[Routine antibiotic therapy in cesarean section?]. / Antibioticoterapia rutinaria en cesárea?

From August 1988 to January 1989 at the Obstetrical service of the "Nuevo Hospital Civil de Guadalajara" we studied 150 patients with cesarean section without risk of infection. Three groups of 50 patients each were formed. Group A: had no antibiotics; Group B: antibiotic prophylaxis with penicillin, and Group C: ampicillin plus gentamicin for 7 to 10 days. The results were similar in the three groups as to patient's age, obstetrical history, cesarean section's indication, type of amniotic fluid, sex-weight and Apgar of the newborn, curve of body temperature, white blood cells and bands intrahospital. Only one patient had infection of the wound of the group A and other patient of the group C; from group B had a subaponeurotic hematoma (p less than 0.7). We concluded that the antibiotics must not use routinely, only when the patients have an infection risk.

[Eclampsia management at the Civil Hospital Medical Complex of Guadalajara]. / Manejo de la eclampsia en el Complejo Médico Hospital Civil de Guadalajara.

Prospectively from 1986 to 1988 we studied at the "Complejo Médico Hospital Civil de Guadalajara" 17 eclamptic patients treated with diazoxide besides magnesium sulfate, diazepam and dexamethasone. The average age was 25.4 years, the average gestational age was 33.5 weeks and the average dose of diazoxide was 210 mgs. In the 88.2% of the patients the general anesthesia was used. The average Apgar at minute was 6.6 and 8.8 at five minutes. The newborns average weight was 2,135 g. We had one maternal death (5.8%) and two perinatals demise (11.8%). The more frequent maternal complications were the blindness and oliguria postdelivery and the average maternal hospitalization was 5.7 days.