RESUMO
The objective of this study was to describe the epidemiology and the perinatal outcomes of twin pregnancy in the Maternal-Infantile Departament of the National Hospital "Alejandro Posadas". During the period studied there were 2825 births. The prevalence of twin pregnancies was 3.2% (N= 91). From the total of twin pregnancies, 88 were doubles and 3 were triples. It is postulated that the monochorial monovular twins constitutes a different clinical entity, because of a higher proportion of complicatioms, and that the adequate planification of the actions and working connected the perinatal team will improve the care process
Assuntos
Humanos , Feminino , Gravidez , Complicações na Gravidez/epidemiologia , Epidemiologia Descritiva , Estudos Transversais/estatística & dados numéricos , Assistência Perinatal , Transfusão Feto-Fetal/patologia , Gravidez de Gêmeos , Técnicas de Reprodução AssistidaRESUMO
Report of a pilot study of the system of therapy with negative pressure for the prevention of infections in the surgical site in Obstetrics. Infections associated to health care still continue as a severe sanitary problem due to the assistential, economical and social impact that their represent. At present it is estimated that more than 100 millions of persons in the world will suffer yearly at least one of these kind of infections and that more tan 20 millions will die due to this etiology. Infections of the surgical site are responsible of between 15-20 % of the nosocomial infections, by which they constitute a severe health problem. This study represents the first experience with the use of negative pressure therapy following Cesarean section in morbid obese patients in our country. Of the total of the pregnants admitted none presented infections following surgical wound infection after Cesarean section. The aim of the experience was to evaluate prospectively in 10 patients the use of negative pressure wound therapy in patients deemed at high risk for wound infection.