Among the causes or conditions of the pelvic dystopias and especially genital prolapse and its different varieties, the obstetric trauma as one of the most important mentioned. The damage to the levator ani muscles and distention and fascia injury and support elements that form the pelvic floor and hold the uterus, bladder and rectum in its anatomical relations, determine the abnormal position and falling structures pelvic and therefore different varieties of dystopia.

The amniotic fluid once considered an inert, static mass surrounding the fetus, has become a rich source of clinical data which may be decisive in conducting pregnancy. Either through examination of their constituents, after obtaining the fluid by transabdominal amniocentesis, or by observing its color and appearance through the amnioscopy, or as a vehicle for the introduction of diagnostic or therapeutic substances, the fact is that now the amniotic fluid is widely used in clinical diagnostic and therapeutic procedures obstetric field, necessitating adequate knowledge of their physiological characteristics to the correct interpretation of the data.

Bittner in 1947 first proposed the concept that hormones may increase the incidence of neoplasia, based on his studies of estrogen and breast cancer in mice. After several studies the hypothesis of association between breast and endometrial cancer and estrogen administration arises, and breast cancer and progestogen administration. The hypotheses are based on "excessive association between neoplasia and hormonal stimulation of specific target organs, whose normal growth and function are controlled by one or more steroid or polypeptide hormones."

Se realiza un análisis descriptivo de 269 muertes maternas, aproximadamente el 95% de todas las muertes de este tipo acaecidas en los Hospitales del Ministerio de Salud en 1983. Se encontró que la sepsis, la hemorragia y el aborto ocupan los 3 primeros lugares; que mueren más mujeres jóvenes, primigestas con estudios elementales y que más del 35% de las muertes se produjo antes de cumplir 24 horas en el hospital. Son destacables la persistencia de la participación empírica como factor generador o agravante del problema y el aumento del aborto inducido como causal de muerte. Se hacen sugerencias para la prevención del problema. A descriptive analysis of 269 maternal deaths, approximately 95% of all such deaths occurred in hospitals of the Ministry of Health in 1983 found that sepsis, haemorrhage and abortion occupy the top 3 is made; that younger women with elementary education pr...

Analgesia and anesthesia in gynecology and obstetrics. Physiology and maternal placental transfer of anesthetic, anesthetic effects on labor.

In early adolescence secondary sexual characters appear, a somatic growth spurt occurs, menstruation and ovulation in women and sperm maturation and ejaculatory ability in men appears. Fertility in both sexes is reached. Also occur in adolescence, psycho-emotional changes of great variability and significance.

Medical education, including the University, is in crisis. One cause is the economic crisis and the shortsightedness of the authorities who see the university as an entity and not economically wasteful investment pays off in the medium and long term. Another cause is the internal struggle for power distribution, ie capturing decision-makers and quotas of power that each group and each ideology claimed.

Identificar tempranamente los factores de riesgo, los signos premonitorios y los síntomas y signos tempranoos de las patologías que producen hemorragia del puerperio inmediato para prevenirlas, manejarlas adecuadamente y prevenir las complicaciones a que pudieran dar lugar permitiendo a la mujer una evolución normal de su período puerperal y el reinicio de su función sexual y reproductiva, cuando ella así los desee, luego de vencidos los plazos recomendables para abstenerse de ejercer estas funciones.

Identificar tempranamente los factores de riesgo, los signos premonitorios y los síntomas y signos tempranoos de las patologías que producen hemorragia del puerperio inmediato para prevenirlas, manejarlas adecuadamente y prevenir las complicaciones a que pudieran dar lugar permitiendo a la mujer una evolución normal de su período puerperal y el reinicio de su función sexual y reproductiva, cuando ella así los desee, luego de vencidos los plazos recomendables para abstenerse de ejercer estas funciones.

Se realiza un análisis descriptivo de 269 muertes maternas, aproximadamente el 95% de todas las muertes de este tipo acaecidas en los Hospitales del Ministerio de Salud en 1983. Se encontró que la sepsis, la hemorragia y el aborto ocupan los 3 primeros lugares; que mueren más mujeres jóvenes, primigestas con estudios elementales y que más del 35% de las muertes se produjo antes de cumplir 24 horas en el hospital. Son destacables la persistencia de la participación empírica como factor generador o agravante del problema y el aumento del aborto inducido como causal de muerte. Se hacen sugerencias para la prevención del problema. A descriptive analysis of 269 maternal deaths, approximately 95% of all such deaths occurred in hospitals of the Ministry of Health in 1983 found that sepsis, haemorrhage and abortion occupy the top 3 is made; that younger women with elementary education pr...

Among the causes or conditions of the pelvic dystopias and especially genital prolapse and its different varieties, the obstetric trauma as one of the most important mentioned. The damage to the levator ani muscles and distention and fascia injury and support elements that form the pelvic floor and hold the uterus, bladder and rectum in its anatomical relations, determine the abnormal position and falling structures pelvic and therefore different varieties of dystopia.

We studied 40 cases of situation Transverse found from a total of 8,957 births in the INPROMI since the start of the attention the April 20, 1971 until June 30, 1975, giving an incidence of 0.45%. Advanced age, multiparity and insufficient prenatal care were found in high percentage. Caesarean section as a method of uterine evacuation was performed in 82.5%. Prematurity reached 27% and hospital perinatal mortality, 7.5%. As factors, etiologic were recorded, Placenta Previa (15%). Cord dystocia (12.5%) and a narrow pelvis (5%). Overall maternal and neonatal morbidity what was high.

The main biochemical aspect fetal growth will be given mainly for the synthesis of protein structures from free via placental circulation or through ingestion of amniotic fluid by the fetus amino acids. In order to contribute in this respect, the present work shows the results obtained to determine the free amino acids in amniotic fluid of 50 pregnant women 39-41 weeks transvaginal obtained by amniocentesis at the time of delivery and using the technique exchange chromatography ion having identified 19 amino acids that showed marked variation between the values of each sample over the same amino acid.

We studied 40 cases of situation Transverse found from a total of 8,957 births in the INPROMI since the start of the attention the April 20, 1971 until June 30, 1975, giving an incidence of 0.45%. Advanced age, multiparity and insufficient prenatal care were found in high percentage. Caesarean section as a method of uterine evacuation was performed in 82.5%. Prematurity reached 27% and hospital perinatal mortality, 7.5%. As factors, etiologic were recorded, Placenta Previa (15%). Cord dystocia (12.5%) and a narrow pelvis (5%). Overall maternal and neonatal morbidity what was high.

The main biochemical aspect fetal growth will be given mainly for the synthesis of protein structures from free via placental circulation or through ingestion of amniotic fluid by the fetus amino acids. In order to contribute in this respect, the present work shows the results obtained to determine the free amino acids in amniotic fluid of 50 pregnant women 39-41 weeks transvaginal obtained by amniocentesis at the time of delivery and using the technique exchange chromatography ion having identified 19 amino acids that showed marked variation between the values of each sample over the same amino acid.