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1.
Ginecol Obstet Mex ; 81(1): 1-10, 2013 Jan.
Artigo em Espanhol | MEDLINE | ID: mdl-23513398

RESUMO

BACKGROUND: Vertical position is an option to delivery to which several advantages have been attributed. This research exposes its related findings. OBJECTIVE: To compare obstetric and perinatal outcomes between supine and vertical position at delivery. PATIENTS AND METHOD: We performed a randomized double-blind study including healthy women assigned to the supine or upright posture (vertical) during labor with complications following the delivery in the puerperium stage. The variables evaluated were: blood loss, pain in the second period of labor and immediate postpartum, duration of the second period of labor, perineal and vaginal tears, need to forceps implement, accommodation in position and perinatal outcome. RESULTS: 164 patients were randomized into two groups, the vertical position (I) and the supine position (II). The losses were 5.4%, and the Caesarean rate was of 4.6%. Difference was found only for vaginal tears in the vertical posture, with a relative risk of 1.4 (CI 1.1-3.2), and shortening of the second period with a significant difference of 10 minutes on average (p < 0.05). CONCLUSIONS: The upright posture during childbirth provides no improvement in perinatal outcomes and fewer obstetric conditions. It shortens the second period of labor, but it is a risk factor for vaginal tears. The best position for birth is which offers more comfort to the patient.


Assuntos
Parto Obstétrico/métodos , Posicionamento do Paciente/métodos , Adulto , Estudos de Coortes , Método Duplo-Cego , Feminino , Humanos , Recém-Nascido , Gravidez , Resultado da Gravidez , Decúbito Dorsal , Adulto Jovem
2.
Ginecol Obstet Mex ; 81(10): 608-11, 2013 Oct.
Artigo em Espanhol | MEDLINE | ID: mdl-24483044

RESUMO

Paraurethral cyst or Skene cysts are rare at any age but particularly in newborns. In infants typically present as cystic formations, raised similar to a dermoid cyst. The treatment is established based on the findings, pathology and the age of the patient may be observational, puncture the cyst or surgical. We present a newborn with acute renal failure secondary to skene's cysts.


Assuntos
Injúria Renal Aguda/etiologia , Cistos/complicações , Doenças Uretrais/complicações , Cistos/congênito , Feminino , Humanos , Recém-Nascido , Doenças Uretrais/congênito
3.
Ginecol Obstet Mex ; 80(10): 663-7, 2012 Oct.
Artigo em Espanhol | MEDLINE | ID: mdl-23240231

RESUMO

The Mayer-Rokitansky-Kuster-Hauser is a rare congenital anomaly characterized by lack of vaginal and uterine development variable and normal ovaries. It results from agenesis or hypoplasia Müller duct system. Cervicovaginal agenesis as part of the complex syndrome, is even rarer. We report two cases: adolescent patient with primary amenorrhea, cervicovaginal agenesis and chronic pelvic pain, and a 28-year-old patient with primary amenorrhea, congenital absence of uterus and vagina.


Assuntos
Anormalidades Múltiplas/patologia , Amenorreia/etiologia , Transtornos 46, XX do Desenvolvimento Sexual , Anormalidades Múltiplas/diagnóstico por imagem , Anormalidades Múltiplas/embriologia , Anormalidades Múltiplas/epidemiologia , Anormalidades Múltiplas/cirurgia , Adolescente , Adulto , Anormalidades Congênitas , Endometriose/etiologia , Feminino , Humanos , Histerectomia , Incidência , Rim/anormalidades , Rim/diagnóstico por imagem , Rim/embriologia , Rim/patologia , Rim/cirurgia , Ductos Paramesonéfricos/anormalidades , Ductos Paramesonéfricos/diagnóstico por imagem , Ductos Paramesonéfricos/embriologia , Ductos Paramesonéfricos/patologia , Ductos Paramesonéfricos/cirurgia , Dor Pélvica/etiologia , Fenótipo , Somitos/anormalidades , Somitos/diagnóstico por imagem , Somitos/embriologia , Somitos/patologia , Somitos/cirurgia , Coluna Vertebral/anormalidades , Coluna Vertebral/diagnóstico por imagem , Coluna Vertebral/embriologia , Coluna Vertebral/patologia , Coluna Vertebral/cirurgia , Estruturas Criadas Cirurgicamente , Ultrassonografia , Útero/anormalidades , Útero/diagnóstico por imagem , Útero/embriologia , Útero/patologia , Útero/cirurgia , Vagina/anormalidades , Vagina/diagnóstico por imagem , Vagina/embriologia , Vagina/patologia , Vagina/cirurgia
4.
Ginecol Obstet Mex ; 80(7): 487-90, 2012 Jul.
Artigo em Espanhol | MEDLINE | ID: mdl-22916643

RESUMO

Transverse vaginal septum is a congenital Mullerian malformation resulting from a failure of the fusion or canalization of the urogenital sinus and the Müllerian ducts. It may cause hematocolpos, dyspareunia and infertility in adult patients. In some cases, it is associated with congenital malformations such as coarctation of the aorta or atrial septal defects. A case of a transverse vaginal septum identified during a vaginal check-up of a 39-week pregnant patient during labour is reported. A cesarean surgery was performed with no complications. Septal defect was diagnosed due to heart murmur. It was decided to treat the transverse vaginal septum as soon as the puerperium was over. The patient left the hospital after proper response to treatment.


Assuntos
Complicações na Gravidez , Vagina/anormalidades , Feminino , Humanos , Gravidez , Complicações na Gravidez/diagnóstico , Adulto Jovem
5.
Ginecol Obstet Mex ; 80(2): 79-83, 2012 Feb.
Artigo em Espanhol | MEDLINE | ID: mdl-22519215

RESUMO

The placenta accreta is the second leading cause of obstetric hemorrhage, which often require the implementation of emergency obstetric hysterectomy increased morbidity and mortality. We present a surgical alternative to hysterectomy obstetric allowed us to reduce to zero until our rate of maternal deaths from obstetric hemorrhage. Improving surgical times, associated morbidity, without altering perinatal outcomes.


Assuntos
Placenta Acreta/cirurgia , Feminino , Humanos , Gravidez , Adulto Jovem
6.
Ginecol Obstet Mex ; 79(5): 298-302, 2011 May.
Artigo em Espanhol | MEDLINE | ID: mdl-21966819

RESUMO

The placenta accreta is the second leading cause of obstetric hemorrhage in the world. In many occasions it is necessary to make an obstetric hysterectomy, a circumstance that increases morbidity, and maternal mortality. Communicates a surgical alternative to hysterectomy obstetric that has enabled us to reduce until the time to zero our rate of maternal deaths by obstetric hemorrhage, in addition to reducing the surgical time and the associated morbidity, without changing the perinatal outcome.


Assuntos
Cesárea/métodos , Histerectomia/métodos , Placenta Acreta/cirurgia , Recesariana/métodos , Emergências , Exsanguinação/etiologia , Exsanguinação/mortalidade , Exsanguinação/prevenção & controle , Feminino , Hemostasia Cirúrgica/métodos , Humanos , Recém-Nascido , Paridade , Placenta Prévia/cirurgia , Gravidez , Hemorragia Uterina/etiologia , Hemorragia Uterina/mortalidade , Hemorragia Uterina/prevenção & controle , Adulto Jovem
7.
Ginecol Obstet Mex ; 79(6): 386-8, 2011 Jun.
Artigo em Espanhol | MEDLINE | ID: mdl-21966832

RESUMO

Leiomyomas of the bladder and urethra are extremely rare. Depending on their location and size, they can produce diverse clinical manifestations. At urethral level in particular, formed near the vaginal wall, symptoms include recurrent urinary tract infections, voiding dysfunction, foreign body sensation, heaviness and dyspareunia. We present two cases of urethral leiomyomas, one expressed during pregnancy, which resolved successfully with surgical resection without damage to the urinary tract and no recurrence so far.


Assuntos
Leiomioma/cirurgia , Complicações Neoplásicas na Gravidez/cirurgia , Neoplasias Uretrais/cirurgia , Adulto , Feminino , Humanos , Leiomioma/diagnóstico , Gravidez , Complicações Neoplásicas na Gravidez/diagnóstico , Neoplasias Uretrais/diagnóstico , Adulto Jovem
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