{"title":"Calcos y anglicismos. Usando bien el castellano en los manuscritos médicos","authors":"Mireya González-Blanco","doi":"10.51288/00820203","DOIUrl":"https://doi.org/10.51288/00820203","url":null,"abstract":"","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49518874","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}
Pablo E Hernández-Rojas,, Alfredo J Caraballo-Mata, H. Martínez
Fetal programming assumes that pregnancy is the period of greatest susceptibility to acquire changes in the cell nucleus as an adaptive response to the presence of certain morbid processes, which, if maintained over time, will be expressed as pathologies in the child, adolescent or adult such as obesity, dyslipidemia, metabolic syndrome, high blood pressure, ischemic heart disease, metabolic diseases such as type 2 diabetes mellitus, psychiatric diseases such as schizophrenia, anxiety, bipolarity,depression, and other neurological diseases such as autism, epilepsy, Alzheimer, and Parkinson’s disease. The objective was to analyze situations to be considered during the preconception, prenatal and postnatal consultation, in order to have an optimal environment in the first 280 days of the individual’s life. Conclusions: The correct gynecological and obstetric control should be oriented to look for a healthy adult, considering the fetus as a patient. A correct programming of the healthy adult begins in guaranteeing the health of the mother before and during pregnancy, childbirth and the puerperium.
{"title":"Etapa fetal de la programación. Estrategias para un buen control preconcepcional y prenatal","authors":"Pablo E Hernández-Rojas,, Alfredo J Caraballo-Mata, H. Martínez","doi":"10.51288/00820212","DOIUrl":"https://doi.org/10.51288/00820212","url":null,"abstract":"Fetal programming assumes that pregnancy is the period of greatest susceptibility to acquire changes in the cell nucleus as an adaptive response to the presence of certain morbid processes, which, if maintained over time, will be expressed as pathologies in the child, adolescent or adult such as obesity, dyslipidemia, metabolic syndrome, high blood pressure, ischemic heart disease, metabolic diseases such as type 2 diabetes mellitus, psychiatric diseases such as schizophrenia, anxiety, bipolarity,depression, and other neurological diseases such as autism, epilepsy, Alzheimer, and Parkinson’s disease. The objective was to analyze situations to be considered during the preconception, prenatal and postnatal consultation, in order to have an optimal environment in the first 280 days of the individual’s life. Conclusions: The correct gynecological and obstetric control should be oriented to look for a healthy adult, considering the fetus as a patient. A correct programming of the healthy adult begins in guaranteeing the health of the mother before and during pregnancy, childbirth and the puerperium.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45553846","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}
M. Romero Matas,, Marta Fernández Ruiz, Z. Frías Sánchez, M. Pantoja Garrido
Sacrococcygeal teratomas are frequently diagnosed prenatally. Although histologically they are usually benign, it is important to carry out adequate follow-up to detect if there is any type of complication that may require prenatal treatment or to end the pregnancy. In some cases in these fetuses we can observe urinary and fecal complications, severe heart failure, hydrops and even intrauterine death. The clinical case of a primigravida patient diagnosed at week 14 of gestation with a fetal malformation compatible with sacrococcygeal teratoma is presented. During prenatal follow-up, the mass grows rapidly, showing ultrasound signs of kidney and heart failure three weeks after diagnosis. Given the unfavorable prognosis, the patient decided legal induced abortion. In this work we will review the management of this type of patient, the diagnostic and therapeutic procedures indicated to avoid prenatal complications and the current recommendations to achieve the best maternal-fetal results.
{"title":"Teratoma sacrococcígeo fetal. Diagnóstico y manejo prenatal","authors":"M. Romero Matas,, Marta Fernández Ruiz, Z. Frías Sánchez, M. Pantoja Garrido","doi":"10.51288/00820214","DOIUrl":"https://doi.org/10.51288/00820214","url":null,"abstract":"Sacrococcygeal teratomas are frequently diagnosed prenatally. Although histologically they are usually benign, it is important to carry out adequate follow-up to detect if there is any type of complication that may require prenatal treatment or to end the pregnancy. In some cases in these fetuses we can observe urinary and fecal complications, severe heart failure, hydrops and even intrauterine death. The clinical case of a primigravida patient diagnosed at week 14 of gestation with a fetal malformation compatible with sacrococcygeal teratoma is presented. During prenatal follow-up, the mass grows rapidly, showing ultrasound signs of kidney and heart failure three weeks after diagnosis. Given the unfavorable prognosis, the patient decided legal induced abortion. In this work we will review the management of this type of patient, the diagnostic and therapeutic procedures indicated to avoid prenatal complications and the current recommendations to achieve the best maternal-fetal results.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45492268","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 review and analyze the possible role of herpes simplex virus type 2 as a factor and/or cofactor in the origin and development of cervical cancer. Methods: The Latin American and international literature was reviewed between 1970 and Junio 2020. The terms were used:herpes simplex virus type 2 and/or epidemiology, human papillomavirus and cervical cancer. Results: Herpes simplex virus type 2 is considered one of the most frequent sexually transmitted infections in the world. It has been related to the origin and evolution of cervical neoplasms and their precursors. The possible mechanisms by which it could participate in the carcinogenesis of cervical cancer are analyzed, as a cofactor with papillomavirus or as an independent factor. Conclusions: More clinical, epidemiological, serological and molecular studies are required to elucidate the pathogenesis of herpes simplex virus type 2 in the carcinogenesis of cervical cancer
{"title":"Herpes Virus Simple tipo 2 ¿factor y/o cofactor en el cáncer del cuello uterino? Revisión narrativa de la literatura","authors":"José Nuñez Troconis","doi":"10.51288/00820211","DOIUrl":"https://doi.org/10.51288/00820211","url":null,"abstract":"Objective: To review and analyze the possible role of herpes simplex virus type 2 as a factor and/or cofactor in the origin and development of cervical cancer. Methods: The Latin American and international literature was reviewed between 1970 and Junio 2020. The terms were used:herpes simplex virus type 2 and/or epidemiology, human papillomavirus and cervical cancer. Results: Herpes simplex virus type 2 is considered one of the most frequent sexually transmitted infections in the world. It has been related to the origin and evolution of cervical neoplasms and their precursors. The possible mechanisms by which it could participate in the carcinogenesis of cervical cancer are analyzed, as a cofactor with papillomavirus or as an independent factor. Conclusions: More clinical, epidemiological, serological and molecular studies are required to elucidate the pathogenesis of herpes simplex virus type 2 in the carcinogenesis of cervical cancer","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47667517","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}
Defects in cesarean scar results from a postoperative complication of the uterine isthmus, also known as an isthmocele. This is a reservoir-like pouch defect on the anterior wall of the uterine isthmus located at the site of a previous cesarean scar. The flow of menstrual blood through the cervix may be slowed by the presence of isthmocele, as the blood may accumulate in the niche and, together with the presence of fibrotic tissue, cause pelvic pain. The removal of the local inflamed tissue improves symptoms and restores fertility. We report the case of a 39-year-old with history of inter-menstrual bleeding, pelvic pain and dysmenorrhea. Images studies revealed a cesarean scar defect connected to a small cavity in the myometrium compatible with an isthmocele. After surgical excision, symptoms resolved. This case highlights the importance surrounding diagnosis, management and benefits of surgical repair of uterine scar defect after cesarean section.
{"title":"Istmocele. Reporte de caso","authors":"Duly Torres-Cepeda, E. Reyna-Villasmil,","doi":"10.51288/00820215","DOIUrl":"https://doi.org/10.51288/00820215","url":null,"abstract":"Defects in cesarean scar results from a postoperative complication of the uterine isthmus, also known as an isthmocele. This is a reservoir-like pouch defect on the anterior wall of the uterine isthmus located at the site of a previous cesarean scar. The flow of menstrual blood through the cervix may be slowed by the presence of isthmocele, as the blood may accumulate in the niche and, together with the presence of fibrotic tissue, cause pelvic pain. The removal of the local inflamed tissue improves symptoms and restores fertility. We report the case of a 39-year-old with history of inter-menstrual bleeding, pelvic pain and dysmenorrhea. Images studies revealed a cesarean scar defect connected to a small cavity in the myometrium compatible with an isthmocele. After surgical excision, symptoms resolved. This case highlights the importance surrounding diagnosis, management and benefits of surgical repair of uterine scar defect after cesarean section.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47090038","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}
Freddy Bello Rodríguez, María Isabel Aliaga, Norma Marchan Pérez
Objective: To evaluate the outpatient activities of high obstetric risk during the COVID-19 pandemic. Methods: Retrospective, descriptive review of epidemiological, clinical/paraclinical factors and treatment of 102 medical records from the High Obstetric Risk clinic of the Jesús María Casal Ramos Araure/Acarigua University Hospital from March 11, 2020 to March 11, 2021. Results: In the year, 346 controls were carried out, 244 successive controls, 23% adolescents, 19% elderly and 58% of reproductive age; 77% with some degree of formal education; 57% of the municipality of Araure, the most common reason for referral in 25% want not to reproduce and 23% in previous cesarean sections; high blood pressure was the most frequent family and personal history and comorbidity; 64% had a lower average gain of 6 Kgs; 52% of patients were anemic on their exams, requiring iron supplements or transfusions; betamethasone was the most widely used inducer of lung maturation and amoxicillin/clavulanic antibiotic. 2 patients positive for human immunodeficiency virus, 1 primary syphilis and 2 COVID-19 were monitored and treated on an outpatient basis: 1 mild in the 1st trimester and 1 moderate in the 3rd trimester. There were no maternal deaths in the sample. Conclusion: The high obstetric risk consultation is the most effective form of articulation between the surrogate, the health services and the community that guarantees a healthy pregnancy, the place to give birth, as well as a dignified and respected treatment throughout the process
目的:了解新冠肺炎大流行期间产科高危人群门诊活动情况。方法:回顾性、描述性分析Jesús María Casal Ramos Araure/阿卡里瓜大学医院高危产科门诊2020年3月11日至2021年3月11日102例病例的流行病学、临床/临床旁因素及治疗方法。结果:全年共开展对照346例，连续对照244例，青少年23%，老年人19%，育龄期58%;77%的人受过一定程度的正规教育;Araure市57%的人转诊最常见的原因是25%的人不想生育，23%的人有过剖宫产史;高血压是最常见的家族和个人病史及合并症;64%的平均增重低于6公斤;52%的患者在检查中贫血，需要补充铁或输血;倍他米松是最广泛使用的肺成熟诱导剂和阿莫西林/克拉维兰类抗生素。2例人类免疫缺陷病毒阳性，1例原发性梅毒阳性，2例COVID-19阳性，在门诊进行监测和治疗:1例轻度妊娠早期，1例中度妊娠晚期。样本中没有产妇死亡。结论:产科高风险咨询是代孕者、保健服务机构和社区之间最有效的沟通方式，可确保健康怀孕、分娩地点以及在整个过程中获得有尊严和受尊重的治疗
{"title":"Consulta de Alto Riesgo Obstétrico marzo 2020-2021 en el Hospital Universitario Jesús María Casal Ramos: una necesidad durante pandemia","authors":"Freddy Bello Rodríguez, María Isabel Aliaga, Norma Marchan Pérez","doi":"10.51288/00820207","DOIUrl":"https://doi.org/10.51288/00820207","url":null,"abstract":"Objective: To evaluate the outpatient activities of high obstetric risk during the COVID-19 pandemic. Methods: Retrospective, descriptive review of epidemiological, clinical/paraclinical factors and treatment of 102 medical records from the High Obstetric Risk clinic of the Jesús María Casal Ramos Araure/Acarigua University Hospital from March 11, 2020 to March 11, 2021. Results: In the year, 346 controls were carried out, 244 successive controls, 23% adolescents, 19% elderly and 58% of reproductive age; 77% with some degree of formal education; 57% of the municipality of Araure, the most common reason for referral in 25% want not to reproduce and 23% in previous cesarean sections; high blood pressure was the most frequent family and personal history and comorbidity; 64% had a lower average gain of 6 Kgs; 52% of patients were anemic on their exams, requiring iron supplements or transfusions; betamethasone was the most widely used inducer of lung maturation and amoxicillin/clavulanic antibiotic. 2 patients positive for human immunodeficiency virus, 1 primary syphilis and 2 COVID-19 were monitored and treated on an outpatient basis: 1 mild in the 1st trimester and 1 moderate in the 3rd trimester. There were no maternal deaths in the sample. Conclusion: The high obstetric risk consultation is the most effective form of articulation between the surrogate, the health services and the community that guarantees a healthy pregnancy, the place to give birth, as well as a dignified and respected treatment throughout the process","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48176898","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}
F. S. Carrión-Nessi, Óscar D. Omaña-Ávila, Sinibaldo R. Romero Arocha, Daniela L. Mendoza, Andrea C. Lahoud, Mariana de J. de Marchis, David A. Forero-Peña
Hypertensive syndromes of pregnancy are a leading cause of maternal and perinatal morbidity and mortality worldwide.Their etiology is complex, multifactorial and not yet fully understood; however, there is recent evidence that the symptoms are attributable to an excessive inflammatory response causing widespread endothelial damage. During the last few years, our understanding of these entities has progressed, leading to modified definitions and diagnostic criteria for hypertensive syndromes of pregnancy. Although it is possible to control blood pressure with antihypertensive drugs and prevent seizures with magnesium sulfate, for the time being the only definitive treatment for preeclampsia and eclampsia remains scheduled, often premature, delivery. This study provides updated guidelines for early diagnosis and timely treatment of the different types of hypertensive syndromes of pregnancy.
{"title":"Síndromes hipertensivos del embarazo: pautas actualizadas para la conducta clínica","authors":"F. S. Carrión-Nessi, Óscar D. Omaña-Ávila, Sinibaldo R. Romero Arocha, Daniela L. Mendoza, Andrea C. Lahoud, Mariana de J. de Marchis, David A. Forero-Peña","doi":"10.51288/00820213","DOIUrl":"https://doi.org/10.51288/00820213","url":null,"abstract":"Hypertensive syndromes of pregnancy are a leading cause of maternal and perinatal morbidity and mortality worldwide.Their etiology is complex, multifactorial and not yet fully understood; however, there is recent evidence that the symptoms are attributable to an excessive inflammatory response causing widespread endothelial damage. During the last few years, our understanding of these entities has progressed, leading to modified definitions and diagnostic criteria for hypertensive syndromes of pregnancy. Although it is possible to control blood pressure with antihypertensive drugs and prevent seizures with magnesium sulfate, for the time being the only definitive treatment for preeclampsia and eclampsia remains scheduled, often premature, delivery. This study provides updated guidelines for early diagnosis and timely treatment of the different types of hypertensive syndromes of pregnancy.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46009395","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, Jorly Mejía-Montilla, Nadia Reyna-Villasmil, Martha Rondón-Tapia, Andreina Fernández-Ramírez, Carlos Briceño-Pérez
Objective: To establish the association between pulsatility index of the uterine artery and imminent preterm delivery in symptomatic patients. Methods: Women with single pregnancies of 24 - 35 weeks were selected, with threat of preterm delivery and intact membranes. Before the start of any treatment, all were submitted to Doppler ultrasound evaluation. The main variable of the study was the frequency of imminent delivery (in the 7 days following the evaluation). General characteristics and values of the pulsatility index of the uterine artery were evaluated. Results: 481 patients were selected for the study. 119 participants presented imminent preterm delivery (group A) and 362 patients presented deliveries beyond 7 days (group B). Pulsatility index of the uterine artery at rest (2.24 +/- 0.51 compared to 1.57 +/- 0.36) and during uterine contractions (0.94 +/- 0.21 compared to 0, 75 +/- 0.12) were higher in patients in group A compared with those in group B (p <0.0001). It was observed that the pulsatility index at rest had an area under the curve of 0.843 compared to an area under the curve of 0.748 during contractions (p <0.05). The combination of both measurements showed a significantly higher value under the curve (0.892) that was significantly higher than both tests individually (p <0.05). Conclusion: Pulsatility index of the uterine artery is associated with imminent preterm delivery in symptomatic patients.
{"title":"Índice de pulsatilidad de la arteria uterina y parto pretérmino inminente en pacientes sintomáticas","authors":"E. Reyna-Villasmil,, D. Torres-Cepeda, Jorly Mejía-Montilla, Nadia Reyna-Villasmil, Martha Rondón-Tapia, Andreina Fernández-Ramírez, Carlos Briceño-Pérez","doi":"10.51288/00820208","DOIUrl":"https://doi.org/10.51288/00820208","url":null,"abstract":"Objective: To establish the association between pulsatility index of the uterine artery and imminent preterm delivery in symptomatic patients. Methods: Women with single pregnancies of 24 - 35 weeks were selected, with threat of preterm delivery and intact membranes. Before the start of any treatment, all were submitted to Doppler ultrasound evaluation. The main variable of the study was the frequency of imminent delivery (in the 7 days following the evaluation). General characteristics and values of the pulsatility index of the uterine artery were evaluated. Results: 481 patients were selected for the study. 119 participants presented imminent preterm delivery (group A) and 362 patients presented deliveries beyond 7 days (group B). Pulsatility index of the uterine artery at rest (2.24 +/- 0.51 compared to 1.57 +/- 0.36) and during uterine contractions (0.94 +/- 0.21 compared to 0, 75 +/- 0.12) were higher in patients in group A compared with those in group B (p <0.0001). It was observed that the pulsatility index at rest had an area under the curve of 0.843 compared to an area under the curve of 0.748 during contractions (p <0.05). The combination of both measurements showed a significantly higher value under the curve (0.892) that was significantly higher than both tests individually (p <0.05). Conclusion: Pulsatility index of the uterine artery is associated with imminent preterm delivery in symptomatic patients.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47268433","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}
Alexandra Liñán-Bermúdez, Pamela León Pastuso, Jhonny Jesús Chafloque Chavesta, J. Barja-Ore
Objective: To compare the characteristics of postpartum control from Peruvian women in urban and rural areas. Methods: A cross-sectional study, carried out from the 2020 Demographic and Family Health Survey, analyzed 9017 records of women of reproductive age. Weighted and unweighted counts were estimated; and the chi square test was used at a 95% confidence level. Results: 97.1% of the women had postpartum control. In urban and rural areas, the prevalence of this service was 98.7% and 91.1%, respectively. 78.9% of women in urban areas had their first check-up within 4 hours after giving birth, 45.2% were seen by a doctor, and 58.2% received care in health facilities of the Ministry of Health. In rural areas, 35.1% received care from a professional Obstetrician, 12.3% had control between the first 4 and 23 hours of delivery, and 8.2% received this care at home or in the house of the midwife. Conclusions: In rural areas, compared to urban areas, postpartum control is less prevalent. The provision of this service in the shortest possible time, by health professionals and in health facilities, is significantly higher in urban areas.
{"title":"Control del puerperio en mujeres peruanas de zona urbana y rural: análisis secundario de una encuesta nacional","authors":"Alexandra Liñán-Bermúdez, Pamela León Pastuso, Jhonny Jesús Chafloque Chavesta, J. Barja-Ore","doi":"10.51288/00820210","DOIUrl":"https://doi.org/10.51288/00820210","url":null,"abstract":"Objective: To compare the characteristics of postpartum control from Peruvian women in urban and rural areas. Methods: A cross-sectional study, carried out from the 2020 Demographic and Family Health Survey, analyzed 9017 records of women of reproductive age. Weighted and unweighted counts were estimated; and the chi square test was used at a 95% confidence level. Results: 97.1% of the women had postpartum control. In urban and rural areas, the prevalence of this service was 98.7% and 91.1%, respectively. 78.9% of women in urban areas had their first check-up within 4 hours after giving birth, 45.2% were seen by a doctor, and 58.2% received care in health facilities of the Ministry of Health. In rural areas, 35.1% received care from a professional Obstetrician, 12.3% had control between the first 4 and 23 hours of delivery, and 8.2% received this care at home or in the house of the midwife. Conclusions: In rural areas, compared to urban areas, postpartum control is less prevalent. The provision of this service in the shortest possible time, by health professionals and in health facilities, is significantly higher in urban areas.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41843140","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 evaluate the effectiveness of the use of autologous platelet growth factors in long-term menopausal genitourinary syndrome. Methods: A prospective, longitudinal, observational, experimental study was conducted in 1500 patients who attended the private practice from August 2012 to December 2016, with signs and symptoms compatible with menopausal genitourinary syndrome. With prior informed consent, medical history, physical examination, paraclinical examination (laboratory, cytocolposcopy, vault or cervical biopsy) and classification of menopausal genitourinary syndrome into mild, moderate and severe, cervix biopsy was taken from those considered severe. Platelet-rich plasma was prepared and placed on each patient monthly for three sessions. Controls were performed at one month, at 45 days (cytology, colposcopy and control biopsy in cases classified as severe), at six months and one year after the procedure, and then, they went to the gynecological control annually until today. Results: The symptomatology consulted was variable, predominantly pruritus, and vaginal discharges in 80%. In 100% of the patients, the symptoms disappeared. There were no complications. of the procedure. 3% reported headaches, and transient hyperthermia. There were significant histological changes in biopsy and control cytology. Conclusions: The use of autologous platelet growth factors contributes to restoring the vaginal mucosa, with the consequent disappearance of the symptoms. It is a minimally invasive tool, without side effects.
{"title":"Uso de factores de crecimiento plaquetario en síndrome genitourinario. Experiencia privada","authors":"Ajakaida. Renaud","doi":"10.51288/00820209","DOIUrl":"https://doi.org/10.51288/00820209","url":null,"abstract":"Objective: To evaluate the effectiveness of the use of autologous platelet growth factors in long-term menopausal genitourinary syndrome. Methods: A prospective, longitudinal, observational, experimental study was conducted in 1500 patients who attended the private practice from August 2012 to December 2016, with signs and symptoms compatible with menopausal genitourinary syndrome. With prior informed consent, medical history, physical examination, paraclinical examination (laboratory, cytocolposcopy, vault or cervical biopsy) and classification of menopausal genitourinary syndrome into mild, moderate and severe, cervix biopsy was taken from those considered severe. Platelet-rich plasma was prepared and placed on each patient monthly for three sessions. Controls were performed at one month, at 45 days (cytology, colposcopy and control biopsy in cases classified as severe), at six months and one year after the procedure, and then, they went to the gynecological control annually until today. Results: The symptomatology consulted was variable, predominantly pruritus, and vaginal discharges in 80%. In 100% of the patients, the symptoms disappeared. There were no complications. of the procedure. 3% reported headaches, and transient hyperthermia. There were significant histological changes in biopsy and control cytology. Conclusions: The use of autologous platelet growth factors contributes to restoring the vaginal mucosa, with the consequent disappearance of the symptoms. It is a minimally invasive tool, without side effects.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44059487","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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