Objective: To determine the effect of simultaneous treatment of the male partner to prevent the recurrence of bacterial vaginosis. Methods: A systematic review of the literature was carried out in different electronic databases (EMBASE, CINAHL Plus, Scopus, among others), through standardized search terms. Evaluative outcomes include studies where any treatment or intervention was published for male partners of women treated for bacterial vaginosis, recurrence rates, and proportion of male adverse events. Results: 65 articles are included, and they coincide in not recommending the detection and treatment of the male sexual partner of a woman with bacterial vaginosis; since said intervention has not shown benefits in preventing the recurrence of the infection (Grade of recommendation C); a high proportion is reported in the presence of adverse reactions in male partners. Conclusions: The results of published research on whether or not to treat the male sexual partner of a woman with bacterial vaginosis are conclusive in that it is not recommended; however, everything points to the fact that any intervention is ineffective, without offering advantages when it comes to reducing recurrence. Well-designed studies evaluating different more effective and safer treatment interventions to prevent recurrence of bacterial vaginosis are needed.
{"title":"Bacterial vaginosis: Treatment of the male partner, ¿myth or reality? Update 2023","authors":"Franklin José Espitia De La Hoz","doi":"10.51288/00830312","DOIUrl":"https://doi.org/10.51288/00830312","url":null,"abstract":"Objective: To determine the effect of simultaneous treatment of the male partner to prevent the recurrence of bacterial vaginosis. Methods: A systematic review of the literature was carried out in different electronic databases (EMBASE, CINAHL Plus, Scopus, among others), through standardized search terms. Evaluative outcomes include studies where any treatment or intervention was published for male partners of women treated for bacterial vaginosis, recurrence rates, and proportion of male adverse events. Results: 65 articles are included, and they coincide in not recommending the detection and treatment of the male sexual partner of a woman with bacterial vaginosis; since said intervention has not shown benefits in preventing the recurrence of the infection (Grade of recommendation C); a high proportion is reported in the presence of adverse reactions in male partners. Conclusions: The results of published research on whether or not to treat the male sexual partner of a woman with bacterial vaginosis are conclusive in that it is not recommended; however, everything points to the fact that any intervention is ineffective, without offering advantages when it comes to reducing recurrence. Well-designed studies evaluating different more effective and safer treatment interventions to prevent recurrence of bacterial vaginosis are needed.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136327161","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}
Liz Quintero, O. Rangel, Nazira Monsalve, Silvia Parzanese
Objective: To determine the incidence of isthmocele by ultrasound and hysteroscopy. Methods: An observational and cross-sectional, descriptive study, was carried out by applying a registration matrix to symptomatic patients who attended the IAHULA gynecological consultation in the period between January-June 2019 to those who underwent pelvic ultrasound and hysteroscopy. Results: A sample of 24 patients was obtained. The average age was 37 years; 91.7 % had pelvic pain, 54.2 % dyspareunia, 50 % SUA and 4.2 % infertility. Of the total sample 18 patients reported isthmocele by ultrasound and 20 by hysteroscopy. Conclusion: It is important that before symptoms such as pelvic pain, abnormal uterine bleeding, infertility and dyspareunia, isthmocele is considered as a possible cause and differential diagnosis, being an easy defect to diagnose and treat. This study demonstrates a very good correlation between the results, with ultrasound reporting a sensitivity of 100 % and specificity of 67 %. The incidence of isthmocele was 75 % by ultrasound and 83.3 % by hysteroscopy.
{"title":"Istmocele: incidence by ultrasound and hysteroscopy and associated clinical symptoms in patients with a history of cesarean section","authors":"Liz Quintero, O. Rangel, Nazira Monsalve, Silvia Parzanese","doi":"10.51288/00830308","DOIUrl":"https://doi.org/10.51288/00830308","url":null,"abstract":"Objective: To determine the incidence of isthmocele by ultrasound and hysteroscopy. Methods: An observational and cross-sectional, descriptive study, was carried out by applying a registration matrix to symptomatic patients who attended the IAHULA gynecological consultation in the period between January-June 2019 to those who underwent pelvic ultrasound and hysteroscopy. Results: A sample of 24 patients was obtained. The average age was 37 years; 91.7 % had pelvic pain, 54.2 % dyspareunia, 50 % SUA and 4.2 % infertility. Of the total sample 18 patients reported isthmocele by ultrasound and 20 by hysteroscopy. Conclusion: It is important that before symptoms such as pelvic pain, abnormal uterine bleeding, infertility and dyspareunia, isthmocele is considered as a possible cause and differential diagnosis, being an easy defect to diagnose and treat. This study demonstrates a very good correlation between the results, with ultrasound reporting a sensitivity of 100 % and specificity of 67 %. The incidence of isthmocele was 75 % by ultrasound and 83.3 % by hysteroscopy.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47466039","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}
Karina del Carmen Seminario Acosta, Arlen Estefanía García, Luis Omar Díaz Torres, M. González Blanco
Objective: To evaluate the adherence of the health personnel of the Clínica Maternidad Santa Ana, of the Venezuelan Institute of Social Security, to the recommendations of the World Health Organization on humanized childbirth for a positive birth experience, according to the opinion of patients who come for obstetric care between September and November 2022. Methods: Observational, prospective, descriptive, exploratory and cross-sectional study. It included 100 puerperal women. An ad hoc survey prepared according to the recommendations of the World Health Organization was applied to them and related to the characteristics of the patients. Previously, the instrument was validated. Descriptive statistics were applied. Results: The intraclass correlation coefficient of the survey was 0.821 and Guttman’s r was 0.879. Overall, 87% of patients perceived moderate adherence. In care during labor and birth, 90 patients perceived moderate adherence, during the labor period, 85% found moderate adherence; in the second stage and delivery, 54% perceived that adherence was moderate but 29% described it as poor. In postpartum care for mother and newborn, 47% perceived adherence to be excellent, with 42% perceiving it as moderate. The total score was 3078 points (61.6%) corresponding to moderate adherence. Conclusions: Health personnel’s adherence to World Health Organization recommendations on humanized childbirth was moderate, and improved late in the process.
{"title":"Humanized childbirth: adherence of health personnel to the recommendations of the World Health Organization according to the opinion of patients","authors":"Karina del Carmen Seminario Acosta, Arlen Estefanía García, Luis Omar Díaz Torres, M. González Blanco","doi":"10.51288/00830304","DOIUrl":"https://doi.org/10.51288/00830304","url":null,"abstract":"Objective: To evaluate the adherence of the health personnel of the Clínica Maternidad Santa Ana, of the Venezuelan Institute of Social Security, to the recommendations of the World Health Organization on humanized childbirth for a positive birth experience, according to the opinion of patients who come for obstetric care between September and November 2022. Methods: Observational, prospective, descriptive, exploratory and cross-sectional study. It included 100 puerperal women. An ad hoc survey prepared according to the recommendations of the World Health Organization was applied to them and related to the characteristics of the patients. Previously, the instrument was validated. Descriptive statistics were applied. Results: The intraclass correlation coefficient of the survey was 0.821 and Guttman’s r was 0.879. Overall, 87% of patients perceived moderate adherence. In care during labor and birth, 90 patients perceived moderate adherence, during the labor period, 85% found moderate adherence; in the second stage and delivery, 54% perceived that adherence was moderate but 29% described it as poor. In postpartum care for mother and newborn, 47% perceived adherence to be excellent, with 42% perceiving it as moderate. The total score was 3078 points (61.6%) corresponding to moderate adherence. Conclusions: Health personnel’s adherence to World Health Organization recommendations on humanized childbirth was moderate, and improved late in the process.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47913069","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}
Blanca Guerrero Chacón Blanca Guerrero Chacón, Ana María Moreno García Ana María Moreno García, Mónica Vera Torres Mónica Vera Torres
Varicella-zoster virus is a potentially teratogenic agent that can cross the placenta and cause the syndrome of congenital chickenpox, which is characterized by multisystem abnormalities. Fetal involvement has an incidence of less than 2%. The case of a dichorionic-diamniotic twin gestation of 7 weeks, whose mother consulted for symptomatic chickenpox is presented. Several tests were performed that confirmed the diagnosis and acyclovir was prescribed. The evolution of pregnancy was normal until the third trimester, with ultrasound that made us suspect the Varicella involvement of one of the fetuses. The pregnancy came to term and ended by caesarean section, with the affected fetus postnatally diagnosed with congenital chickenpox syndrome. There is no reported case in the current literature of discordant congenital varicella syndrome in twin pregnancy, so it seems a relevant case for study and knowledge of this pathology.
{"title":"Discordant congenital varicella syndrome in twin pregnancy: a case report.","authors":"Blanca Guerrero Chacón Blanca Guerrero Chacón, Ana María Moreno García Ana María Moreno García, Mónica Vera Torres Mónica Vera Torres","doi":"10.51288/00830316","DOIUrl":"https://doi.org/10.51288/00830316","url":null,"abstract":"Varicella-zoster virus is a potentially teratogenic agent that can cross the placenta and cause the syndrome of congenital chickenpox, which is characterized by multisystem abnormalities. Fetal involvement has an incidence of less than 2%. The case of a dichorionic-diamniotic twin gestation of 7 weeks, whose mother consulted for symptomatic chickenpox is presented. Several tests were performed that confirmed the diagnosis and acyclovir was prescribed. The evolution of pregnancy was normal until the third trimester, with ultrasound that made us suspect the Varicella involvement of one of the fetuses. The pregnancy came to term and ended by caesarean section, with the affected fetus postnatally diagnosed with congenital chickenpox syndrome. There is no reported case in the current literature of discordant congenital varicella syndrome in twin pregnancy, so it seems a relevant case for study and knowledge of this pathology.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45452136","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}
E. Reyna-Villasmil,, Liliana Briceño-Sanabria, Carlos Briceño-Pérez
Intrahepatic cholestasis of pregnancy is caused by a dysfunction of the hepatocytes, typical of pregnancy. High concentrations of sex hormones and genetic predisposition appear to be important factors for their development. The incidence depends on the ethnic composition of the population and the diagnostic criteria used. It is characterized by increasing and persistent pruritus, increased concentrations of bile acids, usually in the late second or third trimester of pregnancy. It leads to the occurrence of uteroplacental hypoxia that increases the risk of meconium amniotic fluid, preterm delivery, preeclampsia, postpartum hemorrhage, neonatal respiratory distress syndrome, and perinatal death. Therapeutic management is aimed at reducing clinical symptoms, normalizing maternal biochemical changes, and preventing fetal complications. The main pharmacological treatment consists of the administration of ursodeoxycholic acid. The objective of this research is to evaluate the diagnosis and management of intrahepatic cholestasis of pregnancy
{"title":"Diagnóstico y manejo de la colestasis intrahepática en el embarazo","authors":"E. Reyna-Villasmil,, Liliana Briceño-Sanabria, Carlos Briceño-Pérez","doi":"10.51288/00830210","DOIUrl":"https://doi.org/10.51288/00830210","url":null,"abstract":"Intrahepatic cholestasis of pregnancy is caused by a dysfunction of the hepatocytes, typical of pregnancy. High concentrations of sex hormones and genetic predisposition appear to be important factors for their development. The incidence depends on the ethnic composition of the population and the diagnostic criteria used. It is characterized by increasing and persistent pruritus, increased concentrations of bile acids, usually in the late second or third trimester of pregnancy. It leads to the occurrence of uteroplacental hypoxia that increases the risk of meconium amniotic fluid, preterm delivery, preeclampsia, postpartum hemorrhage, neonatal respiratory distress syndrome, and perinatal death. Therapeutic management is aimed at reducing clinical symptoms, normalizing maternal biochemical changes, and preventing fetal complications. The main pharmacological treatment consists of the administration of ursodeoxycholic acid. The objective of this research is to evaluate the diagnosis and management of intrahepatic cholestasis of pregnancy","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47273143","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":"Tilde en solo y en los pronombres demostrativos. Aclarando dudas","authors":"Mireya González-Blanco","doi":"10.51288/00830203","DOIUrl":"https://doi.org/10.51288/00830203","url":null,"abstract":"","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41534638","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}
Globally, cervical cancer is the fourth most common type of cancer in women and has the fourth highest death rate of cancers in women. Colposcopy is part of the resources available to medicine for the diagnosis and monitoring of preinvasive lesions and cervical cancer. Well-trained professionals are required to perform an accurate and safe colposcopy. The same cytologic outcome has a different risk of intraepithelial neoplasia 2, 3, or cancer in various groups of women, so several populations require special management considerations, including those younger than 25 years, pregnant women, immunosuppressed women, those who underwent hysterectomy, and those older than 65 years. We conducted this review to update the available information on colposcopy in these special populations.
{"title":"Colposcopia en situaciones especiales","authors":"Mireya González Blanco","doi":"10.51288/00830211","DOIUrl":"https://doi.org/10.51288/00830211","url":null,"abstract":"Globally, cervical cancer is the fourth most common type of cancer in women and has the fourth highest death rate of cancers in women. Colposcopy is part of the resources available to medicine for the diagnosis and monitoring of preinvasive lesions and cervical cancer. Well-trained professionals are required to perform an accurate and safe colposcopy. The same cytologic outcome has a different risk of intraepithelial neoplasia 2, 3, or cancer in various groups of women, so several populations require special management considerations, including those younger than 25 years, pregnant women, immunosuppressed women, those who underwent hysterectomy, and those older than 65 years. We conducted this review to update the available information on colposcopy in these special populations.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43774598","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}
Marcia Milagros Aucca-Chacon, Yuly R Santos-Rosales, Miriam Yoana Correa-López, Frank Mayta-Tovalino, J. Barja-Ore
Objective: To determine the prevalence and associated factors of exclusive breastfeeding in Peru. Methods: Cross-sectional analytical study, based on the databases of the 2020 Peruvian Family Health Demographic Survey. We included 41 258 women aged 15-49 years who had at least one child in the last 5 years. Pearson’s Chi-square test and the crude prevalence ratio (cPR) and adjusted prevalence ratio (aPR) were used for the bivariate analysis; and Poisson regression was used for the multivariate analysis. The STATA version 14 program was used. Results: Exclusive breastfeeding had a prevalence of 70.43%. The sociodemographic factors associated were being from the highlands [aPR: 1.39; 95% CI: 1.35-1.43] and rural area [aPR: 1,95; IC95 %: 1,93-1,96]. Regarding obstetric factors, exclusive breastfeeding training [aPR: 1.05; 95% CI: 1.03-1.06] increases the probability of compliance, while excessive bleeding in labor [aPR: 0.97; 95% CI: 0.94-0.99] and postpartum breast infection [aPR: 0.94; 95% CI: 0.91-0.97] reduce it. Among neonatal factors, having a macrosomic child and early initiation of breastfeeding [aPR: 0.73; 95%CI: 0.68-0.80] are associated with exclusive breastfeeding. Conclusions: In Peru, exclusive breastfeeding has a high prevalence, moreover, its success is significantly associated with different sociodemographic, obstetric and neonatal factors.
{"title":"Lactancia materna exclusiva en el Perú y sus factores asociados: Un análisis de regresión multivariado","authors":"Marcia Milagros Aucca-Chacon, Yuly R Santos-Rosales, Miriam Yoana Correa-López, Frank Mayta-Tovalino, J. Barja-Ore","doi":"10.51288/00830206","DOIUrl":"https://doi.org/10.51288/00830206","url":null,"abstract":"Objective: To determine the prevalence and associated factors of exclusive breastfeeding in Peru. Methods: Cross-sectional analytical study, based on the databases of the 2020 Peruvian Family Health Demographic Survey. We included 41 258 women aged 15-49 years who had at least one child in the last 5 years. Pearson’s Chi-square test and the crude prevalence ratio (cPR) and adjusted prevalence ratio (aPR) were used for the bivariate analysis; and Poisson regression was used for the multivariate analysis. The STATA version 14 program was used. Results: Exclusive breastfeeding had a prevalence of 70.43%. The sociodemographic factors associated were being from the highlands [aPR: 1.39; 95% CI: 1.35-1.43] and rural area [aPR: 1,95; IC95 %: 1,93-1,96]. Regarding obstetric factors, exclusive breastfeeding training [aPR: 1.05; 95% CI: 1.03-1.06] increases the probability of compliance, while excessive bleeding in labor [aPR: 0.97; 95% CI: 0.94-0.99] and postpartum breast infection [aPR: 0.94; 95% CI: 0.91-0.97] reduce it. Among neonatal factors, having a macrosomic child and early initiation of breastfeeding [aPR: 0.73; 95%CI: 0.68-0.80] are associated with exclusive breastfeeding. Conclusions: In Peru, exclusive breastfeeding has a high prevalence, moreover, its success is significantly associated with different sociodemographic, obstetric and neonatal factors.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47671389","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}
E. Reyna-Villasmil,, D. Torres-Cepeda, Martha Rondón-Tapia
Pseudoangiomatous stromal hyperplasia of the breast is a rare benign mesenchymal lesion of the breast. We present a case of a 49-year-old female patient who consulted for having a rapidly and progressively growing tumor in her left breast. Breast ultrasound showed a heterogeneous and hypoechoic lesion with several nodules. Mammography showed an oval tumor with diffuse margins without microcalcifications. Ultrasound-guided core needle biopsy revealed cellular findings compatible with breast fibroma. The anatomopathological diagnosis was pseudoangiomatous stromal hyperplasia of the breast. This is a rare benign mesenchymal tumor secondary to exacerbated proliferation of mature fibroblasts and myofibroblasts, whose triggering factor is still unknown. Most present as diffuse lesions, and the diagnosis is often incidental or in the context of other breast pathologies.
{"title":"Hiperplasia estromal pseudoangiomatosa de la mama","authors":"E. Reyna-Villasmil,, D. Torres-Cepeda, Martha Rondón-Tapia","doi":"10.51288/00830214","DOIUrl":"https://doi.org/10.51288/00830214","url":null,"abstract":"Pseudoangiomatous stromal hyperplasia of the breast is a rare benign mesenchymal lesion of the breast. We present a case of a 49-year-old female patient who consulted for having a rapidly and progressively growing tumor in her left breast. Breast ultrasound showed a heterogeneous and hypoechoic lesion with several nodules. Mammography showed an oval tumor with diffuse margins without microcalcifications. Ultrasound-guided core needle biopsy revealed cellular findings compatible with breast fibroma. The anatomopathological diagnosis was pseudoangiomatous stromal hyperplasia of the breast. This is a rare benign mesenchymal tumor secondary to exacerbated proliferation of mature fibroblasts and myofibroblasts, whose triggering factor is still unknown. Most present as diffuse lesions, and the diagnosis is often incidental or in the context of other breast pathologies.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42766998","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 determine the association between preterm delivery and prenatal exposure of pregnant women to vehicular emissions of particulate matter smaller than 10 microns and carbon monoxide, in a city in Colombia, between July 2014 and July 2015. Methods: Relational, retrospective, case-control study at the Caldas Hospital in the city of Manizales; in women who attended delivery care. Exposure to vehicular emissions of particulate matter smaller than 10 microns and carbon monoxide was determined using previously published estimates for the city. The statistical analysis was carried out in the Jamovi – Stats Open Now application. It had the endorsement of the ethics committees of the institutions involved. Results: A total of 222 patients were analyzed, 74 presented preterm delivery (cases) and 148 term delivery (controls). No statistically significant association was found between the development of preterm labor and levels of particulate matter less than 10 microns or carbon monoxide; however, there could be an association between preterm delivery and health insurance, which could not be established due to the small sample size. The spatial pattern of cases of preterm delivery in the city was also obtained based on the habitual residence of the patients. Conclusion: Environmental pollutants such as particulate matter smaller than 10 microns and carbon monoxide may be involved in the presentation of preterm labor, however, more studies are required to analyze this association.
目的:确定2014年7月至2015年7月期间，哥伦比亚某城市孕妇早产与产前暴露于汽车排放的小于10微米的颗粒物和一氧化碳之间的关系。方法:在马尼萨莱斯市卡尔达斯医院进行关系、回顾性、病例对照研究;在接受分娩护理的妇女中。车辆排放的小于10微米的颗粒物和一氧化碳的暴露量是根据先前公布的对该市的估计来确定的。统计分析在Jamovi - Stats Open Now应用程序中进行。它得到了有关机构的道德委员会的赞同。结果:共分析222例患者，其中早产74例(病例)，足月148例(对照组)。未发现早产的发生与小于10微米的颗粒物或一氧化碳水平有统计学意义的关联;然而，早产与健康保险之间可能存在关联，但由于样本量小，无法确定这种关联。根据早产儿的常住地，得到了城市早产儿的空间分布格局。结论:环境污染物如小于10微米的颗粒物和一氧化碳可能与早产有关，但需要更多的研究来分析这种联系。
{"title":"Exposición antenatal a contaminantes vehiculares y asociación con parto pretérmino en Colombia","authors":"Dayanne González Lozano, Leidy Diana Henao Navarro, Beatriz Helena Aristizábal Zuluaga, Fabian Andrés Ruiz Murcia","doi":"10.51288/00830207","DOIUrl":"https://doi.org/10.51288/00830207","url":null,"abstract":"Objective: To determine the association between preterm delivery and prenatal exposure of pregnant women to vehicular emissions of particulate matter smaller than 10 microns and carbon monoxide, in a city in Colombia, between July 2014 and July 2015. Methods: Relational, retrospective, case-control study at the Caldas Hospital in the city of Manizales; in women who attended delivery care. Exposure to vehicular emissions of particulate matter smaller than 10 microns and carbon monoxide was determined using previously published estimates for the city. The statistical analysis was carried out in the Jamovi – Stats Open Now application. It had the endorsement of the ethics committees of the institutions involved. Results: A total of 222 patients were analyzed, 74 presented preterm delivery (cases) and 148 term delivery (controls). No statistically significant association was found between the development of preterm labor and levels of particulate matter less than 10 microns or carbon monoxide; however, there could be an association between preterm delivery and health insurance, which could not be established due to the small sample size. The spatial pattern of cases of preterm delivery in the city was also obtained based on the habitual residence of the patients. Conclusion: Environmental pollutants such as particulate matter smaller than 10 microns and carbon monoxide may be involved in the presentation of preterm labor, however, more studies are required to analyze this association.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46808839","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}
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