Ginecología y obstetricia de México
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in Mexico, obstetric hemorrhage and its complications are the second leading cause of maternal death and is the origin of irreversible functional consequences. Carbetocin is a synthetic analogue of oxytocin with an average lifespan four times that of oxytocin and pharmacological effects of 120 minutes produces a tonic contraction which reduces postpartum blood loss. ⋯ Carbetocin combines the safety of oxytocin and the strength of the ergonovine preparations. To determine where carbetocin will be situated in the future as an useful oxytocic, it requires more than a simple demonstration of its effectiveness. This should be determined in each clinical situation, with factors such as overdistended uterus, indicating the convenience and economic constraints.
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In April 2009 are reported the first cases of H1N1 influenza in Mexico, presenting the first death from this cause in the city of Oaxaca in the same month. Different epidemiological reports of pandemics brought to the pregnant and high risk population for complications secondary to infection with influenza H1N1 due to immune status. ⋯ H1N1 influenza infection has a high fatality rate in late pregnancy. Perinatal outcomes did not worsen the condition or management.
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Maternal mortality is a public health problem reflecting lack of infrastructure in health facilities or poor obstetrical training of those caring for pregnant women. ⋯ The present conditions of the social environment of San Luis Potosi are favourable to further reduce maternal mortality.
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BACGROUND: preterm birth is a major obstetric problem that contributes to 70% of perinatal mortality. ⋯ the double marker fibronectin / cervical length is useful for determining patients at risk of preterm delivery because of its high specificity and NPV, ideal for easy handling and low cost.
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Biography Historical Article Classical Article
[Obstetric analgesia. Personal experience (current events on analgesia and anesthesia in labor).1956].