When obstetric emergencies are not treated adequately and in a timely manner, they represent the main cause of maternal morbidity and mortality in the world and, above all, in developing countries. It is important that every gynecologist is prepared to face potential hemorrhagic emergencies, establishing early warning systems, designing early responses and meetings of medical staff to identify the strengths and opportunities of the service provided.

Post partum hemorrhage constitutes the main cause of maternal death in poor countries. The absolute risk of death by post partum hemorrhage is much less in wealthy countries than in poor countries. We review the causes of uterine atony –main cause of post partum hemorrhageand clinical and surgical procedures to treat this frightful complication.

The Peruvian Society of Obstetrics and Gynecology (SPOG) has had a relevant role in the development of Gynecology in Peru and has contributed in the unification of services of Obstetrics and Gynecology in our public hospitals that used to be separated. The SPOG has facilitated updating the science of Gynecology in our associates trhough its Journal, meetings, courses, symposia and round tables in the specialty in order to give our patients the best care, with efficacy and warmth.

Post partum hemorrhage constitutes the main cause of maternal death in poor countries. The absolute risk of death by post partum hemorrhage is much less in wealthy countries than in poor countries. We review the causes of uterine atony –main cause of post partum hemorrhageand clinical and surgical procedures to treat this frightful complication.

La investigación realizada tuvo por título “Uso de la estrategia de aprendizaje cooperativo y aprendizaje por competencias en los estudiantes de la asignatura obstetricia de Medicina Humana, UNMSM, 2019”; el objetivo general fue, establecer la relación entre el aprendizaje cooperativo y el aprendizaje por competencias en los estudiantes investigados. Respecto de la Metodología, se reporta que el enfoque del estudio fue aquel que lleva por nombre cuantitativo, el método empleado fue el método científico, usando el esquema de la Universidad Nacional Hermilio Valdizán de Huánuco, Se investigó una muestra de .40 estudiantes a quienes se les aplicó dos (02) Instrumentos; el primero, fue el Cuestionario de Evaluación del Desempeño en el Aprendizaje Cooperativo (EDAC) – que se muestra en el ANEXO 03 y el segundo fue la Escala Valorativa de Evaluación por Competencias para Es...

A case of thoracopagus conjoined twins with ultrasound antenatal diagnosis is presented. Ultrasound study in a 14 yearold young mother in her first pregnancy revealed twin pregnancy variety thoracopagus-xiphopagus 23,4 weeks by biometry. She was admitted at Hospital Nacional Madre-Nino San Bartolome where classical corporal cesarean section plus B. Lynch technique were performed and female thoracopagus preterm live newborns were obtained. Pathology confirmed diagnosis. Summary of the clinical history and necropsy protocol are presented.

A case of thoracopagus conjoined twins with ultrasound antenatal diagnosis is presented. Ultrasound study in a 14 yearold young mother in her first pregnancy revealed twin pregnancy variety thoracopagus-xiphopagus 23,4 weeks by biometry. She was admitted at Hospital Nacional Madre-Nino San Bartolome where classical corporal cesarean section plus B. Lynch technique were performed and female thoracopagus preterm live newborns were obtained. Pathology confirmed diagnosis. Summary of the clinical history and necropsy protocol are presented.

Objectives: To determine the incidence, associated factors and outcomes of obstetrical hysterectomy. Design: Retrospective, descriptive, analytical and cross-sectional study. Setting: Hospital Nacional Docente Madre Niño San Bartolome, Lima, Peru. Material: Clinical records of 69 patients who underwent obstetrical hysterectomy (OH) performed between January 1, 2003, and December 31, 2015. Methods: Odds ratio was applied as measure of association, and Excel 2013 and SPSS programs were used for statistical analysis. Main outcome measures: Incidence, associated factors and outcomes of obstetrical hysterectomy. Results: OH rate was 0.69/1 000; 82.6% followed cesarean section delivery (1.94/1 000), OR cesarean section/vaginal delivery was 19.91; 65.2% were multiparous women aged 35 or less, 78.2% with prenatal control. Main diagnoses were placenta previa (27.5%) and previous cesarean section...

Objectives: To determine the incidence, epidemiological and clinical characteristics and medical-surgical management of patients with spontaneous hepatic hematoma (SHH) associated to the HELLP syndrome. Design: Descriptive, retrospective series of cases. Institution: Hospital Nacional Docente Madre Niño San Bartolomé, Lima, Peru. Participants: Women diagnosed with SHH. Interventions: Review of medical records of patients with SHH attended in the period May 2014 - May 2018. Results: We found eight cases of SHH, with an incidence of 1/3 632 births. The average maternal age was 32 years; all of them were multiparous, 62.5% with full-term pregnancies. The most frequent symptom was epigastric pain. Initial diagnosis of severe preeclampsia was determined in 62.5% of the cases, and all of them progressed to HELLP syndrome. Intracesarean SHH occurred in 37.5% of the cases and 62.5% presented i...