Many repairs in the diagnosis of prolonged pregnancy are due to the lack of precision in the calculation of gestational age, since clinical concern does not occur until the problem arises when the background and diagnostic methods are less reliable.

Ultrasound Fetal Monitoring - Electronic Surveillance, Clinical surveillance.

Immunology becomes for us Gynecology Obstetricians, knowledge somewhat difficult to learn, as perhaps it would be for the inmunálogo understand the mechanism of breech delivery and adjustments to flawed pelvis; but modern and far-reaching participation of this branch of medicine in gynecology and obstetrics, forcing us to study it, understand it and apply in our specialty, as we did with the physiology and biochemistry, when Saling spoke of acid-base balance diagnosis and treatment of fetal distress microanalysis using blood during labor. Also knowledge and dissemination of the influence of hormones in human reproduction brought us intimately Endocrinology, initially allowing quick and easy detection of pregnancy and later for assessment of fetal wellbeing and placental function.

A randomized trial was carry with 40 pregnants, that were being attended, in their second trimester, in the Prenatal Clinics of the MaternoPerinatal Institute (IMAPE). The first group received ferric hidrate polimaltose non ionic compund, in amount that equals 100 mg. of elemental iron, associated to 350 mg. of folic acid. After eigth weeks of treatment, when the patients were in their third trimester of pregnancy, were evaluated. The findings at this moment showed that hematic profile, of the pregnants that received iron, was signicatively better in relation to the control group. Only 2.3% of the patients presented intolerance to the substance used. On the basis of the general knowledge and the experience obtained with this study, a risk table for the anemia in pregnancy and a scheme for its treatment based on the figures obtained, for each level, are proposed.

A prospective, experimental clinical, was performed in 50 pregnant women in high risk obstetric Lima Maternity (INAMI) Hospital, between March and June 1990 to assess fetal conditions can stressante a different test to test oxytocin stressante (TSO) in terms of costs, resources and risks, but to produce a similar uterine response and therefore to give adequate and reliable information about fetal well-being. Gestational age in 49 cases, was between 37 and 41 weeks. A case of severe pre-eclampsia was 34 weeks. Electronic fetal monitoring (EFM) was performed with cardiotacógrafos two channels. A record will be made at baseline for 10-15 minutes, during which spontaneous and remote uterine contractions in pregnant women were registered 21 and no spontaneous contractions were recorded in 29. After breast stimulus started, one bilateral as appropriate, within 5 to 20 more minutes (latency pe...