Correspondencia Jaime Guadalupe Valle Leal Valle_jaime1@hotmail.com Este artículo debe citarse como Cazarez-Ávalos IA, García-Benavente D, Toledo-Lorenzo CN, Valle-Leal JG, López-Valenzuela DM. Desempeño diagnóstico del modelo FullPIERS como predictor de complicaciones perinatales en pacientes con preeclampsia. Ginecol Obstet Mex. 2020 enero;88(1):1-7. https://doi .org /10.24245/gom. v88i1.3253 Diagnostic performance of FullPIERS model as predictor of perinatal complications in patients with preeclampsia. Ginecología y Obstetricia de México","PeriodicalId":12654,"journal":{"name":"Ginecologia y obstetricia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48334798","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}
Janer Sepúlveda-Agudelo, Andrea Juliana Sepúlveda-Sanguino
{"title":"Sangrado uterino anormal y PALM COEIN","authors":"Janer Sepúlveda-Agudelo, Andrea Juliana Sepúlveda-Sanguino","doi":"10.24245/gom.v88i1.3467","DOIUrl":"https://doi.org/10.24245/gom.v88i1.3467","url":null,"abstract":"","PeriodicalId":12654,"journal":{"name":"Ginecologia y obstetricia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48878273","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}
N. Roig-Marín, María Asunción Quijada-Cazorla, Manuela Sala-Ferichola, Ana Maria Palacios-Marques, Dulce Marín-Tordera
OBJECTIVE: To determine the frequency and correlation of episiotomies and tears of patients with eutocic deliveries. MATERIALS AND METHODS: Observational and retrospective study carried out at the Hospital General de Alicante, Spain, in two periods: 1) 2008-2012 and 2) 2013-2018. Eutocic deliveries of single pregnancies, at term, in cephalic presentation are included. Study variables: episiotomies, tear, age, weeks of pregnancy, parity, labor induction, previous caesarean section, regional analgesia, weight and sex of the newborn. The results are expressed as a percentage, correlation coefficient and the variables involved with odds ratio. RESULTS: The episiotomy rate between period 1 vs. 2 decreased very significantly: 42.3% vs 32.8%; [p <0.001; OR: 0.81 (0.78-0.84)]. In contrast, the percentage of index tears: 42.7% vs 50.8%; (p <0.001; OR: 1.16 [1.13-1.20]). The correlation coefficient was -0.91. Regarding risk factors associated with episiotomy, one of them was the age under 35 years with an OR (95% CI): 1.25 (1.16-1.35; p <0.001), but it was a OR protective factor (95% CI): 0.76 (0.71-0.81; p <0.001) for the appearance of tears. CONCLUSIONS: The tendency in the realization of episiotomies is decreasing, while the tendency of the appearance of tears is inversely proportional. No differences were found in the tear rate of III and IV grade.
{"title":"Frecuencia de episiotomías en un hospital de tercer nivel","authors":"N. Roig-Marín, María Asunción Quijada-Cazorla, Manuela Sala-Ferichola, Ana Maria Palacios-Marques, Dulce Marín-Tordera","doi":"10.24245/gom.v88i3.3715","DOIUrl":"https://doi.org/10.24245/gom.v88i3.3715","url":null,"abstract":"OBJECTIVE: To determine the frequency and correlation of episiotomies and tears of patients with eutocic deliveries. MATERIALS AND METHODS: Observational and retrospective study carried out at the Hospital General de Alicante, Spain, in two periods: 1) 2008-2012 and 2) 2013-2018. Eutocic deliveries of single pregnancies, at term, in cephalic presentation are included. Study variables: episiotomies, tear, age, weeks of pregnancy, parity, labor induction, previous caesarean section, regional analgesia, weight and sex of the newborn. The results are expressed as a percentage, correlation coefficient and the variables involved with odds ratio. RESULTS: The episiotomy rate between period 1 vs. 2 decreased very significantly: 42.3% vs 32.8%; [p <0.001; OR: 0.81 (0.78-0.84)]. In contrast, the percentage of index tears: 42.7% vs 50.8%; (p <0.001; OR: 1.16 [1.13-1.20]). The correlation coefficient was -0.91. Regarding risk factors associated with episiotomy, one of them was the age under 35 years with an OR (95% CI): 1.25 (1.16-1.35; p <0.001), but it was a OR protective factor (95% CI): 0.76 (0.71-0.81; p <0.001) for the appearance of tears. CONCLUSIONS: The tendency in the realization of episiotomies is decreasing, while the tendency of the appearance of tears is inversely proportional. No differences were found in the tear rate of III and IV grade.","PeriodicalId":12654,"journal":{"name":"Ginecologia y obstetricia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42711526","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}
Mariana Moncada-Madrazo, Alejandro Aranda-Gutierrez, Rigoberto Isojo-Gutiérrez, María Emilia Issa-Villarreal, Carlos Elizondo-Granillo, Álvaro Ramos-Reyes, Evelyn Garza-Krause, Gerardo I Magallanes-Garza, G. A. Soto-Fuenzalida
{"title":"Factores de riesgo modificables del cáncer de mama: una comparación entre mujeres menores y mayores de 40 años","authors":"Mariana Moncada-Madrazo, Alejandro Aranda-Gutierrez, Rigoberto Isojo-Gutiérrez, María Emilia Issa-Villarreal, Carlos Elizondo-Granillo, Álvaro Ramos-Reyes, Evelyn Garza-Krause, Gerardo I Magallanes-Garza, G. A. Soto-Fuenzalida","doi":"10.24245/gom.v88i3.3727","DOIUrl":"https://doi.org/10.24245/gom.v88i3.3727","url":null,"abstract":"","PeriodicalId":12654,"journal":{"name":"Ginecologia y obstetricia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49367508","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":"Prevalence of infection by genotypes of the PVH in women with ASCUS cytology","authors":"G. A. Medina-Bueno","doi":"10.24245/gom.v88i7.4167","DOIUrl":"https://doi.org/10.24245/gom.v88i7.4167","url":null,"abstract":"","PeriodicalId":12654,"journal":{"name":"Ginecologia y obstetricia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46437075","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}
OBJECTIVE: To know the percentage of goals achieved from the prepartum treatment of preeclamptic pregnant patients in the Intensive Care Unit (ICU). MATERIALS AND METHODS: A cross-sectional study included 100 preeclamptic pregnant patients admitted to the ICU of a high-specialty hospital in Mexico City. Val-ues before and after intensive treatment (baseline and antepartum measurement) were compared considering nine goals: 1) mean arterial pressure ≤95 mmHg 2) central venous pressure 6 to 10 cm water, 3) diuresis 1.5 to 2 mL/K weight/hour, 4) blood glucose <160 mg / dL, 5) plasma colloid osmotic pressure 24 ± 2 mmHg, 6) pH arterial blood 7.37 to 7.44, 7) hemoglobin 10 to 14 g / dL, 8) platelet count ≥100,000 platelets / µL and 9) absent seizures. It was considered as a goal met when the antepartum measurement was in the desired range and goal not met when it was different. Statistical analysis : descriptive statistics and Student's t-test. pH arterial blood, central venous pressure and plasma colloid osmotic pressure. The evaluation by goals allows to identify the strengths and weak-nesses of the treatment of preeclampsia in the ICU.
{"title":"Metas del tratamiento de pacientes con preeclampsia, previo al parto, en una unidad de cuidados intensivos","authors":"J. G. Vázquez-Rodríguez, Israel Herrera-Escobedo","doi":"10.24245/gom.v88i1.3398","DOIUrl":"https://doi.org/10.24245/gom.v88i1.3398","url":null,"abstract":"OBJECTIVE: To know the percentage of goals achieved from the prepartum treatment of preeclamptic pregnant patients in the Intensive Care Unit (ICU). MATERIALS AND METHODS: A cross-sectional study included 100 preeclamptic pregnant patients admitted to the ICU of a high-specialty hospital in Mexico City. Val-ues before and after intensive treatment (baseline and antepartum measurement) were compared considering nine goals: 1) mean arterial pressure ≤95 mmHg 2) central venous pressure 6 to 10 cm water, 3) diuresis 1.5 to 2 mL/K weight/hour, 4) blood glucose <160 mg / dL, 5) plasma colloid osmotic pressure 24 ± 2 mmHg, 6) pH arterial blood 7.37 to 7.44, 7) hemoglobin 10 to 14 g / dL, 8) platelet count ≥100,000 platelets / µL and 9) absent seizures. It was considered as a goal met when the antepartum measurement was in the desired range and goal not met when it was different. Statistical analysis : descriptive statistics and Student's t-test. pH arterial blood, central venous pressure and plasma colloid osmotic pressure. The evaluation by goals allows to identify the strengths and weak-nesses of the treatment of preeclampsia in the ICU.","PeriodicalId":12654,"journal":{"name":"Ginecologia y obstetricia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44134131","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}
Alberto Kably-Ambe, Mónica Yazmín Olavarría-Guadarrama, E. Carballo-Mondragón, Armando Miguel Roque-Sánchez, Leonor Durán-Monterrosas, Alejandro Sánchez-Aranda, Fabiola Brito-Sandoval
OBJECTIVE: To evaluate the effect of double trigger in patients with a previous cycle with less than 65% of mature oocytes compared to the captured oocytes, in a normor-responding population with induction of ovulation with recombinant or urinary hCG. MATERIALS AND METHODS: A prospective cohort study, conducted in patients diagnosed with infertility, treated with in vitro fertilization, evaluated at the Mexican Fertility Center (Hospital Angeles Lomas) between 2017 and 2019. The treatment was carried out in the same patient, in whose previous conventional cycle with antagonist scheme and induction of ovulation with hCG had suboptimal ovarian response and oocyte capture with less than 65% in M2 phase (Group 1). Subsequently, a second cycle was performed with the same scheme of gonadotropins and induction of ovula- tion with double shot: 1 mg triptorelin acetate + 5000 IU of urinary hCG 40 and 34 hours prior to capture (Group 2 or double trigger). Percentage and quantity of oocytes captured in M2 phase were evaluated. CONCLUSIONS: The prospective studies are required to elucidate the aforementioned recommendation of the “double
{"title":"Técnica de doble disparo (doubble trigger) en pacientes normorrespondedoras con bajo porcentaje de ovocitos maduros","authors":"Alberto Kably-Ambe, Mónica Yazmín Olavarría-Guadarrama, E. Carballo-Mondragón, Armando Miguel Roque-Sánchez, Leonor Durán-Monterrosas, Alejandro Sánchez-Aranda, Fabiola Brito-Sandoval","doi":"10.24245/gom.v88i4.4091","DOIUrl":"https://doi.org/10.24245/gom.v88i4.4091","url":null,"abstract":"OBJECTIVE: To evaluate the effect of double trigger in patients with a previous cycle with less than 65% of mature oocytes compared to the captured oocytes, in a normor-responding population with induction of ovulation with recombinant or urinary hCG. MATERIALS AND METHODS: A prospective cohort study, conducted in patients diagnosed with infertility, treated with in vitro fertilization, evaluated at the Mexican Fertility Center (Hospital Angeles Lomas) between 2017 and 2019. The treatment was carried out in the same patient, in whose previous conventional cycle with antagonist scheme and induction of ovulation with hCG had suboptimal ovarian response and oocyte capture with less than 65% in M2 phase (Group 1). Subsequently, a second cycle was performed with the same scheme of gonadotropins and induction of ovula- tion with double shot: 1 mg triptorelin acetate + 5000 IU of urinary hCG 40 and 34 hours prior to capture (Group 2 or double trigger). Percentage and quantity of oocytes captured in M2 phase were evaluated. CONCLUSIONS: The prospective studies are required to elucidate the aforementioned recommendation of the “double","PeriodicalId":12654,"journal":{"name":"Ginecologia y obstetricia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45096631","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}
Pub Date : 2021-01-15DOI: 10.24245/gom.v88i12.3609
Néstor Medina-Castro, José Antonio Rivas-García, Sharon Lorena Herrera-Cifuentes, José Gerardo Velázquez-Olguín, Daniela Medina-Castro
BACKGROUND: Placental mesenchymal dysplasia is a rare condition of recent description, often mistaken with other placental diseases. PMD is associated to fetal anomalies and syndromes. However, some fetuses are anatomically and genetically normal. CLINICAL CASE: Patient is 29 years old, with a history of 4 pregnancies, two cesarean sections and one abortion. In the first trimester of pregnancy, placental mesenchymal dysplasia was diagnosed and evaluated with serial Doppler of the uterine, umbilical and middle cerebral arteries. As these are exceptional cases, a brief bibliographic review is made. CONCLUSIONS: Placental mesenchymal dysplasia has a wide spectrum of clinical behavior. For fetuses without abnormalities there are no clear guidelines about fetal surveillance. We suggest a serial evaluation of fetal well-being that includes, but is not restricted to, maternal-fetal Doppler evaluation and cardiotocographic recording, among other biophysical variables, since they have a high risk of unexplained death.
{"title":"Utilidad del Doppler pulsado feto-placentario en displasia mesenquimal placentaria: reporte de caso y revisión bibliográfica","authors":"Néstor Medina-Castro, José Antonio Rivas-García, Sharon Lorena Herrera-Cifuentes, José Gerardo Velázquez-Olguín, Daniela Medina-Castro","doi":"10.24245/gom.v88i12.3609","DOIUrl":"https://doi.org/10.24245/gom.v88i12.3609","url":null,"abstract":"BACKGROUND: Placental mesenchymal dysplasia is a rare condition of recent description, often mistaken with other placental diseases. PMD is associated to fetal anomalies and syndromes. However, some fetuses are anatomically and genetically normal. CLINICAL CASE: Patient is 29 years old, with a history of 4 pregnancies, two cesarean sections and one abortion. In the first trimester of pregnancy, placental mesenchymal dysplasia was diagnosed and evaluated with serial Doppler of the uterine, umbilical and middle cerebral arteries. As these are exceptional cases, a brief bibliographic review is made. CONCLUSIONS: Placental mesenchymal dysplasia has a wide spectrum of clinical behavior. For fetuses without abnormalities there are no clear guidelines about fetal surveillance. We suggest a serial evaluation of fetal well-being that includes, but is not restricted to, maternal-fetal Doppler evaluation and cardiotocographic recording, among other biophysical variables, since they have a high risk of unexplained death.","PeriodicalId":12654,"journal":{"name":"Ginecologia y obstetricia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48898625","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}
Pub Date : 2021-01-15DOI: 10.24245/gom.v88i11.4433
Jorge Alfredo Urióstegui-Domínguez, C. D. Ramírez-Palacios
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