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Introduction: In women with previous traumatic lesions of the uterine cervix human papilloma virus (HPV) may infect cervical epithelium and reach basal and parabasal cells. Objetives: To determine the existence of a stronger relationship between women with vaginal deliveries and cervical squamous cancer and precursors, and women with exclusive cesarean sections. Design: Case-control study. Setting: Hospital Regional Docente de Trujillo, Peru. Participants: Women with clinical and histology diagnosis of cervical cancer and its precursors. Interventions: We included 177 women with clinical and histological diagnosis of cervical cancer or its precursors attended between 2000 and 2002; 197 women without vaginal deliveries or exclusive cesarean section were considered as controls. To determine factors associated with cervical cancer and its precursors we used multivariate analysis and logisti...

Introduction: In women with previous traumatic lesions of the uterine cervix human papilloma virus (HPV) may infect cervical epithelium and reach basal and parabasal cells. Objetives: To determine the existence of a stronger relationship between women with vaginal deliveries and cervical squamous cancer and precursors, and women with exclusive cesarean sections. Design: Case-control study. Setting: Hospital Regional Docente de Trujillo, Peru. Participants: Women with clinical and histology diagnosis of cervical cancer and its precursors. Interventions: We included 177 women with clinical and histological diagnosis of cervical cancer or its precursors attended between 2000 and 2002; 197 women without vaginal deliveries or exclusive cesarean section were considered as controls. To determine factors associated with cervical cancer and its precursors we used multivariate analysis and logisti...

The severe preeclampsia-eclampsia is a major cause of morbidity and mortality in Latin America and the world. At Regional Hospital of Trujillo, it was observed between 1976-1984, that patients with this diagnosis 5% died and the remaining 30% showed any of the following complications: bronchopneumonia, acute pulmonary edema, placental abruption, acute kidney failure and others. The newborns were stillborn 13.95% and 51% of the remaining had some degree of neonatal asphyxia. Severe hypertension observed in these cases (greater than 160/110 mmHg), is directly related to these complications.