Ginecología y obstetricia de México
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To determine if the high proportion of cesarean section performed at Obstetrics and Gynecology number 3 Hospital of the Medical Center "La Raza", IMSS (HGO3) is justified. ⋯ The incidence of cesarean section in similar third level concentration hospitals in this country ranks from 20 to 40%. At HGO3 it was 72.51% in the last year (2001). This suggests that pregnancy comorbidity seen at this hospital, may be proportionally larger than in other similar units, because two thirds of patients had a high risk pregnancy and, if not, they had an obstetric or fetal justification for cesarean section in 80% of cases.
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Randomized Controlled Trial Clinical Trial
[Comparison of sevoflurane/nitrous oxide and thiopental/fentanyl in anesthesia for minor gynecologic surgery].
We studied 40 patients undergoing minor gynaecological surgery, anaesthetized in random order with sevoflurane-nitrous oxide or thiopental-fentanyl. Operating conditions, pain, recovery and postoperative nausea and vomiting were assessed. For postoperative analgesia, all patients were given dypiron 1 g intravenous at the end of anaesthesia. ⋯ The time of surgery were higher in patients given sevoflurane, (7 versus 5 minutes) this women had recovery faster (17 versus 72 minutes) became orientated, followed orders (11 versus 19 minutes) and were able to walk (17 versus 60 minutes) significantly (p < 0.05) earlier than those given thiopental. Modified Aldrete scores were also higher in sevoflurane group within the first hour after anaesthesia, there were no differences in woke up (9 versus 12 minutes) vital constants, intrauterine bleeding, pain, and frequency of postoperative nausea and vomiting (10% versus 10%) between the two groups. We conclude that sevofluranenitrous-oxide is preferable to thiopental-fentanyl in ultra-short anaesthesia for minor gynaecological surgery.
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To show the advantages of the use of vaginal misoprostol, a prostaglandine E1 analogue, in the prevention of the post-partum haemorrhage. ⋯ The use of vaginal misoprostol is effective to control the postpartum bleeding, reducing the blood loss after birth in women with high risk of post-partum haemorrhage as well as the need for blood transfusion. It's use has mild side effects and is of low cost.
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Comparative Study
[The role of the gynecologist-obstetrician concerning violence against women's health].
The role of gynecologists and obstetrician in violence against women's health is reviewed. Concepts, violence, Sexual and Reproductive Rights and scientific features of ethical practice are analyzed. There is special emphasize in prevention and considering violence as a pathological entity demanding emergency management, a comprehensive analysis of rape is an example.