All cases of cholera in pregnant women (84) admitted to Hospital Nacional Cayetano Heredia, Lima-Perú were reviewed from febraury 1st to May 31st, 1991. Most of the patients (90%) came from shanty towns sorrounding the hospital, their main complain was profuse watery diarrhea and vomiting. Vibrio cholerae 01 biotype El Tor serotype Inaba was identified as the causative agent. The 84 pregnant women represent less than 1% of all cholera patients attended at the hospital. Twenty patients requiered hospitalization because of sever dehydration; one developed acute renal failure. The proportion of pregnantwomen who requiered hospitalization was higher in those less than 20 years old (50%). Fetal loss ocurred mainly in young pregnant women (30%) and in 1nd trimester patients (7%). The treatment was based in oral or intravenous fluid replacement and early administration of antimicrobial agents.

Objectives: To describe the experience with polypropylene monoprothesis use for anterior vaginal wall prolapse repair with or without urinary incontinence. Design: Retrospective, longitudinal, series of cases study. Setting: Hospital Nacional Cayetano Heredia, Lima, Peru. Participants: Patients operated for anterior vaginal wall prolapse. Interventions: All 44 patients operated of anterior vaginal wall prolapse during 2008 consulted for sensation of vaginal bulk and 93,2% for loss of urine. Pelvic organ prolapse quantification (POPQ) determined 93,2% corresponded to III and IV degrees. Main outcome measures: Vaginal prolapse and stress urinary incontinence cure. Results: All 44 patients had surgical treatment of anterior vaginal prolapse with polypropylene mesh and placement of intravaginal posterior sling, 19 (43,2%) with uterine preservation and 25 (56,8%) with vaginal hysterectomy. Im...

Objectives: To describe the experience with polypropylene monoprothesis use for anterior vaginal wall prolapse repair with or without urinary incontinence. Design: Retrospective, longitudinal, series of cases study. Setting: Hospital Nacional Cayetano Heredia, Lima, Peru. Participants: Patients operated for anterior vaginal wall prolapse. Interventions: All 44 patients operated of anterior vaginal wall prolapse during 2008 consulted for sensation of vaginal bulk and 93,2% for loss of urine. Pelvic organ prolapse quantification (POPQ) determined 93,2% corresponded to III and IV degrees. Main outcome measures: Vaginal prolapse and stress urinary incontinence cure. Results: All 44 patients had surgical treatment of anterior vaginal prolapse with polypropylene mesh and placement of intravaginal posterior sling, 19 (43,2%) with uterine preservation and 25 (56,8%) with vaginal hysterectomy. Im...

Objetivo: Determinar la frecuencia y distribución de la roncopatía durante el tercer trimestre de gestación en pacientes hospitalizadas en un hospital general. Materiales y métodos:Estudio descriptivo y transversal, realizado entre septiembre y octubre del año 2004 en el Hospital Nacional Cayetano Heredia. Se incluyeron 295 voluntarios de 304. Se emplearon 3 encuestas: Cuestionario de Ronquidos, Escala de somnolencia de Epworth y Prueba de Calidad del Sueño. Adicionalmente se aplicó la medida morfométrica de Kushida. Resultados: La edad promedio fue de 25,9 ± 1,67 años; con una edad gestacional promedio de 39,3 ± 1,55 semanas. El 44,7% presentó roncopatía en el tercer trimestre y el 10,5% eran roncadoras habituales, 23,7% reportó tener somnolencia. Solo el 0,7% tuvo resultado positivo para l...

Objectives: To correlate the visual estimated blood loss (vEBL) with the calculated estimated blood loss (cEBL) during delivery in nulliparous women. Design: Correlation retrospective study. Setting: Hospital Nacional Cayetano Heredia, Lima, Peru. Study material: Medical records. Methods: We reviewed 225 medical records of at term nulliparous patients’ vaginal deliveries attended between July and December 2009. Main outcome measures: Correlation between visually estimated and calculated blood loss. Results: Mean vEBL and cEBL were respectively 285.70 ± 82.77 mL and 534.75 ± 367.58 mL. Hematocrit descended 3.8%. There was a significant underestimation between vEBL regarding cEBL in episiotomies (p=0.0000) and 3th and 4th degrees lacerations. The Spearman correlation coefficient for vEBL and cEBL was 0.06 (p=0.31). Conclusions: No  correlation was found between vEBL and cEBL. Visual e...

Objective: To compare Ayre spatula and cytobrush methods in uterine cervix premalignant and malignant lesions detection. Material and Methods: Endocervical smears taken from 140 patients with the Ayre spatula and cytobrush methods were extended on separate codified slides and examined by two different pathologists unaware of the smear collection method. Bethesda system was used for diagnosis. Results: Sixty-five versus thirty-five per cent of the samples had endocervical cells respectively obtained with the cytobrush and the Ayre spatula method. When analyzing the quantity of endocervical cells, the samples obtained with the cytobrush method had more than five clusters of endocervical cells (71,4%) than with the Ayre spatula method (36,4%). Conclusion: Cytobrush method seems to be more efficient than Ayre spatula method for obtaining endocervical cells.

In a study of 160 cases shows that the Hydrochloride promazine (*) is a valuable new agent, associated with other drugs known action in analgesic therapy delivery, it potentiates the effect and acts as an excellent sedative and anti -emético without interfering with the normal progress of labor not mean risk to the mother or fetus. Because in the case of deeply sedated gilts lack of cooperation is seen during the second stage, the use of this drug is not recommended except in specialized hospital environments where you can count on, if necessary, with their own resources to resolve a any extension of that period.

Retrospective study Cayetano Heredia National Hospital between January 1991 and April 1993 in 972 products evaluated by ultrasound. The objective was to determine the accuracy of ultrasound level performed in the second trimester, in the detection of neural tube defects in the general population. To do ultrasound findings correlate with the clinical evaluation of the newborn. A detection rate of neural tube defects in 90% (96/100), specificity of 99.6% (958/964) false  positive rate of 30% (4113) and false negative rate of 0.1 was found % (1959). 100% of anencephaly is detected.

Objectives: To correlate the visual estimated blood loss (vEBL) with the calculated estimated blood loss (cEBL) during delivery in nulliparous women. Design: Correlation retrospective study. Setting: Hospital Nacional Cayetano Heredia, Lima, Peru. Study material: Medical records. Methods: We reviewed 225 medical records of at term nulliparous patients’ vaginal deliveries attended between July and December 2009. Main outcome measures: Correlation between visually estimated and calculated blood loss. Results: Mean vEBL and cEBL were respectively 285.70 ± 82.77 mL and 534.75 ± 367.58 mL. Hematocrit descended 3.8%. There was a significant underestimation between vEBL regarding cEBL in episiotomies (p=0.0000) and 3th and 4th degrees lacerations. The Spearman correlation coefficient for vEBL and cEBL was 0.06 (p=0.31). Conclusions: No  correlation was found between vEBL and cEBL. Visual e...

Objective: To compare Ayre spatula and cytobrush methods in uterine cervix premalignant and malignant lesions detection. Material and Methods: Endocervical smears taken from 140 patients with the Ayre spatula and cytobrush methods were extended on separate codified slides and examined by two different pathologists unaware of the smear collection method. Bethesda system was used for diagnosis. Results: Sixty-five versus thirty-five per cent of the samples had endocervical cells respectively obtained with the cytobrush and the Ayre spatula method. When analyzing the quantity of endocervical cells, the samples obtained with the cytobrush method had more than five clusters of endocervical cells (71,4%) than with the Ayre spatula method (36,4%). Conclusion: Cytobrush method seems to be more efficient than Ayre spatula method for obtaining endocervical cells.

In a study of 160 cases shows that the Hydrochloride promazine (*) is a valuable new agent, associated with other drugs known action in analgesic therapy delivery, it potentiates the effect and acts as an excellent sedative and anti -emético without interfering with the normal progress of labor not mean risk to the mother or fetus. Because in the case of deeply sedated gilts lack of cooperation is seen during the second stage, the use of this drug is not recommended except in specialized hospital environments where you can count on, if necessary, with their own resources to resolve a any extension of that period.

Revista Peruana de Ginecologia y Obstetricia current Editorial Committee has been in charge of publishing the official medical journal of the Sociedad Peruana de Obstetricia y Ginecologia during the past 15 years. In this special paper, the Committee reviews the Journal’s publications between 1994 and 2008 and the coincident advances in the specialty, emphasizing the Sociedad Peruana de Obstetricia y Ginecologia’s role in this matter.

Revista Peruana de Ginecologia y Obstetricia current Editorial Committee has been in charge of publishing the official medical journal of the Sociedad Peruana de Obstetricia y Ginecologia during the past 15 years. In this special paper, the Committee reviews the Journal’s publications between 1994 and 2008 and the coincident advances in the specialty, emphasizing the Sociedad Peruana de Obstetricia y Ginecologia’s role in this matter.