The review of 176 maternal deaths in the National Hospital Edgardo Rebagliati Martins (HNERM) of the Peruvian Institute of Social Security (LPSs) between 1958 and 1991 indicates that 71% were due to direct obstetric death, including 24% by infections 22% induced hypertension and 16% Bleeding-, was 16% indirect and 13% nonobstetric. The maternal mortality rate in the 33 years was 39 per 100 000 births Although the rate is relatively acceptable, deaths were mostly from preventable causes, requiring for you diminish a clearly defined institutional policy, care and management levels well implemented uniformly institutional protocols and manuals.

Oocytes in vitro maturation (IVM) usually used in patients with polycystic ovaries and polycystic ovary syndrome has been applied for the treatment of infertility in a woman with secondary amenorrea and history of anorexia nervosa. After repeated unsuccessful attempts of ovarian stimulation for conventional techniques of assisted reproduction, IVM treatment was begun by stimulating the ovaries with rFSH during the second, third and fourth day of the cycle and aspiring antral follicles on the eighth day. There were four cumulus-oocyte complexes that were cultivated in the maturation media for 36 hours in presence of FSH and hCG. Mature metaphase II oocytes were fertilized by intracytoplamatic sperm injection (ICSI) and embryos were frozen by vitrification on the second day. A month later, the endometrium was prepared with estradiol valerate. Thawed embryos were cultivated for 24 additiona...

Oocytes in vitro maturation (IVM) usually used in patients with polycystic ovaries and polycystic ovary syndrome has been applied for the treatment of infertility in a woman with secondary amenorrea and history of anorexia nervosa. After repeated unsuccessful attempts of ovarian stimulation for conventional techniques of assisted reproduction, IVM treatment was begun by stimulating the ovaries with rFSH during the second, third and fourth day of the cycle and aspiring antral follicles on the eighth day. There were four cumulus-oocyte complexes that were cultivated in the maturation media for 36 hours in presence of FSH and hCG. Mature metaphase II oocytes were fertilized by intracytoplamatic sperm injection (ICSI) and embryos were frozen by vitrification on the second day. A month later, the endometrium was prepared with estradiol valerate. Thawed embryos were cultivated for 24 additiona...