Showing papers in "Ginecología y obstetricia de México in 2020"

Índice de masa corporal pregestacional y ganancia de peso gestacional relacionados con el peso al nacer

Abstract: OBJECTIVE: Evaluate the relationship between the pregestational body mass index and the gestational weight gain with the birth weight. MATERIALS AND METHODS: Cross-sectional analytical study. Through probabilistic sampling, 197 pregnant women and their neonates participated, whose delivery was attended at the San Juan de Lurigancho Hospital, 2018.The pregestational body mass index was classified as low weight, normal, overweight and obese; the gestational weight gain in insufficient, adequate and excessive; and the birth weight in grams. The variation of birth weight according to pregestational body mass index and weight gain were evaluated using the Kruskal-Wallis and ANOVA H tests, respectively. Similarly, a multiple linear regression model is required, a 95% confidence level is considered. RESULTS: The patients who started the pregnancy with obesity and low weight presented neonates with greater birth weight (3516.9 ± 480.7 g and 3564 ± 148.5 g, respectively), it was determined that there is not association between the pregestational body mass index and the birth weight (p = 0.753). However, the birth weight was higher in postpartum women with excessive weight gain (3582.9 ± 442.1 g) and lower in those with insufficient weight gain (3278.9 ± 447.9 g), a significant association was demonstrated between weight gain and birth weight (p < 0.001). Lalescka Araceli Soria-Gonzales,1 Victor Hugo Moquillaza-Alcántara2 Recibido: diciembre 2019 Aceptado: febrero 2020 1 Facultad de Obstetricia y Enfermería, Universidad de San Martín de Porres. Lima, Perú. 2 Facultad de Salud Pública y Administración, Universidad Peruana Cayetano Heredia. Lima, Perú. Correspondencia Lalescka Araceli Soria Gonzales lalescka.soria@gmail.com Este artículo debe citarse como Soria-Gonzales LA, Moquillaza-Alcántara VH. Índice de masa corporal pregestacional y ganancia de peso gestacional relacionados con el peso al nacer. Ginecol Obstet Mex. 2020 abril;88(4):212-222. https://doi .org /10.24245/gom. v88i4.3761 Pre-pregnancy body mass index and gestational weight gain related to birth weight.

Teratoma quístico maduro con transformación maligna: serie de casos

Abstract: OBJECTIVE: Describe the clinical and histopathological characteristics of cases of mature teratoma with malignant transformation, its treatment and survival. MATERIALS AND METHODS: Retrospective, cross-sectional and observational study conducted between January 2014 and December 2018 in a gynecological oncology service. Study parameters: pathological stage of the tumor, concentrations of Ca 125, survival and treatment. The sample size did not allow statistical tests to be applied. RESULTS: 147 patients with a diagnosis of mature teratoma were studied of these 4 underwent malignant transformation to squamous cell carcinoma and 18 were ruled out due to incomplete information. The transoperative histopathological study identified 3 of the 4 ovarian tumors as malignant. Fertility conservative surgeries were not performed because in none of the cases was it necessary. In 3 of the 4 mature teratomas with malignant transformation, adjuvant chemotherapy scheme was indicated. All patients remain alive and have no relapse so far. CONCLUSIONS: The histopathological transoperatory study is absolutely necessary for an ovarian tumor, even in cystic ovarian tumors. Carefully management of ovarian tumors is very important, we should prevent a rupture of the malignant tumor because this changes the surgical stage and the prognosis. The surgical and medical treatment Víctor Edmundo Valdespino-Castillo,1 Germán Maytorena-Córdova,2 Israel López-Matamoros,3 Juan LandaMejía,3 Perla Esther Zaragoza-Vargas,4 Víctor Manuel Valdespino-Gómez5 Recibido: octubre 2019 Aceptado: enero 2020 1 Cirujano oncólogo. 2 Jefe del servicio de Oncología. 3 Residente de Oncología ginecológica. 4 Patóloga. 5 Academia Mexicana de Cirugía. Unidad Médica de Alta Especialidad, Hospital de Ginecología y Obstetricia 4 Luis Castelazo Ayala, IMSS, Ciudad de México. Correspondencia Víctor Edmundo Valdespino Castillo edvaldespinocg@yahoo.com Este artículo debe citarse como Valdespino-Castillo VE, MaytorenaCórdova G, López-Matamoros I, Landa-Mejía J, Zaragoza-Vargas PE, Valdespino-Gómez V. Teratoma quístico maduro con transformación maligna: serie de casos. Ginecol Obstet Mex. 2020 marzo;88(3):154-160. https://doi .org /10.24245/gom. v88i3.3561 Cystic teratoma with malignant transformation: Series of cases.

Desempeño diagnóstico del modelo FullPIERS como predictor de complicaciones perinatales en pacientes con preeclampsia

Abstract: OBJECTIVE: To determine the diagnostic performance of the FullPIERS model as a predictor of perinatal complications in patients with preeclampsia from a public hospital in Northwest Mexico. MATERIALS AND METHODS: Retrospective study, for the evaluation of a proper diagnosis, performed in patients with diagnosis of preeclampsia attended at a secondlevel public hospital between October 2018 and February 2019. Inclusion criteria: sufficient data to introduce them into the FullPIERS calculator (saturation of oxygen, platelet retreat, creatinine, aspartate, transaminases and the existence of dysnea). Exclusion criteria: patients with previous diagnosis of acute, pulmonary or renal liver diseases. It is compared to the percentage of the ingrowth risk of each patient versus the number of patients with complications. Calculated: sensitivity, specificity and predictive values of the model. RESULTS: If 100 patients were studied with preeclampsia: 11 with positive results according to the Full PIERS calculator (over 5% risk), and 7 out of 11 were true. For Ingrid América Cazarez-Ávalos, Demnsi García-Benavente, Cinthia Nallely Toledo-Lorenzo, Jaime Guadalupe Valle-Leal, Diego Misael López-Valenzuela Recibido: junio 2019 Aceptado: noviembre 2019 1 Departamento de Ginecología y Obstetricia. 2 Departamento de Educación e Investigación en Salud. Hospital General Regional 1, Instituto Mexicano del Seguro Social, Ciudad Obregón, Sonora, México. Correspondencia Jaime Guadalupe Valle Leal Valle_jaime1@hotmail.com Este artículo debe citarse como Cazarez-Ávalos IA, García-Benavente D, Toledo-Lorenzo CN, Valle-Leal JG, López-Valenzuela DM. Desempeño diagnóstico del modelo FullPIERS como predictor de complicaciones perinatales en pacientes con preeclampsia. Ginecol Obstet Mex. 2020 enero;88(1):1-7. https://doi .org /10.24245/gom. v88i1.3253 Diagnostic performance of FullPIERS model as predictor of perinatal complications in patients with preeclampsia. Ginecología y Obstetricia de México