OBJECTIVE: To evaluate frequency, indications and repercusions of cesarean hysterectomy. DESIGN... Descriptive retrospective study of cases attended at Lima Maria Auxiliadora Hospital between july 1988 and june 1997. RESULTS: Of 47427 deliveries 314 ended in cesarean hysterectomy (0,7916), more frequently between 20 and 35 year-old (66,8916) and similar percentages at extreme ages (16,5910). Primiparae represented 45,2%, more frequently between 37 and 41 weeks gestation. Frequent maternal pathologies were PROM, anemia, preeclampsia, UTI, 7TH, STH, TPL. IUGR was 19,7916, prematurity 15,9%, intermediate fetal mortality 59,8 x 1000 lb, latefetal mortality 156,4, perinatal mortality 173,9 and maternal mortalit 3347x 100000 lb.

OBJECTIVE: To evaluate frequency, indications and repercusions of cesarean hysterectomy. DESIGN... Descriptive retrospective study of cases attended at Lima Maria Auxiliadora Hospital between july 1988 and june 1997. RESULTS: Of 47427 deliveries 314 ended in cesarean hysterectomy (0,7916), more frequently between 20 and 35 year-old (66,8916) and similar percentages at extreme ages (16,5910). Primiparae represented 45,2%, more frequently between 37 and 41 weeks gestation. Frequent maternal pathologies were PROM, anemia, preeclampsia, UTI, 7TH, STH, TPL. IUGR was 19,7916, prematurity 15,9%, intermediate fetal mortality 59,8 x 1000 lb, latefetal mortality 156,4, perinatal mortality 173,9 and maternal mortalit 3347x 100000 lb.

Actualmente se puede apreciar que los residuos provenientes de la construcción llegan a ser un problema que perjudican drásticamente al ambiente, por ello con el fin de reducir la contaminación ambiental se exploró la posibilidad de utilizar materiales reciclables para producir un concreto amigable con el ambiente. La presente investigación tuvo como objetivo evaluar el comportamiento mecánico del concreto incorporando ladrillos triturados como reemplazo del agregado grueso, mostró una metodología de enfoque experimental aplicativa, se buscó interpretar el efecto que produce incluir este tipo de residuo al concreto en porcentajes al 8%, 12%, 22%, 32% como reemplazo del agregado grueso, para resistencias de 210 kg/cm2 y 280 kg/cm2 a los 7, 14 y 28 días de curado, en sus resultados mostraron porcentajes del 12 % de ladrillo triturado predomina en todas las resistencias a 280kg/cm...

Epidemiological aspects of abortion and repercussions in public health

Objectives: To identify maternal and perinatal complications of preeclampsia and eclampsia. Design: Cross sectional study of 359 cases of pregnant women with preclampsia and eclampsia and their products, diagnosed from July 1 1997 to June 30 1998 at Maria Auxiliadora Hospital. Clinical records were reviewed and maternal and perinatal complications were determined. Frequencies were introduced in a double entry table and compared to a control group consisting of the remaining patients without this disease. A value of p < 0,05 was considered significant. Results: In the five-year interval preeclampsia increased significatively from 7,0% to 10,6%, whereas eclampsia decreased from 0,8% to 0,4%. Maternal complications related to death were HELLP syndrome, DIC, hepatic subcapsular hematoma rupture and cerebral hemorrhage. Perinatal complications were neonatal depression, small for gestational a...

Epidemiological aspects of abortion and repercussions in public health

Objectives: To identify maternal and perinatal complications of preeclampsia and eclampsia. Design: Cross sectional study of 359 cases of pregnant women with preclampsia and eclampsia and their products, diagnosed from July 1 1997 to June 30 1998 at Maria Auxiliadora Hospital. Clinical records were reviewed and maternal and perinatal complications were determined. Frequencies were introduced in a double entry table and compared to a control group consisting of the remaining patients without this disease. A value of p < 0,05 was considered significant. Results: In the five-year interval preeclampsia increased significatively from 7,0% to 10,6%, whereas eclampsia decreased from 0,8% to 0,4%. Maternal complications related to death were HELLP syndrome, DIC, hepatic subcapsular hematoma rupture and cerebral hemorrhage. Perinatal complications were neonatal depression, small for gestationa...

OBJECTIVES: To determine if the Pap smear decreases the risk of developing invasive cervical cancer and cytological features history of patients with invasive cervical cancer. DESIGN: Descriptive, transversal. LOCATION: Department of Gynecology and Obstetrics of Mary Help Support Hospital. MATERIALS AND METHODS: cytological screening of 59 patients with histologically confirmed invasive cervical carcinoma and 155 with squamous intraepithelial lesion high grade (LEI-AG), seen between January 1997 and September 1998. RESULTS: Of the patients invasive cancer, 53.4% had never had cytology and 65.5% of patients had no PAP or the last study was conducted for more than five years; 31% of patients had gynecologic evaluation and negative PAP in the last three years. Of patients with squamous intraepithelial lesions of high grade (LEI-AG), 35.2% had never done a PAP or had had for more than five y...

OBJECTIVES: To determine if the Pap smear decreases the risk of developing invasive cervical cancer and cytological features history of patients with invasive cervical cancer. DESIGN: Descriptive, transversal. LOCATION: Department of Gynecology and Obstetrics of Mary Help Support Hospital. MATERIALS AND METHODS: cytological screening of 59 patients with histologically confirmed invasive cervical carcinoma and 155 with squamous intraepithelial lesion high grade (LEI-AG), seen between January 1997 and September 1998. RESULTS: Of the patients invasive cancer, 53.4% had never had cytology and 65.5% of patients had no PAP or the last study was conducted for more than five years; 31% of patients had gynecologic evaluation and negative PAP in the last three years. Of patients with squamous intraepithelial lesions of high grade (LEI-AG), 35.2% had never done a PAP or had had for more than five y...

OBJECTIVE. To evaluate distribution of intraepithelial squamous lesions (ISL) detected by citology and to determine priority age groups in cervical cancer detection. DESIGN. Retrospective descriptive study. METHODS. Study of 61846 cervical citologies obtained at DISUR II eripheric centers between january 1994 and december 1996. Statistical analysis was by frequencies, percentages and statistical validation by Epi-In/b. RESULTS. Sixty-five percent of Papanicolaou smears were obtained from women below 30 year-old and 35% from older women. Women below 30 bad low grade ISL (ISL-LG) in 0,3% and high grade ISL (ISL-HG) in 0,07%; older women bad 0,24% ISL-LG and 0,38% ISL-HG. CONCLUSION. If we consider that the woman with ISL-HG has a higher risk toprogress to cervical cancer and that ISL-HG increases after age 30, we recommend to start studying cervical citology at this age.

OBJECTIVE To examine the need for blood transfusion in cases of obstetric hemorrhagic shock origin in Maria Auxiliadora Hospital patients and determine the frequency of some adverse effects. METHODS: descriptive cross-sectional epidemiological investigation, to which the files of the departments of obstetrics and gynecology and clinical and Blood Bank January 1, 1994 to December 31, 1998. It was pointed Laboratory examined the total of births attended, the frequency hemorrhagic disease in obstetric patients and the frequency of hemorrhagic shock according to the pathology encountered. Also the number of blood transfusions performed and complications were determined it said. RESULTS: A total of 28 151 births, 6537 abortions, ectopic pregnancies and 111 186 hydatidiform moles, 136 cases of hemorrhagic shock (0.48% of all births) was found. The main causes of hemorrhagic shock were the cond...

OBJECTIVE. To evaluate distribution of intraepithelial squamous lesions (ISL) detected by citology and to determine priority age groups in cervical cancer detection. DESIGN. Retrospective descriptive study. METHODS. Study of 61846 cervical citologies obtained at DISUR II eripheric centers between january 1994 and december 1996. Statistical analysis was by frequencies, percentages and statistical validation by Epi-In/b. RESULTS. Sixty-five percent of Papanicolaou smears were obtained from women below 30 year-old and 35% from older women. Women below 30 bad low grade ISL (ISL-LG) in 0,3% and high grade ISL (ISL-HG) in 0,07%; older women bad 0,24% ISL-LG and 0,38% ISL-HG. CONCLUSION. If we consider that the woman with ISL-HG has a higher risk toprogress to cervical cancer and that ISL-HG increases after age 30, we recommend to start studying cervical citology at this age.

OBJECTIVE: To determine maternal mortality during the last 10 years and establish its tendency, causes and patient characteristics. DESIGN: Epidemiologic, retrospective, descriptive and analytical study. SUBJECTS: 121 maternal deaths occurred at our Hospital between January 1988 and June 1997. RESULTS: Maternal mortality rate was 250,18/100 000 live newborns. Main characteristics were age 20 to 24 (44/36,6%), secondary education (45/48,4%), stable union (45/49%), term gestation (33/34,3%) and less than 20 weeks (28/29%). Only 28% (34) had any prenatal control. Most deaths occurred at postpartum (62/51,2%) and 31,3% (33) were primiparae; 84 (69,4) died by direct obstetrical cause and 36 (29,8%) by indirect causes. Main causes of death were preventable. Most frequent indirect cause was tuberculosis (14/11,6%); 65 (53,7%) died after 48 hours from hospitalization. CONCLUSIONS: Our maternal m...

OBJECTIVE: To determine maternal mortality during the last 10 years and establish its tendency, causes and patient characteristics. DESIGN: Epidemiologic, retrospective, descriptive and analytical study. SUBJECTS: 121 maternal deaths occurred at our Hospital between January 1988 and June 1997. RESULTS: Maternal mortality rate was 250,18/100 000 live newborns. Main characteristics were age 20 to 24 (44/36,6%), secondary education (45/48,4%), stable union (45/49%), term gestation (33/34,3%) and less than 20 weeks (28/29%). Only 28% (34) had any prenatal control. Most deaths occurred at postpartum (62/51,2%) and 31,3% (33) were primiparae; 84 (69,4) died by direct obstetrical cause and 36 (29,8%) by indirect causes. Main causes of death were preventable. Most frequent indirect cause was tuberculosis (14/11,6%); 65 (53,7%) died after 48 hours from hospitalization. CONCLUSIONS: Our maternal m...

Objective: To recail abuse prevalence against women attended at Lima's South Cone obstetrical services and to establish association between violence and both maternal and perinatal pathology and perinatal mortality. Design: Analytical retrospective cohort investigation. Setting: Maria Auxiliadora Hospital and Cesar Lopez Silva Mother and Child Hospital, Villa El Salvador. Participants: Hospitalized puerperal women. Interventions: Between March and november 2005 we applied a survey to 7333 puerperal women before discharge from the hospital in order to identify the presence of violence against women. Answers were classified in three groups: without violence (30,7%), with violence history (37,4%) and with violence during this pregnancy (31,9%). Wereviewed the perinatal clinical history in each case and verified demographic variables as well as maternal and perinatal complications. We also d...

Objectives: To determine care costs of incomplete abortions at public hospitals and elective abortions at a private institution. Design: Prospective study. Participants: Women with incomplete abortion. Methods: In 120 women with either complicated or non-complicated incomplete abortion in four public hospitals and 40 women in a private hospital, time for attention, cost of personal, drugs, materials, equipments and hospital functioning were determined; also pocket cost, transportation, children and home care and non-perceived income. All women signed informed consent. Main outcome measures: Care costs. Results: Hospital stay at three hospitals for non-complicated incomplete abortion until discharge was about 6 hours, more in one hospital because of internal norms. Abortion complications at the four hospitals required longer stay. Women with elective abortion required half the time of tho...

Objectives: To determine care costs of incomplete abortions at public hospitals and elective abortions at a private institution. Design: Prospective study. Participants: Women with incomplete abortion. Methods: In 120 women with either complicated or non-complicated incomplete abortion in four public hospitals and 40 women in a private hospital, time for attention, cost of personal, drugs, materials, equipments and hospital functioning were determined; also pocket cost, transportation, children and home care and non-perceived income. All women signed informed consent. Main outcome measures: Care costs. Results: Hospital stay at three hospitals for non-complicated incomplete abortion until discharge was about 6 hours, more in one hospital because of internal norms. Abortion complications at the four hospitals required longer stay. Women with elective abortion required half the time of tho...

Objective: To recail abuse prevalence against women attended at Lima's South Cone obstetrical services and to establish association between violence and both maternal and perinatal pathology and perinatal mortality. Design: Analytical retrospective cohort investigation. Setting: Maria Auxiliadora Hospital and Cesar Lopez Silva Mother and Child Hospital, Villa El Salvador. Participants: Hospitalized puerperal women. Interventions: Between March and november 2005 we applied a survey to 7333 puerperal women before discharge from the hospital in order to identify the presence of violence against women. Answers were classified in three groups: without violence (30,7%), with violence history (37,4%) and with violence during this pregnancy (31,9%). Wereviewed the perinatal clinical history in each case and verified demographic variables as well as maternal and perinatal complications. We also d...

Purpose: To examine the historical process for institutionalization of therapeutic abortion in Peru and to explain its current condition. Methodology: Review of bibliographic information available in the country regarding the process conducted by many institutions to have the Ministry of Health approve the National Guide for Therapeutic Abortion. Subsequently, the lead researcher met with 10 heads of the Gynecology and Obstetrics Service/Department from the same number of hospitals, from whom he requested information, as they have been regulating the provision of therapeutic abortion services by means of local Guides or Protocols for the last 5 years. Results: The formalization of the National Guide for the provision of therapeutic abortion services by the Ministry of Health has been a persistent endeavor of many institutions of civil society, but the 10 convened hospitals have already b...