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Biomedical subjects

L García López

Publications and source records attributed to L García López.

4 recordsLinked to original sources

[Effectiveness of two health interventions to get pregnant women to give up smoking].

OBJECTIVE: To evaluate the effectiveness of the group intervention for getting pregnant women to give up tobacco consumption, measured by means of carbon monoxide levels in air breathed out, compared with a minimum intervention. DESIGN: Randomised clinical trial. SETTING: Four primary care teams from Area 9 of IMSALUD-Madrid. PARTICIPANTS: All the pregnant women attending for consultation with the midwives of the four PC teams involved during the study period, who are smoking at least one cigarette a day when they find out they are pregnant and who want to take part in the study once they have been informed of it. Intervention. The subjects included will be randomised into 2 intervention groups. The minimum intervention will consist of brief personal counselling (3 to 5 minutes) on why they should give up smoking, especially now they are pregnant. The group intervention will involve 3 sessions lasting approximately an hour and a half.

Epidemiologic Research Design↗

[Abdominal pregnancy. An unusual case].

A general review is made about concept, incidence and clinical features of abdominal pregnancy. The early and accurate diagnosis of an abdominal pregnancy is very important in order to avoid catastrophic hemorrhage from placental separation. A case is reported of a young woman hospitalized at Morelia's General Hospital, SSA, with an abdominal pregnancy. The fetus died about 26th week and underwent mummification. Some time later the fetus spontaneously divided and the lower segment extruded through the intestines. The remain upper thoracic and cephalic segment was removed at laparotomy closing an intestine stoma; 60% of the placenta was also removed. The postoperative course was uneventful.

Adolescent↗

[Breast-feeding].

In order to promote maternal lactation it is necessary to know what problems prevent it. With this in mind, a survey of 202 mothers who had children between the first of October and the end of November in 1992 was conducted. 91.5% of these mothers began normal lactation, yet 30.7% were incapable of giving milk after one month. A high frequency of lactating failure correlated with women from disadvantaged income groups. Factors that influenced the duration and difficulty of breast feeding were: lactating problems with the previous child, family opinions, rigid feeding schedules, excessive maternal preoccupation, working out of the home. Once the problems were recognized, a second objective of this study was to design a plan that would create positive attitudes toward maintaining natural lactation. After putting this plan to work, a three month study showed that 70.2% of the mothers in a experimental group continued to breast feed, whereas only 39.5% of the control group did. After four months 55% of the variable group was still nursing their children, while the control group fell to 30.2%.

Attitude to Health↗