Andreina Fernández-Ramírez, Jorly Mejía-Montilla, Nadia Reyna-Villasmil, D. Torres-Cepeda, E. Reyna-Villasmil,
Objective: To establish the association between serum calcium concentrations, cortical thickness of the second metacarpal and symptoms of menopause. Methods: This study was cross-sectional and prospective and included menopausal women aged between 50 and 70 years who attended the Gynecology and Obstetrics consultation at the Central Hospital “Dr. Urquinaona”, Maracaibo, Venezuela. General characteristics, serum calcium concentrations, cortical thickness of the second metacarpal and menopausal symptoms were evaluated. Results: Most of the patients (55.5%) were older than 65 years, with the onset of menopause after 45 years (64.8%), with 4 or more pregnancies (85.2%) and without a history use of contraceptive methods (79.6%). It was observed that 38 participants (70.3%) presented normal values of serum calcium concentrations, while 16 women (29.6%) presented values below the normal value and 28 participants (51.8%) presented moderate changes. and 6 women (11.1%) presented severe changes in the cortical thickness of the second metacarpal. When analyzing the possible associations between menopausal symptoms with both serum calcium values and cortical thickness values, it was observed that these were not significant (p = 0.5097 and p =0.1617, respectively). No association was found between serum calcium concentrations and cortical thickness (p = 0.4074). Conclusion: There is no significant association between serum calcium concentrations, cortical thickness of the second metacarpal and menopausal symptoms.
{"title":"Calcio sérico, grosor cortical del segundo metacarpiano y síntomas en la menopausia","authors":"Andreina Fernández-Ramírez, Jorly Mejía-Montilla, Nadia Reyna-Villasmil, D. Torres-Cepeda, E. Reyna-Villasmil,","doi":"10.51288/00820204","DOIUrl":"https://doi.org/10.51288/00820204","url":null,"abstract":"Objective: To establish the association between serum calcium concentrations, cortical thickness of the second metacarpal and symptoms of menopause. Methods: This study was cross-sectional and prospective and included menopausal women aged between 50 and 70 years who attended the Gynecology and Obstetrics consultation at the Central Hospital “Dr. Urquinaona”, Maracaibo, Venezuela. General characteristics, serum calcium concentrations, cortical thickness of the second metacarpal and menopausal symptoms were evaluated. Results: Most of the patients (55.5%) were older than 65 years, with the onset of menopause after 45 years (64.8%), with 4 or more pregnancies (85.2%) and without a history use of contraceptive methods (79.6%). It was observed that 38 participants (70.3%) presented normal values of serum calcium concentrations, while 16 women (29.6%) presented values below the normal value and 28 participants (51.8%) presented moderate changes. and 6 women (11.1%) presented severe changes in the cortical thickness of the second metacarpal. When analyzing the possible associations between menopausal symptoms with both serum calcium values and cortical thickness values, it was observed that these were not significant (p = 0.5097 and p =0.1617, respectively). No association was found between serum calcium concentrations and cortical thickness (p = 0.4074). Conclusion: There is no significant association between serum calcium concentrations, cortical thickness of the second metacarpal and menopausal symptoms.","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":"41296582","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 estimate the frequency of muscle and joint pain and to identify if other menopausal symptoms, age, nutritional status, metabolic risk, and menopausal status were associated factors. Methods: A Cross-sectional study which is part of the CAVIMEC project (Calidad de vida en la menopausia y Etnias Colombianas) was carried out in climacteric Afro-descendant women, between 40 and 59 years old, living in the Colombian Caribbean. They were surveyed in their own residences, prior informed consent. The Menopause Rating Scale was applied, this instrument assesses menopausal symptoms. Logistic regression was performed and the Spearman correlation coefficient was estimated. P value<0.05 was statistically significant. Results: 420 women were studied, median age 50.0 ± 6.1, 22.8% postmenopausal and 82.8% with abdominal obesity. 243 (57.9%) had muscle and joint pain. All menopausal symptoms were more frequent among women with muscle and joint pain. Depressed mood OR: 4.20 (95 % CI:1.55-11.74), age 50-54 years OR: 3.68 (95 % CI:1.53-8.82), heart palpitations OR:3.00 (95 % CI:1.51-5.98), age 55-50 years OR: 2.48 (95 % CI:1.08-5.64) and hot flashes OR: 1.92 (95 % CI:1.11-3.31) were associated with muscle and joint pain. The same was identified with the abdominal circumference OR: 0.322 (95 % CI:0.233-0.405) and hip circumference OR: 0.318 (95 % CI:0.229-0.401). Conclusions: High frequency of muscle and joint pain was identified. Aging, psychological and somato/vegetative symptoms, as well as abdominal and hip circumference, were significantly associated with muscle and joint pain. Keywords: Climacteric, Menopause, Arthralgia, Ethnic Groups, African Continental Ancestry Group.
目的：评估肌肉和关节疼痛的频率，并确定其他更年期症状、年龄、营养状况、代谢风险和更年期状况是否是相关因素。方法：作为CAIMEC项目（Calidad de vida en la menoposia y Etnias Colombianas）的一部分，对居住在哥伦比亚加勒比地区的40至59岁的更年期非洲裔妇女进行了横断面研究。在事先知情同意的情况下，他们在自己的住所接受了调查。应用更年期评定量表，该仪器评估更年期症状。进行Logistic回归，估计Spearman相关系数。P值<0.05有统计学意义。结果：研究了420名女性，中位年龄50.0±6.1岁，绝经后22.8%，腹部肥胖82.8%。243例（57.9%）有肌肉和关节疼痛。所有更年期症状在肌肉和关节疼痛的女性中更为常见。抑郁情绪OR:4.20（95%CI:1.55-11.74），年龄50-54岁OR:3.68（95%CI:15.33-8.82），心悸OR:3.00（95%CI:11.51-5.98），年龄55-50岁OR:2.48（95%CI=1.08-5.64）和潮热OR:1.92（95%CI:1.11-3.31）与肌肉和关节疼痛有关。腹围OR:3.322（95%CI:0.233-0.405）和臀围OR:0.318（95%CI:0.229-0.401）也是如此。结论：肌肉和关节疼痛频率较高。衰老、心理和身体/植物症状以及腹围和臀围与肌肉和关节疼痛显著相关。关键词：更年期，关节痛，民族，非洲大陆祖先群。
{"title":"Factores asociados a dolores musculares y articulares en mujeres afrodescendientes climatéricas","authors":"Á. Monterrosa-Castro, Geraldine Romero-Martínez, Angélica Monterrosa-Blanco","doi":"10.51288/00820107","DOIUrl":"https://doi.org/10.51288/00820107","url":null,"abstract":"Objective: To estimate the frequency of muscle and joint pain and to identify if other menopausal symptoms, age, nutritional status, metabolic risk, and menopausal status were associated factors. Methods: A Cross-sectional study which is part of the CAVIMEC project (Calidad de vida en la menopausia y Etnias Colombianas) was carried out in climacteric Afro-descendant women, between 40 and 59 years old, living in the Colombian Caribbean. They were surveyed in their own residences, prior informed consent. The Menopause Rating Scale was applied, this instrument assesses menopausal symptoms. Logistic regression was performed and the Spearman correlation coefficient was estimated. P value<0.05 was statistically significant. Results: 420 women were studied, median age 50.0 ± 6.1, 22.8% postmenopausal and 82.8% with abdominal obesity. 243 (57.9%) had muscle and joint pain. All menopausal symptoms were more frequent among women with muscle and joint pain. Depressed mood OR: 4.20 (95 % CI:1.55-11.74), age 50-54 years OR: 3.68 (95 % CI:1.53-8.82), heart palpitations OR:3.00 (95 % CI:1.51-5.98), age 55-50 years OR: 2.48 (95 % CI:1.08-5.64) and hot flashes OR: 1.92 (95 % CI:1.11-3.31) were associated with muscle and joint pain. The same was identified with the abdominal circumference OR: 0.322 (95 % CI:0.233-0.405) and hip circumference OR: 0.318 (95 % CI:0.229-0.401). Conclusions: High frequency of muscle and joint pain was identified. Aging, psychological and somato/vegetative symptoms, as well as abdominal and hip circumference, were significantly associated with muscle and joint pain. Keywords: Climacteric, Menopause, Arthralgia, Ethnic Groups, African Continental Ancestry Group.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49273911","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":"Variante ómicron de SARS-CoV-2. ¿El fin de la pandemia?","authors":"Mireya González-Blanco","doi":"10.51288/00820103","DOIUrl":"https://doi.org/10.51288/00820103","url":null,"abstract":"No abstract","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45915206","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}
Génesis Jesmay Cárdenas Mendoza, Mayrín María Martínez Pérez, Shiuna Lo Huang, Jesús Veroes
Objective: To determine the usefulness of intrapartum transperineal ultrasound in the progression of labor in patients admitted to the Concepción Palacios Maternity Parting Room Service, in the period May-August 2019. Methods: Prospective, descriptive and longitudinal study involving 98 patients. Transperineal ultrasound was performed every two hours during labor, evaluating cervical characteristics and changes in fetal head position and decline variety, linking them to clinical findings. Results: 219 ultrasounds were performed. At the begin, the ultrasound mean of the dilation was 5.94 x 1.70 cm and by clinic was 5.96 x 1.80 cm (p-0.717). At two hours, it was 8.14 x 1.92 cm and 8.15 x 2.07 cm, respectively (p-0.849). At the third control, it was 8.35 x 1.70 cm per ultrasound and by clinic it was 8.43 x 1.97 (p.0.604). With regard to erasure, among the 4 patients with grade 3 (the least erasure), 1 (25%) neck erased 40% - 50% and 3 (75%), 60% - 70%; 116 (100%) patients ultrasound as grade 0 (the maximum erasure), had a neck erased by more than 80%. There was an association between Hodge’s plane with the head-to-perineum distance (p-0.001) and the mid-line angle (p-0.001). There was no association with head-symphysis distance. Satisfaction was 100%. Conclusion: Intrapartum transperineal ultrasound is useful in evaluating the progression of labor. Keywords: Transperineal, Position variety, Fetal head descent.
目的:探讨2019年5月至8月Concepción Palacios产科分房服务收治的患者产程中经会阴超声的应用价值。方法:98例患者的前瞻性、描述性和纵向研究。分娩过程中每两小时进行一次经会阴超声检查，评估宫颈特征和胎头位置和下降变化，并将其与临床表现联系起来。结果:219次超声检查。开始时超声平均扩张5.94 x 1.70 cm，临床平均扩张5.96 x 1.80 cm (p = 0.717)。2小时时，分别为8.14 × 1.92 cm和8.15 × 2.07 cm (p = 0.849)。在第三个对照组，每次超声为8.35 x 1.70 cm，临床为8.43 x 1.97 (p.0.604)。在清除方面，4例3级(最少清除)患者中，1例(25%)颈部清除40% - 50%，3例(75%)颈部清除60% - 70%;116例(100%)患者超声诊断为0级(最大擦除)，颈部擦除超过80%。霍奇平面与头到会阴的距离(p-0.001)和中线角度(p-0.001)有相关性。与头联合距离无关。满意度为100%。结论:产时经会阴超声可用于评估产程。关键词:会阴，体位变化，胎头下降。
{"title":"Ecografía transperineal intraparto en la progresión del trabajo de parto","authors":"Génesis Jesmay Cárdenas Mendoza, Mayrín María Martínez Pérez, Shiuna Lo Huang, Jesús Veroes","doi":"10.51288/00820105","DOIUrl":"https://doi.org/10.51288/00820105","url":null,"abstract":"Objective: To determine the usefulness of intrapartum transperineal ultrasound in the progression of labor in patients admitted to the Concepción Palacios Maternity Parting Room Service, in the period May-August 2019. Methods: Prospective, descriptive and longitudinal study involving 98 patients. Transperineal ultrasound was performed every two hours during labor, evaluating cervical characteristics and changes in fetal head position and decline variety, linking them to clinical findings. Results: 219 ultrasounds were performed. At the begin, the ultrasound mean of the dilation was 5.94 x 1.70 cm and by clinic was 5.96 x 1.80 cm (p-0.717). At two hours, it was 8.14 x 1.92 cm and 8.15 x 2.07 cm, respectively (p-0.849). At the third control, it was 8.35 x 1.70 cm per ultrasound and by clinic it was 8.43 x 1.97 (p.0.604). With regard to erasure, among the 4 patients with grade 3 (the least erasure), 1 (25%) neck erased 40% - 50% and 3 (75%), 60% - 70%; 116 (100%) patients ultrasound as grade 0 (the maximum erasure), had a neck erased by more than 80%. There was an association between Hodge’s plane with the head-to-perineum distance (p-0.001) and the mid-line angle (p-0.001). There was no association with head-symphysis distance. Satisfaction was 100%. Conclusion: Intrapartum transperineal ultrasound is useful in evaluating the progression of labor. Keywords: Transperineal, Position variety, Fetal head descent.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43723835","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}
The objective of this narrative review was to analyze and study the normal vaginal flora or vaginal microbiota throughout the woman’s life as well as to explain the different homeostatic mechanisms which allow a healthy microenvironment. In addition, to show the molecular biology studies used in the vaginal microbiota which have allowed to get better knowledge about the vaginal flora. For that purpose, Latin-American and international bibliographies were reviewed on different web pages. Articles published from 1991 to April 2021 were reviewed. This review shows the different mechanisms that keep the health or homeostasis of the vagina. Keywords: Microbiome, Microbiota, Vaginal microbiota, Normal Vaginal Flora, Lactobacillus.
{"title":"Microbiota de la vagina","authors":"José Nuñez Troconis","doi":"10.51288/00820113","DOIUrl":"https://doi.org/10.51288/00820113","url":null,"abstract":"The objective of this narrative review was to analyze and study the normal vaginal flora or vaginal microbiota throughout the woman’s life as well as to explain the different homeostatic mechanisms which allow a healthy microenvironment. In addition, to show the molecular biology studies used in the vaginal microbiota which have allowed to get better knowledge about the vaginal flora. For that purpose, Latin-American and international bibliographies were reviewed on different web pages. Articles published from 1991 to April 2021 were reviewed. This review shows the different mechanisms that keep the health or homeostasis of the vagina. Keywords: Microbiome, Microbiota, Vaginal microbiota, Normal Vaginal Flora, Lactobacillus.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43761322","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 postoperative results of the reduction of labia minora using the simple incision technique with CO2 laser, in the period August 2015 - April 2016, in the city of Valencia, Carabobo State. Methods: Descriptive, non-experimental and field study. The sample consisted of 50 patients who attended the gynecology consultation. The technique of direct observation, filling of the clinical history, and evaluation at 7 days postoperatively was used for data collection. Results: Once the data were analyzed, it was obtained as results that the average age of the patients was 32.68 years. Among the postoperative symptoms, 8% reported burning in the operative area in the first 24 hours. Postoperative complications were as follows: bruising 4% and dehiscence 2%. 98% of patients felt satisfied or very satisfied with the process. Conclusion: Complications are minor with the simple incision technique with CO2 laser, it is safe and satisfactory results were obtained. It also allows to dry out the hyperchromic area of the edge of the lips that, in most cases, tends to bother from the aesthetic point of view. The benefits of the tool include better healing, fewer postoperative symptoms and faster recovery. Keywords: Labioplasty, Laser CO2, Reduction technique labia minora, Postoperative labioplasty.
{"title":"Posoperatorio de labioplastia de reducción de labios menores mediante técnica de incisión simple con láser CO2","authors":"Maryory Gómez, Oriana Hernández","doi":"10.51288/00820109","DOIUrl":"https://doi.org/10.51288/00820109","url":null,"abstract":"Objective: To determine the postoperative results of the reduction of labia minora using the simple incision technique with CO2 laser, in the period August 2015 - April 2016, in the city of Valencia, Carabobo State. Methods: Descriptive, non-experimental and field study. The sample consisted of 50 patients who attended the gynecology consultation. The technique of direct observation, filling of the clinical history, and evaluation at 7 days postoperatively was used for data collection. Results: Once the data were analyzed, it was obtained as results that the average age of the patients was 32.68 years. Among the postoperative symptoms, 8% reported burning in the operative area in the first 24 hours. Postoperative complications were as follows: bruising 4% and dehiscence 2%. 98% of patients felt satisfied or very satisfied with the process. Conclusion: Complications are minor with the simple incision technique with CO2 laser, it is safe and satisfactory results were obtained. It also allows to dry out the hyperchromic area of the edge of the lips that, in most cases, tends to bother from the aesthetic point of view. The benefits of the tool include better healing, fewer postoperative symptoms and faster recovery. Keywords: Labioplasty, Laser CO2, Reduction technique labia minora, Postoperative labioplasty.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49255512","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. Moreno López, Marina De la Plata Daza, S. Rojo Novo, Z. Frías Sánchez, M. Pantoja Garrido
Objective: To determine if there is a causal association between the pre-pregnancy maternal body mass index or weight gain, and the presence of postpartum pelvic floor dysfunctions, such as urinary and fecal incontinence and sexual dysfunction. Methods: We carried out a prospective observational cohort study with 500 pregnant women controlled at HUV Macarena (Seville)from january to april of 2012. Patients were categorized according to their pregestational BMI and the weight gain during pregnancy.We analyzed the causes of the presence of urinary and fecal incontinence and sexual dysfunction at 6,12 months and 7 years after delivery. Results: Overweight was observed in 26 %, obesity in 16,6 % and excessive weight gain in 46,7 %. Fetal macrosomia was associated with urinary incontinence and sexual dysfunction in all three periods and with fecal incontinence at 7 years. Statistically significant associations were observed between urinary incontinence at 7 year and obesity, OR 2,737 IC 96 % (1,262-5,938) and between sexual dysfunction at 1 year and at 7 years with obesity, OR 7,321 IC 95 % (1,307-41,006) and with weight gain, OR 8,427 IC 95 % (1,026-69,225). Conclusions: Pregnancy and childbirth are risk factors for pelvic floor dysfunctions, since fetal macrosomia, pre-pregnancy obesity and excessive weight gain have been associated with their development. It is important to advise patients on weight control before and during pregnancy. Keywords: Obesity, Gestational weight gain, Body mass index, Pregnancy, Pelvic floor disorders.
目的：确定孕前母体体重指数或体重增加与产后盆底功能障碍（如大小便失禁和性功能障碍）之间是否存在因果关系。方法：我们对2012年1月至4月在塞维利亚HUV Macarena控制的500名孕妇进行了前瞻性观察性队列研究。根据患者的孕前BMI和孕期体重增加对患者进行分类。我们分析了产后6、12个月和7年出现大小便失禁和性功能障碍的原因。结果：超重者占26%，肥胖者占16,6%，超重者占46,7%。巨大胎儿在所有三个时期都与尿失禁和性功能障碍有关，在7岁时与大便失禁有关。在7岁时尿失禁与肥胖（OR 2737 IC 96%（1262-5938））、1岁时和7岁时性功能障碍与肥胖（OR7321 IC 95%（1307-41006））和体重增加（OR 8427 IC 95%（1026-69225））之间观察到统计学上显著的相关性。结论：妊娠和分娩是盆底功能障碍的危险因素，因为巨大儿、孕前肥胖和体重过度增加都与盆底功能障碍有关。建议患者在怀孕前和怀孕期间控制体重是很重要的。关键词：肥胖，妊娠期体重增加，体重指数，妊娠，盆底疾病。
{"title":"Defectos del suelo pélvico posparto en función del índice de masa corporal pregestacional y ganancia ponderal de la mujer durante el embarazo","authors":"M. Moreno López, Marina De la Plata Daza, S. Rojo Novo, Z. Frías Sánchez, M. Pantoja Garrido","doi":"10.51288/00820110","DOIUrl":"https://doi.org/10.51288/00820110","url":null,"abstract":"Objective: To determine if there is a causal association between the pre-pregnancy maternal body mass index or weight gain, and the presence of postpartum pelvic floor dysfunctions, such as urinary and fecal incontinence and sexual dysfunction. Methods: We carried out a prospective observational cohort study with 500 pregnant women controlled at HUV Macarena (Seville)from january to april of 2012. Patients were categorized according to their pregestational BMI and the weight gain during pregnancy.We analyzed the causes of the presence of urinary and fecal incontinence and sexual dysfunction at 6,12 months and 7 years after delivery. Results: Overweight was observed in 26 %, obesity in 16,6 % and excessive weight gain in 46,7 %. Fetal macrosomia was associated with urinary incontinence and sexual dysfunction in all three periods and with fecal incontinence at 7 years. Statistically significant associations were observed between urinary incontinence at 7 year and obesity, OR 2,737 IC 96 % (1,262-5,938) and between sexual dysfunction at 1 year and at 7 years with obesity, OR 7,321 IC 95 % (1,307-41,006) and with weight gain, OR 8,427 IC 95 % (1,026-69,225). Conclusions: Pregnancy and childbirth are risk factors for pelvic floor dysfunctions, since fetal macrosomia, pre-pregnancy obesity and excessive weight gain have been associated with their development. It is important to advise patients on weight control before and during pregnancy. Keywords: Obesity, Gestational weight gain, Body mass index, Pregnancy, Pelvic floor disorders.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43948862","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 usefulness of the Protein/Creatinine index (CPI) in a random urine sample, comparing it with 24-hour urine proteinuria, in patients with suspected pre-eclampsia. Methods: Cross-sectional study of a diagnostic test, random, comparative, observational, non-experimental, carried out between September 2018 - September 2019, at the Obstetrics and Gynecology Division of the Maracaibo University Hospital, Dr. Armando Castillo Plaza Maternity. 30 patients were selected. To determine the validity of the Protein/Creatinine index, the following were calculated: Sensitivity,Specificity, Positive Predictive Value, Negative Predictive Value, positive and the Receiver Operating Characteristic curve. The correlation between Protein/Creatinine index and 24-hour proteinuria was assessed using a two-way correlation plot and Spearman’s correlation coefficient. Results: The sensitivity of the Protein/Creatinine index was 90% and the specificity of 80%, with a Positive Predictive Value 90, and a Predictive Value negative 80, Positive Likelihood Ratio: 4,58, Negative Likelihood Ratio: 0.12. The Receiver Operating Characteristic curve indicated an area under the curve of 0.848, which means that there is an 84% probability that the Protein/Creatinine index was positive in proteinuria, with a cut-off point of 0.3. Conclusions: The Protein/Creatinine index is a reliable diagnostic tool that can easily be interpreted by trained health personnel, comparable to 24-hour proteinuria, with advantages such as saving time and easy interpretation. Keywords: Preeclampsia, Urine sample, Proteinuria, Creatinine.
{"title":"Estudio comparativo entre el índice proteína/creatinina en una muestra de orina al azar y proteinuria en 24 horas como método diagnóstico de preeclampsia","authors":"Nahiliu Gabriela Díaz Colina, Iralis Rosana Chiroque Parra, Jocelyn García, Noren Enrique Villalobos Inciarte","doi":"10.51288/00820108","DOIUrl":"https://doi.org/10.51288/00820108","url":null,"abstract":"Objective: To evaluate the usefulness of the Protein/Creatinine index (CPI) in a random urine sample, comparing it with 24-hour urine proteinuria, in patients with suspected pre-eclampsia. Methods: Cross-sectional study of a diagnostic test, random, comparative, observational, non-experimental, carried out between September 2018 - September 2019, at the Obstetrics and Gynecology Division of the Maracaibo University Hospital, Dr. Armando Castillo Plaza Maternity. 30 patients were selected. To determine the validity of the Protein/Creatinine index, the following were calculated: Sensitivity,Specificity, Positive Predictive Value, Negative Predictive Value, positive and the Receiver Operating Characteristic curve. The correlation between Protein/Creatinine index and 24-hour proteinuria was assessed using a two-way correlation plot and Spearman’s correlation coefficient. Results: The sensitivity of the Protein/Creatinine index was 90% and the specificity of 80%, with a Positive Predictive Value 90, and a Predictive Value negative 80, Positive Likelihood Ratio: 4,58, Negative Likelihood Ratio: 0.12. The Receiver Operating Characteristic curve indicated an area under the curve of 0.848, which means that there is an 84% probability that the Protein/Creatinine index was positive in proteinuria, with a cut-off point of 0.3. Conclusions: The Protein/Creatinine index is a reliable diagnostic tool that can easily be interpreted by trained health personnel, comparable to 24-hour proteinuria, with advantages such as saving time and easy interpretation. Keywords: Preeclampsia, Urine sample, Proteinuria, Creatinine.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48194300","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}
Ernesto Lara V, Franco Calderaro Di Ruggiero, Marko Rezic S, Johatson Freytez
The presence of metastases in para-aortic nodes is one of the most important prognostic factors for endometrial cancer, and it may be the only site of metastatic disease, the probability of which in the absence of metastases in pelvic nodes is remote. We describe a case of a 69-year-old patient who consulted for postmenopausal bleeding of 3 months of evolution with a result of an endometrial biopsy that reported moderately differentiated endometrioid adenocarcinoma. After carrying out extension studies, she was taken to staging surgery plus resection of the para-aortic lymph node plastron; with favorable postoperative evolution. Para-aortic lymph node metastasis was the only site of extrauterine disease, therefore this pattern of lymphatic dissemination without involvement of the pelvic nodes must be taken into account in order to determine the strategies for the management of patients. Keywords: Endometrial cancer, Paraaortic lymph Nodes, Pelvic lymph nodes, Isolated metastasis.
{"title":"Metástasis aislada en ganglios paraaórticos en adenocarcinoma de endometrio. Reporte de un caso","authors":"Ernesto Lara V, Franco Calderaro Di Ruggiero, Marko Rezic S, Johatson Freytez","doi":"10.51288/00820115","DOIUrl":"https://doi.org/10.51288/00820115","url":null,"abstract":"The presence of metastases in para-aortic nodes is one of the most important prognostic factors for endometrial cancer, and it may be the only site of metastatic disease, the probability of which in the absence of metastases in pelvic nodes is remote. We describe a case of a 69-year-old patient who consulted for postmenopausal bleeding of 3 months of evolution with a result of an endometrial biopsy that reported moderately differentiated endometrioid adenocarcinoma. After carrying out extension studies, she was taken to staging surgery plus resection of the para-aortic lymph node plastron; with favorable postoperative evolution. Para-aortic lymph node metastasis was the only site of extrauterine disease, therefore this pattern of lymphatic dissemination without involvement of the pelvic nodes must be taken into account in order to determine the strategies for the management of patients. Keywords: Endometrial cancer, Paraaortic lymph Nodes, Pelvic lymph nodes, Isolated metastasis.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48194706","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}
Mercedes Paola Castro Añez, Olga María Mora Carrero, Teresa Narvaez, Mireya González-Blanco
Objective: To evaluate the maternal and perinatal outcomes associated with COVID-19 during pregnancy, in women who attended the isolation service of the Hospital Central de San Cristóbal, in the period August 2020-July 2021. Methods: Retrospective or ex post facto, observational, descriptive, cross-sectional study with documentary design. It included a non-probabilistic sample of 30 patients admitted with a suspected or confirmed diagnosis of COVID-19. Medical records were reviewed to identify maternal and perinatal evolution. Results: The frequency of COVID-19 was 0.5 cases per 100 pregnant women. All 30 patients had a confirmed diagnosis. There were 16 mild cases (53.3%), 5 moderate (16.7%) and 9 severe (30%). The predominant symptoms were cough and shortness of breath (100%), headache (96.7%) and fever (90%). There was an increase in ferritin in 100 % of the cases, D-dimer in 33.3 % and LDH in 90 %. Severe evolution was not associated with known risk factors. There were obstetric complications in 90 % of the patients, the most frequent were preterm birth (40%) and oligohydramnios (36.7 %). There were 6 maternal deaths (20.0 %). The evolution of the disease was unsatisfactory in 46.7 % of the patients, with 40 % of admission to the intensive care unit and 30 % of ventilatory support. The caesarean section rate was 86.7 %. 70 % of the RNs progressed satisfactorily. There were 7 perinatal deaths (23.3 %). Conclusion: COVID-19 is associated with adverse maternal and perinatal evolution. Keywords: COVID-19, Pregnancy, Maternal outcome, Perinatal outcome.
{"title":"COVID-19 durante la gestación: resultados maternos y perinatales","authors":"Mercedes Paola Castro Añez, Olga María Mora Carrero, Teresa Narvaez, Mireya González-Blanco","doi":"10.51288/00820104","DOIUrl":"https://doi.org/10.51288/00820104","url":null,"abstract":"Objective: To evaluate the maternal and perinatal outcomes associated with COVID-19 during pregnancy, in women who attended the isolation service of the Hospital Central de San Cristóbal, in the period August 2020-July 2021. Methods: Retrospective or ex post facto, observational, descriptive, cross-sectional study with documentary design. It included a non-probabilistic sample of 30 patients admitted with a suspected or confirmed diagnosis of COVID-19. Medical records were reviewed to identify maternal and perinatal evolution. Results: The frequency of COVID-19 was 0.5 cases per 100 pregnant women. All 30 patients had a confirmed diagnosis. There were 16 mild cases (53.3%), 5 moderate (16.7%) and 9 severe (30%). The predominant symptoms were cough and shortness of breath (100%), headache (96.7%) and fever (90%). There was an increase in ferritin in 100 % of the cases, D-dimer in 33.3 % and LDH in 90 %. Severe evolution was not associated with known risk factors. There were obstetric complications in 90 % of the patients, the most frequent were preterm birth (40%) and oligohydramnios (36.7 %). There were 6 maternal deaths (20.0 %). The evolution of the disease was unsatisfactory in 46.7 % of the patients, with 40 % of admission to the intensive care unit and 30 % of ventilatory support. The caesarean section rate was 86.7 %. 70 % of the RNs progressed satisfactorily. There were 7 perinatal deaths (23.3 %). Conclusion: COVID-19 is associated with adverse maternal and perinatal evolution. Keywords: COVID-19, Pregnancy, Maternal outcome, Perinatal outcome.","PeriodicalId":35674,"journal":{"name":"Revista de Obstetricia y Ginecologia de Venezuela","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47109987","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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