ABSTRACT
Thirty cases of hydrops fetalis were reviewed in the obstetrics hospital No. 2 of the Social Security, and were treated in the isoimmunization clinic. Important data were obtained from the analysis, the most outstanding was the fact that both the mother with previous pregnancies and incompatible Rh blood transfusions, cause the hemolytic diseases to the unborn product, which usually presents at birth a severe and clear hydrops fetalis. Previous care to delivery was of great help, specially spectrometric and photometric studies of the ammniotic fluid with purpose of following the evolution, and to evaluate the right moment to perform the intrauterine fetal transfusions, which at a certain stage may allow the fetus to grow more without important deterioration of its functions, thus avoiding lung problem in premature fetuses. This is the main reason for high mortality. Although if it is not applied at the right moment the results will be negative and it is frequent that the pregnancy ends in fetal deaths. In general, the high mortality index occurred in the products that showed severe hydrops fetalis, in spite of the fact that pre and post natal care, imply fetal problem. This is due to the prematurity as well as the pathological process to which they are submitted. It is also necessary to insist that in promptness to apply treatment in the neonatal period, will depend the life of these infants. This treatment is the responsibility of a whole specialized group that has the knowledge of the problems, such as obstetricians, pediatricians, biochemists, nurses and social workers, etc.
Subject(s)
Edema , Fetal Diseases , Infant, Premature, Diseases , Adult , Amniotic Fluid/analysis , Edema/diagnosis , Female , Fetal Diseases/diagnosis , Gestational Age , Humans , Infant, Newborn , Infant, Premature, Diseases/diagnosis , Maternal Age , Pregnancy , Rh-Hr Blood-Group SystemABSTRACT
The authors recommend the need to control the healthy child who periodically attends the pediatrician's or the general practitioner's office, stressing the importance to practice medicine at a primary level without waiting to produce a diagnosis when the disease has reached a dangerous point or else, when unwanted sequels have been established.
Subject(s)
Child Care , Child Health Services , Child , Humans , MexicoABSTRACT
The study included 415 female patients with the diagnosis of enterobiasis seen at the Hospital del Niño, DIF. Vulvovaginitis was found in 78 cases (18%), with definite predominance in the school-age group. The clinical manifestations in order of frequency were: perianal and vulvar pruritus, abdominal pain, leukorrhea and vulvar edema. Graham's perianal and perineal smear method was performed with 100% positiveness in personal and 85% in perineal smears. The treatment should be directed to improve the family sanitary habites and the prescription of the choice drug to the patient and to his family. The following drugs are quite as effective: piperazine citrate, pyrvinium pamoate, pyrantel pamoate and mebendazole. The physician should use the drug that better fits the patients convenience, keeping in mind the easy determination of the dose and the cost in order to offer the patient and his family the best choice.
