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Biomedical subjects

F Morgan-Ortiz

Publications and source records attributed to F Morgan-Ortiz.

4 recordsLinked to original sources

[Prophylactic appendectomy with invagination during cesarean section].

OBJECTIVE: To evaluate the impact of the prophylactic appendectomy acComplished during cesarean section about postoperative morbidity. METHODS AND MATERIALS: Fifty-nine patients with pregnancy at term and had a cesarean section were randomized in two groups: Group I: Twenty-nine patients subjected to cesarean section as well as prophylactic appendectomy with invaginant technic and Group II: Thirty patients subjected just to cesarean section. The analyzed variables were: surgical time, hospitable stay and postoperative morbidity. RESULTS: Surgical time were similar between two groups (means: 56.75 min vs. 53.96 min to group I and II). The means of the hospitable stay was 29.98 hours (SD +/- I 1.81) and 27.72 hours (SD +/- 6.91) to Group I and II respectively, without significant differences statisTIcally between the groups. There were no postoperative morbidity in any group. CONCLUSIONS: Cesarean section plus prophylactic appendectomy with invaginant technic is an easy and safe procedure to be performed. It does not produce postoperative morbidity, besides it does not increase surgical time and hospitable stay.

Adolescent↗

[Evolution and quality of care during labor and delivery in primiparous patients who underwent early obstetrical analgesia].

Evaluations of labor and delivery progress and care quality in primiparous patients that receive obstetric analgesia by peridural way at the beginning of the active phase, was done. One-hundred-twenty-nine patients at the beginning of the active phase of the labor were randomized into two groups: Group I: Sixty-six patients that received obstetric analgesia by peridural way and Group II: Sixty-three patients did not receive analgesia by any way. Length of the cervical dilation and effacement, and expulsive period, cervical dilation rate per hour, delivery type, labor experience and perinatal outcomes were measured. The length means of the cervical dilation and effacement was 177.7 (SD +/- 89.0) and 296.0 (SD +/- 114.5) minutes to Group I and II respectively (p < 0.005). Cervical dilation rate was 2.74 and 1.6 centimeters per hour to Group I and II respectively (p < 0.05). The length of the expulsive period was 36.54 minutes (SD +/- 21.7) to Group I and 42.57 minutes (SD +/- 16.15) to Group II (p > 0.05). Labor experience was referred like very painful in the 9% and 100% to Group I and II respectively (p < 0.05). The perinatal outcomes and method of delivery were similar between two groups. Obstetric analgesia administered by peridural way at the beginning of the active phase of the labor significantly reduce the dilation and effacement period and whole labor, without modify the expulsive period length. It does not inhibit the uterine activity and improvement the care quality of the labor.

Adult↗

[Cervical labor induction with prostaglandin E2 in patients with fetal death].

The objective was to compare the effectiveness and efficacy of prostaglandin E2 (prepidil gel) plus oxitocin with that of intravenous oxitocin in the treatment of delivery induction in patients complicated with fetal death. Fifteen patients received prepidil gel plus oxitocin and 15 patients oxitocin. In the treatment group only one dosage of 0.5 ng in 2 ml of prepidil gel was administered intracervically and simultaneously oxitocin by intravenous infusion, dosage was increased 2 mUI/min every 30 minutes. In the control group only intravenous oxitocin was administered at the same dosage. The mean duration in hours of delivery in the treatment group was 13.1 +/- h and in the control group was 30.9 +/- 9.1 h. There were statistically significant differences between the groups in reduction of delivery duration (p = 0.0007). It is concluded that prostaglandin E2 plus oxitocin provide better short-term outcomes than oxitocine treatment and gave more short periods of labor in patients with fetal death.

Dinoprostone↗

[Perinatal conditions of newborns of adolescent mothers in the state of Sinaloa, Mexico].

UNLABELLED: The objective was to compare perinatal conditions of newborns and obstetric complications between a group of adolescent mothers and one of adult mothers. It is a retrolective comparative survey, at the General Hospital "Bernardo J. Gastelum" SSA and General Hospital IMSS, Sinaloa, Mexico. PATIENTS: 10634 clinical records of patients in labour at obstetric unit from 1990 to 1994. A randomized sample of 215 adolescent pregnant patients and 215 adult pregnant patients were selected and the following data were analysed regarding to the mother: age, pregnancy outcome and obstetric complications; in regard to the newborn: gender, weight, height, cefalic circumference and Apgar score. The mean adolescent mother's age was 16 years, and 25 in adult mothers; mean adolescent mother newborn birthweight was 3.297 SD 0.414 kg. and in adult mothers was 3.393 SD 0.591 kg. (p = 0.09), adolescent mothers newborns with Apgar score less than 7 at first minute was 20% and 5% for adult mothers newborns. Statistically significant difference was observed (p = 0.02). There were not statistically significant differences between the groups in obstetric outcome and complications, birthweight. It was concluded that pregnancy in adolescence it's not a risk factor for the mother and the newborn.

Adolescent↗