Ginecología y obstetricia de México
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The fulfillment and satisfaction regarding the expectations of the patients at services of obstetrics and gynecology, it is related to the quality of care. Failure to meet these expectations will rise to the dissatisfaction and enhances the culture of demand, with these considerations this presents study were developed, researching the patients complaints reported by the State Commission o Medical Arbitration of Oaxaca in 2007 with the aim of identifying the medical complaint emphasis on obstetrics care. ⋯ Complaints in gynecological and obstetric care rank first places relative to other specialties, the attention given in the two-thirds is provided by medical specialists in obstetrics and gynecology, and less than the half were certified by the Board and expert medical opinions reported evidence of malpractice and corporate responsibility in the complaints.
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In Mexico, maternal mortality has fallen substantially in recent decades. Although according to the Secretaria de Salud, in Tamaulipas the maternal mortality rate has increased in recent years. Despite these facts, Tamaulipas ranks among the ten institutions with the lowest level of maternal mortality. ⋯ It was noted a clear trend towards the reduction in the maternal mortality ratio in the decade from 1998 to 2007. Preeclampsia-eclampsia and obstetric hemorrhage remain the main causes of maternal death. The maternal mortality ratio tended to invest when comparing the first five years with the last five years of the study, which talks about improvements in management and direct obstetric causes prevention.
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Pandemic influenza caused byA H1N1 virus, that started in Mexico in 2009 and that persist though with mortality and morbidity much lower rates, did not have the repercussions of the other pandemias in the 20th Century, this is because the members of the World Health Organization anticipated everything that was necessary to fight it since 1997, when that international organism suggested to be prepared because the bird flu H5N1 was suffering mutations and was creating a new type of virus that have already caused human deaths. This information allowed the creation of strategies to protect the world population and mainly the most vulnerable groups such as pregnant women. In this group the lung complications specially the pneumonia cases, leads to the patient hospitalization with a higher perinatal mortality rates. ⋯ However if respiratory pathology gets worse the patient should be hospitalized immediately in a unit with the proper equipment. Every citizen must receive the A H1N1 vaccine, but pregnant women and breastfeeding women particularly. Pregnant women should receive the vaccine in any trimester of pregnancy, but especially in the last to prevent maternal and fetal complications as well as elevation of perinatal mortality.
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Randomized Controlled Trial
[Intrauterine misoprostol for the prevention of bleeding cesarean].
To evaluate efficacy of misoprostol by intrauterine route for the prevention of the obstetrical hemorrhage and to know its effects collaterals. ⋯ The intrauterine combination of misoprostol and oxitocin diminishes the postcaesarean sanguineous loss and has brings about few effects collaterals.
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Biography Historical Article Classical Article
[When, why and how to change abnormal fetal position during pregnancy].