Labor induction was performed on 40 women using prostaglandin F2-Allfa in isotonic sodium chloride solution in infusion; was monitored at all with external monitoring and in half, infusion pump was used. The indications for induction were: premature rupture of membranes hypertensive disease of pregnancy (20%) and prolonged pregnancy (10%). The average age of patients was 29.7 years, 60% were primigestos, 80% were between 36 and 40 weeks and the remainder over 40 weeks. Bishop all had greater than 4. The length of dilation, in primiqestas, was 6.4 hours on average 4.3 variations {7.1 hours); in multiparous was 5.3 hours (range 3.7 to 6.8 hours). The doses used ranged from 3 to 15 ug / 1 '(6.9 ug / 1' average). There were no complications in uterine activity or fetal heartbeats. A case of mild nausea and vomiting was observed. The delivery was eutocic in 92% of cases, there was one cesarea...

Labor induction was performed on 40 women using prostaglandin F2-Allfa in isotonic sodium chloride solution in infusion; was monitored at all with external monitoring and in half, infusion pump was used. The indications for induction were: premature rupture of membranes hypertensive disease of pregnancy (20%) and prolonged pregnancy (10%). The average age of patients was 29.7 years, 60% were primigestos, 80% were between 36 and 40 weeks and the remainder over 40 weeks. Bishop all had greater than 4. The length of dilation, in primiqestas, was 6.4 hours on average 4.3 variations {7.1 hours); in multiparous was 5.3 hours (range 3.7 to 6.8 hours). The doses used ranged from 3 to 15 ug / 1 '(6.9 ug / 1' average). There were no complications in uterine activity or fetal heartbeats. A case of mild nausea and vomiting was observed. The delivery was eutocic in 92% of cases, there was one cesarea...

In 14 pregnant inducing uterine evacuation it was conducted using Prostaglandin F2-alpha, administered by trans-abdominal puncture under ultrasound guidance in amniotic cavity. 73 cases had ultrasound diagnosis of fetal death, 1 patient had multiple malformations (acranea, etc.) and 9 were severe hypertensive disease. 42.1% were primiparous and 78.5% nulliparous. All had closed cervix. Gestational age ranged between 20 and 39 weeks and uterine height between 04 and 26 cm. The average dose of PGF-2 alpha used was 7.5 mg. (5 to 10 mg.); not greater volume of amniotic fluid was extracted. Uterine evacuation occurred in 100% of cases, between 2-73 hours after (average 6.2 hours). In 2 cases after curettage evacuation it was made. There was one case of nausea, vomiting, and hypotension. We conclude that the use of intra-amniotic PGF2-Alpha gives excellent results in uterine evacuation.

In 14 pregnant inducing uterine evacuation it was conducted using Prostaglandin F2-alpha, administered by trans-abdominal puncture under ultrasound guidance in amniotic cavity. 73 cases had ultrasound diagnosis of fetal death, 1 patient had multiple malformations (acranea, etc.) and 9 were severe hypertensive disease. 42.1% were primiparous and 78.5% nulliparous. All had closed cervix. Gestational age ranged between 20 and 39 weeks and uterine height between 04 and 26 cm. The average dose of PGF-2 alpha used was 7.5 mg. (5 to 10 mg.); not greater volume of amniotic fluid was extracted. Uterine evacuation occurred in 100% of cases, between 2-73 hours after (average 6.2 hours). In 2 cases after curettage evacuation it was made. There was one case of nausea, vomiting, and hypotension. We conclude that the use of intra-amniotic PGF2-Alpha gives excellent results in uterine evacuation.

Thirty years experience with eclampsia at Hospital Nacional Edgardo Rebagliati Martis is reviewed. Incidence was 0,038%, unchanged in the past 25 years. In most cases, neither past history not obstetrical or blood pressure characteristics led to the suspicion of this seriuos complication. It is necessary to have a high index of suspicion in women with high blood pressure acceleratio, epigastric pain, visual alterations, headache and anxiety. Delivery has to be as soon as treatment for convultions has been started. Maternal mortality was 18,94% and perinatal mortality 17,7%, rates that should determine future attitudes at our institution to improve them.

Thirty years experience with eclampsia at Hospital Nacional Edgardo Rebagliati Martis is reviewed. Incidence was 0,038%, unchanged in the past 25 years. In most cases, neither past history not obstetrical or blood pressure characteristics led to the suspicion of this seriuos complication. It is necessary to have a high index of suspicion in women with high blood pressure acceleratio, epigastric pain, visual alterations, headache and anxiety. Delivery has to be as soon as treatment for convultions has been started. Maternal mortality was 18,94% and perinatal mortality 17,7%, rates that should determine future attitudes at our institution to improve them.

OBJECTIVE: To update rate and causes of maternal death at Peruvian hospitals. DESIGN: A Self Evaluation Manual was elaborated and 31 hospitals were selected 7 in Lima and Callao and 24 in the different regions of Peru. The Self Evaluation Manual was previously sent to the hospitals and a report was requested. A technical team had scheduled visits to each hospital and met with the board of directors. Registry information of the three previous years was obtained and processed with the V2, 6 Fox Pro Program. RESULTS: Seventeen hospitals to the coast, 10 to the mountains and 4 to the jungles; 25 were from the Ministry of Health, 3 from the Peruvian Institute of Social Security, 2 were integrated hospitals with origin in both institutions and 1 was aprivate hospítal. Previous year total deliveries were 100 063; 66,6% wíth 1 or moreprenatal controls; only 43,6% had had 4 or more controls; th...

OBJETIVE: To examine the results of a strategy to improve quality of services in the reduction of maternal and perinatal mortality. DESIGN: Operational research whose baseline a set of indicators taken into selected health facilities in 1996 and after a series of interventions were again measured in 1999. The selected establishments were 13 hospitals and 24 heads of service network in the regions of Lima -Callao, Cajamarca, Loreto and Apurimac. In each of the Ten Steps for Safe Childbirth Initiative was introduced in order to help improve the quality and warmth of institutional delivery and thus help reduce maternal and perinatal mortality. RESULTS: Up to September 1999 the initiative was adequately developed in 12 hospitals and 16 headends. 100% of establishments adopted an explicit policy for safe motherhood, allowing train 4,497 health workers. All establishments have managed to form...

OBJECTIVE: To update rate and causes of maternal death at Peruvian hospitals. DESIGN: A Self Evaluation Manual was elaborated and 31 hospitals were selected 7 in Lima and Callao and 24 in the different regions of Peru. The Self Evaluation Manual was previously sent to the hospitals and a report was requested. A technical team had scheduled visits to each hospital and met with the board of directors. Registry information of the three previous years was obtained and processed with the V2, 6 Fox Pro Program. RESULTS: Seventeen hospitals to the coast, 10 to the mountains and 4 to the jungles; 25 were from the Ministry of Health, 3 from the Peruvian Institute of Social Security, 2 were integrated hospitals with origin in both institutions and 1 was aprivate hospítal. Previous year total deliveries were 100 063; 66,6% wíth 1 or moreprenatal controls; only 43,6% had had 4 or more controls; th...

A survey on sexuality during pregnancy 500 postpartum women who had a recent pregnancy and childbirth complications was performed. These patients were treated at the services of Obstetrics Hospital Edgardo Rebagliati Martins National LPSs. Most were between 27 and 35 years old, secondary or higher education and was married. The frequency of intercourse dropped from three or more times a week (53%) before pregnancy once a week to every two weeks in the middle of the pregnant women in the third trimester. 24 percent had no intercourse in the last quarter. Satisfaction also fell in the course of pregnancy, while increased discomfort. 72 percent reported some discomfort during intercourse, mainly in the third quarter (37%). The side position during intercourse was the most used after the sixth month of gestation. The attitude of these variables husband was understanding.

A survey on sexuality during pregnancy 500 postpartum women who had a recent pregnancy and childbirth complications was performed. These patients were treated at the services of Obstetrics Hospital Edgardo Rebagliati Martins National LPSs. Most were between 27 and 35 years old, secondary or higher education and was married. The frequency of intercourse dropped from three or more times a week (53%) before pregnancy once a week to every two weeks in the middle of the pregnant women in the third trimester. 24 percent had no intercourse in the last quarter. Satisfaction also fell in the course of pregnancy, while increased discomfort. 72 percent reported some discomfort during intercourse, mainly in the third quarter (37%). The side position during intercourse was the most used after the sixth month of gestation. The attitude of these variables husband was understanding.