Embarazo heterotópico diagnosticado en una cesárea a término

The incidence of heterotopic pregnancy is increasing as a result of the greater use of assisted reproduction techniques. Early diagnosis is important because a ruptured ectopic pregnancy can be life threatening. We present an atypical case of extrauterine pregnancy diagnosed during the course of an elective cesarean section at term.     

Embarazo triple espontáneo en paciente con síndrome de ovario poliquístico. Tratamiento con metformina

We describe a triplet pregnancy in an obese patient with primary sterility and polycystic ovary syndrome treated with metformin. The patient, who was previously nuliparous, achieved a triamniotic trichorid pregnancy that developed normally, except for cervical incompetence resolved by cervical cerclage. The importance of insulin resistance in this type of patient is stressed.     

Saco y pseudosaco. Su importancia en el diagnóstico diferencial ecográfico de la gestación ectópica

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.     

Manejo obstetrico y perinatal en miastenia gravis

Myasthenia gravis is an autoimmune disorder characterized by the presence of IgG antibodies against human acetylcholine receptors on striated muscle. Presentation during pregnancy is very rare. This disease is characterized clinically by fatigability of voluntary muscles, particularly those of the eyes, face, oropharynx and extremities.     

Relationship between pruritus and autotaxin in intrahepatic cholestasis of pregnancy

ObjectiveIntrahepatic cholestasis of pregnancy is a temporary, pregnancy-specific disease that resolves with delivery, characterized by itching (pruritus), as well as high transaminase and serum bile acid levels in the third trimester of pregnancy. Due to the effects of Autotaxin on the physiology of pregnancy, we aimed to investigate Autotaxin activity in patients with intrahepatic cholestasis of pregnancy.Patients and methodsSixty-nine patients diagnosed with intrahepatic cholestasis of pregnancy and 20 healthy pregnant women were enrolled in the study. Fasting serum bile acid, pruritus intensity, serum parameters, gestational week of the patients at the time of diagnosis were recorded, and birth week and birth weight were monitored. Autotaxin serum level was measured enzymatically.ResultsThe mean serum bile acid level (n = 69; 38.74 ± 35.92 μmol/L) in patients with intrahepatic cholestasis of pregnancy (n = 69) was detected to be higher than healthy pregnant women (n = 20; 5.05 ± 1.88 μmol/L) (p < 0.001). Weak correlation was detected between serum bile acid level and itch intensity (p = 0.014, r = 0.295), while no relation was detected between Autotaxin and itch intensity (p = 0.446, r = 0.09). Although mean Autotaxin (intrahepatic cholestasis of pregnancy: 678.10 ± 424.42 pg/mL, control: 535.16 ± 256.47 pg/mL) levels were high in patients with intrahepatic cholestasis of pregnancy, it was not statistically significant (p = 0.157).ConclusionIn our study, we observed that the serum Autotaxin level did not make a significant difference in patients with intrahepatic cholestasis of pregnancy compared to healthy pregnant women. These findings suggest that larger clinical studies are required to reveal the physio-pathological effects of Autotaxin on pregnancy.     

Validación de la versión española de las formas cortas del Urogenital Distress Inventory (UDI-6) y del Incontinence Impact Questionnaire (IIQ-7) en mujeres embarazadas

Objective

To validate two measurement instruments, the UDI-6 and the IIQ-7, for the study of urinary incontinence and its impact on the quality of life of pregnant women.

Methods

We carried out a validation study of a diagnostic tool. A total of 181 pregnant women completed the UDI-6 and IIQ-7 questionnaires. Feasibility, internal consistency, reliability, and construct and criteria validity were analyzed.

Results

Self-administration of the short forms of the UDI-6 and IIQ-7 questionnaires took less than 5 minutes and the maximum rate of no answer per item was 3.3%. Cronbach's alpha was 0.667 for the UDI-6 and was 0.910 for the IIQ-7. The reliability of the UDI-6 in the diagnosis of urinary incontinence showed Kappa statistic values of between 0.856 and 0.966, and the intra-class correlation coefficients of the UDI-6 and IIQ-7 were 0.902 and 0.954, respectively. Average values of the UDI-6 and IIQ-7 were higher in women with mixed incontinence, were lower in women with stress incontinence and increased with daily losses (p < 0.01). The correlation between the UDI-6 and the International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF) (CCI = 0.497; 95% CI: 0.326-0.625) and between the IIQ-7 and ICIQ-SF (CCI = 0.472; 95% CI: 0.268-0.619) was moderate. The sensitivity and specificity of the UDI-6 for the diagnosis of urinary incontinence was 98.9% and 86.5%, respectively.

Conclusions

The Spanish versions of the IIQ-7 and UDI-6 are feasible, reliable, consistent and valid in the measurement of symptoms and quality of life in pregnant Spanish women with urinary incontinence.     

心理弹性在黄斑前膜剥除术患者疾病不确定感及应对方式中的中介效应

目的 探讨心理弹性在黄斑前膜剥除术患者疾病不确定及应对方式中的中介效应.方法 选取2020年3月—2021年3月医院收治的黄斑前膜剥除术患者86例,采用疾病不确定感量表、心理弹性量表(CD-RISC)、医学应对方式问卷(MCMQ)对入组患者进行调查,采用AMOS22.0构建模型分析心理弹性在黄斑前膜剥除术患者疾病不确定...     

家属赋能教育模式在骨质疏松脊柱压缩性骨折患者健康教育中的应用

目的 探讨家属赋能教育模式在骨质疏松脊柱压缩性骨折(OVCF)患者健康教育中的应用效果,为优化此类患者护理模式提供参考依据.方法 选取2020年6—12月某医院收治的骨质疏松脊柱压缩性骨折患者116例为研究对象,按照组间基线资料匹配的原则将患者分为对照组和干预组,每组58例,两组均给予常规护理及健康教育,干预组同时给予...     

全程跟进式赋能教育及营养管理对鼻咽癌放疗患者康复效果及依从性的影响

目的 探讨全程跟进式赋能教育及营养管理对鼻咽癌放疗患者康复效果及依从性的影响.方法 选取2018年1月—2020年12月医院收治的80例鼻咽癌放疗患者为研究对象,按照组间基本资料匹配的原则分为对照组和观察组,每组40例.对照组给予常规健康教育、营养管理,观察组在对照组基础上采用全程跟进式赋能教育及营养管理.比较两组患者...