[Perinatal conditions of newborns of adolescent mothers in the state of Sinaloa, Mexico]. / Condiciones perinatales en recién nacidos de madres adolescentes del estado de Sinaloa, México.

UNLABELLED: The objective was to compare perinatal conditions of newborns and obstetric complications between a group of adolescent mothers and one of adult mothers. It is a retrolective comparative survey, at the General Hospital "Bernardo J. Gastelum" SSA and General Hospital IMSS, Sinaloa, Mexico. PATIENTS: 10634 clinical records of patients in labour at obstetric unit from 1990 to 1994. A randomized sample of 215 adolescent pregnant patients and 215 adult pregnant patients were selected and the following data were analysed regarding to the mother: age, pregnancy outcome and obstetric complications; in regard to the newborn: gender, weight, height, cefalic circumference and Apgar score. The mean adolescent mother's age was 16 years, and 25 in adult mothers; mean adolescent mother newborn birthweight was 3.297 SD 0.414 kg. and in adult mothers was 3.393 SD 0.591 kg. (p = 0.09), adolescent mothers newborns with Apgar score less than 7 at first minute was 20% and 5% for adult mothers newborns. Statistically significant difference was observed (p = 0.02). There were not statistically significant differences between the groups in obstetric outcome and complications, birthweight. It was concluded that pregnancy in adolescence it's not a risk factor for the mother and the newborn.

[Cervical labor induction with prostaglandin E2 in patients with fetal death]. / Maduración cervical con prostaglandina E2 en pacientes con feto muerto.

The objective was to compare the effectiveness and efficacy of prostaglandin E2 (prepidil gel) plus oxitocin with that of intravenous oxitocin in the treatment of delivery induction in patients complicated with fetal death. Fifteen patients received prepidil gel plus oxitocin and 15 patients oxitocin. In the treatment group only one dosage of 0.5 ng in 2 ml of prepidil gel was administered intracervically and simultaneously oxitocin by intravenous infusion, dosage was increased 2 mUI/min every 30 minutes. In the control group only intravenous oxitocin was administered at the same dosage. The mean duration in hours of delivery in the treatment group was 13.1 +/- h and in the control group was 30.9 +/- 9.1 h. There were statistically significant differences between the groups in reduction of delivery duration (p = 0.0007). It is concluded that prostaglandin E2 plus oxitocin provide better short-term outcomes than oxitocine treatment and gave more short periods of labor in patients with fetal death.