oBJECtivE: To describe the clinical and epidemiologic characteristics, and maternal and perinatal morbidity and mortality caused by HELLP syndrome. dESign: Descriptive retrospective study. Setting: Edgardo Rebagliati Martins National Hospital, Rebagliati Health Network, EsSalud, Lima, Peru, a teaching hospital. Participants: Pregnant women with HELLP syndrome and their perinates. Interventions: We studied all HELLP syndrome cases attended from January 1, 1998 through December 31, 2002. Data was processed with Excel, MS Word programs and for statistical analysis we used SPSS for Windows software, version 10,7. main outcome measureS: Prevalence, characteristics, maternal and perinatal complications due to HELLP syndrome. Rsults: We had 67 cases of HELLP syndrome during the period studied with prevalence of 0,16/1 000 births. Incidence among preeclamptic women was 3,9% and 10% among women w...

A case of leukemia in a 31-week fetus with severe anemia, hydrops and intrauterine death is reported. Ultrasound evaluation showed severe hydrops and anemia quantified by Doppler of the medial cerebral artery, as well as visceromegaly and renal enlargement with signs of dysplasia. There was fetal demise before other diagnostic tests could be performed. Labor was induced. Post mortem examination of the product determined fetal leukemia.

A case of leukemia in a 31-week fetus with severe anemia, hydrops and intrauterine death is reported. Ultrasound evaluation showed severe hydrops and anemia quantified by Doppler of the medial cerebral artery, as well as visceromegaly and renal enlargement with signs of dysplasia. There was fetal demise before other diagnostic tests could be performed. Labor was induced. Post mortem examination of the product determined fetal leukemia.

oBJECtivE: To describe the clinical and epidemiologic characteristics, and maternal and perinatal morbidity and mortality caused by HELLP syndrome. dESign: Descriptive retrospective study. Setting: Edgardo Rebagliati Martins National Hospital, Rebagliati Health Network, EsSalud, Lima, Peru, a teaching hospital. Participants: Pregnant women with HELLP syndrome and their perinates. Interventions: We studied all HELLP syndrome cases attended from January 1, 1998 through December 31, 2002. Data was processed with Excel, MS Word programs and for statistical analysis we used SPSS for Windows software, version 10,7. main outcome measureS: Prevalence, characteristics, maternal and perinatal complications due to HELLP syndrome. Rsults: We had 67 cases of HELLP syndrome during the period studied with prevalence of 0,16/1 000 births. Incidence among preeclamptic women was 3,9% and 10% among women w...

Introduction: The pandemic of coronavirus disease 2019 (COVID-19) has spread to more than 100 countries. Specific information about its behavior in pregnancy is still limited. Objective: To describe the maternal and perinatal characteristics of pregnant patients infected with COVID-19 and their newborns in a tertiary referral hospital. Methods: Descriptive study. Subjects were all pregnant patients admitted to the OB/GYN Emergency Department of the Edgardo Rebagliati Martins National Hospital from March 24 to May 7, 2020, who were diagnosed with SARS-CoV-2 infection by rapid test or by RT-PCR test. Medical and hospital records were reviewed to retrieve sociodemographic data, patient’s history, clinical manifestations, maternal serology, obstetric complications, delivery mode and perinatal aspects. Results: 41 patients diagnosed with SARS-CoV-2 were identified. 9.2% of all admi...

Objectives: To determine extrabadominal intestinal loop dilation  and wall thickness as predictors of adverse perinatal outcomes in fetuses with gastroschisis. Design: Retrospective, observational, analytical correlation study. Setting: Fetal Surveillance Unit, Edgardo Rebagliati Martins National Hospital, EsSalud, Lima, Peru. Participants: Pregnant women with prenatal diagnosis of fetal gastroschisis. Interventions: We determined all patients with gastroschisis diagnosis from January 2008 through December 2010. Presence or absence of bowel dilatation and edema and postnatal intestinal outcome up to 6 months from birth were registered and compared with perinatal morbidity and mortality of babies without those alterations. Main outcome measures: Bowel dilation and wall edema by ultrasound. Results: According to the Registry of Fetal Surveillance Unit 19 cases of gastroschisis were found....

Objetivos: Evaluar la dilatación del asa intestinal extrabadominal y el grosor de su pared como predictores de resultados perinatales adversos en fetos con gastrosquisis aislada. Diseño: Estudio retrospectivo, observacional, analítico correlacional. Institución: Unidad de Vigilancia Fetal, Hospital Nacional Edgardo Rebagliati Martins, EsSalud, Lima, Perú. Participantes: Gestantes con diagnóstico de gastrosquisis fetal. Intervenciones: Se evaluó todos los casos de pacientes con diagnóstico prenatal de gastrosquisis atendidas entre enero 2008 y diciembre 2010. Se consignó si tenían presencia o no de dilatación intestinal y si presentaban edema de pared, comparándose la morbimortalidad perinatal y la evolución intestinal posnatal, hasta los seis meses de vida. Principales medidas de resultados: Dilatación intestinal y edema de pared por ecografía. Resultados: Durante el perio...

Estudio retrospectivo, observacional, analítico, correlacional, realizado en la Unidad de Vigilancia Fetal del Hospital Nacional Edgardo Rebagliati Martins, de EsSalud, en Lima, Perú, para evaluar la RPC y la presencia de hígado en saco herniario en el tórax como predictores de resultados perinatales adversos en fetos con hernia diafragmática aislada. Se evaluó todos los casos de pacientes con diagnóstico de hernia diafragmática congénita de sus fetos, entre enero 2005 y diciembre 2011, y que contaran con medición ecográfica del índice relación pulmón-cabeza (RPC). En caso la paciente tuviera más de una medición del RPC, se consideró la medida tomada con menor edad gestacional. Se precisó la posición del hígado respecto al tórax fetal y si existía o no herniación del hígado en el tórax. En todos los casos, y con consentimiento, se realizó un estudio anatómico d...

Polycystic ovary syndrome is a multifactorial disease. It is the most common endocrine disorder in women of childbearing age. This disease is mainly characterized by anovulation and hyperandrogenism, however several different clinical phenotypes can coexist and the intensity of the symptoms can vary. Currently, the finding of an ovary with polycystic morphology on ultrasound is one of the criteria for the diagnosis of PCOS according to the Rotterdam consensus (2003). This criterion is determined by the presence of ≥12 follicles within the ovary with a diameter of 2-9 mm and / or ovarian volume ≥ 10 cm3. Currently, with the development of new multifrequency transducers, it is possible to detect new and increasingly follicles in the ovary. Therefore, it is necessary to prepare new diagnostic guidelines specifically on the number of ovarian follicles needed to classify an ovary as a pot...

Objectives: To determine extrabadominal intestinal loop dilation  and wall thickness as predictors of adverse perinatal outcomes in fetuses with gastroschisis. Design: Retrospective, observational, analytical correlation study. Setting: Fetal Surveillance Unit, Edgardo Rebagliati Martins National Hospital, EsSalud, Lima, Peru. Participants: Pregnant women with prenatal diagnosis of fetal gastroschisis. Interventions: We determined all patients with gastroschisis diagnosis from January 2008 through December 2010. Presence or absence of bowel dilatation and edema and postnatal intestinal outcome up to 6 months from birth were registered and compared with perinatal morbidity and mortality of babies without those alterations. Main outcome measures: Bowel dilation and wall edema by ultrasound. Results: According to the Registry of Fetal Surveillance Unit 19 cases of gastroschisis were found....

Introduction: The COVID-19 pandemic is a global health and social emergency. Knowledge is still limited about its effect on pregnant women. Objective: To describe maternal-perinatal outcomes of COVID-19 according to severity classification in women hospitalized in the second half of pregnancy. Methods: Retrospective, descriptive, observational study from March to July 2020 at Edgardo Rebagliati Martins National Hospital. All hospitalized pregnant women with RT-PCR and/ or rapid positive test for SARS-CoV-2 were included. Pregnancies less than 20 weeks and epidemiological discharges were excluded. Maternal characteristics at admission and maternal-perinatal outcomes were grouped according to the clinical classification of the disease. The qualitative variables are presented in counts and percentages; and quantitative ones, in medians and ranges. Results: 247 pregnant women were studied. M...

We report a case of massive unilateral hydrothorax diagnosed in an 18-weeks-old fetus with a normal karyotype. The fetus was severely affected by hydrops and bradycardia since week 24. Initially, we performed pleurodesis, but the hydrothorax worsened and evolved into hydrops, so we proceeded to insert a transplacental thoracoamniotic shunt. Improvement was evident one week after the procedure, and the hydrothorax resolved during the remainder of the pregnancy. Following cesarean delivery at 37 weeks, the neonate required prolonged NICU stay. He was discharged after two months and remains stable until the present time.

We present two cases of abdominal ectopic pregnancy of 16 and 26 weeks, evaluated with ultrasound and magnetic resonance imaging. Both cases presented an acute surgical abdomen, the case with the oldest gestational age showed hemodynamic decompensation due to hemoperitoneum secondary to placental abruption. The clinical presentation led to resolution by laparotomy and extraction of the fetus and placental tissue, ending in hysterectomy due to trophoblastic involvement of the uterine surface and adjacent organs in the first case. The 26-week-neonate died after 4 months due to late sepsis. Clinical suspicion for amenorrhea and severe abdominal pain are important criteria, and imaging studies, especially ultrasound, are the main diagnostic tools.