Objectives: To determine and compare gender-based violence characteristics in urban populations and urban fringe. Design: Comparative cross-sectional prospective study. Setting: School of Obstetrics, Faculty of Medicine, Universidad Nacional Mayor de San Marcos, Lima, Peru. Participants: Women from Lima and Callao. Interventions: Between 2007 and 2010 a structured interview was applied to 3 971 women from urban areas and marginal urban areas of Lima and Callao. Women included were local residents, and women with obvious psychological problems and speech problems were excluded. Data was analyzed with descriptive statistics and chi-square method, with significant level p <0,05. Main outcome measures: Violence. Results: Thirty-nine per cent of respondents were between 20 to 24 years of age; 47% identified physical violence, similar at urban and marginal urban areas. Pushing and slapping ...

OBJECTIVES. To determine the experience in ambulatory abortion care. DESIGN. Clinical retrospective study. SETTING. Instituto Especializado Materno Perinatal (IEMP), Lima, Peru, a teaching hospital. PARTICIPANTS. Women with less than 12-week abortions. INTERVENTIONS. We analyzed abortions attended at our institution, in the period 1995-2004. We compared instrumental dilatation and curettage versus intrauterine manual aspiration (IUMA) as well as diagnosis justifying the surgical intervention and complications. MAIN OUTCOME MEASURES. Abortion surgical interventions and complications, counsel ing and costs. RESULTS. Between 1995 and 2004, 58 757 abortions were attended at IEMP, 19 295 (32,8%) of them ambulatory; in year 2004, 47,3% were ambulatory. Intrauterine manual aspiration was the most used method (92,1%); the few complications (1,87%) included insufficient IUMA, hematometra, post ab...

As is known, university education requires a permanent evaluation and analysis to respond with relevance to the dynamics and local and global changes, such as needs and rights of the inhabitants of the planet so that they keep the balance and reach the development from the knowledge. This task is increased as the so-called 'globalization time' which we attend irreversibly involves economic, political, social and cultural processes, among others, constituting an integral and dynamic phenomenon that affects contemporary society, generating great inequalities and posing great challenges to the academy.

70 years ago, on June 30, 1947, Dr. Constantino José Carvallo Alzamora and a group of distinguished Gynecologist Obstetricians founded the Peruvian Society of Gynecology and Obstetrics (SPOG). In the course of its history, SPOG plays a very important role in the academic-scientific field. Thus, in 1955, the Peruvian Journal of Gynecology and Obstetrics was created for the purpose of further disseminating the knowledge and contributions of its associates, whose uninterrupted edition to date constitutes one of the most regular specialized editions of the country. In its digitized version and indexed in LIPECS, LATINDEX, IMBIOMED, SciELO, Redalyc, Directory of Open Access Journals, e-revist @ s, REDIB, Dialnet, has more than one million followers globally.

On September 12, 1978, the WHO, UNICEF and 134 countries signed in Alma Ata (City of the Former Soviet Union) the declaration of primary health care (PHC), with the hope of achieving in the year 2000 'Health for All ' Although it is evident that the objectives set out in this commitment were not achieved in the proposed period, its approach has been an important milestone for Public Health in the world and has transcended the current context, since it established the need to build a new health system in the signatory nations,starting by defining the concept of health and its meaning as a state of physical, social and mental well-being, and not simply the lack of diseases or discomforts, placing it as a fundamental human right, in which other social and economic sectors must participate in addition to the health sector.

OBJECTIVES. To determine the experience in ambulatory abortion care. DESIGN. Clinical retrospective study. SETTING. Instituto Especializado Materno Perinatal (IEMP), Lima, Peru, a teaching hospital. PARTICIPANTS. Women with less than 12-week abortions. INTERVENTIONS. We analyzed abortions attended at our institution, in the period 1995-2004. We compared instrumental dilatation and curettage versus intrauterine manual aspiration (IUMA) as well as diagnosis justifying the surgical intervention and complications. MAIN OUTCOME MEASURES. Abortion surgical interventions and complications, counsel ing and costs. RESULTS. Between 1995 and 2004, 58 757 abortions were attended at IEMP, 19 295 (32,8%) of them ambulatory; in year 2004, 47,3% were ambulatory. Intrauterine manual aspiration was the most used method (92,1%); the few complications (1,87%) included insufficient IUMA, hematometra, post ab...

The clinical study of 262 adolescent users IUD's served in the Maternity Hospital of Lima in the space of 20 months is carried out. 86% of these adolescents reported not having used any contraceptive method before. Postpartum 56% no longer wish to have more children and 44% want to space births. 24% of them presented obstetric history and where abortion prevailed. Cohabitants, mestizo and dedicated to household chores are the vast majority of them. 12 involuntary expulsions occurred, which gives a rate of 2.7 per 100 years of use. 20 extractions were performed by pain and bleeding which gives a rate of 4.6 per 100 years of use. Five pregnancies occurred, which gives a failure rate of 1.1 per 100 years of use. 86% of users had their first control and end of the study 23% of them had four controls.

Teen pregnancy prevention in the Americas. Adolescent pregnancy and childbirth in Peru.

The clinical study of 262 adolescent users IUD's served in the Maternity Hospital of Lima in the space of 20 months is carried out. 86% of these adolescents reported not having used any contraceptive method before. Postpartum 56% no longer wish to have more children and 44% want to space births. 24% of them presented obstetric history and where abortion prevailed. Cohabitants, mestizo and dedicated to household chores are the vast majority of them. 12 involuntary expulsions occurred, which gives a rate of 2.7 per 100 years of use. 20 extractions were performed by pain and bleeding which gives a rate of 4.6 per 100 years of use. Five pregnancies occurred, which gives a failure rate of 1.1 per 100 years of use. 86% of users had their first control and end of the study 23% of them had four controls.

Objectives: To determine the assessment of family risk in families with children with anemia in a marginal population in North Lima. Materials and methods: The focus of this study was quantitative, descriptive-crosssectional design. The population was made up of 197 heads of families who had as a member at least one child under five years of age with anemia. The technique used was the survey and the measurement instrument was the RFT 5:33 Questionnaire. Results: As for the participants, the minimum age was 18 years and the maximum 48 years, the mean age being 23.66 years. Regarding the degree of anemia in children under 5 years of age, the mild level predominated with 56.9% (n = 112), followed by the moderate level with 39.6% (n = 78). According to the total family risk, families with low risk prevailed 56.9% (n = 112), followed by families threatened with 39.6% (n = 78) and families wit...

We report the first successful case of fetal surgery for spina bifida repair in Peru. A pregnant woman was referred to our center at 23 weeks’ gestation because of prenatal diagnosis of spina bifida. We formed a multidisciplinary international team with the goal of performing the first open intrauterine surgery in Peru. We performed a successful intrauterine surgery at 25 weeks of gestation and a healthy infant was born by cesarean section at 37 weeks of gestation. We demonstrated the feasibility of this complex intrauterine surgery in our local setting.

Objetivos: Evaluar las diferencias en el manejo médico del aborto terapéutico usando Mifepristone más Misoprostol comparado con el uso de Misoprostol solo. Materiales y métodos: Se realizó un estudio observacional, de cohorte retrospectiva y multicéntrica (Instituto Nacional Materno Perinatal [INMP], Hospital Regional de Pucallpa, Hospital Santa Rosa de Piura y Hospital Regional de Loreto), en gestantes con indicación de aborto terapéutico, según lo establecido en la RM N° 486-2014-MINSA. Las pacientes enroladas en el INMP, al ingreso recibieron 200 mg de Mifepristona y a las 24 horas Misoprostol 800 µg colocado en fondo de saco vaginal posterior al cérvix, seguido de 400 µg vía sublingual, cada 3 horas hasta la expulsión del feto y placenta, siendo el tope 5 dosis por día; las pacientes de los tres hospitales restantes se les administro solo Misoprostol bajo el mismo esq...

Objetivos: Evaluar las diferencias en el manejo médico del aborto terapéutico usando Mifepristone más Misoprostol comparado con el uso de Misoprostol solo. Materiales y métodos: Se realizó un estudio observacional, de cohorte retrospectiva y multicéntrica (Instituto Nacional Materno Perinatal [INMP], Hospital Regional de Pucallpa, Hospital Santa Rosa de Piura y Hospital Regional de Loreto), en gestantes con indicación de aborto terapéutico, según lo establecido en la RM N° 486-2014-MINSA. Las pacientes enroladas en el INMP, al ingreso recibieron 200 mg de Mifepristona y a las 24 horas Misoprostol 800 µg colocado en fondo de saco vaginal posterior al cérvix, seguido de 400 µg vía sublingual, cada 3 horas hasta la expulsión del feto y placenta, siendo el tope 5 dosis por día; las pacientes de los tres hospitales restantes se les administro solo Misoprostol bajo el mismo esq...