RESUMO
39 patients which underwent an IVF-ET procedure at the INPer were divided in two groups. To one of them, progesterone was administered since the day of oocyte retrieval (group I), whereas the other group received progesterone 48 hours before hCG administration (group II). There were no statistical differences between the groups in the parameters analysed before the oocyte retrieval. There were statistical differences between the groups in progesterone levels in the day of oocyte retrieval in favour of group II, and in fertilization rate and transfer rate for group I. There were no valuable differences between the groups in pregnancy rate.
Assuntos
Fertilização in vitro , Fertilização/efeitos dos fármacos , Ovulação/efeitos dos fármacos , Gravidez/efeitos dos fármacos , Progesterona/administração & dosagem , Adolescente , Adulto , Gonadotropina Coriônica/administração & dosagem , Avaliação de Medicamentos , Feminino , Humanos , México , Indução da Ovulação , Fatores de TempoRESUMO
The responses to different ovarian stimulation schedules were studied in women which underwent in programs of assisted fertilization. The follicular development and seric estradiol with the number and quality of the retrieved oocytes. Were correlated 49 patients and divided in 3 groups according to ovarian stimulation schedule were analyzed. The stimulation was followed day by day with seric estradiol and ultrasound follicular measurement. With the three schedules were retrieved 205 oocytes, being mature 179, immature 9 and 17 atretic, there was no significant difference between the different schedules.
Assuntos
Fase Folicular/efeitos dos fármacos , Infertilidade Feminina/tratamento farmacológico , Oócitos/fisiologia , Clomifeno/administração & dosagem , Clomifeno/uso terapêutico , Estradiol/sangue , Feminino , Fertilização , Hormônio Foliculoestimulante/administração & dosagem , Hormônio Foliculoestimulante/uso terapêutico , Humanos , Infertilidade Feminina/diagnóstico por imagem , Ciclo Menstrual , Métodos , Oócitos/diagnóstico por imagem , Oócitos/efeitos dos fármacos , Estimulação Química , UltrassonografiaRESUMO
The study compares 156 newborns whose mothers had an endocrinological diagnosis of various glucose metabolism disorders, and a control group of 42 newborn whose mothers had no glucose metabolism disorder. The entire sample including the control group had 98 males and 100 females. The study group with 156 newborns was divided into 4 groups, depending on the degree of the mother's disorder. In group 1, the baby's mothers suffered diabetes mellitus type 1; group 2, diabetes type 2; group 3, gestational diabetes; and group 4, pregnancy disorders of glucose. We observed that there were no differences among the groups in the weight/height ratio. Nevertheless there was great variability in the correlation between height and weight among the study groups. Multiplex box and whisker plots conform that intergroup dispersions in the weight height ratio was greater for the experimental group than for the control group. The pattern results was similar for the weight-head circumference ratio. We concluded that adequate control of glucose metabolism disorder during pregnancy results in product with normal growth indices.
Assuntos
Antropometria , Glicemia/metabolismo , Adulto , Diabetes Mellitus Tipo 1/sangue , Diabetes Mellitus Tipo 1/epidemiologia , Diabetes Mellitus Tipo 2/sangue , Diabetes Mellitus Tipo 2/epidemiologia , Feminino , Idade Gestacional , Teste de Tolerância a Glucose , Humanos , Recém-Nascido , Masculino , Gravidez , Gravidez em Diabéticas/sangue , Gravidez em Diabéticas/epidemiologia , Fatores SexuaisRESUMO
There is not sufficient information about the follow up of children belonging to mothers with some degree of glucose metabolism disorder. At The National Institute of Perinatology were studied 151 newborn. The babies were divided into four groups. The group 1 consisting of babies born from mothers with diabetes mellitus type I; group 2 of babies born from mothers with diabetes mellitus type II; group 3 including babies from mother with gestational diabetes and group 4 babies from mothers who presented alteration in glucose metabolism during pregnancy. After the evaluation of the somatic indicator we found an harmonic behavior in group 3 in weight, height and head circumference again. The most important finding was the low correlation in anthropometry at birth and one year of age. Finally we conclude that a strict control on the follow-up of the somatic growth of children, must be achieved because the hypertrophy during the first year of age depends on sociocultural and economic patterns.
Assuntos
Antropometria , Glicemia/metabolismo , Crescimento , Adulto , Diabetes Mellitus Tipo 1/sangue , Diabetes Mellitus Tipo 2/sangue , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Gravidez , Gravidez em Diabéticas/sangueRESUMO
Neuroleptanalgesia describes a state of sedated analgesia produced by the administration of the tranquilizer, droperidol, and the potent narcotic, fentanyl, in combination. This combination of drugs was administered intravenously to effect neuroleptanalgesia in the early treatment of eight patients with acute anterior transmural myocardial infarction. Criteria for inclusion in the study were (1) persistent ischemic pain, (2) ST segment elevation of 0.3 or more mV in at least two standard precordial leads, (3) a heart rate of 80 or more beats per minute, (4) a mean arterial pressure of 75 or more mm Hg, and (5) a cardiac index of 2.0 L/min/m(2). Within 30 minutes of the administration of the drugs, all patients were relieved of pain and emotional stress. The sum of ST segment elevation from leads V(1) through V(6) (sigmaST(6)) and the average ST elevation over the precordium (ST) decreased significantly by 57% and 56%, respectively. At the same time, there was a significant reduction in heart rate (from 112 +/- 17 to 86 +/- 8 beats per minute), mean arterial pressure (from 100 +/- 7 to 82 +/- 4 mm Hg), and pulmonary arterial wedge pressure (from 17 +/- 7 to 12 +/- 2 mm Hg). The cardiac index increased from 2.25 +/- 0.22 to 2.40 +/- 0.07 L/min/m(2). Two hours later the hemodynamic parameters had returned to control levels, but the beneficial effect on myocardial injury persisted. Thus neuroleptanalgesia in the early hours of myocardial infarction can reduce preload, afterload, oxygen demand, and eventually the infarct size without depressing myocardial function.