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1.
Raquel García Rodríguez Luisa Gutiérrez García María Ángeles Nieto Naya Juan Manuel Valls Santamaría Guillermo Hernández Vicente 《Progresos de Obstetricia y Ginecología》2006
Cerebral venous thrombosis is an uncommon disease during pregnancy. In 25-40% of cases, the etiology is unknown. Risk factors are infectious diseases, pregnancy, puerperium, dehydration, oral contraception use, hypercoagulative states, tumors,and traumatism. 相似文献
2.
Alejandro Huelbes Ros Javier Herrera Giménez Ana María Gómez Laencina Gabriela Poza Cisneros Juan José Parrilla Paricio Lorenzo Abad Martínez 《Progresos de Obstetricia y Ginecología》2009
Ovarian vein thrombosis is a complication that can appear during the postpartum period or after pelvic surgery. This complication is a rare but serious entity requiring early diagnosis and treatment and should be suspected in patients with fever and acute abdominal pain at the beginning of the postpartum. Imaging diagnosis with contrast computed tomography remains the gold standard. Administration of broad-spectrum antibiotics and heparin therapy produces immediate clinical improvement. 相似文献
3.
Tamara Palavecino Raúl Torres Nancy Quinteros Hugo Salinas 《Progresos de Obstetricia y Ginecología》2010
Ovarian vein thrombosis is a rare and severe puerperal complication that usually manifests as fever and abdominal pain in the puerperal period and is more frequent in women who have undergone cesarean section. There is an associated high risk of pulmonary embolism and thus early diagnosis and treatment are required. We report the case of a 30-year-old woman with pelvic pain and fever in the puerperal period. Computed tomography scan revealed ovarian vein thrombosis extending to the inferior vena cava. Endometritis was also diagnosed. The patient received dalteparin and antibiotics. Ovarian vein thrombosis should be included in the differential diagnosis of fever in the postpartum period. 相似文献
4.
Victoria E. Rey Caballero Manuel Urbaneja LópezJosé L. García Benítez Dahlia Quijada To Ong 《Progresos de Obstetricia y Ginecología》2008
Cerebral venous sinus thrombosis is uncommon. Pregnancy is a major risk factor for the development of this entity. We report the case of a patient with Job’s syndrome and protein C and S deficiency who developed cerebral venous sinus thrombosis and dural fistula at 36 weeks’ gestation. After heparinization, the treatment of choice, pregnancy termination to eliminate the prothrombotic status and embolization of the dural fistula were required to obtain complete remission of the neurological symptoms. 相似文献
5.
J. Aragón-Charris E. Reyna-VillasmilH. De Nobrega-Correa J. Santos-Bolívar 《Clínica e investigación en ginecología y obstetricia》2013
The pathogenesis of pregnancy-related spontaneous coronary artery dissection (SCAD) has not yet been fully elucidated. Eighty percent of SCAD cases occur in women. One third of cases are observed during pregnancy or the postpartum. Most cases occur in the puerperium. We present the case of a 26-year-old woman (gesta 2, para 1), who reported chest pain radiating to her back and left arm 4 hours after delivery. Coronary angiography showed a normal left coronary system and extensive dissection of the right coronary artery. The patient was treated pharmacologically and later underwent surgical bypass of the affected coronary vessel. 相似文献
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Objectives
To describe the clinical presentation and course in a group of pregnant women with Gaucher disease type 1.Subjects and methods
Pregnant women admitted to our hematology service with a medical diagnosis of Gaucher disease type 1.Results
All patients were classified as high risk. We describe 9 pregnancies in 4 patients: 7 were on enzyme replacement therapy before the pregnancy and continued to receive this therapy throughout the pregnancy; 1 patient discontinued therapy 8 months previously and had a hematological exacerbation.Conclusions
Pregnancy should not be contraindicated in patients with stable disease. Enzyme replacement therapy should not be interrupted or suspended because it decreases complications. 相似文献8.
Francisca S. Molina Giselle B. Touzet Txantón Martínez-Astorquiza Kypros H. Nicolaides 《Progresos de Obstetricia y Ginecología》2014
First-trimester combined screening for preterm delivery and the early initiation of preventive strategies in high-risk patients can effectively reduce preterm delivery rates. 相似文献
9.
Irene Perelson del Pozo Elisa García SánchezPluvio Coronado Martín Miguel Ángel HerraizJosé Antonio Vidart Aragón 《Progresos de Obstetricia y Ginecología》2009
Ovarian tumors are estimated to occur in about 1 in 1000 pregnancies; of these, 3% are malignant. Most patients are clinically asymptomatic and the masses are usually detected in a routine abdominal examination during the second trimester of pregnancy. The management of these ovarian masses depends on their etiology and clinical findings. Surgical intervention is required when malignancy is suspected. Neoadjuvant chemotherapy is also indicated. Fertility conserving surgery should be attempted. 相似文献
10.
Isabel Gippini Requeijo Ana Virseda de Antonio Antonio Hernández Sánchez Natalia Villó Sirerol Ignacio Cristóbal García 《Progresos de Obstetricia y Ginecología》2010
Stroke is an important cause of mortality and chronic neurological morbidity in children. Perinatal stroke has been defined as a cerebrovascular event occurring between 28 weeks of fetal life and the 28th postnatal day. The most common manifestation of stroke is neonatal seizures but this entity may also be asymptomatic until months after birth when asymmetry of reach and grasp, failure to reach developmental milestones, or postnatal seizures can develop. Improvements in neuroimaging and its availability have increased the diagnosis and awareness of perinatal stroke in newborns and infants with neurological symptoms. Obstetricians are responsible for monitoring pregnancies at high thromboembolic risk, but rarely consider the effect this has on the fetus or newborn. We present the case of a newborn with perinatal stroke associated with protein-C deficiency. 相似文献
11.
Sofía Elisa Cernadas Pires Antón Gómez MosqueraVanesa Buján Costas Roberto González BoubetaVanessa Garcia Diaz Salomé Martínez SantiagoÁngel de la Orden Frutos 《Progresos de Obstetricia y Ginecología》2013
Objective
To compare the results of the SNOLL technique with those of wire-guided lumpectomy in the treatment of breast cancer.Material and methods
A retrospective study conducted in the Breast Pathology Unit of the Vigo University Hospital from May 2010 to February 2012.Results
We studied 73 patients. The SNOLL technique was used in 34 women and wire-guided lumpectomy in 39. In both groups, the most common histological type was infiltrating ductal carcinoma (94% and 64.1%, respectively, P=.005). In the intraoperative study, 55.3% of tumors in the SNOLL group and 44.7% of those in the wire-guided group were found to touch the surgical margin. The rate of margin extension in the same intervention was higher in the SNOLL group (P=.160). The reoperation rate for margin extension was 0% in the SNOLL group and 13% in the wire-guided group (P=.57). In the final surgical specimen, the mean disease-free margin was 7.21 mm in the SNOLL group and 4.66 mm in the wire-guided group (P=.01).Conclusions
The re-excision rate was similar in the two groups. The SNOLL technique allows a greater margin of safety. 相似文献12.
R. Crespo C. LaprestaS. Castán J.M. CampillosB. Rodríguez-Solanilla J.J. Tobajas 《Clínica e investigación en ginecología y obstetricia》2011,38(4):133
Objective
To evaluate the mode of delivery and maternal morbidity associated with pregnancies ending at 41 weeks.Material and methods
We designed a retrospective cohort study. The mode of delivery and maternal complications of 230 pregnancies ending at 41 weeks were compared with those in 234 pregnancies ending between 37 and 40 weeks at the Miguel Servet University Hospital in 2005.Results
Women delivering at 41 weeks had an increased risk of membrane sweep, unfavorable Bishop score at admission, induction and longer duration of labor. These increases were also seen in the rates of operative vaginal delivery (25.6 vs 17.6%, p < 0.001) and cesarean section (21.7 vs 8.5%, p < 0.001).Conclusions
The rates of maternal peripartum complications increase as pregnancy reaches 41 weeks. Accurate investigation of these rates is important to determine the gestational age at which the risk of continuing the pregnancy outweighs the risk of labor induction. 相似文献13.
Carlota Rodó Rodríguez Carmen Rodríguez Cantador Esther Jovell Fernández Josep Maria Laín Llach 《Progresos de Obstetricia y Ginecología》2010
Objective
To demonstrate the usefulness of uterine balloon tamponade in postpartum hemorrhage.Material and methods
Five term pregnancies with postpartum hemorrhage were studied. The criterion for balloon placement was persistent bleeding despite pharmacological treatment.Results
Balloon placement was successful in 100% of the patients. The mean decrease in hemoglobin was 3.2 g/dl (range: 1-5) and an average of three units of packed red blood cells per patient were required (range: 0-6). The mean volume of saline solution per balloon was 312 ml (range: 160-420) and the mean duration of treatment was 22 hours (range: 12-30).Conclusions
Uterine balloon tamponade is an efficient method to control postpartum hemorrhage. Training is not required for the application of this technique, which can obviate the need for surgery. Because of its ease of use and reasonable cost, this method can be used in any hospital setting. 相似文献14.
G. Gutiérrez-Salmeán M. AutriqueV. Fuchs G.M. Ceballos 《Clínica e investigación en ginecología y obstetricia》2011,38(5):181
Background
Breast cancer is the first cause of mortality from malignant neoplasms among women in Mexico. Neoadjuvant chemotherapy has a reported efficacy of approximately 70%; however, patients with inadequate response must undergo additional coadjuvant methods that negatively affect their quality of life. High concentrations of nitric oxide have shown cytotoxic and tumoricidal effects, thus favoring an adequate response to antineoplastic treatment. L-arginine is a nitric oxide precursor and therefore supplementation with this substance can augment nitric oxide synthesis and consequently its plasma concentration.Objectives
To evaluate the efficacy of L-arginine supplementation in response to neoadjuvant chemotherapeutic treatment.Materials and methods
We conducted a randomized clinical trial in which 30 g of L-arginine was administered in each neoadjuvant chemotherapy cycle. Plasma nitrite concentrations were determined before and after supplementation, as well as tumoral size before the start of antineoplastic treatment and after its completion. A chi-square test was performed to evaluate the association between the supplementation and adequate treatment response; plasma nitrites were evaluated by performing Student's T-tests.Results
Forty-five patients were assessed, of whom 21 had an adequate response to antineoplastic treatment. No statistically significant association was found between supplementation and adequate response. Nitrite concentrations in plasma were significantly increased (p < 0.05) in patients receiving the supplement than in those who receiving placebo.Conclusions
L-arginine supplementation can modulate nitric oxide synthesis and thus elevate plasma nitrite concentrations. However, this supplementation is not associated with an adequate response to neoadjuvant treatment; indeed, in this study, treatment response was lower than that reported in the literature, probably because the antineoplastic therapy was not tailored to specific tumoral characteristics. 相似文献15.
M. Rut Aguiar Couto Rita Vidal HernándezMontserrat González Rodríguez Antonio López PortelaAlfonso Otero Valenzuela 《Progresos de Obstetricia y Ginecología》2008
Objectives
To evaluate the utility and effectiveness of hysteroscopic retrieval of intrauterine devices (IUDs) in early pregnancy.Subjects and methods
We followed-up four pregnant women with IUDs with retracted tails removed by hysteroscopy before 10 weeks of pregnancy from 2003 to 2005.Results
After hysteroscopy, pregnancy course was successful in three women, without complications that could be attributed to the procedure. There was one abortion due to rupture of fetal membranes at 15 weeks’ gestation.Conclusions
The application of hysteroscopy in pregnancy has always been limited. In all patients, a possible optic nerve lesion in the fetus should be evaluated. This technique should not be performed after the 10th week of pregnancy. In most patients, pregnancy continues without complications after IDU removal. 相似文献16.
Mercedes Bueno Campaña Ana González Spinola Eva Parra Cuadrado Sergio Quevedo Teruel Cristina Calvo Rey 《Progresos de Obstetricia y Ginecología》2010
Objective
To describe influenza vaccination coverage in pregnant women and analyze whether influenza vaccination in these women confers protection in their neonates in the first months of life.Material and methods
Three hundred sixteen neonates were followed-up during an epidemic season. An epidemiologic survey was performed in mothers, which included their influenza vaccination status. In all patients with symptoms compatible with respiratory infection, fortnightly telephone calls and nasopharyngeal aspiration were performed and virological diagnosis was obtained.Results
A total of 5.7% of the cohort had been vaccinated against influenza during pregnancy and 17.4% of the same sample had been vaccinated in the previous season. The only factors significantly influencing vaccination were vaccination in the previous season (OR: 11.35 [7-31]) or in cohabitants (OR: 19.9 [6.7-59.5]). No cases of influenza virus were detected.Conclusions
The percentage of pregnant women vaccinated against influenza is very low. Information could improve these results. No conclusions can be drawn on the study hypothesis. 相似文献17.
A. Carballo J.J. Hijona F.J. Frutos J.C. Presa J.L. Alcázar J.M. Torres 《Clínica e investigación en ginecología y obstetricia》2012
We report the case of a pregnant woman who presented to the emergency department with slight vaginal bleeding in the first trimester of pregnancy. The the differential diagnosis between eutopic, heterotopic and tubal ectopic pregnancy was hampered by the presence of an intrauterine pseudosac. The clinical course was complicated by spontaneous rupture of a tubal ectopic pregnancy, which required curettage and laparotomic salpingectomy. The postoperative outcome was favorable. 相似文献
18.
Ignacio Salazar José Antonio SainzEduardo García Vanesa MarrugalRogelio Garrido 《Progresos de Obstetricia y Ginecología》2011,54(2):65-70
Objectives
The aim of this study was to determine the influence of early postpartum home visits in reducing the incidence of puerperal depression in our environment.Material and methods
A total of 430 patients with uncomplicated pregnancy and delivery were randomized to two homogeneous groups (one group receiving an early postpartum home visit and a control group). The hospital anxiety and depression scale was used to assess puerperal depression at 7 and 30 days.Results
At 7 days, 10.2% of the patients had a positive score for puerperal depression. At 30 days, the incidence of puerperal depression was lower in the group receiving an early home visit (0.9%) than in the control group (3.7%).Conclusion
The incidence of postpartum depression in our setting was similar to the expected incidence. Early postpartum home visits seem to be useful in detecting this disorder and in reducing symptoms. 相似文献19.
Daniel Tena Nuria Garrido Juan José Delgado José Manuel Menéndez Juan Romanyk María del Rosario González Álvaro Zapico María Beltrán 《Progresos de Obstetricia y Ginecología》2006
Objectives
To determine the prevalence of human papillomavirus (HPV) infection in women with an abnormal pap smear of the uterine cervix and to determine the risk factors associated with HPV infection.Subjects and methods
Eighty-one women with a cytological result of atypical cells of unknown origin (ASCUS), low-grade squamous intraepithelial lesions (LG-SIL) or high-grade squamous intraepithelial lesions (HG-SIL) were referred for epidemiological questionnaire, HPV detection performed using the Hybrid Capture II® test, histological study, and analysis of other sexuallytransmitted diseases.Results
Cytologic study identified 16 women with ASCUS, 44 with LG-SIL and 21 with HG-SIL. The global prevalence of HPV infection was 67.9% (55 patients) and high-risk HPV (HR-HPV) infection was detected in 50 patients (61.8%). The percentages of HR-HPV infection in women with ASCUS, L-SIL and H-SIL were 31.2%, 63.6% and 80.9%, respectively. The number of sexual partners over a woman’s lifetime was significantly associated with HPV infection (χ2 for trend: 4.187; p = 0.0407).Conclusions
Women with ASCUS detected by cytology are those who could most benefit from HR-HPV detection techniques, because of the lower prevalence of the infection. The main risk factor associated with HPV infection was the number of sexual partners over a woman’s lifetime. 相似文献20.
José Javier Arenas Ramírez Covadonga Fernández CastroBeatriz Duplá Parugues M. Teresa Otero ChouzaMarta Castillo Núñez Paloma López CañalLucía Castaño Montón 《Progresos de Obstetricia y Ginecología》2009