Objetivo: Comparar los resultados del embarazo entre mujeres con y sin COVID-19 atendidas en un hospital nacional de nivel III de Perú. Método: Estudio observacional, retrospectivo y comparativo. Participaron gestantes con RT-PCR positiva y negativa en razón 1:1, y 1:2 con gestantes del año 2019. Se recogió información materna y perinatal. Se usó la prueba exacta de Fisher con significancia de 0,05 y razones de prevalencia (RP) con intervalo de confianza del 95% (IC95%). Resultados: Participaron 51 gestantes con RT-PCR positiva, 51 gestantes con RT-PCR negativa y 102 gestantes del año 2019. Se observó asociación entre los resultados de la RT-PCR y el parto pretérmino (p < 0,05). La RP de parto pretérmino en las gestantes con RT-PCR positiva fue de 3,14 (IC95%: 1,29-7,64) veces en comparación con las gestantes de 2019 y de 4,0 (IC95%: 1,13-14,17) veces en comparación con las...

Objetivo: Describir las complicaciones en histerectomía laparoscópica realizadas desde 2009 hasta 2016 en el Instituto Nacional Materno Perinatal. Metodología: Estudio cuantitativo, descriptivo, retrospectivo. El diseño es trasversal descriptivo. La muestra: 92 pacientes. Resultados: El promedio de edad fue 47.8 ± 7.7 años. La de menor edad 36 años y la mayor, 69. El 94% (86/92) fueron multíparas y el 78% (72/92), amas de casa. El diagnóstico preoperatorio con mayor frecuencia fue leiomioma uterino con 44.6% (41/92), seguido por neoplasia intraepitelial cervical y prolapso genital con 16.3% (15/92). Los pacientes sometidos a histerectomía laparoscópica presentaron complicaciones intraoperatorias en 9% (9/92). Del total de estas complicaciones la lesión vascular se presentó en 5.4% (5/92), la lesión ureteral y vesical en 1.1% (1/92) respectivamente. El 11% (10/92) de la mues...

Objective. Determine the prevalence of endometrial histology in patients with postmenopausal uterine bleeding. Materials and methods. Observational, retrospective, cross. Study 40 cases had histopathological study of patients who had uterine bleeding whose ages were 50 or more years of age were included. Pathological findings were reviewed.

Objective. Determine the prevalence of endometrial histology in patients with postmenopausal uterine bleeding. Materials and methods. Observational, retrospective, cross. Study 40 cases had histopathological study of patients who had uterine bleeding whose ages were 50 or more years of age were included. Pathological findings were reviewed.

Intrauterine fetal growth restriction (IUGR), is a clinical circumstance in which the fetus does not express its genetic growth potential and as a final result there is a decrease in body weight, which is below the 10th percentile for gestational age on a selected growth curve. The global prevalence of IUGR according to different authors varies between 3,7% and 22,4%. In Peru they are reported from 4,8% to 10,1%. Obstetric factors associated with IUGR include: pre-eclampsia with OR=1,69 to OR=66,54; anemia during pregnancy OR=2,18 to OR=9,70; Previous IUGR with OR=3,26 at OR=14,49 and preterm delivery with OR=3,58 at OR=14,60.

Objective. To evaluate the changes that have occurred from 2012 to 2017, and analyze the factors that influence them. Materials and Methods. The maternal-perinatal statistical database managed by the National Maternal Perinatal Institute was analyzed. All those births belonging to Metropolitan Lima, born alive, of single births were included, obtaining a total of 107,581 deliveries. A multivariate analysis was performed adjusting for different obstetric and socioeconomic variables. Results. There were no significant changes in Low Birth Weight, Preterm Birth and PEG between the different years. In all three cases, mild anemia is playing as a protective factor 0.91 (0.74-1.1), 0.80 (0.72-0.90) and 0.85 (0.76-0.95), respectively. While pre-eclampsia is the most influential risk factor, OR: 2.90 (2.25-3.73), 5.23 (4.61-5.98) and 3.00 (2.57-3.49), respectively. Conclusion. The risk of Low Bi...

Objetivo: Determinar las características clínicas de la infección vulvovaginal por Candida albicans (CVV) en mujeres en edad reproductiva.  Materiales y métodos: Investigación observacional, descriptiva, retrospectiva y transversal. Se incluyó una muestra de 120 mujeres con diagnóstico de infección vulvovaginal por Candida Albicans atendidas en consulta externa en el Instituto Nacional Materno Perinatal periodo 2018. Resultados: La prevalencia de infección vulvovaginal por Candida albicans fue 28%. Las características sociodemográficas fueron, edad mediana con 53,3%, estado civil conviviente 39,2%, instrucción superior 49,2% y ama de casa 53,3%. Respecto a las características ginecológicas incluyeron número de parejas sexuales 2,1±0,8, uso de anticonceptivo depoprovera con 35% y anticonceptivo oral combinado 28,3%; hábitos de higiene íntima ocasional 61,7%.  L...

Objective. To evaluate the changes that have occurred from 2012 to 2017, and analyze the factors that influence them. Materials and Methods. The maternal-perinatal statistical database managed by the National Maternal Perinatal Institute was analyzed. All those births belonging to Metropolitan Lima, born alive, of single births were included, obtaining a total of 107,581 deliveries. A multivariate analysis was performed adjusting for different obstetric and socioeconomic variables. Results. There were no significant changes in Low Birth Weight, Preterm Birth and PEG between the different years. In all three cases, mild anemia is playing as a protective factor 0.91 (0.74-1.1), 0.80 (0.72-0.90) and 0.85 (0.76-0.95), respectively. While pre-eclampsia is the most influential risk factor, OR: 2.90 (2.25-3.73), 5.23 (4.61-5.98) and 3.00 (2.57-3.49), respectively. Conclusion. The risk of Low Bi...

Objetivo: Determinar las características clínicas de la infección vulvovaginal por Candida albicans (CVV) en mujeres en edad reproductiva.  Materiales y métodos: Investigación observacional, descriptiva, retrospectiva y transversal. Se incluyó una muestra de 120 mujeres con diagnóstico de infección vulvovaginal por Candida Albicans atendidas en consulta externa en el Instituto Nacional Materno Perinatal periodo 2018. Resultados: La prevalencia de infección vulvovaginal por Candida albicans fue 28%. Las características sociodemográficas fueron, edad mediana con 53,3%, estado civil conviviente 39,2%, instrucción superior 49,2% y ama de casa 53,3%. Respecto a las características ginecológicas incluyeron número de parejas sexuales 2,1±0,8, uso de anticonceptivo depoprovera con 35% y anticonceptivo oral combinado 28,3%; hábitos de higiene íntima ocasional 61,7%.  L...

Intrauterine fetal growth restriction (IUGR), is a clinical circumstance in which the fetus does not express its genetic growth potential and as a final result there is a decrease in body weight, which is below the 10th percentile for gestational age on a selected growth curve. The global prevalence of IUGR according to different authors varies between 3,7% and 22,4%. In Peru they are reported from 4,8% to 10,1%. Obstetric factors associated with IUGR include: pre-eclampsia with OR=1,69 to OR=66,54; anemia during pregnancy OR=2,18 to OR=9,70; Previous IUGR with OR=3,26 at OR=14,49 and preterm delivery with OR=3,58 at OR=14,60.

Objective: determine if gestation in advanced maternal age is associated with a higher risk of maternal perinatal complicationsthan in adolescent gestation. Materials and methods: observational, correlational, retrospective, cross-sectional study wascarried out with a population of 6475 pregnant women and 7645 pregnant women attended at the National Maternal PerinatalInstitute who have been controlled and culminated in the institution in the period between January From 2012 to December2015.

Objective: determine if gestation in advanced maternal age is associated with a higher risk of maternal perinatal complicationsthan in adolescent gestation. Materials and methods: observational, correlational, retrospective, cross-sectional study wascarried out with a population of 6475 pregnant women and 7645 pregnant women attended at the National Maternal PerinatalInstitute who have been controlled and culminated in the institution in the period between January From 2012 to December2015.

Objective: To describe maternal characteristics and management of therapeutic abortion in women treated in a level III hospital in Peru, during 12 years of experience. Materials and Methods: Observational and retrospective study. All pregnant women who had a therapeutic interruption of pregnancy participated. The medical history of patients treated at the National Maternal Perinatal Institute of Peru, between 2009 and 2020 was reviewed. Results: 385 pregnant women were attended. The mean age was 30.4 years; 45% were nulliparous; and 51% had between 19 and 22 weeks of gestation. The causes were 7.5% due to risk of the life of the pregnant woman and 92.5% due to risk in the physical and mental health of the pregnant woman. 30% presented fetuses with multiple malformations. Uterine curettage was performed in 81%, 15.6% manual vacuum aspiration, six cases of hysterotomy. There were no cases ...

Objective: To describe maternal characteristics and management of therapeutic abortion in women treated in a level III hospital in Peru, during 12 years of experience. Materials and Methods: Observational and retrospective study. All pregnant women who had a therapeutic interruption of pregnancy participated. The medical history of patients treated at the National Maternal Perinatal Institute of Peru, between 2009 and 2020 was reviewed. Results: 385 pregnant women were attended. The mean age was 30.4 years; 45% were nulliparous; and 51% had between 19 and 22 weeks of gestation. The causes were 7.5% due to risk of the life of the pregnant woman and 92.5% due to risk in the physical and mental health of the pregnant woman. 30% presented fetuses with multiple malformations. Uterine curettage was performed in 81%, 15.6% manual vacuum aspiration, six cases of hysterotomy. There were no cases ...

Objective: To evaluate the obstetric outcome of pregnant women with advanced maternal age (EMA) treated at the NationalMaternal Perinatal Institute. Materials and methods: Observational, descriptive and retrospective study of 321 maternaloutgoings occurred during the period from January 1 to June 30, 2016.

Objective. To identify perinatal outcomes in pregnant women with advanced maternal age (EMA) treated at the NationalMaternal Perinatal Institute. Materials and methods. Observational, descriptive and retrospective study of 321 maternaloutgoings occurred during the period from January 1 to June 30, 2016.

The genitourinary syndrome of menopause clinically is evident 4 to 5 years after menopause, and objective changes arepresent in 25-50% of all postmenopausal women. The most frequent symptoms are vaginal dryness ( 75%), dyspareunia(38%), and vaginal itching, vaginal discharge and pain (15%); and the diagnosis is based on clinical criteria. The principlestherapeutic are based on the restoration of urogenital physiology and relief of symptoms; including non-hormonal / lubricanttherapeutic options, systemic hormonal therapy, local estrogen therapy and other alternatives. The genitourinary syndromeof menopause is one of the most important determinants of sexual function and urogenital health, with a significant impact onthe quality of life related to female health.

Objective: To evaluate the obstetric outcome of pregnant women with advanced maternal age (EMA) treated at the NationalMaternal Perinatal Institute. Materials and methods: Observational, descriptive and retrospective study of 321 maternaloutgoings occurred during the period from January 1 to June 30, 2016.

Objective. To identify perinatal outcomes in pregnant women with advanced maternal age (EMA) treated at the NationalMaternal Perinatal Institute. Materials and methods. Observational, descriptive and retrospective study of 321 maternaloutgoings occurred during the period from January 1 to June 30, 2016.

The genitourinary syndrome of menopause clinically is evident 4 to 5 years after menopause, and objective changes arepresent in 25-50% of all postmenopausal women. The most frequent symptoms are vaginal dryness ( 75%), dyspareunia(38%), and vaginal itching, vaginal discharge and pain (15%); and the diagnosis is based on clinical criteria. The principlestherapeutic are based on the restoration of urogenital physiology and relief of symptoms; including non-hormonal / lubricanttherapeutic options, systemic hormonal therapy, local estrogen therapy and other alternatives. The genitourinary syndromeof menopause is one of the most important determinants of sexual function and urogenital health, with a significant impact onthe quality of life related to female health.