Adenomyosis, initially defined by Cullen in 1908 and distinguished from other types of endometriosis by Sampson in 1921,has seen significant improvements in its diagnosis thanks to advances in ultrasound and magnetic resonance imaging(MRI), which have increased its detected incidence. Since its introduction in the 1980s, ultrasound technology has evolvedwith high-resolution endocavitary transducers and 3D ultrasound, allowing for detailed assessment of the disease, especially in the endometrial junction zone. Although MRI offers higher resolution images, studies have shown little significantdifference in diagnostic value between the two techniques for adenomyosis, positioning ultrasound as a valuable initialdiagnostic tool due to its safety, low cost, and availability. Ultrasonographic criteria for diagnosis include the identificationof hyperechoic nodules, myometrial cysts, and alterati...

Objetivo. Evaluar los resultados de un programa para la mejora de la calidad de vida en pacientes oncológicas del ¨Club de la mama¨ atendidas en el INMP (2023). Materiales y Métodos. Esta investigación corresponde a un estudio piloto con un análisis cuasiexperimental, el cual consiste en la aplicación de un programa para la mejora de la calidad de vida en pacientes oncológicas atendidas durante el 2023, se utilizó el total de la población, 7 participantes, con edades entre los 41 y 71 años (media=60.25), aplicándose la totalidad del programa (36 sesiones, 9 meses). Se utilizó la escala de Calidad de Vida (QLQ-30), Ansiedad (GAD-7), Depresión (PHQ-9) y Estrés (PSS-10) en 4 momentos, antes de iniciar el programa (pretest), luego de 3 meses (control 1), posterior a 6 meses (control 2) y por último luego de la aplicación total del programa, 9 meses (control 3). Se realizo el...

Objective: To determine the influence of a brief stress reduction program in health workers of the National Maternal and Perinatal Institute during the COVID-19 pandemic. Materials and Methods: This research corresponds to a quasi-experimental study, which consist of the elaboration and application of a brief stress reduction program in workers of the Puericulture area of the INMP. The population consisted of 45 workers, 30 of whom complied with the inclusion criteria for the pilot study, from which a sample of 15 participants was distributed, by convenience, for the experimental group and 15 for the control group. The Depression, Anxiety and Stress Scale (Dass21) was applied at the beginning of the investigation and after concluding the program. The analysis of frequencies and percentages of the variable, analysis of adjusted goodness of fit to the normal curve, and Student's t-tests fo...

Objective: To determine the influence of a brief stress reduction program in health workers of the National Maternal and Perinatal Institute during the COVID-19 pandemic. Materials and Methods: This research corresponds to a quasi-experimental study, which consist of the elaboration and application of a brief stress reduction program in workers of the Puericulture area of the INMP. The population consisted of 45 workers, 30 of whom complied with the inclusion criteria for the pilot study, from which a sample of 15 participants was distributed, by convenience, for the experimental group and 15 for the control group. The Depression, Anxiety and Stress Scale (Dass21) was applied at the beginning of the investigation and after concluding the program. The analysis of frequencies and percentages of the variable, analysis of adjusted goodness of fit to the normal curve, and Student's t-tests fo...

The purpose of this instrumental research was to develop evidence of duration and reliability for the evaluation of affective attachment and prenatal adaptation (EVAP) in a pregnant population of the National Maternal Perinatal Institute. Participation of pregnant, adolescent and adult research (N = 310), from the second trimester of pregnancy; That is, starting at 14 weeks. The findings of the study concluded that the six proposed dimensions for the representation of microdimensions of the constructs of adaptation and prenatal affective bonding; Therefore, its subdivision is not required, but a single structure with two dimensions is needed. The final version of the scale was made up of 21 items, twelve integrated the Adaptation to pregnancy dimension and nine formed the dimension Prenatal affective bonding. The confirmatory factor analysis showed that this version of the escalation pre...

La presente investigación de tipo instrumental tuvo como propósito desarrollar evidencias de validez y confiabilidad de la Escala para la evaluación de la vinculación afectiva y la adaptación prenatal (EVAP) en una población de gestantes del Instituto Nacional Materno Perinatal. Participaron de la investigación gestantes, adolescentes y adultas (N=310), a partir del segundo trimestre de embarazo; es decir, a partir de las 14 semanas. Los hallazgos del estudio concluyeron que las seis dimensiones propuesta por Lafuente representan microdimensiones de los constructos adaptación y vinculación afectiva prenatal; por tanto, no se requiere la subdivisión, siendo necesaria una estructura solo con dos dimensiones. La versión final de la escala quedó conformada por 21 ítems, doce integraron la dimensión Adaptación al embarazo y nueve conformaron la dimensión Vinculación afectiva ...

Objective: To determine the factors associated with hyperemesis gravidarum and acute stress reaction in pregnant women with hyperemesis gravidarum hospitalized at the National Maternal Perinatal Institute during 2021. Materials and Methods: This research corresponds to an analytical, observational, case-control study, where the medical records of pregnant patients hospitalized for hyperemesis gravidarum attended by the psychology service who presented an acute stress reaction meeting the inclusion and exclusion criteria were collected. An analysis of frequencies and percentages of the different variables and a multivariate analysis were performed to find the significant factors (p<0.05) and the calculation of the Odds Ratio (OR) with a confidence level of 95%; this model was evaluated using multiple logistic regression. Results: A relationship was found between pregnancy planning (p&l...

Objective. To determine the characteristics of antibiotic prescriptions in pregnant women attended at the National Maternal Perinatal Institute (INMP) from July 2019 to June 2021. Materials and Methods. This is a quantitative, descriptive,retrospective, cross-sectional study. A data collection form was applied to gather variables related to antibiotic prescriptions, and the data were entered into a Microsoft Excel database for analysis using SPSS software. Results. The studyevaluated antibiotic prescriptions in 328 pregnant women, accounting for 10.87% of the total population. The majority (65%) were prescribed a single antibiotic. Urinary tract infections (37.80%) and preoperative antibiotic prophylaxis(54.27%) were the main reasons for prescriptions. Beta-lactams were the most prescribed group (84.14%), followed bylincosamides (14.93%). Most prescriptions were made in the third trimest...

Objective: To determine the factors associated with hyperemesis gravidarum and acute stress reaction in pregnant women with hyperemesis gravidarum hospitalized at the National Maternal Perinatal Institute during 2021. Materials and Methods: This research corresponds to an analytical, observational, case-control study, where the medical records of pregnant patients hospitalized for hyperemesis gravidarum attended by the psychology service who presented an acute stress reaction meeting the inclusion and exclusion criteria were collected. An analysis of frequencies and percentages of the different variables and a multivariate analysis were performed to find the significant factors (p<0.05) and the calculation of the Odds Ratio (OR) with a confidence level of 95%; this model was evaluated using multiple logistic regression. Results: A relationship was found between pregnancy planning (p&l...

Objective. To describe the psychological, social and gynecological characteristics of patients with gestational loss seen at the Instituto Nacional Materno Perinatal (2022). Materials and Methods. This research corresponds to a retrospective descriptive observational study, in which 176 clinical histories of patients with gestational losses during the year 2022 attended by the psychology service who met the inclusion and exclusion criteria were collected. An analysis of frequencies and percentages of the different variables was performed in order to meet the research objectives. Results. The average age of the patients was 30 years (min: 18 years and max: 46 years), with a mean of 2.64 gestations in the sample, a minimum of 0 and a maximum of 4 gestational losses. Fetal death (65.34%) was the most frequent diagnosis of fetal death. All the patients presented a psychological disorder, wit...

Objective. To determine the characteristics of antibiotic prescriptions in pregnant women attended at the National Maternal Perinatal Institute (INMP) from July 2019 to June 2021. Materials and Methods. This is a quantitative, descriptive,retrospective, cross-sectional study. A data collection form was applied to gather variables related to antibiotic prescriptions, and the data were entered into a Microsoft Excel database for analysis using SPSS software. Results. The studyevaluated antibiotic prescriptions in 328 pregnant women, accounting for 10.87% of the total population. The majority (65%) were prescribed a single antibiotic. Urinary tract infections (37.80%) and preoperative antibiotic prophylaxis(54.27%) were the main reasons for prescriptions. Beta-lactams were the most prescribed group (84.14%), followed bylincosamides (14.93%). Most prescriptions were made in the third trimest...