Editorial

Research within the specialties of Obstetrics and Gynecology is impacting, and tries to solve many of today’s clinical problems. In these pages, we present summaries of abstracts of current research published in institutional documents and in important magazines of our specialty. References are included.

The author's experience with surgical repair of urinary incontinence (SUI) using the technique of subperiosteal suspension in two successive groups of 40 and 33 patients with a minimum follow-up of 2 years, respectively, is presented. Age was similar in both groups and there were fewer large multiparous in the second group. SUI was more severe and moderate degree of genital prolapse was also moderate or moderate to severe. In the surgical repair one thick silk suture used is preferably 0, performing the approximation of the levator ani. Foley catheter was removed on the third day. As in the first series, the result was positive in 90 percent in the second group, so far no patient reported recurrence of SUI, giving a favorable outcome of 95 percent in 73 patients. Cystocele recurred in 25 percent in the first group and 12 percent in the second group, always mild. These results are compara...

Since we last wrote about Zika virus infection and findings in pregnant women and their children(1,2), news have been nothing but frustrating. Infection in adults is usually mild or asymptomatic, except for the association with the Guillain Barré syndrome(3). The neurologic repercussions of Zika infection during gestation on the fetus are worrying. This is the reason for an update on the Zika disease in Peru in this issue, written by gynecologists and obstetricians with experience in this pandemic in our country. Miguel Gutiérrez writes in his presentation “Zika virus infection and reproductive health” that the Peruvian Society in Obstetrics and Gynecology endorsed the declaration of the Latin American Federation-FLASOG Sexual and Reproductive Rights Committee concerning the possibility of not being able to prevent pregnancies in areas of risk of Zika infection, mainly northern and...

Pregnancy induced hypertension (PIH) is a disease that complicates pregnancy progressively and cunninggly, frequently carrying grave maternal and perinatal consequences. We now know PIH consists in a biochemical and histological endothelial disease, with predominance of contractile over relaxing substances and lability to vasopressor substances, as well as increment in mitogenic activity and abnormalities of clothing mechanisms. There is also decrease of plasma volume in direct relation with hypertension, decrease of erythrocyte deformability, and defective placentation, all showing immunologic and genetic features that would start with pregnancy. There is no premonitory analysis, but laboratory data can suggest severity of the disease. We should consider a diastolic blood pressure of 80 mm Hg as hypertension. Mother can help watch babys growth and activity in her uterus. Ultrasound exam...

We find in this issue a symposium on Genetics in gynecology and obstetrics, coordinated by one of the best Latin American geneticists, who has gathered a number of experts knowledgeable on the subject and show us their expertise symposium.

Doctors have just received breaking news: medical error is the third leading cause of death in the US. In an analysis published in the British Medical Journal(1), Professor Martin A. Makary and research fellow Michael Daniel assess medical error contribution to mortality and call for better reporting. They say the annual list of the most common causes of death in the United States, compiled by the Centers for Disease Control and Prevention (CDC), is created using death certificates filled out by physicians, funeral directors, medical examiners, and coroners. A major limitation of the death certificate is that it relies on assigning an International Classification of Disease (ICD) code to the cause of death, and human and system factors are causes of death not associated with an ICD code.

So far we have not come to understand the critical role of the microbiome in humans. It is now known that intestinal microbiota -Community of microorganisms living in the digestive tract, or flora- is a must for our homeostasis, growth, development, immunity and nutrition (1). The microbiome in man-the composition of bacteria in and on the human body-varies greatly from individual to individual, so much so that he is regarded as a 'fingerprint' for each person; this individual microbiome is associated with multiple health disorders. While microbial populations are influenced by environmental factors, there would also be some degree of host genetic influence on the microbiome, which would understand their correlation with certain diseases (2). The intestinal microbiome is being studied intensively in relation to obesity, and the involvement of factors such as diet and lifestyle in the com...

The Peruvian Journal of Gynecology and Obstetrics is the official publication of the Peruvian Society of Obstetrics and Gynecology. It aims to spread awareness of the specialty of obstetrics and gynecology and human reproduction among its members, professionals and workers related specialties in the area of sexual and reproductive health.

Se presenta una reseña de lo conocido sobre la asociación de la preeclampsia y el embarazo múltiple, haciendo una somera actualización sobre la fisiopatología de la preeclampsia y su ocurrencia en el embarazo múltiple de acuerdo a la variedad y número de fetos, señalando la importancia de su detección temprana con la historia clínica, factores asociados, la flujometría Doppler y los marcadores bioquímicos actualmente utilizados. Se destaca el aumento del embarazo múltiple en las últimas décadas por los tratamientos de fertilización asistida, la prevención asumida por los centros de fertilidad en la transferencia de embriones y el manejo oportuno de estos casos obstétricos complejos.

The beginning of the XII Peruvian Congress of Gynecology and Obstetrics comes at a time of possible transition to other mechanisms of health care to the Peruvian population. Even without knowing the ideas and scope that this modification may have with respect to our specialty it will be based on the rates of maternal and perinatal morbidity and mortality, virtually unchanged over the past decades. Also it has to consider the strong current recession, which prevents much of the population to seek medical attention, let alone private medical care.

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Editorial

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As dysfunctional uterine bleeding abnormal bleeding not associated with organic pathology, our guidance in the diagnosis is the rule out any organic cause, determine whether or not ovulation and at what level of the hypothalamus-pituitary-ovarian axis origin is alteration.

The Peruvian Society of Obstetrics and Gynecology (SPOG) was founded 70 years ago, in 1947, with the mission of contributing to the scientific progress in benefit of the Peruvian women. In 1955, the first number of The Peruvian Journal of Gynecology and Obstetrics (RPGO), the official journal of SPOG, was published with the name Ginecología y Obstetricia [Ginecol Obstet, o Ginecol Obstet (Perú)] until 2006, when the name changed to Revista Peruana de Ginecología y Obstetricia (Rev Peru Ginecol Obstet). An account of the Society’s activities may be retrieved through the editorials and papers written from the beginning of RPGO, as we observe the desire of the SPOG directors to have an organ of scientific communication where the leading obstetricians and gynecologists would publish their medical experiences and outcomes, as a source of information for the younger physicians. Research h...

Editorial

Four decades have passed since the World Health Organization (WHO) carried out the most important health meeting with the nations of the world, the Primary Health Care, with the purpose of changing the paradigm in health care . Already during the twenty-eighth WHO Assembly in 1975, the urgent need for new approaches to health care for all and for all, from an individualized and medicalized approach to a social approach, with profound respect for human rights, was identified. . The phrase 'Health for All in the Year 2000' was coined.

We have long known that the placenta produces steroids, including estrogen, progesterone, and possibly steroids. These hormones are produced in the syncytiotrophoblast.