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Journal articles on the topic 'Medicina perinatale'

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Author: Grafiati

Published: 10 March 2023

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1

Pascali, V. L., E. Bottone, and Angelo Fiori. "Problemi bioetici, deontologici e medico-legali della medicina perinatale." Medicina e Morale 41, no. 1 (February 28, 1992): 43–58. http://dx.doi.org/10.4081/mem.1992.1113.

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I quattro livelli (tecnico-professionale in senso stretto, giuridico, deontologico e bioetico) nei quali si inscrive il rapporto medico-paziente comportano problemi diversi nel consenso informato e nelle prestazioni per la diagnosi e cura delle malattie fetali e di quelle del neonato. Di tali problemi, esaminati principalmente nell'ottica delle norme giuridiche e deontologiche italiane, gli autori tracciano le linee essenziali.

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2

Di Renzo, Giulia. "22° CONGRESSO NAZIONALE AGORA’ SIMP – LA BUONA MEDICINA PERINATALE DOPO IL COVID (POST-COVID GOOD PERINATAL MEDICINE)." Journal of Maternal-Fetal & Neonatal Medicine 34, sup1 (September 24, 2021): 1–128. http://dx.doi.org/10.1080/14767058.2021.1962370.

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3

Zuppa, A. A., D. De Luca, and M. E. Scapillati. "Il Neonato da Gravidanza Gemellare Spontanea e Indotta." Medicina e Morale 50, no. 6 (December 31, 2001): 1153–70. http://dx.doi.org/10.4081/mem.2001.744.

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Gli Autori riportano il dato epidemiologico dell’aumentata incidenza di gemellarità verificatosi dell’ultimo decennio a causa soprattutto della diffusione delle tecniche di induzione della gravidanza (farmacologica e da tecniche di fecondazione artificiale - GIFT e FIVET). Gli Autori si soffermano sugli aspetti clinico-assistenziali delle gravidanze gemellari soprattutto sul versante neonatale. Vengono inoltre presi in considerazione alcuni aspetti etici relativi all’induzione di gravidanza: rilevanza dei rischi in rapporto ai benefici, soprattutto relativamente alla maggiore mortalità e morbilità perinatale legata, non solo all’aumentata incidenza di gemellarità. Ma all’induzione stessa della gravidanza; l’induzione della gravidanza intesa non come procedura terapeutica ma come intervento “sostitutivo”- il sopravvento della cosiddetta medicina dei desideri.

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4

Gutiérrez-Montufar, Oscar Octalivar, Oscar Enrique Ordoñez-Mosquera, Mónica Alejandra Rodríguez-Gamboa, Javier Andrés Castro-Zúñiga, Jhon Edison Ijaj- Piamba, and Roberth Alirio Ortiz-Martínez. "Desempeño predictivo de los criterios diagnósticos de restricción de crecimiento fetal para resultados adversos perinatales en un hospital de Popayán, Colombia." Revista Colombiana de Obstetricia y Ginecología 73, no. 2 (June 30, 2022): 28–37. http://dx.doi.org/10.18597/rcog.3840.

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Objetivos: determinar el desempeño predictivo de la definición de ultrasonografía de la Sociedad de Medicina Materno Fetal (SMMF), consenso Delphi (CD) y Medicina Fetal de Barcelona (MFB) respecto a resultados adversos perinatales en cada una, e identificar si hay asociación entre diagnóstico de RCF y resultados adversos perinatales. Materiales y métodos: se realizó un estudio de cohorte retrospectiva. Se incluyeron gestantes con embarazo único de 24 a 36 semanas con 6 días, quienes fueron atendidas en la unidad de medicina materna fetal con evaluación ecográfica de crecimiento fetal y atención de parto en una institución hospitalaria pública de referencia ubicada en Popayán, Colombia. Se excluyeron embarazos con hallazgos ecográficos de anomalías congénitas. Muestreo por conveniencia. Se midieron variables sociodemográficas y clínicas de las gestantes al ingreso, la edad gestacional, el diagnóstico de RCF y el resultado adverso perinatal compuesto. Se analizó la capacidad predictiva de tres criterios diagnósticos de restricción de crecimiento fetal para malos resultados perinatales. Resultados: se incluyeron 228 gestantes, cuya edad media fue de 26,8 años, la prevalencia de RCF según los tres criterios fue de 3,95 %, 16,6 % y 21,9 % para CD, MFB y SMMF respectivamente. Ningún criterio aportó área bajo la curva aceptable para predicción de resultado neonatal adverso compuesto, el diagnóstico de RCF por CD y SMMF se asosiciaron a resultados adversos perinatales con RR de 2,6 (IC 95 %: 1,5-4,3) y 1,57 (IC 95 %: 1,01-2,44), respectivamente. No se encontró asociación por MFB RR: 1,32 (IC 95 %: 0,8-2,1). Conclusiones: ante un resultado positivo para RCF, el método Delphi se asocia de manera más importante a los resultados perinatales adversos.Los tres métodos tienen una muy alta proporción de falsos negativos en la predicción de mal resultado perinatal. Se requieren estudios prospectivos que reduzcan los sesgos de medición y datos ausentes.

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5

Spaziante, Ermenegildo. "L’aborto in Italia: aggiornamento statistico epidemiologico." Medicina e Morale 47, no. 6 (December 31, 1998): 1141–73. http://dx.doi.org/10.4081/mem.1998.815.

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In sette anni, dal 1987 al 1994, l’incidenza annuale dell’abortività legalmente indotta è diminuita in Italia da n. 191.469 IVG a n. 136.481 (-28,7%). L’indice per mille nati-vivi è passato nello stesso periodo dal 347 del 1987 al 234 del 1994, con un decremento pari al -32,5%. Il tasso di abortività provocata per mille donne (dai 15 ai 49 anni) è passato dal 13,3 del 1987 al 9,5 del 1994, con un calo del -28,6%. Un tenue aumento percentuale è stato osservato nelle classi di età da 15 a 19 e da 30 a 34 anni. I dati statistici regionali presentano notevoli differenze nella frequenza delle IVG. Il confronto con i dati della cosiddetta “abortività spontanea” conduce ad evidenziare che varie regioni con basso indice di “abortività indotta” presentano più elevati tassi di “aborto spontaneo”. Tale frequente correlazione statistica induce l’Autore a supporre che con ogni probabilità una certa percentuale di “aborti spontanei” in realtà sia costituita da “aborti volontari”, codificati per “cause indeterminate”. La “speranza di vita” nel secondo mese di vita prenatale non è analoga per tutte le regioni. Aggregando i dati dell’abortività indotta legale, quelli dell’abortività “spontanea”, e gli indici di mortalità perinatale (entro la prima settimana dalla nascita), si evidenziano differenze notevoli fra le distinte regioni. Nel Veneto la probabilità per il feto di sopravvivere ha un valore dell’80%, in altre regioni, quali Emilia-Romagna, Piemonte, Liguria, Umbria e Toscana, la “speranza di sopravvivenza” (di giungere alla seconda settimana del primo anno di vita) è limitata al 65%, poiché circa il 35% degli “esseri umani” che hanno superato le otto settimane dal concepimento viene soppresso con l’aborto volontario, codificato come IVG, oppure è eliminato come “aborto spontaneo” o si presenta come nato-morto o, ancora, muore entro la prima settimana dalla nascita. Naturalmente tale probabilità non tiene conto degli embrioni e dei feti eliminati subito dopo il concepimento o nelle prime otto settimane di vita fetale. Il raffronto con i diversi indici demografici, quali la mortalità generale, la speranza media di vita, la mortalità infantile, ritenuti generalmente favorevoli per l’Italia, conferma che per molte regioni l’abortività rimane invece problema sociale grave, meritevole certamente di più adeguata attenzione non solo nell’ambito della medicina preventiva, ma anche della coscienza civile.

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6

Horan, Holly, Melissa Cheyney, Yvette Piovanetti, and Vanessa Caldari. "La Crisis de la Atención de Maternidad: Experts’ Perspectives on the Syndemic of Poor Perinatal Health Outcomes in Puerto Rico." Human Organization 80, no. 1 (March 1, 2021): 2–16. http://dx.doi.org/10.17730/1938-3525-80.1.2.

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The purpose of this study was to center the voices of maternal and infant health care (MIH) clinicians and public health experts to better understand factors associated with persistently high rates of poor perinatal health outcomes in Puerto Rico. Currently, Puerto Rican physicians, midwives, and other care providers’ perspectives are absent from the literature. Guided by a syndemics framework, data were collected during eighteen months of ethnographic fieldwork and through open-ended, semi-structured interviews (n=20). Three core themes emerged. The first two themes: (1) Los estresores diarios: poor nutrition, contaminated water, and psychosocial stress; and (2) Medicina defensiva: solo obstetrics and fear-based medicine, describe contributing factors to Puerto Rico’s high preterm and cesarean birth rates. The third theme: (3) Medicina integrada: midwives, doulas, and comprehensive re-education explores potential solutions to the island’s maternity care crisis that include improved integration of perinatal care services and educational initiatives for both patients and providers. Collectively, participants’ narratives expose a syndemic of poor perinatal health outcomes that emerges from the structural vulnerability generated by decades of colonial domination embedded in the daily lives of island residents and in the Puerto Rican maternity care system.

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7

Jawerbaum, Alicia. "LABORATORIO DE REPRODUCCIÓN Y METABOLISMO CEFYBO-CONICET. FACULTAD DE MEDICINA, UBA." Revista de la Sociedad Argentina de Diabetes 51, no. 1 (July 30, 2018): 6. http://dx.doi.org/10.47196/diab.v51i1.48.

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En la gestación las complicaciones inducidas por la diabetes pregestacional y gestacional son múltiples. Abarcan alteraciones que pueden afectar el embrión temprano y conducir a fallas en la implantación, anomalías en los procesos de organogénesis temprana que incrementan el riesgo de malformaciones congénitas y fallas en los procesos de desarrollo placentario que pueden vincularse tanto a la mayor inducción de preeclampsia como a anomalías de crecimiento intrauterino (retraso de crecimiento o macrosomía) que afectan el desarrollo perinatal y postnatal. En este contexto son relevantes las alteraciones metabólicas propias de la diabetes materna, tanto del metabolismo de los hidratos de carbono como de los lípidos, y que impactarán en la transferencia de nutrientes al feto y afectarán el desarrollo y crecimiento fetal. Las consecuencias adversas se presentan en la madre (donde a las complicaciones propias de la diabetes se suma el fuerte impacto de los cambios adaptativos propios de la gestación), en el desarrollo embrionario, placentario y fetal, en las complicaciones perinatales y en la vida del neonato, en el cual es elevado el riesgo de programación de alteraciones metabólicas y cardiovasculares.

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8

Cotera-Abad, Gabriela T., Lucy E. Correa-Lopez, and Pedro M. Arango-Ochante. "Factores asociados a repercusiones perinatales desfavorables en gestantes con oligohidramnios en el Hospital de Vitarte, periodo 2016 – 2019." Revista Peruana de Investigación Materno Perinatal 10, no. 1 (May 18, 2021): 27–39. http://dx.doi.org/10.33421/inmp.2021225.

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Introducción: El oligohidramnios es la presencia deficiente del volumen de líquido amniótico, presenta una frecuencia mundial de 0,5% a 5,5% aproximadamente, como condición que complica el embarazo. Se ha asociado a mayor riesgo de morbimortalidad perinatal. Objetivo: Identificar los factores asociados a repercusiones perinatales desfavorables en gestantes con oligohidramnios en el hospital de Vitarte, periodo 2016 - 2019. Materiales y métodos: Se realizó un estudio analítico, retrospectivo, caso - control. La población de estudio fueron las gestantes con diagnóstico de oligohidramnios, por método ILA menor a 5cm, atendidas en el servicio de hospitalización de Ginecobstetricia en el hospital de Vitarte, durante el periodo 2016 – 2019; conformada por 97 casos y controles (1:1). Los casos fueron los que presentaron resultados perinatales desfavorables. En el análisis bivariado se utilizó la prueba de chi cuadrado, con un nivel de significancia de 0,05. Se calcularon los OR con un Intervalo de confianza al 95% a través del programa SPSS. Resultados: Los neonatos con repercusiones desfavorables se presentaron en el 47%. El tipo de parto más frecuente fue cesárea (76%), evidenciándose asociación estadísticamente significativa con la resultante perinatal adversa (OR=2,25; IC95%=1,21-4,19; p=0,009). No se encontró asociación con variables sociodemográficas maternas, inicio de parto, edad gestacional, número de controles prenatales, paridad, comorbilidad materna ni sexo del recién nacido. Conclusiones: La morbimortalidad perinatal es frecuente en gestantes con diagnóstico de oligohidramnios. Culminar el embarazo por cesárea es un factor asociado a repercusiones perinatales desfavorables. Además, la indicación de cesárea es innecesario solo por el hallazgo de oligohidramnios, ésta debe ser guiada por la patología subyacente.

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9

Bezhenar, Vitaly F., Lidia A. Ivanova, and Dmitry O. Ivanov. "Legal aspects of perinatal loss." Journal of obstetrics and women's diseases 70, no. 3 (August 16, 2021): 143–50. http://dx.doi.org/10.17816/jowd64324.

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BACKGROUND: Perinatal death is the death of the fetus, starting from 22 weeks of pregnancy and in childbirth, as well as the death of a newborn in the first seven days of life. Despite the fact that reducing perinatal losses is one of the most important tasks of contemporary medicine, the level of perinatal mortality in Russia in recent years has been about 7.5 . AIM: The aim of this study was to analyze documentation related to the legal aspects of perinatal loss. MATERIALS AND METHODS: The article analyzes the main federal laws, agency regulations, orders, methodological letters, recommendations, and materials on the Internet concerning the main aspects and questions that most often arise among doctors, as well as postpartum women who have undergone perinatal loss and their family members. RESULTS: The article provides data on: the medical criteria for birth, basic documentation issued in case of stillbirth, the birth of a live child who died in the perinatal period, and the rules for their issuance; the rules and procedure for notifying state bodies in case of perinatal death, the rules for registering a stillborn and a child who died in the first 168 hours of extrauterine life; the types of perinatal death certificate; the rules for conducting a pathological autopsy and the possibility of refusing it; the issues of burial of children who died perinatally; the rules for handling material obtained during termination of pregnancy up to 22 weeks. CONCLUSIONS: The legislative framework was analyzed and answers were given to the most frequently asked questions regarding the legal aspects of perinatal loss.

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10

Kurjak, Asim, and Frank A. Chervenak. "Ultrasound in perinatal medicine." Ultrasound Review of Obstetrics and Gynecology 1, no. 3 (January 2001): 193–94. http://dx.doi.org/10.3109/14722240108500437.

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11

Adinma, JIB. "Ethics in Perinatal Medicine." Nigerian Journal of Paediatrics 43, no. 3 (July 1, 2016): 221. http://dx.doi.org/10.4314/njp.v43i3.12.

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12

Arya, Sugandha, and Harish Chellani. "Steroids in Perinatal Medicine." Journal of Neonatology 21, no. 1 (March 2007): 30–32. http://dx.doi.org/10.1177/0973217920070107.

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13

Chervenak, Frank A., and Laurence B. McCullough. "Ethics in perinatal medicine." Clinics in Perinatology 30, no. 1 (March 2003): xi—xiv. http://dx.doi.org/10.1016/s0095-5108(02)00090-8.

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14

Queenan, John T. "Quo Vadis—Perinatal Medicine." Obstetrics & Gynecology 99, no. 2 (February 2002): 175–76. http://dx.doi.org/10.1097/00006250-200202000-00001.

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15

Di Iorio, Romolo, Emanuela Marinoni, Claudio Letizia, and Ermelando V. Cosmi. "Adrenomedullin in perinatal medicine." Regulatory Peptides 112, no. 1-3 (April 2003): 103–13. http://dx.doi.org/10.1016/s0167-0115(03)00028-4.

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16

Queenan, J. "Quo vadis—perinatal medicine." Obstetrics & Gynecology 99, no. 2 (February 2002): 175–76. http://dx.doi.org/10.1016/s0029-7844(01)01761-6.

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17

Rooth, Gösta. "Frontiers in perinatal medicine." Early Human Development 29, no. 1-3 (June 1992): 21–26. http://dx.doi.org/10.1016/0378-3782(92)90053-j.

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18

Rooth, G. "Frontiers in perinatal medicine." International Journal of Gynecology & Obstetrics 40, no. 3 (March 1993): 263. http://dx.doi.org/10.1016/0020-7292(93)90845-n.

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19

Grover, John W. "Computers in perinatal medicine." Indian Journal of Pediatrics 57, no. 1 (January 1990): 53–62. http://dx.doi.org/10.1007/bf02722130.

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20

Langford, Kate. "Spotlight on … perinatal medicine." Obstetrician & Gynaecologist 17, no. 1 (January 2015): 1. http://dx.doi.org/10.1111/tog.12156.

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21

Spong, Catherine Y., Jay Iams, Robert Goldenberg, Fern R. Hauck, and Marian Willinger. "Disparities in Perinatal Medicine." Obstetrics & Gynecology 117, no. 4 (April 2011): 948–55. http://dx.doi.org/10.1097/aog.0b013e318211726f.

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22

Kurjak, Asim, and Frank Chervenak. "Ultrasound in perinatal medicine." Ultrasound Review of Obstetrics & Gynecology 1, no. 3 (September 1, 2001): 193–94. http://dx.doi.org/10.1080/14722240108500437.

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23

Martins, Eunice Francisca, Francisco Carlos Félix Lana, and Edna Maria. "Tendência da mortalidade perinatal em Belo Horizonte, 1984 a 2005." Revista Brasileira de Enfermagem 63, no. 3 (June 2010): 446–51. http://dx.doi.org/10.1590/s0034-71672010000300016.

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O estudo objetivou analisar a tendência da mortalidade perinatal no município de Belo Horizonte no período de 1984 a 2005. A fonte dos dados foi o Sistema de Informação de Mortalidade (SIM). Realizou-se regressão linear simples para estimar a tendência de redução do percentual de informações ignoradas no SIM e das taxas de mortalidade. A melhora da qualidade da informação foi estatisticamente significativa apenas para a escolaridade materna e peso ao nascer. A redução média da mortalidade perinatal no período foi de 57,52%. O decréscimo da mortalidade perinatal nas duas últimas décadas em Belo Horizonte foi significativo, mas esforços devem ser direcionados no sentido de melhorar a completude do SIM para variáveis importantes na elaboração dos indicadores perinatais.

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24

Figueiredo, José Luiz, Claudio Vinegoni, and Luiz Carlos De Abreu. "Perinatal Health and Translational Medicine." Journal of Human Growth and Development 23, no. 2 (August 23, 2013): 125. http://dx.doi.org/10.7322/jhgd.61318.

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25

Noller, Kenneth, and L. Melton. "Study Design in Perinatal Medicine." American Journal of Perinatology 2, no. 03 (July 1985): 250–55. http://dx.doi.org/10.1055/s-2007-999962.

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26

Barz, Dagmar. "Perinatal Transfusion Medicine – Immunological Aspects." Transfusion Medicine and Hemotherapy 33, no. 6 (2006): 473. http://dx.doi.org/10.1159/000096641.

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27

Dear, P. R. F. "Recent Advances in Perinatal Medicine." Archives of Disease in Childhood 61, no. 7 (July 1, 1986): 723. http://dx.doi.org/10.1136/adc.61.7.723.

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28

Durbin, G. M. "Perinatal medicine: Problems and Controversies." Archives of Disease in Childhood 63, no. 7 Spec No (July 1, 1988): 765. http://dx.doi.org/10.1136/adc.63.7_spec_no.765.

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29

Milunsky, Jeff M., and Aubrey Milunsky. "GENETIC COUNSELING IN PERINATAL MEDICINE." Obstetrics and Gynecology Clinics of North America 24, no. 1 (March 1997): 1–17. http://dx.doi.org/10.1016/s0889-8545(05)70286-2.

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30

Mongelli, J. M., M. S. Rogers, L. Y. Hin, and A. M. Z. Chang. "Expert systems in perinatal medicine." Current Obstetrics & Gynaecology 6, no. 4 (December 1996): 189–93. http://dx.doi.org/10.1016/s0957-5847(96)80065-5.

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31

Vidyasagar, Dharmapuri. "Global issues in perinatal medicine." Seminars in Fetal and Neonatal Medicine 20, no. 5 (October 2015): 283–84. http://dx.doi.org/10.1016/j.siny.2015.08.001.

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Sciarra, John J. "Future horizons in perinatal medicine." Early Human Development 29, no. 1-3 (June 1992): 5–13. http://dx.doi.org/10.1016/0378-3782(92)90051-h.

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33

Veille, Jean-Claude. "Doppler ultrasound in perinatal medicine." Ultrasound in Medicine & Biology 19, no. 7 (January 1993): 595. http://dx.doi.org/10.1016/0301-5629(93)90084-2.

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34

Kapur, Raj P. "Perinatal Pathology and Fetal Medicine." Journal of Fetal Medicine 2, no. 3 (September 2015): 99–100. http://dx.doi.org/10.1007/s40556-015-0058-7.

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35

Carrera, José M. "Development of Perinatal Medicine in Different Geographic Areas." Donald School Journal of Ultrasound in Obstetrics and Gynecology 7, no. 2 (2013): 113–27. http://dx.doi.org/10.5005/jp-journals-10009-1277.

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ABSTRACT An overview is given of the evolution of perinatal medicine from its origin to its current state. Emphasis is placed on the birth of this new discipline in Europe and the USA, as well as on the contributions made to it by different countries. The main protagonists of subsequent changes are highlighted, as are the advances made in perinatal technology. To do so, the evolution and difficulties in introducing modern perinatal medicine are discussed. To conclude, current maternal, perinatal and infant mortality rates are compared with past figures. How to cite this article Carrera JM. Development of Perinatal Medicine in Different Geographic Areas. Donald School J Ultrasound Obstet Gynecol 2013;7(2):113-127.

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36

Chervenak, Frank A., Laurence B. McCullough, Amos Grünebaum, Eran Bornstein, Cihat Sen, Milan Stanojevic, Marina Degtyareva, and Asim Kurjak. "Professionally responsible advocacy for women and children first during the COVID-19 pandemic: guidance from World Association of Perinatal Medicine and International Academy of Perinatal Medicine." Journal of Perinatal Medicine 48, no. 9 (November 26, 2020): 867–73. http://dx.doi.org/10.1515/jpm-2020-0329.

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AbstractThe goal of perinatal medicine is to provide professionally responsible clinical management of the conditions and diagnoses of pregnant, fetal, and neonatal patients. The New York Declaration of the International Academy of Perinatal Medicine, “Women and children First – or Last?” was directed toward the ethical challenges of perinatal medicine in middle-income and low-income countries. The global COVID-19 pandemic presents common ethical challenges in all countries, independent of their national wealth. In this paper the World Association of Perinatal Medicine provides ethics-based guidance for professionally responsible advocacy for women and children first during the COVID-19 pandemic. We first present an ethical framework that explains ethical reasoning, clinically relevant ethical principles and professional virtues, and decision making with pregnant patients and parents. We then apply this ethical framework to evidence-based treatment and its improvement, planned home birth, ring-fencing obstetric services, attendance of spouse or partner at birth, and the responsible management of organizational resources. Perinatal physicians should focus on the mission of perinatal medicine to put women and children first and frame-shifting when necessary to put the lives and health of the population of patients served by a hospital first.

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Huertas Tacchino, Erasmo, and Diana Pocco Hinostroza. "PRUEBA DE TRABAJO DE PARTO EN CESAREADA ANTERIOR." Revista Peruana de Ginecología y Obstetricia 56, no. 4 (April 19, 2015): 284–88. http://dx.doi.org/10.31403/rpgo.v56i212.

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Antecedentes: Los riesgos relativos y absolutos asociados a la prueba de trabajo de parto en cesareadas anteriores han originado un aumento en la tasa de cesáreas, a pesar de las evidencias que demuestran la seguridad y los beneficios de la prueba de trabajo de parto. Objetivos: Determinar los resultados materno-perinatales de las gestantes con antecedente de una cesárea previa, a quienes se les indicó prueba de trabajo de parto. Diseño: Estudio de cohortes, retrospectivo, analítico. Institución: Unidad de Medicina Fetal, Instituto Nacional Materno Perinatal, Lima, Perú. Participantes: Gestantes con antecedente de una cesárea previa y atendidas en el parto. Intervenciones: Se revisó 584 historias clínicas de mujeres con antecedente de una cesárea previa que dieron a luz entre enero y diciembre de 2007. Se excluyó las pacientes que no cumplían los criterios de inclusión y se obtuvo los resultados materno perinatales de las 266 gestantes restantes. Principales medidas de resultados: Resultados materno-perinatales. Resultados: De 266 gestantes con antecedente de una cesárea previa y sin contraindicación para el parto vaginal, a 188 (70,7%) se les indicó cesárea electiva repetida y a 78 (29,3%), prueba de trabajo de parto. De estas últimas, 51 (65,3%) tuvieron éxito. Los resultados maternos muestran en el grupo de cesárea electiva una rotura uterina, una histerectomía y dos casos de hemorragia posparto. En el grupo prueba de trabajo de parto, no hubo rotura uterina, histerectomía, hemorragia posparto. No hubo muertes maternas en algún grupo. En cuanto a los resultados perinatales, no hubo caso de muerte intraútero anteparto o intraparto, Ápgar menor de 7 a los 5 minutos, ni muertes neonatales, en ninguno de los dos grupos. Conclusiones: No hubo diferencia estadísticamente significativa en los resultados materno-perinatales de las gestantes con antecedente de una cesárea previa a quienes se indicó prueba de trabajo de parto, comparados con quienes se indicó cesárea selectiva repetida. La tasa de éxito del grupo prueba de trabajo de parto fue 65,3%.

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Broscăuncianu, Doina. "Toxicomania în sarcină – factor de risc pentru infecţie perinatală." Romanian Journal of Pediatrics 63, no. 2 (June 30, 2014): 194–98. http://dx.doi.org/10.37897/rjp.2014.2.18.

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Introducere. Infecţiile neonatale sunt cauze majore de morbiditate şi mortalitate neonatală. Toxicomania prin injectarea de droguri ilicite este un important factor de risc pentru infecţii perinatale. Obiectivul studiului a fost evaluarea incidenţei infecţiilor cu debut precoce la nou-născuţi proveniţi din sarcini cu risc de infecţie perinatală: sarcini neinvestigate, marcate de toxicomanie şi sarcini investigate clinico-paraclinic. Material şi metodă. Studiu retrospectiv care a cuprins nou-născuţi în Institutul pentru Ocrotirea Mamei şi Copilului, Spitalul Clinic de Obstetrică-Ginecologie „Polizu”, grupaţi în 2 loturi: un lot de 25 nou-născuţi în perioada 2005-2012 proveniţi din sarcini neinvestigate survenite la femei consumatoare de droguri ilicite şi un lot de 50 nou-născuţi proveniţi din sarcini corect investigate anamnestico-clinic cu factori de risc pentru infecţie perinatală. Datele au fost analizate statistic (teste specifice de corelaţie: Student T, Fisher exact, Chi-square). Rezultate. Incidenţa nou-născuţilor din sarcini marcate de toxicomanie a fost de 0,09% din totalul de 28.489 naşteri, cu o maximă de 0,2% înregistrată în anul 2011. Diferenţe semnificativ statistic s-au înregistrat între cele două loturi de nou-născuţi cu factori de risc infecţios prezent în privinţa: vârstei mamelor – mai mică la toxicomane (p_value = 0,0002) a procentului de infecţii congenitale (p_value = 0,00003) OR = 0,03; 95%CI precum şi a duratei medii (zile) de spitalizare (p_value = 0,0180) mai mari la nou-născuţi ai mamelor cu toxicomanie, dar şi în privinţa modului de naştere prin cezariană (p_value = 0,0010) a colonizării bacteriene a tractului uro-genital matern (p_value = 0,0016) mai frecvente la nou-născuţi proveniţi din sarcini investigate. 22% din femeile însărcinate investigate, au prezentat Streptococ grup B, cel mai frecvent tip fiind serotipul Ib. Ponderea, în cadrul morbidităţii neonatale, a infecţiilor perinatale a fost pentru nou-născuţi din mame toxicomane de 33%, iar pentru nou-născuţi proveniţi din sarcini investigate de 27%. Incidenţa infecţiei perinatale a fost de 52% la nou-născuţi din mame toxicomane (risc de infecţie de 1/1,9 cazuri) şi de 18% la nou-născuţi din sarcini supravegheate (ceea ce reprezintă un risc de 1/5,5 cazuri). Concluzii. Toxicomania în cursul sarcinii constituie, prin boli infecţioase dobândite pe cale sexuală sau sanguină asociate cu defi cienţe de igienă pe fond de nutriţie precară şi de imunitate scăzută, un important factor de risc pentru infecţie perinatală. Asistenţa sanitară în cursul sarcinii, prin diagnostic şi tratament precoce al infecţiei materne, poate diminua incidenţa şi consecinţele medico-sociale ale infecţiei neonatale.

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Carrera, José M., Vicenc Cararach, Manuel R. Carrapato, and Francesc Castella. "Program Life for Africa." Donald School Journal of Ultrasound in Obstetrics and Gynecology 5, no. 4 (2011): 421–26. http://dx.doi.org/10.5005/jp-journals-10009-1220.

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ABSTRACT Life for Africa is an international cooperation program that was developed by Matres Mundi International. It aims to improve the critical situation of maternal and infant health in Africa by improving the number and training of health professionals, particularly in the area of the maternal and infant health. The program, which is sponsored by the majority of the international societies of perinatal medicine (the International Academy of Perinatal Medicine, the World Association of Perinatal Medicine, etc.), consists of the creation of an International School of Perinatal Medicine for Africa and a Reference Hospital for Mothers and Children in Addis Abeba, capital of the African Union. This paper will discuss the reasons in favor of this project and will describe the details and the current situation. It will also provide information about the ‘exploratory mission’ that several members of Matres Mundi and the international societies made to Addis Abeba.

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Soll, Roger F. "Meta-analysis in Neonatal Perinatal Medicine." NeoReviews 12, no. 1 (December 31, 2010): e8-e12. http://dx.doi.org/10.1542/neo.12-1-e8.

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Alfirevic, Ana, Zarko Alfirevic, and Munir Pirmohamed. "Pharmacogenetics in reproductive and perinatal medicine." Pharmacogenomics 11, no. 1 (January 2010): 65–79. http://dx.doi.org/10.2217/pgs.09.153.

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Watt, Helen. "Ethics in Reproductive and Perinatal Medicine." International Philosophical Quarterly 38, no. 1 (1998): 88–89. http://dx.doi.org/10.5840/ipq199838172.

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Souter, Vivienne, and David A. Nyberg. "Book Review: Controversies in Perinatal Medicine." Pediatric and Developmental Pathology 10, no. 1 (January 2007): 73–74. http://dx.doi.org/10.2350/06-06-0123.1.

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Mingalimov, M. A., K. N. Grigorieva, M. V. Tretyakova, I. Elalamy, Kh G. Sultangadzhieva, V. O. Bitsadze, J. Kh Khizroeva, and A. D. Makatsariya. "Disseminated intravascular coagulation in perinatal medicine." Obstetrics, Gynecology and Reproduction 14, no. 1 (April 4, 2020): 56–68. http://dx.doi.org/10.17749/2313-7347.2020.14.1.56-68.

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Nordio, S., and U. De Vonderweid. "The Risk Approach in Perinatal Medicine." Journal of Obstetrics and Gynaecology 7, sup1 (January 1986): S24. http://dx.doi.org/10.3109/01443618609089379.

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46

Preus, Anthony. "Ethics in Reproductive and Perinatal Medicine." International Studies in Philosophy 36, no. 1 (2004): 311–14. http://dx.doi.org/10.5840/intstudphil200436176.

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Sheiner, Eyal, Amalia Levy, Miriam Katz, Reli Hershkovitz, Elad Leron, and Moshe Mazor. "Gender Does Matter in Perinatal Medicine." Fetal Diagnosis and Therapy 19, no. 4 (2004): 366–69. http://dx.doi.org/10.1159/000077967.

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Chervenak, Frank A., and Laurence B. McCullough. "Ethics of Research in Perinatal Medicine." Seminars in Perinatology 33, no. 6 (December 2009): 391–96. http://dx.doi.org/10.1053/j.semperi.2009.07.007.

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EIDELMAN, A. "Current Controversies in Perinatal Medicine IV." Clinics in Perinatology 31, no. 3 (September 2004): xv—xvi. http://dx.doi.org/10.1016/s0095-5108(04)00063-6.

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Jobe, Alan H. "Glucocorticoids in perinatal medicine: Misguided rockets?" Journal of Pediatrics 137, no. 1 (July 2000): 1–3. http://dx.doi.org/10.1067/mpd.2000.107801.

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