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...

The Peruvian Society of Obstetrics and Gynecology has had and will continue to contribute to the development of obstetrics in Peru, through its academic activities and scientific articles published in The Peruvian Journal of Gynecology and Obstetrics. In the field of Obstetrics, the journal has covered several topics related to maternal mortality, diagnosis and management of obstetric hemorrhage, preeclampsia, infections in obstetrics, abortion and the evolution of cesarean technique have been written.

Rounds for patient safety is a recommended practice to increase the quality of clinical and non-clinical services involved in patient care. It consists of planned visits of the relevant executive staff in order to establish direct relationship with personnel and patients with an educational attitude and with the general objective to strengthen the culture of patient safety. In the Instituto Nacional Materno Perinatal, a category III-2 establishment specialized in the care of women, pregnant women and newborns, these rounds have been in practice since 2011, and improvements in safe care for patients have been obtained. We present the experience of the Institute between years 2011 and 2017.

This is a review on the etiology of hemorrhage in the first half of pregnancy, including abortion, ectopic pregnancy, and trophoblastic disease, in reference to definition, clinical presentation and treatment of these complications.

Preeclampsia is a disease of pregnancy that affects mother and fetus and is responsiblefor a considerable proportion of maternal and perinatal deaths. It complicates 3 to 22% ofpregnancies and is the second leading cause of maternal death in Peru with 32%, as well asthe leading cause of maternal death at the National Maternal Perinatal Institute with 43%. Areview of new contributions on severe preeclampsia and eclampsia management and treatmentof one of its most serious complications liver rupture are done.Keywords: Preeclampsia, eclampsia, HELLP syndrome.

Introduction: COVID-19 disease spreads rapidly. Seroprevalence in pregnant women entering for hospitalization and clinical characteristics in this type of population in Peru is not known. Objective: To determine the prevalence and clinical-epidemiological characteristics of pregnant women with anti-SARS-CoV-2 antibodies at a level III hospital in Peru. Methods: Observational and cross-sectional study performed at the National Maternal Perinatal Institute of Peru. Pregnant women admitted for hospitalization were screened for COVID-19 infection. Results of anti-SARSCoV-2 serological tests and information on maternal and perinatal characteristics were obtained. Data analysis was performed using descriptive statistics and 95% confidence intervals. Results: In 2 419 pregnant women screened we identified a prevalence of 7.0% of anti-SARS-CoV-2 antibodies (95% IC: 6.1% to 8.1%), including IgM i...

Objective: To determine causes of medical termination of pregnancy at a national maternal perinatal institute. Design: Descriptive observational study. Setting: Instituto Nacional Materno Perinatal, Lima, Peru. Material: Applications for therapeutic termination of pregnancy. Method: Review of all applications for medical termination of pregnancy performed at the institution between 2009 and 2013. Main outcome measures: Medical reasons for therapeutic termination of pregnancy. Results: During the study period 64 applications for medical termination of pregnancy were submitted to the General Director of the Institute; 61 were approved by the Medical Board: one in 2009, one in 2010, four in 2011, 21 in 2012 and 34 in 2013. The mean age of patients was 30.4 years (19-47 years); most patients had one or two previous deliveries (47%); 69% had no history of previous abortion, and the majority (...

Preeclampsia is a disease of pregnancy that affects mother and fetus and is responsiblefor a considerable proportion of maternal and perinatal deaths. It complicates 3 to 22% ofpregnancies and is the second leading cause of maternal death in Peru with 32%, as well asthe leading cause of maternal death at the National Maternal Perinatal Institute with 43%. Areview of new contributions on severe preeclampsia and eclampsia management and treatmentof one of its most serious complications liver rupture are done.Keywords: Preeclampsia, eclampsia, HELLP syndrome.

This is a review on the etiology of hemorrhage in the first half of pregnancy, including abortion, ectopic pregnancy, and trophoblastic disease, in reference to definition, clinical presentation and treatment of these complications.

Rounds for patient safety is a recommended practice to increase the quality of clinical and non-clinical services involved in patient care. It consists of planned visits of the relevant executive staff in order to establish direct relationship with personnel and patients with an educational attitude and with the general objective to strengthen the culture of patient safety. In the Instituto Nacional Materno Perinatal, a category III-2 establishment specialized in the care of women, pregnant women and newborns, these rounds have been in practice since 2011, and improvements in safe care for patients have been obtained. We present the experience of the Institute between years 2011 and 2017.

Introduction: COVID-19 disease spreads rapidly. Seroprevalence in pregnant women entering for hospitalization and clinical characteristics in this type of population in Peru is not known. Objective: To determine the prevalence and clinical-epidemiological characteristics of pregnant women with anti-SARS-CoV-2 antibodies at a level III hospital in Peru. Methods: Observational and cross-sectional study performed at the National Maternal Perinatal Institute of Peru. Pregnant women admitted for hospitalization were screened for COVID-19 infection. Results of anti-SARSCoV-2 serological tests and information on maternal and perinatal characteristics were obtained. Data analysis was performed using descriptive statistics and 95% confidence intervals. Results: In 2 419 pregnant women screened we identified a prevalence of 7.0% of anti-SARS-CoV-2 antibodies (95% IC: 6.1% to 8.1%), including IgM i...

Preeclampsia is a disease of pregnancy that affects mother and fetus and is responsiblefor a considerable proportion of maternal and perinatal deaths. It complicates 3 to 22% ofpregnancies and is the second leading cause of maternal death in Peru with 32%, as well asthe leading cause of maternal death at the National Maternal Perinatal Institute with 43%. Areview of new contributions on severe preeclampsia and eclampsia management and treatmentof one of its most serious complications liver rupture are done.Keywords: Preeclampsia, eclampsia, HELLP syndrome.

This is a review on the etiology of hemorrhage in the first half of pregnancy, including abortion, ectopic pregnancy, and trophoblastic disease, in reference to definition, clinical presentation and treatment of these complications.

Objective: To determine causes of medical termination of pregnancy at a national maternal perinatal institute. Design: Descriptive observational study. Setting: Instituto Nacional Materno Perinatal, Lima, Peru. Material: Applications for therapeutic termination of pregnancy. Method: Review of all applications for medical termination of pregnancy performed at the institution between 2009 and 2013. Main outcome measures: Medical reasons for therapeutic termination of pregnancy. Results: During the study period 64 applications for medical termination of pregnancy were submitted to the General Director of the Institute; 61 were approved by the Medical Board: one in 2009, one in 2010, four in 2011, 21 in 2012 and 34 in 2013. The mean age of patients was 30.4 years (19-47 years); most patients had one or two previous deliveries (47%); 69% had no history of previous abortion, and the majority (...

The Peruvian Society of Obstetrics and Gynecology has had and will continue to contribute to the development of obstetrics in Peru, through its academic activities and scientific articles published in The Peruvian Journal of Gynecology and Obstetrics. In the field of Obstetrics, the journal has covered several topics related to maternal mortality, diagnosis and management of obstetric hemorrhage, preeclampsia, infections in obstetrics, abortion and the evolution of cesarean technique have been written.

Introduction. Maternal mortality is higher in developing countries, due to complications of pregnancy and / or the puerperium; liver rupture being the most catastrophic complication. Objective. To describe the characterization and management of subcapsular hepatic hematoma in patients with preeclampsia with criteria of severity and HELLP syndrome. Methods. Observational and descriptive study, carried out at the National Maternal Perinatal Institute of Peru, between 2003 and 2020. Patients with preeclampsia with severity criteria and HELLP syndrome who presented subcapsular hepatic hematoma participated. Information was collected from the clinical history. Descriptive statistics were used in the data analysis. Results. In the study period, 53 patients with subcapsular hematoma were identified from 342,000 deliveries attended. 37.7% were pregnant and 62.3% puerperal, the most frequent symp...

Cesarean section is a life-saving intervention with medical indications. Cesareansection is clinically indicated when there is a significant risk of adverse consequencesfor the pregnant woman or the fetus. However, in recent years non-medical indicationsfor cesarean section such as cesarean section by maternal request have emerged.This is a non-systematic review of cesarean section at maternal request. Cesareandelivery at mother's request compared to planned vaginal delivery is a multifacetedand complex issue, the data are minimal and mostly based on indirect comparisons,and its implications for women of childbearing age. health professionals and societyare unknown. For physicians, performing cesarean section for non-medical reasonsis a professional decision, the ethics of which is being debated without sufficientevidence on the risks and benefits.

Introduction: Extreme maternal morbidity (EMM) is an indicator for estimating thequality of obstetric care in pregnant or postpartum women with severe morbiditieswho survive because of the care received in obstetric services. Objective: To determinethe causes, dysfunctions and morbidity and mortality indicators of cases of extremematernal morbidity attended at the Instituto Nacional Materno Perinatal between2017 and 2023 and the results of their care. Methodology: We reviewed the medicalrecords of pregnant women with EMM criteria, determining causes, dysfunctions,care and evolution, evaluating the results with morbidity and mortality indicators.Results: In the 1,931 medical records of women with MME, the predominant etiologywas preeclampsia with 911 cases (47.2%) followed by postpartum hemorrhagewith 359 cases (18.6%). The most frequent dysfunctions between 2017 and 2020were hepatic, res...

Institutional violence against women in obstetric care is a human rights violation thatbegan to become visible in studies of the quality of care during pregnancy, childbirthand the postpartum period. This violence against women occurs in every country ofthe world and has serious consequences for women's health. Strategies to preventthis problem include a state policy for the respect of human rights and thereforethe reproductive rights of pregnant women during pregnancy; comprehensivesexual health education for schoolchildren; the training of health science studentsin universities, with a focus on gender and respect for human rights; the inclusionof sexual health and reproductive health courses in the curriculum of postgraduatestudies in gynecology and obstetrics; the training of health personnel in obstetricservices in the respectful treatment of pregnant women; conducting research on th...

La investigación tuvo como objetivo determinar la relación entre la adherencia a guías de planificación familiar y el clima organizacional en médicos gineco-obstetras del Instituto Nacional Materno Perinatal durante el año 2025, considerando la brecha de conocimiento existente en la literatura científica nacional sobre la interacción entre ambas variables. Se desarrolló bajo un enfoque cuantitativo, con diseño no experimental, correlacional y transversal, en una muestra de 80 médicos gineco-obstetras. Para la recolección de datos se adaptaron y validaron escalas de medición de adherencia a guías de planificación familiar y de clima organizacional. El análisis incluyó estadísticos descriptivos e inferenciales para la contrastación de hipótesis. Los resultados evidenciaron una relación significativa entre ambas variables (p = 0,000), determinándose que dicha relación...