Asunto(s)
Cerclaje Cervical/métodos , Aborto Espontáneo , Adulto , Cesárea , Femenino , Muerte Fetal , Humanos , EmbarazoRESUMEN
The increasing number of cesarean sections is worrisome. In this article, several causes that could cause this phenomenon are invoked and a primary cause that explains all others is proposed. The hierarchical analysis of different values such as safety, costs and mother autonomy at the moment of medical decision, is discussed.
Asunto(s)
Cesárea , Ética Médica , Parto Normal , Pautas de la Práctica en Medicina , Cesárea/tendencias , Femenino , Humanos , Recién Nacido , Relaciones Médico-Paciente , EmbarazoRESUMEN
The question about the identification of the exact moment when human life begins has a special ethic transcendence. Elements afforded by science are insufficient for this objective, because of the nature of the object in study and of the cognoscent subject. This article makes a proposal with arguments afforded by the philosophical reflection.
Asunto(s)
Desarrollo Embrionario y Fetal , Fertilización , Filosofía Médica , HumanosRESUMEN
We studied 45 patients with fetal malpresentations in a controlled trial, in which external cephalic version with tocolysis was performed. The final version rate was 73%, with a 49% of cesarean section in the study group compared with 87% in the control group. The most important factors related with successful version were type of presentation and parity. No important maternal of fetal complications were noted.
Asunto(s)
Distocia/cirugía , Presentación en Trabajo de Parto , Versión Fetal/métodos , Adolescente , Adulto , Cesárea , Femenino , Humanos , Recién Nacido , Embarazo , Estudios ProspectivosRESUMEN
One observed case of verrucous carcinoma involving the uterine cervix is presented. Both clinical and pathologic aspects, and pertinent literature are discussed.
Asunto(s)
Carcinoma Verrugoso/patología , Neoplasias del Cuello Uterino/patología , Adulto , Carcinoma Verrugoso/cirugía , Femenino , Estudios de Seguimiento , Humanos , Histerectomía , Escisión del Ganglio Linfático , Neoplasias del Cuello Uterino/cirugíaRESUMEN
Six transabdominal cerclages in patients with cervical incompetence due to severe cervix damage or vaginal cerclage failure are presented. Results are discussed. In this series the salvage rate was 90%. For the first time in the literature a successful case of transabdominal cerclage in patient with a cervico-vaginal fistula is presented.