Objective. To determine the relationship between maternal hemoglobin of pregnant adolescents and the weight of newborns in the National Maternal Perinatal Institute (INMP). Material and methods. 914 pregnant women were analyzed cross-sectionally by inclusion and exclusion criteria of 2729 deliveries of adolescents attended in the INMP corresponding to the year 2017. The data were collected from the birth registry and clinical histories, the variables of interest were hemoglobin maternal and the weight of the newborn. Results. Of the 914 births, 299 mothers (32%) presented anemia and 615 (68%) did not present anemia, the predominant age group were adolescents in the late stage 73% (with anemia) and 71% (without anemia). In the prenatal control, there was a predominance of insufficient or uncontrolled 74% (with anemia) and 73% (without anemia). Single women were the majority group, 91% (wi...

Objective: Determine the association between puerperal complications and the classification of Pregnancy to Term of the ACOG, in the Hospital of Vitarte, year 2018. Materials and methods: The study carried out is analytical, retrospective case-type and control. The study population was made up of patients with intermediate postpartum period and who had some complication during this period. It was represented by 268 patients, with 134 cases and 134 controls with a ratio of 1:1. The information was collected from the Clinical Histories and these were: age, degree of instruction, parity, N° CPN, RPM, BMI, hemoglobin, term pregnancy, type of delivery, duration of vaginal delivery, use of oxytocics, induction of labor, complication of J. labor, Apgar and volume of bleeding. Results: The most common type of puerperal complication was puerperal infection 61.19% and puerperal hemorrhage 30.60%....

Introduction: Caesarean sections carry maternal and perinatal risks. Objective: To determine thefactors associated with cesarean delivery in patients treated in the gynecology obstetrics service atthe Hospital Militar Central, in the 2014-2018 period. Methods: Analytical, retrospective, case-controlstudy; the population was vaginal or caesarean deliveries attended during the years 2014 to 2018. Thesampling was systematic, and the sample size was 988 deliveries of which 329 were caesarean sections.Chi-square and logistic regression tests were applied to calculate the odds ratio; The analysis was carriedout with the statistical program SPSS 23. Results: In pregnant women, previous caesarean section wasa factor associated with caesarean section (OR = 1.55, 95% CI = 1.12-2.15); neither age, gestational age,nor prenatal controls were a factor associated with caesarean section (p>0.05). Edu...

Introduction: Caesarean sections carry maternal and perinatal risks. Objective: To determine thefactors associated with cesarean delivery in patients treated in the gynecology obstetrics service atthe Hospital Militar Central, in the 2014-2018 period. Methods: Analytical, retrospective, case-controlstudy; the population was vaginal or caesarean deliveries attended during the years 2014 to 2018. Thesampling was systematic, and the sample size was 988 deliveries of which 329 were caesarean sections.Chi-square and logistic regression tests were applied to calculate the odds ratio; The analysis was carriedout with the statistical program SPSS 23. Results: In pregnant women, previous caesarean section wasa factor associated with caesarean section (OR = 1.55, 95% CI = 1.12-2.15); neither age, gestational age,nor prenatal controls were a factor associated with caesarean section (p>0.05). Edu...

Introduction: Oligohydramnios is the deficient presence of the volume of amniotic fluid; it has a world frequency of approximately 0.5% to 5.5%, as a condition that complicates pregnancy. It has been associated with an increased risk of perinatal morbidity and mortality. Objective: Identify the factors associated with unfavorable perinatal repercussions in pregnant women with oligohydramnios at the hospital de Vitarte, period 2016-2019. Materials and methods: An analytical retrospective study of case and control was carried out. The population studied were pregnant women with diagnostic of oligohydramnios, by the ILA method of less than 5cm, attended at the Gynecology-Obstetrics hospitalization service at the hospital de Vitarte, during the period 2016-2019; made up of 97 cases and controls (1: 1). The cases were those that had unfavorable perinatal results. The chi-square test was used ...

Objective: To establish the existing association between presenting metabolic factors and to present preeclampsia in pregnant women, in the National Hospital Sergio E. Bernales during January - December of the year 2018. Methods: An analytical, correlational, observational, retrospective and retrospective study of cases and controls was performed on 480 pregnant women who were treated in the Gyneco-Obstetrics Service of the Sergio E. Bernales National Hospital during the period January - December 2018. Cases and controls were randomly selected, 137 pregnant women with the diagnosis of preeclampsia and 243 pregnant patients without the diagnosis of preeclampsia. The information was obtained from the clinical histories, through data collection sheets, these were processed in the statistical program SPSS v.25. In order to establish the association between the categorical variables, the chi-...

Introduction: Obstetric complications are an important cause of maternal morbidity and mortality, with prenatal control (PNC) being a strategy for their adequate prevention and treatment. Objective: To determine the association between adequate CPN and peripartum and postpartum maternal obstetric complications. Methodology: Quantitative, observational, retrospective, cross-sectional and analytical study, based on information from the ENDES 2017-2019. Results: A sample of 41,803 mothers was analyzed, 21,0% and 28,7% had peripartum and postpartum complications respectively, furthermore, it was found that not having a quality NPC (PR = 1.20; 95% CI = 1.14-1.27), residing in metropolitan Lima (PR = 1,38; 95% CI = 1,27-1,49) or in the mountains (PR = 1,25; 95% CI = 1,18-1,33), belong to wealth quintile two (PR = 1,13; 95% CI = 1,04-1,22) or three (PR = 1,11; 95% CI = ...

El embarazo ectópico intersticial es un tipo raro de embarazo tubarico que plantea un desafío diagnóstico y de tratamiento. Se asocia con un mayor riesgo de sangrado masivo e incontrolable. Este es un caso raro de embarazo ectópico intersticial diagnosticado en el primer trimestre del embarazo por ecografía y tratado quirúrgicamente con incisión longitudinal del miometrio y posterior resección cornual.

Objetivo: Determinar cómo los factores de riesgo se asocian a prolapso genital de órganos pélvicos en pacientes atendidas en el Hospital Militar Central. Material y métodos: El diseño de investigación fue observacional, cuantitativo, analítico, retrospectivo y, de tipo casos y controles; siendo los casos las mujeres con diagnóstico de prolapso de órganos pélvicos atendidas en el Servicio de Ginecología en el Hospital Militar Central durante el periodo de Enero a Diciembre 2018. Se calcularon los OR con sus respectivos IC95% con el software estadístico SPSS. Resultados: De las 160 pacientes estudiadas, la media de los casos fue de 65,1 años ± 15,1 y de los controles de 56,2 años ± 21,6. En el análisis multivariado se encontró que el prolapso de órganos genital de órganos pélvicos estuvo asociado con el antecedente de parto vaginal (OR=3.15; IC 1.36-7.31) y la edad may...

Objective: To determine the risk factors associated with the recurrence of preeclampsia in the HNGAI of 2017-2018.Methods: This is an observational, retrospective, analytical case-control study where descriptive and cross tables were used for the OR.  Results: After the univariate analysis of the risk factors, the highest prevalence of pregnant women between 20 and 35 years of age was seen, with a figure of 59.4%. After bivariate analysis, an association was observed between the variable overweight or obesity and the recurrence of preeclampsia with a p value of 0.031 and an OR of 1.94 (1.05 - 3.56) with 95% CI. An association was also seen between housewife and recurrence of preeclampsia with a p value of 0.030 and an OR of 1.95 (1.06 - 3.58) with a 95% CI. Finally, in the multivariate analysis, the factors studied maintained obesity with a p value of 0.036 and an adjusted OR o...

Objective. Determine the knowledge, attitudes and practices in Evidence Based Medicine (EBM) in attending physicians of a public hospital. Materials and methods. Analytical observational cross-sectional design, a validated instrument with a Kuder and Richarson index (KR 20) of 0,79 was used. Results. The knowledge of MBE is low intermediate in 60% of the participants. In addition, there is a statistical association between the number of hours dedicated to the search for information and the level of knowledge of MBE. Conclusions. It is necessary to generate methodological strategies of medical education to improve the knowledge of the MBE to optimize the attitudes and practices of this medical activity.