El cáncer de cuello uterino es la 2da razón de muerte en las mujeres de América, es causado por diferentes tipos de VPH, sin embargo, esto se puede prevenir, ya que el cáncer pasa por una etapa pre invasiva la cual al ser diagnosticada a tiempo da la oportunidad de realizar un tratamiento y seguimiento adecuados para así evitar la progresión en aquellas mujeres con diagnóstico de lesiones intraepiteliales de alto grado(1,21). Los casos de lesiones intraepiteliales de alto grado han aumentado en los países subdesarrollados, siendo esto un problema de salud pública, ya que esta población se encuentra en edad reproductiva y no tiene una maternidad satisfecha. (23) La prevalencia de infección por Virus de papiloma humano es alrededor de 10.4%, de las cuales el 32% de los casos están infectadas las cepas 16, 18 o por ambos. Esta infección está mayormente en mujeres menores de 35...

Introduction: HELLP syndrome is characterized by hemolysis, elevated liver enzymes, and thrombocytopenia; it is one of the most serious maternal complications of pregnancy, with significant morbidity and mortality, and high risk of renal failure, hepatic hematoma, disseminated intravascular coagulopathy and receiving multiple blood transfusions. Objective: To describe the clinical presentation, diagnosis, complications and management of patients with HELLP syndrome in a Peruvian hospital. Method: Descriptive, retrospective study of cases with HELLP syndrome at a Peruvian hospital. Results: Out of 30 618 deliveries, 71 cases of HELLP syndrome were found, with an incidence of 0.23%; 68% of cases were multiparous, with an average age of 33. Diagnosis was confirmed during pregnancy in 46% (58% of them developed HELLP syndrome before 37 weeks of gestation) and in the puerperium in 54%. Matern...

Introduction: Placenta accreta spectrum (PAS) refers to pathological adhesions of the placenta to the uterus. It is considered a public health problem due to its increase in recent decades, and it is associated with significant maternal morbidity and mortality and high risk of hemorrhage, blood transfusions and hysterectomy. Objective: To determine the epidemiological, surgical and post-surgical characteristics of patients with placenta accreta. Methods: Descriptive, retrospective study of patients with placenta accreta spectrum attended at San Bartolomé Hospital, Lima, Peru, between 2014 and 2018. Results: Thirty-six PAS cases were documented with a birth rate of 1.2/1 000; 94% occurred in multiparous women, 81% had previous uterine surgery including 26 (72%) with previous cesarean section; 61% were 35 years old or older, and 47% had placenta previa. Treatment was conservative in 53% o...