M. Fuentes, Reismar Straker, Susana De Vita, Daniel Márquez
Congenital high airway obstruction syndrome (CHAOS) is total or partial obstruction of the fetal high respiratory tract, the most common cause being laryngeal atresia. It is a rare and fatal condition if perinatal intervention is not performed or if it is unrecognized. Prenatal ultrasound images show typical findings that can help in an early diagnosis, which is important to decide the successful planning of perinatal management or elective termination of pregnancy. A case diagnosed prenatally due to its characteristic ultrasound findings is presented.
{"title":"Laryngeal fetal atresia as a cause of congenital upper airway obstruction","authors":"M. Fuentes, Reismar Straker, Susana De Vita, Daniel Márquez","doi":"10.51288/00830317","DOIUrl":"https://doi.org/10.51288/00830317","url":null,"abstract":"Congenital high airway obstruction syndrome (CHAOS) is total or partial obstruction of the fetal high respiratory tract, the most common cause being laryngeal atresia. It is a rare and fatal condition if perinatal intervention is not performed or if it is unrecognized. Prenatal ultrasound images show typical findings that can help in an early diagnosis, which is important to decide the successful planning of perinatal management or elective termination of pregnancy. A case diagnosed prenatally due to its characteristic ultrasound findings is presented.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46510513","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":"Sexo y género en investigación científica","authors":"Mireya González Blanco","doi":"10.51288/00830303","DOIUrl":"https://doi.org/10.51288/00830303","url":null,"abstract":"","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48070003","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}
Joel Figueroa-Quiñones Joel Figueroa-Quiñones, Juan Ipanaque-Neyra Juan Ipanaque-Neyra, Willy Valle-Salvatierra Willy Valle-Salvatierra, Nelly Teresa Cóndor Heredia Nelly Teresa Cóndor Heredia
Objective: To review mental health, violence, and drug use in sex workers during the covid-19 pandemic. Methods: Scoping review in Scopus, PubMed, and SciELO. Studies in English and Spanish published in 2021 to 2022 were included, excluding secondary or pre-pandemic studies. Results: Of the 938 articles found, only 6 were analyzed. Most studies (n=3) were conducted in developed countries with young women and carriers of human immunodeficiency virus infection. Mental health was affected in prevalence from 26% to 82%. Violence was present in 50% and drug use in sex workers was reported from 21% to 75%. Conclusion: There is limited scientific production on mental health, violence and drug use in sex workers during the COVID-19 pandemic. Anxiety, depression, stress and suicidal behaviors reported high prevalence.
{"title":"Mental Health, Violence, and Drug Use in Sex Workers During the COVID-19 Pandemic: A Scoping Review","authors":"Joel Figueroa-Quiñones Joel Figueroa-Quiñones, Juan Ipanaque-Neyra Juan Ipanaque-Neyra, Willy Valle-Salvatierra Willy Valle-Salvatierra, Nelly Teresa Cóndor Heredia Nelly Teresa Cóndor Heredia","doi":"10.51288/00830313","DOIUrl":"https://doi.org/10.51288/00830313","url":null,"abstract":"Objective: To review mental health, violence, and drug use in sex workers during the covid-19 pandemic. Methods: Scoping review in Scopus, PubMed, and SciELO. Studies in English and Spanish published in 2021 to 2022 were included, excluding secondary or pre-pandemic studies. Results: Of the 938 articles found, only 6 were analyzed. Most studies (n=3) were conducted in developed countries with young women and carriers of human immunodeficiency virus infection. Mental health was affected in prevalence from 26% to 82%. Violence was present in 50% and drug use in sex workers was reported from 21% to 75%. Conclusion: There is limited scientific production on mental health, violence and drug use in sex workers during the COVID-19 pandemic. Anxiety, depression, stress and suicidal behaviors reported high prevalence.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45634251","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}
Endometriosis is a common benign lesion whose importance lies in the associated symptomatology and the possibility of malignant transformation. Endometrial stromal sarcoma is a rare tumor, accounting for only 0.2% of all female genital tract tumors. Primary extrauterine endometrial stromal sarcomas are even rarer, are frequently associated with endometriosis, and have been reported in the ovaries, fallopian tubes, pelvic cavity, abdominal cavity, and retroperitoneum in the absence of uterine pathology. We describe a case of a female patient who consulted for dysmenorrhea, dysuria, and dyschezia. Pelvic magnetic resonance showed a heterogeneous tumor in the left adnexa compatible with endometrioma. Histopathological findings and immunohistochemical staining were consistent with the diagnosis of primary low-grade extrauterine endometrial stromal sarcoma. The patient underwent total hysterectomy, bilateral oophorosalpingectomy, total omentectomy, and pelvic and para-aortic lymph node resection.
{"title":"Primary low-grade extrauterine stromal sarcoma","authors":"Eduardo Reyna-Villasmil, Martha Rondón-Tapia, Duly Torres-Cepeda","doi":"10.51288/00830314","DOIUrl":"https://doi.org/10.51288/00830314","url":null,"abstract":"Endometriosis is a common benign lesion whose importance lies in the associated symptomatology and the possibility of malignant transformation. Endometrial stromal sarcoma is a rare tumor, accounting for only 0.2% of all female genital tract tumors. Primary extrauterine endometrial stromal sarcomas are even rarer, are frequently associated with endometriosis, and have been reported in the ovaries, fallopian tubes, pelvic cavity, abdominal cavity, and retroperitoneum in the absence of uterine pathology. We describe a case of a female patient who consulted for dysmenorrhea, dysuria, and dyschezia. Pelvic magnetic resonance showed a heterogeneous tumor in the left adnexa compatible with endometrioma. Histopathological findings and immunohistochemical staining were consistent with the diagnosis of primary low-grade extrauterine endometrial stromal sarcoma. The patient underwent total hysterectomy, bilateral oophorosalpingectomy, total omentectomy, and pelvic and para-aortic lymph node resection.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42296219","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}
Adriana Rodríguez-Palma, Youssef Fayad-Hanna,, David Hernández-Formica, Rangel Jiménez-Malavé, Santiago Rodríguez-Roque
Objective: To determine the consequences of the type of delivery in pregnant women with previous cesarean section,attended at the Hospital Universitario “Dr. Luis Razetti”, Barcelona, Anzoátegui state, during October 2019. Methods: Retrospective study, with descriptive level, of documentary design and cross-sectional cut, with a sample of 130 pregnant patients with previous cesarean section. A clinical history analysis guide was used as a data collection instrument. Results: Regarding the type of delivery, cesarean section predominated (52.3 versus 47.7%), however, 68.9% of the complications occurred in those with vaginal delivery, the most frequent being vaginal tears (33.3%), retained placenta (8.9%) and uterine hypotonia (8.9%). In contrast, in the group of pregnant women with cesarean section, surgical site infections (17.8%) and anemia (8.9%) were identified as the most frequent complications. Conclusions: The results of this research indicate that both vaginal delivery and cesarean section are safe, but the final decision depends on the individual clinical evaluation of each pregnant woman.
{"title":"Consequences of the type of delivery in pregnant women with previous cesarean section.","authors":"Adriana Rodríguez-Palma, Youssef Fayad-Hanna,, David Hernández-Formica, Rangel Jiménez-Malavé, Santiago Rodríguez-Roque","doi":"10.51288/00830310","DOIUrl":"https://doi.org/10.51288/00830310","url":null,"abstract":"Objective: To determine the consequences of the type of delivery in pregnant women with previous cesarean section,attended at the Hospital Universitario “Dr. Luis Razetti”, Barcelona, Anzoátegui state, during October 2019. Methods: Retrospective study, with descriptive level, of documentary design and cross-sectional cut, with a sample of 130 pregnant patients with previous cesarean section. A clinical history analysis guide was used as a data collection instrument. Results: Regarding the type of delivery, cesarean section predominated (52.3 versus 47.7%), however, 68.9% of the complications occurred in those with vaginal delivery, the most frequent being vaginal tears (33.3%), retained placenta (8.9%) and uterine hypotonia (8.9%). In contrast, in the group of pregnant women with cesarean section, surgical site infections (17.8%) and anemia (8.9%) were identified as the most frequent complications. Conclusions: The results of this research indicate that both vaginal delivery and cesarean section are safe, but the final decision depends on the individual clinical evaluation of each pregnant woman.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48604252","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}
Johnny Alexander Padrón Sanabria, Betzabeth Nathali Torrealba Quevedo, Solangel del Carmen Silva Acosta, Meisber Antonel Obispo Calderón
Ovarian ectopic gestation occurs when fetal tissue implants outside the uterine cavity. Implantation is usually tubal; Ovarian localization has an incidence of less than 1%. The diagnosis is confirmed by ultrasonography and the β subunit of chorionic gonadotropin in urine or blood; But its negativity doesn’t rule out the diagnosis. We present the case of a 19-year-old nulliparous patient with pelvic pain, with no significant history. Ultrasound revealed a 65 mm right ovary tumor. The β subunit value of chorionic gonadotropin was 3 mIU/L. The operative findings were: 100 cc hemoperitoneum, ruptured right ovary cyst of 6 x 4 cm ruptured, ectopic pregnancy of 7 weeks of gestation in Douglas sac fundus and phlegmonous appendix. The anatomopathological study reflected: moderate periappendicitis, right ovary with inflammation, neovascularization, vascular congestion, recent hemorrhage and ovarian ectopic pregnancy
当胎儿组织植入子宫腔外时,就会发生卵巢异位妊娠。植入通常是输卵管;卵巢定位的发生率不到1%。通过超声检查和尿液或血液中绒毛膜促性腺激素的β亚基来确认诊断;但它的消极性并不排除诊断的可能性。我们报告了一例19岁的未产妇骨盆疼痛,无明显病史。超声检查发现一个65毫米的右卵巢肿瘤。绒毛膜促性腺激素β亚基值为3mIU/L。手术结果为:腹腔积血100毫升,右侧卵巢囊肿破裂6 x 4厘米,道格拉斯囊底异位妊娠7周,阑尾积水。解剖病理学研究反映:中度阑尾周围炎、右侧卵巢伴炎症、新生血管、血管充血、近期出血和卵巢异位妊娠
{"title":"Ectopic ovarian gestation and β subunit of negative chorionic gonadotropin, is it possible? Report a rare case","authors":"Johnny Alexander Padrón Sanabria, Betzabeth Nathali Torrealba Quevedo, Solangel del Carmen Silva Acosta, Meisber Antonel Obispo Calderón","doi":"10.51288/00830315","DOIUrl":"https://doi.org/10.51288/00830315","url":null,"abstract":"Ovarian ectopic gestation occurs when fetal tissue implants outside the uterine cavity. Implantation is usually tubal; Ovarian localization has an incidence of less than 1%. The diagnosis is confirmed by ultrasonography and the β subunit of chorionic gonadotropin in urine or blood; But its negativity doesn’t rule out the diagnosis. We present the case of a 19-year-old nulliparous patient with pelvic pain, with no significant history. Ultrasound revealed a 65 mm right ovary tumor. The β subunit value of chorionic gonadotropin was 3 mIU/L. The operative findings were: 100 cc hemoperitoneum, ruptured right ovary cyst of 6 x 4 cm ruptured, ectopic pregnancy of 7 weeks of gestation in Douglas sac fundus and phlegmonous appendix. The anatomopathological study reflected: moderate periappendicitis, right ovary with inflammation, neovascularization, vascular congestion, recent hemorrhage and ovarian ectopic pregnancy","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45129069","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}
Lina María Figueira Rodriguez, J. Cordero, María Torres, Gledys Torres, A. Lemmo, Jennifer Visconti
Objective: To evaluate whether simulated correction of apical prolapse determines the reduction or disappearance of anterior and posterior vaginal prolapse, using the Pelvic Organ Prolapse Quantification (POPQ) system. Methods: Cross-sectional study. The population consisted of patients who attended to the Hospital Universitario de Caracas with pelvic organ prolapse stage II or greater and who had involvement of the apical compartment between 2021 and 2022. The selection of the sample was made in a non-probabilistic, sequential way. Each patient underwent POPQ before and after simulation of apical support with the posterior blade of a standard Graves speculum. The Aa Ba Ap and Bp points were evaluated before and after simulation and the proportion of patients in whom the stage of anterior or posterior prolapse changed when simulating apical support was also determined. Results: We included 100 patients, most of them with prolapse stage III and IV. After apical support, the anterior compartment points were corrected to a value between 0 to -2 or -3 in most cases (p< 0.05). The points corresponding to the posterior vaginal wall changed to -3 in most patients (p< 0.05). The prolapse stage of the anterior compartment, changed to stage ≤ II in 99 % of cases (p< 0.05), and in 100% in the posterior compartment (p<0.05). Conclusion: Simulation of apical support during POPQ demonstrated correction of anterior and posterior compartment prolapse in a high percentage of patients.
{"title":"Simulation of apical support when assessing anterior and posterior compartment prolapse","authors":"Lina María Figueira Rodriguez, J. Cordero, María Torres, Gledys Torres, A. Lemmo, Jennifer Visconti","doi":"10.51288/00830307","DOIUrl":"https://doi.org/10.51288/00830307","url":null,"abstract":"Objective: To evaluate whether simulated correction of apical prolapse determines the reduction or disappearance of anterior and posterior vaginal prolapse, using the Pelvic Organ Prolapse Quantification (POPQ) system. Methods: Cross-sectional study. The population consisted of patients who attended to the Hospital Universitario de Caracas with pelvic organ prolapse stage II or greater and who had involvement of the apical compartment between 2021 and 2022. The selection of the sample was made in a non-probabilistic, sequential way. Each patient underwent POPQ before and after simulation of apical support with the posterior blade of a standard Graves speculum. The Aa Ba Ap and Bp points were evaluated before and after simulation and the proportion of patients in whom the stage of anterior or posterior prolapse changed when simulating apical support was also determined. Results: We included 100 patients, most of them with prolapse stage III and IV. After apical support, the anterior compartment points were corrected to a value between 0 to -2 or -3 in most cases (p< 0.05). The points corresponding to the posterior vaginal wall changed to -3 in most patients (p< 0.05). The prolapse stage of the anterior compartment, changed to stage ≤ II in 99 % of cases (p< 0.05), and in 100% in the posterior compartment (p<0.05). Conclusion: Simulation of apical support during POPQ demonstrated correction of anterior and posterior compartment prolapse in a high percentage of patients.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41636986","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}
Javiera Aguilera-Díaz Javiera Aguilera-Díaz, Isabella Castillo-Oyarzo sabella Castillo-Oyarzo, Caroline García-Yáñez Caroline García-Yáñez, Krishna Garrido-Muñoz Krishna Garrido-Muñoz, Ramon C. Gelabert Ramon C. Gelabert, Bárbara Cerda Aedo Bárbara Cerda Aedo
Objective: To describe the perception of the father regarding the paternal role in exclusive breastfeeding in the region of Ñuble, Chile, during the year 2021 and 2022. Methods: A qualitative study was conducted with a phenomenological design of a non-probabilistic type. 7 parents were selected and a semi-structured interview of 20-35 minutes was conducted with each participant through the Zoom platform. In the analysis, the recordings of the interviews were used for subsequent transcription and coding. Results: 5 relevant classifications were obtained for the interpretation of the answers submitted by the participants. While all parents lived and live the breastfeeding process differently, everyone knows and recognizes the importance of their role in breastfeeding, and they also agree that this milestone generates different feelings and emotions. Conclusion: It is important that male fathers receive extensive information about breastfeeding and what it entails,so that they can be a concrete help during the breastfeeding period.
{"title":"Father’s perception of his role towards breastfeeding in the region of Ñuble, Chile, 2021","authors":"Javiera Aguilera-Díaz Javiera Aguilera-Díaz, Isabella Castillo-Oyarzo sabella Castillo-Oyarzo, Caroline García-Yáñez Caroline García-Yáñez, Krishna Garrido-Muñoz Krishna Garrido-Muñoz, Ramon C. Gelabert Ramon C. Gelabert, Bárbara Cerda Aedo Bárbara Cerda Aedo","doi":"10.51288/00830305","DOIUrl":"https://doi.org/10.51288/00830305","url":null,"abstract":"Objective: To describe the perception of the father regarding the paternal role in exclusive breastfeeding in the region of Ñuble, Chile, during the year 2021 and 2022. Methods: A qualitative study was conducted with a phenomenological design of a non-probabilistic type. 7 parents were selected and a semi-structured interview of 20-35 minutes was conducted with each participant through the Zoom platform. In the analysis, the recordings of the interviews were used for subsequent transcription and coding. Results: 5 relevant classifications were obtained for the interpretation of the answers submitted by the participants. While all parents lived and live the breastfeeding process differently, everyone knows and recognizes the importance of their role in breastfeeding, and they also agree that this milestone generates different feelings and emotions. Conclusion: It is important that male fathers receive extensive information about breastfeeding and what it entails,so that they can be a concrete help during the breastfeeding period.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49245958","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}
Sarai Castro-Leyton, Judith Castro-Chuchon, Angie Chamorro-Gómez, Yenny Chipana-Chuquihuamani, John Barja-Ore
Objective: To analyze the knowledge and beliefs about HIV/AIDS in women users of barrier and natural methods in urban and rural areas of Peru. Methods: Cross-sectional analytical study that analyzed the registry of 4926 and 2273 urban and rural women, respectively, who participated in a national survey in 2021. Frequencies and percentages weighted with 95% confidence intervals were estimated; and the chi-square test was calculated with a significance level less than 0.05. Results: In rural areas, the majority of women were users of natural methods (73.6%), while in urban areas, there was less ignorance about HIV/AIDS infection status (11.4%). The proportion of women with inadequate beliefs about HIV was significantly higher in rural areas compared to urban areas (p < 0.001). A higher percentage of barrier method users living in both urban (12.6%) and rural (25.1%) areas were unaware of HIV/AIDS-related issues. Conclusion: In rural areas there is a higher percentage of lack of knowledge and erroneous beliefs about HIV/AIDS. The use of barrier methods was higher in urban areas and natural methods in rural areas. Knowledge and appropriate beliefs were mostly present in users of barrier methods in both rural and urban areas.
{"title":"Knowledge and beliefs about HIV/AIDS among women using barrier and natural methods: an analysis in urban and rural areas.","authors":"Sarai Castro-Leyton, Judith Castro-Chuchon, Angie Chamorro-Gómez, Yenny Chipana-Chuquihuamani, John Barja-Ore","doi":"10.51288/00830309","DOIUrl":"https://doi.org/10.51288/00830309","url":null,"abstract":"Objective: To analyze the knowledge and beliefs about HIV/AIDS in women users of barrier and natural methods in urban and rural areas of Peru. Methods: Cross-sectional analytical study that analyzed the registry of 4926 and 2273 urban and rural women, respectively, who participated in a national survey in 2021. Frequencies and percentages weighted with 95% confidence intervals were estimated; and the chi-square test was calculated with a significance level less than 0.05. Results: In rural areas, the majority of women were users of natural methods (73.6%), while in urban areas, there was less ignorance about HIV/AIDS infection status (11.4%). The proportion of women with inadequate beliefs about HIV was significantly higher in rural areas compared to urban areas (p < 0.001). A higher percentage of barrier method users living in both urban (12.6%) and rural (25.1%) areas were unaware of HIV/AIDS-related issues. Conclusion: In rural areas there is a higher percentage of lack of knowledge and erroneous beliefs about HIV/AIDS. The use of barrier methods was higher in urban areas and natural methods in rural areas. Knowledge and appropriate beliefs were mostly present in users of barrier methods in both rural and urban areas.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45510368","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 establish the usefulness of fetal sacral length measurement for the prediction of gestational age. Methods: A longitudinal and prospective study was conducted between January 2016 and December 2022 in women with low-risk singleton pregnancies, between 14 and 40 weeks of gestation, who attended prenatal consultation at the Central Hospital “Dr. Urquinaona”, Maracaibo. Biparietal diameter, abdominal circumference, femur length, and fetal sacrum length were measured during pregnancy. Results: For the final analysis, data from 215 healthy women was selected. A total of 3,033 total evaluations were performed, with the lowest number of evaluations at 38 weeks with 104 and the highest number of 139 at 22 weeks. When analyzing the correlation between sacral length and gestational age by date of last menstrual period and the rest of the ultrasound variables used, strong, positive, and significant correlations were found (p < 0.0001). The average difference between the gestational age determined by the date of the last menstrual period and that obtained by the model was +/- 0.3 weeks. The value of the coefficient of determination of the model of gestational age predicted by measurement was 0.975. When combining the four ultrasound parameters studied in the resulting model, it was 0.990. Conclusion: Measurement of fetal sacral length by ultrasonography is useful for predicting gestational age with high precision.
{"title":"Usefulness of fetal sacral length measurement for the prediction of gestational age","authors":"Eduardo Reyna-Villasmil, Jorly Mejía-Montilla, Duly Torres-Cepeda, Nadia Reyna-Villasmil, Martha Rondón-Tapia, Carlos Briceño-Pérez","doi":"10.51288/00830311","DOIUrl":"https://doi.org/10.51288/00830311","url":null,"abstract":"Objective: To establish the usefulness of fetal sacral length measurement for the prediction of gestational age. Methods: A longitudinal and prospective study was conducted between January 2016 and December 2022 in women with low-risk singleton pregnancies, between 14 and 40 weeks of gestation, who attended prenatal consultation at the Central Hospital “Dr. Urquinaona”, Maracaibo. Biparietal diameter, abdominal circumference, femur length, and fetal sacrum length were measured during pregnancy. Results: For the final analysis, data from 215 healthy women was selected. A total of 3,033 total evaluations were performed, with the lowest number of evaluations at 38 weeks with 104 and the highest number of 139 at 22 weeks. When analyzing the correlation between sacral length and gestational age by date of last menstrual period and the rest of the ultrasound variables used, strong, positive, and significant correlations were found (p < 0.0001). The average difference between the gestational age determined by the date of the last menstrual period and that obtained by the model was +/- 0.3 weeks. The value of the coefficient of determination of the model of gestational age predicted by measurement was 0.975. When combining the four ultrasound parameters studied in the resulting model, it was 0.990. Conclusion: Measurement of fetal sacral length by ultrasonography is useful for predicting gestational age with high precision.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42947897","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}