Multiple pregnancy. Report of a case of birth of triplets.

For serous ovarian cystadenoma uncommon in our environment because of its size and weight, removed in the Department of Obstetrics and Gynecology Hospital Torrealva Felix Gutierrez, EsSalud of Ica presents. Patient 47, illiterate workers, a native of Abancay, with a history of primary infertility, box bloating and abdominal pain for eight years. Giant diagnosed with ovarian tumor, is subjected to surgery. High in good condition. Prosterior control without complications.

Objectives: To determine incidence, risks and complications of pregnancy and delivery in adolescents. Design: Retrospective case-control study. Setting: Augusto Hernández Mendoza Hospital IV, EsSalud, Ica, Peru. Patients: Pregnant adolescents. Methods: Between 1 July 2013 and 30 June 2014, 177 adolescents who delivered at the hospital were studied and their characteristics compared with a control group consisting in 177 pregnant women 20 to 34 years old. Data were obtained from medical records and delivery registries. Main outcome measures: Obstetrical and perinatal outcomes. Results: Teenage pregnancy represented 6.63% of all obstetrical patients attended. Pregnancy complications like anemia (18.2%) and urinary tract infections (14.1%) were predominant in adolescents, and hypertension (17.5%) occurred more in the older group. Cephalo-pelvic disproportion and acute fetal distress were m...

Objective: To describe main factors associated to maternal near-miss (NM). Design: Descriptive cross-sectional study. Setting: Hospital IV Augusto Hernández Mendoza, EsSalud, Ica, Peru. Participants: Pregnant women with NM. Methods: Between January 2006 and December 2012, 58 cases of NM in pregnant or post partum women were hospitalized. A file card was filled with data obtained from the clinical records, perinatal cards and obstetrical registries. Main outcome measures: Complications associated to NM. Results: Average age was 30.67 ± 6.06 range 20-42 years old, 48% was cohabiting, most attended high school (43%), 58% were housewife. Gravidity averaged 1.66 ± 2.84, and multigravidity accounted for 67.2%. Main cause of NM was postpartum hemorrhage in 35%; 31% of patients were admitted to ICU for management. The maternal NM outcome ratio was 3.7 cases/1 000 live births with a mortality ...

Sr Editor:Leímos con interés el artículo de Albinagorta y Campodónico acerca de la aplicación del algoritmo de la Fundación de Medicina Fetal (FMF) en el tamizaje prenatal de aneuploidías en el primer trimestre de gestación. Los autores promueven la normalización de la metodología de tamizaje prenatal de aneuploidías en el primer trimestre en nuestro país respaldada por la evidencia científica y que sea aplicable a nuestro contexto clínico, teniendo en cuenta las características de la práctica médica en el Perú.

Sr Editor:Leímos con interés el artículo de Albinagorta y Campodónico acerca de la aplicación del algoritmo de la Fundación de Medicina Fetal (FMF) en el tamizaje prenatal de aneuploidías en el primer trimestre de gestación. Los autores promueven la normalización de la metodología de tamizaje prenatal de aneuploidías en el primer trimestre en nuestro país respaldada por la evidencia científica y que sea aplicable a nuestro contexto clínico, teniendo en cuenta las características de la práctica médica en el Perú.

Objective: To describe main factors associated to maternal near-miss (NM). Design: Descriptive cross-sectional study. Setting: Hospital IV Augusto Hernández Mendoza, EsSalud, Ica, Peru. Participants: Pregnant women with NM. Methods: Between January 2006 and December 2012, 58 cases of NM in pregnant or post partum women were hospitalized. A file card was filled with data obtained from the clinical records, perinatal cards and obstetrical registries. Main outcome measures: Complications associated to NM. Results: Average age was 30.67 ± 6.06 range 20-42 years old, 48% was cohabiting, most attended high school (43%), 58% were housewife. Gravidity averaged 1.66 ± 2.84, and multigravidity accounted for 67.2%. Main cause of NM was postpartum hemorrhage in 35%; 31% of patients were admitted to ICU for management. The maternal NM outcome ratio was 3.7 cases/1 000 live births with a mortality ...