Objective. To determine the clinical and management features of hepatic sub capsular hematoma (HSH) as a result of severe preeclampsia and HELLP syndrome in the period between 2004 and 2014. Materials and methods. We reviewed the cases with HSH in our institution retrospectively. Clinical features, diagnosis, medical and surgical management were defined. Search also included PubMed. The results of our study were compared with those already published.

Objective: To determine the prevalence and incidence rates of Healthcare Associated Infections (IAAS) in the NationalInstitute of Maternal and Perinatal Health (INMP) from 2012 to 2016. Materials and methods: We reviewed the cases of IAASin a historical cohort from 2012 to 2016, the case definition of IAAS or intrahospital Infection (IIH) was performed accordingto the Technical Standard of MINSA. The prevalence was established comparing it with the total of hospital discharges duringthe study period. The average incidence rates were established for each type of infection, according to risk factor of exposureand service of occurrence. These rates were compared with the national incidence rates established by the National Centerfor Epidemiology, Prevention and Control of Infections of MINSA - Peru.

Objective. To determine the clinical and management features of placenta accreta in the period between 2014 and 2014. Materials and methods. We reviewed the cases of placenta accreta retrospectively. Clinical features, diagnosis, medical and surgical management were defined.

Objective. To determine the clinical and management features of hepatic sub capsular hematoma (HSH) as a result of severe preeclampsia and HELLP syndrome in the period between 2004 and 2014. Materials and methods. We reviewed the cases with HSH in our institution retrospectively. Clinical features, diagnosis, medical and surgical management were defined. Search also included PubMed. The results of our study were compared with those already published.

Objective: To determine the prevalence and incidence rates of Healthcare Associated Infections (IAAS) in the NationalInstitute of Maternal and Perinatal Health (INMP) from 2012 to 2016. Materials and methods: We reviewed the cases of IAASin a historical cohort from 2012 to 2016, the case definition of IAAS or intrahospital Infection (IIH) was performed accordingto the Technical Standard of MINSA. The prevalence was established comparing it with the total of hospital discharges duringthe study period. The average incidence rates were established for each type of infection, according to risk factor of exposureand service of occurrence. These rates were compared with the national incidence rates established by the National Centerfor Epidemiology, Prevention and Control of Infections of MINSA - Peru.

Objective. To determine the clinical and management features of placenta accreta in the period between 2014 and 2014. Materials and methods. We reviewed the cases of placenta accreta retrospectively. Clinical features, diagnosis, medical and surgical management were defined.

Introduction: Extreme maternal morbidity generates indicators to assess and monitor the risk of maternal death. Objective: To describe the extreme maternal morbidity in Peruvian women attended in a specialized institution in Peru, 2012-2016. Material and Method: Observational, descriptive and transversal study. Patients attended at the National Maternal and Perinatal Institute, between 2012 and 2016 were included. Cases of extreme maternal morbidity were included according to criteria of the Latin American Federation of Obstetrics and Gynecology Societies. The study shows maternal characteristics and outcome indicators. Descriptive and inferential statistics were applied under 95% confidence intervals, using the Stata version 14. Results: The study population was 1245 cases. Multiparity was present in 63.7% of cases, presented on average 4 prenatal controls and 60% of cases had at least ...

Objective: To determine the clinical characteristics and management of subcapsular hepatic hematoma (SHH) as a result of severe preeclampsia and HELLP syndrome in the period 2004-2016. Design: Descriptive, retrospective study, series of cases type. Setting: Instituto Nacional Materno Perinatal, Lima, Peru. Material: We reviewed the clinical charts of patients with SHH. Methods: The clinical charts of cases with SHH attended at our institution between 2004 and 2016 were reviewed. Search also included PubMed and the results were compared with those in the literature. Main outcome measures: Incidence, clinical features, diagnosis, management and results. Results: 31 cases of SHH were found, with an incidence of 1 in 6 000 to 9 000 births. The mean maternal age was 34 years and 80% were multiparous. Diagnosis was usually through direct visualization of the hepatic rupture during caesarean se...

El presente documento resulta del análisis del ejercicio de la ultrasonografía obstétrica en el Perú y como un aporte para el ordenamiento que repercuta favorablemente en la calidad de las evaluaciones y en la salud materno perinatal considerando, adoptando y adaptando normativas y lineamientos internacionales de entidades referentes en ecografía obstétrica y medicina fetal. Según consta en la Guía clínica de Ultrasonografía en el embarazo del 2016, diversas sociedades referentes han  adoptado la siguiente terminología uniforme para tres tipos de exámenes ecográficos según nivel de complejidad: Estandar, Limitada y Especializada. Algunas de tipo “especializada”, como las ecografías de tamizaje “Genética y Morfológica” no significa que deba ser realizada necesariamente por un médico especialista o subespecialista; sino que quien la realice deba tener la comp...

El presente documento resulta del análisis del ejercicio de la ultrasonografía obstétrica en el Perú y como un aporte para el ordenamiento que repercuta favorablemente en la calidad de las evaluaciones y en la salud materno perinatal considerando, adoptando y adaptando normativas y lineamientos internacionales de entidades referentes en ecografía obstétrica y medicina fetal. Según consta en la Guía clínica de Ultrasonografía en el embarazo del 2016, diversas sociedades referentes han  adoptado la siguiente terminología uniforme para tres tipos de exámenes ecográficos según nivel de complejidad: Estandar, Limitada y Especializada. Algunas de tipo “especializada”, como las ecografías de tamizaje “Genética y Morfológica” no significa que deba ser realizada necesariamente por un médico especialista o subespecialista; sino que quien la realice deba tener la comp...

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...

Introduction. In Peru, hypertensive disorders of pregnancy are the second cause of maternal mortality. Objective. This evidence-based clinical practice guideline (EB-CPG) provides recommendations for the prevention and treatment of pre-eclampsia and eclampsia. Methods. An adapted EB-CPG was elaborated through a systematic, rigorous and transparent process with a group consisting of methodologists and health professionals who are experts in the management of the disease. The guide has sixteen clinical questions and sixteen recommendations. The search and pre-selection of EB-CPGs were performed, which were evaluated through the “Appraisal of Guidelines for Research and Evaluation II” tool (AGREE-II), for its adaptation. The systematic search for evidence to answer the 16 clinical questions were made in multiple databases: MEDLINE / PubMed, EMBASE / Ovid, C...