[Immediate response team. 59 cases with obstetric hemorrhage].

Background: The lack of diagnosis as well as an appropriate medical and/or surgical treatment, due to an inefficient work team, contributes to the mortality associated to obstetric hemorrhage. The aim of this article is to analyze 59 cases in which the immediate response team (ERI) was implemented in patient with obstetric hemorrhage.

Methods: Retrospective/prospective, observational, traverse and descriptive study in which 59 cases with obstetric hemorrhage and their attention by means of ERI.

[Atypical preeclampsia: case report].

Background: Preeclampsia that occurs at < 20 weeks of gestation is rare and has been usually reported with molar or hydropic degeneration of the placenta and antiphospholipid syndrome.

Case Report: To describe the clinical presentation of atypical preeclampsia of a patient of 37 years old at her first gestation who developed this entity at 18.5 weeks of gestation.

[Progression of gestational hypertension to preeclampsia].

Background: 15 to 25% of patients with gestational hypertension progress to preeclampsia.

Objective: To determine the number of patients with gestational hypertension who developed preeclampsia.

Materials And Methods: Observational prospective comparative and longitudinal study realized between november 2010 to december 2012.

[Eclampsia, obstetric hemorrhage and heart disease as a cause of maternal mortality in 15 years of analysis].

Background: It has been described that 70% of all maternal deaths are provoked by obstetrical hemorrhage, infections, abortions, hypertension and delivery dystocies. Poverty, social exclusion, low level education and violence are important causes of maternal mortality.

Objective: To establish the changes in the maternal mortality in a term of 15 years in a hospital of assistance obstetrical complicated.

[Usefulness of a clinical questionnaire for screening osteopenia and osteoporosis in post-menopausal women].

Background: The prevalence of osteoporosis in post-menopausal women (PMW) is 30 %, and bone densitometry (BD) is the gold standard. This is not recommended as a screening test because of its cost. Instead, the SCORE index (Simple Calculated Osteoporosis Risk Estimation) is proposed.

[Active management of the premature membrane rupture in pregnancies of 34 to 37 weeks].

Background: Premature rupture of membranes is considered an obstetrical emergency since it has been associated with an increment of sepsis and maternal-fetal morbidity. For this reason, controversy exists among conservative and active management for the obstetrical resolution.

Objective: To determine if active management of premature rupture of membranes in pregnancy of 34 to 37 weeks diminishes the cesarean section incidence and the maternal-fetal morbidity.

[Sacropexy with abdominal fascia in treatment of vaginal prolapse vault of menopausal women].

Introduction: Vaginal vault prolapsed is a rare complication, with a frequency from 0.2 to 1% after hysterectomy, which is presented due to a bad surgical technique in fixation of the vault suspension elements, as well others factors as the multiparity, menopause, chronic lungs disease, obesity, smoking and weak physical activity. There are many techniques reported to correct this pelvic disease, although the conventional sacropexy has been established for abdominal way, where the diversity of materials of fixation is varied, including natural material as the abdominal fascia and aponeurosis of muscle rectos.

[Is the high frequency of Caesarean sections in a highly specialized gyneco-obstetric hospital justifiable?].

Objective: To determine if the high proportion of cesarean section performed at Obstetrics and Gynecology number 3 Hospital of the Medical Center "La Raza", IMSS (HGO3) is justified.

Material And Methods: We carried out a cross sectional study of 300 patients who underwent cesarean section during a period of 35 consecutive days, from October to November 2001. We reviewed their clinical expedients and went to additional direct interrogatory.