Ginecología y obstetricia de México
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Biography Historical Article
[Clinical utility of the dosage of ovarian hormones. 1956].
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Comparative Study
[Modified Tei index, interobserver agreement related to sonographer experience level].
increasing numbers of studies that attempt to introduce the Tei index as part of fetal assessment in different conditions (corrected diaphragmatic hernia, supraventricular tachycardia, fetal inflammatory response, cystic adenomatoid disease, fetal-fetal transfusion, etc.). ⋯ It has not been able to replicate the level of interobserver variability suggested in literature, by the effects of the learning curve in the procurement and selection of images. The modified Tei index interobserver variability was not found influenced by the level of operator experience in this context, but is considered not conclusive until obtain better evidence.
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Review Case Reports
[Oxytocin and syndrome of inappropriate secretion of antidiuretic neonatal hormone. Case report of early severe hyponatremia and literature review].
This is a clinical case presentation of a full term newborn infant who suffered severe hyponatremia and early seizures, associated with maternal fluid overload with electrolyte free solutions and high doses of oxytocin for labor augmentation. Although this condition has been recognized since the 1960's with isolated reports, this particular case has features that needs further investigation, not only for the unsually severe hyponatremia, but most importantly we think, for the prominent signs of fluid retention, the infant had, that suggest excessive antidiuretic activity probably due to oxytocin. These findings are consistent with syndrome of inappropriate secretion of antidiuretic hormone. ⋯ We think the association is possible in certain clinical circumstances, such as those found in this case. We also, briefly discussed the pathophysiology of perinatal hyponatremia, the neonatal treatment of this condition and the current guidelines for the women in labor. Hyponatremia should not be considered a benign condition, since in the neonate, it may affect brain function.
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Tetralogy of Fallot is the most common cyanotic congenital cardiac lesions. Although pregnancy in patients with corrected tetralogy of Fallot usually have a satisfactory outcome, there may have maternal cardiovascular complications. ⋯ There are more risks for the binomial in patients with uncorrected tetralogy of Fallot and in those operated with significant residual lesions. A greater anatomical impact was significantly correlated with major hemoglobin and minor oxygen saturation, which are the most important risk factors for adverse fetal outcomes.
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Review Case Reports
[Klippel-Trenaunay syndrome and pregnancy. Case report].
The Klippel-Trenaunay syndrome is a rare congenital disorder consisting of: cutaneous vascular nevi, varicose veins or venous malformations and hypertrophy of soft tissue and bone, affecting one or more limbs. The morbidity of the disease is associated with vascular anomalies. ⋯ Until 2006 there have been only 17 reported cases of pregnancy in patients with Klippel-Trenaunay syndrome in the literature in English. We report the case of the second pregnancy of 22 years old woman with this disease.