Introduction: Acute renal injury characteristics in women with preeclampsia and HELLP syndrome have not been thoroughly described; hence, the interest to determine it in our hospital population. Design: Retrospective descriptive study. Setting: Hospital Regional de Cajamarca, Peru. Participants: Women with HELLP syndrome. Methods: Women with HELLP syndrome with and without acute renal injury were compared. T-student test and U Mann-Whitney test for independent samples were used to compare medians. Main outcome measures: Development of acute renal injury. Results: There were 71 women (2%) with HELLP syndrome in 3 411 deliveries; 54 (76%) did not present acute renal injury and 17 (24%) did (0.5% of all deliveries). The stage was severe (2 and 3) in 94% of women with HELLP syndrome and acute renal injury, and these patients showed lower platelets and hemoglobin, and higher bilirrubin and he...

Objectives: To determine whether postpartum medroxyprogesterone acetate produces variation in levels of total fat, calcium and crematocrit of transitional and mature milk. Design: Transversal and comparative study. Setting: Hospital Regional de Cajamarca, Peru and Hospital Nacional Cayetano Heredia, Lima, Peru. Participants: Lactating mothers. Interventions: In 1998 79 samples of maternal milk of mothers three months post partum were analyzed al Hospital Nacional Cayetano Heredia. These women either received medroxyprogesterone acetate (24) or not (55 controls). Total fat , calcium and crematocrit were determined. Main outcome measures: Total fat, calcium and crematocrit values. Results: In women receiving medroxyprogesterone acetate total fat levels were 4.8 +- 2.3 g/dL, and in controls, 4.6 +- 2.9 g/dL; calcium levels were respectively 55.6 +- 23.9 mg/ dL in cases and 55.5 mg/dL in con...

Objective: To determine if simulation is more effective than conventional exposition in the improvement in nurses’ knowledge of severe preeclampsia. Methods: Crosssectional quasi-experimental study in two private clinics in Cajamarca, Peru. We compared the improvement in nurses’ knowledge of severe preeclampsia: 13 attended to a conventional exposition about severe preeclampsia (Exconv) and 16, the experimental group, had the same exposition and four simulation training sessions (Sim). We conducted a pretest in both groups and a posttest in 20participants; these were composed of multiple choice questions previously validated by experts; Spearman-Brown reliability was 0.76. The simulation training sessions were recorded in video and evaluated by an expert with a checklist adapted from the American College of Obstetricians and Gynecologists. Data was processed with SPSS 20.0. We used S...

Introduction: Eclampsia (E) and HELLP syndrome (H) are two complications of preeclampsia that increase maternal morbidity and mortality. The main complication and the main cause of death of this EH / HE association is the hemorrhagic cerebrovascular disease (HCD). Objectives: To determine differences between women with EH / HE who presented HCD and those who did not. To define the types of HCD in women with EH / HE. Design: Cross-sectional comparative study. Patients: Cases of EH / HE at the Hospital Regional Docente de Cajamarca, Peru, 2015. Interventions: Patients with EH / HE were divided into two groups: those without HCD and those with HCD. SPSS 20.0 was used. The comparison of groups was done with Mann Whitney U and chi square tests. Significant differences were when p <0.05. Results: There were 23 women with EH / HE: 18 (78.3%) without HCD and 5 (21.7%) with HCD. We compared women...

Maternal mortality from COVID-19 is rare in developed countries, but its association with other obstetric complications increases the risk. It is also associated with fetal death. Postpartum women are at risk of thrombosis that increases with COVID-19 coagulopathy. Comorbidities such as obesity, diabetes, and hypertension increase the risk of death from COVID-19, and pregnant women have more complications during the third trimester than in the first trimester, with higher risk than nonpregnant women of entering the ICU and requiring mechanical ventilation. In this report, stroke, diabetes and intracerebral hemorrhage were the three causes of death described, all within the context of stillbirth, severe preeclampsia, eclampsia and/or HELLP syndrome.

Eclampsia es una complicación severa del embarazo que pone en riesgo la vida de la madre y el feto. El objetivo de esta investigación fue determinar el costo de enfermedad en madres con y sin eclampsia en el Hospital Regional Docente de Cajamarca (HRDC) el año 2019. Tipo de investigación observacional, analítica, transversal y retrospectiva con diseño no experimental el año 2019 prepandemia en el HRDC, hospital público nivel II-2 a 2750 m.s.n.m. en la sierra norte del Perú, país con PBI intermedio, es decir con PBI de USD $ 7125.8 . Se incluyen las 16 madres con eclampsia mediante muestreo censal, y 16 madres sin eclampsia mediante muestreo probabilístico aleatorio por conglomerados. Se usa el instrumento creado por el autor “Eclamp-Cost” de 34 ítems para extraer datos de historias clínicas y estadística, con alfa de Cronbach de confiabilidad 0.7 y con una validación p...

Objectives: To determine whether postpartum medroxyprogesterone acetate produces variation in levels of total fat, calcium and crematocrit of transitional and mature milk. Design: Transversal and comparative study. Setting: Hospital Regional de Cajamarca, Peru and Hospital Nacional Cayetano Heredia, Lima, Peru. Participants: Lactating mothers. Interventions: In 1998 79 samples of maternal milk of mothers three months post partum were analyzed al Hospital Nacional Cayetano Heredia. These women either received medroxyprogesterone acetate (24) or not (55 controls). Total fat , calcium and crematocrit were determined. Main outcome measures: Total fat, calcium and crematocrit values. Results: In women receiving medroxyprogesterone acetate total fat levels were 4.8 +- 2.3 g/dL, and in controls, 4.6 +- 2.9 g/dL; calcium levels were respectively 55.6 +- 23.9 mg/ dL in cases and 55.5 mg/dL in con...

Several studies have shown that late cord clamping increases levels of hemoglobin in newborns. Objectives: To determine whether delayed umbilical cord clamping in term infants show higher hemoglobin levels than early clamping, investigation performed at 2700 m.a.s.l. Design: Prospective, randomized, double blind study. Setting: Gynecology and Obstetrics Department, Hospital Regional de Cajamarca, Peru. Participants: Newborns and their mothers. Methods: In January 2014, 100 pregnant women in labor with singleton pregnancies at term and without other risk factors were randomized to delayed clamping (when the umbilical cord stopped beats in 1-3 minutes) or early clamping (about 10 seconds after birth). Time was measured starting when baby shoulders appeared. A blood sample from the right newborn’s heel was obtained and placed in 2 capillaries, at birth and also at 6 hours of life; hemoglo...

The term “damage control surgery” proposed by Rotondo and Schwab in 1993 refers to the rapid initial control of bleeding and contamination, temporary abdominal closure, resuscitation in the ICU, and subsequent reexploring with definitive repair. Based on four cases, we propose a surgical technique with latex hemostatic packing that prevents surgical reexploration. It consists in hemostasis, placing a latex glove filled with 0.9% sodium chloride (latex hemostatic pack) in the area of bleeding and bringing the mouth of the glove through the abdominal wall. Following content evacuation, the glove is removed within 48 to 72 hours.

Objetivo: Determinar si la preeclampsia influye en los componentes (proteínas, lípidos, agua,crematocrito y contenido calórico) de la leche materna (calostro) de puérperas. Diseño:Investigación de tipo transversal, comparativa. Institución: Departamento de Ginecoobstetricia,Hospital Regional de Cajamarca, Perú. Participantes: Puérperas atendidas a 2 720m.s.n.m. Métodos: En 25 puérperas con preeclampsia y 25 puérperas sin preeclampsia serecolectó calostro y se determinó el porcentaje de agua, proteínas, grasas y contenido calórico.Los datos fueron analizados con SPSS 21.0 y se comparó los resultados mediante la T destudent pareada. Principales medidas de resultados: Porcentaje de agua, proteínas, grasasy contenido calórico del calostro. Resultados: El porcentaje de agua de no preeclámpticasfue 83,7+/- 1,1, y el de preeclámpticas 88,0+/-0,5. con p <0,01; el porcentaje ...

Objetivo: Determinar si la preeclampsia influye en los componentes (proteínas, lípidos, agua,crematocrito y contenido calórico) de la leche materna (calostro) de puérperas. Diseño:Investigación de tipo transversal, comparativa. Institución: Departamento de Ginecoobstetricia,Hospital Regional de Cajamarca, Perú. Participantes: Puérperas atendidas a 2 720m.s.n.m. Métodos: En 25 puérperas con preeclampsia y 25 puérperas sin preeclampsia serecolectó calostro y se determinó el porcentaje de agua, proteínas, grasas y contenido calórico.Los datos fueron analizados con SPSS 21.0 y se comparó los resultados mediante la T destudent pareada. Principales medidas de resultados: Porcentaje de agua, proteínas, grasasy contenido calórico del calostro. Resultados: El porcentaje de agua de no preeclámpticasfue 83,7+/- 1,1, y el de preeclámpticas 88,0+/-0,5. con p <0,01; el porcenta...