Enfermedad periodontal como factor de riesgo adicional asociado con nacimiento pretérmino en México: un estudio de casos y controles.

Introduction: Substances related to microorganisms involved in periodontal disease can reach the maternal-fetal interface via the hematogenous route and stimulate uterine contractility.

Objective: To determine the association between periodontal disease and preterm birth.

Method: Case-control study in 343 preterm and 686 full-term pregnant women.

Efficacy of L-arginine for preventing preeclampsia in high-risk pregnancies: A double-blind, randomized, clinical trial.

Objective: This study aimed to estimate the effectiveness of L-arginine for preventing preeclampsia in high-risk pregnancy.

Methods: We performed a randomized, double-blind, placebo-controlled, clinical trial in patients with high-risk factors for preeclampsia. Fifty subjects received L-arginine, beginning from the 20th week of gestation.

THE ASSOCIATION BETWEEN PRE-PREGNANCY OBESITY AND WEIGHT GAIN IN PREGNANCY, WITH GROWTH DEVIATIONS IN NEWBORNS.

Introduction: obesity in pregnancy has been associated with increased morbidity for the mother and fetus.

Objective: to quantify the association between obesity in pregnancy with growth deviations of their newborn infants.

Methods: a study of non-matched cases and controls was performed based on the Nuevo Civil Hospital of Guadalajara "Dr.

[Reference tables of fetal biometry for people in the West of Mexico].

Background: Fetal growth has geographical and ethnic variations. Fetuses from different parts of the world show also different growth patterns. Using individualized fetal biometry charts increase the detection of fetuses at risk, probably due to a better identification of intrauterine growth restriction; moreover they correlate better with anthropometric parameters than conventional curves.

[Adolescent pregnancy and its maternal and perinatal implications].

Background: Teenage pregnancy alters family dynamics because it is usually an unplanned pregnancy that significantly affects both the personal life of the teenager and in his social environment. It has been associated with increased risk and poor maternal and perinatal outcomes.

Objective: This study was planned in order to determine which are perinatal and maternal complications of pregnancy in adolescents.

[Anti-Ro/SSA antibodies in congenital heart block].

Describe a case of a female patient having anti-Ro/SSA antibodies without any other risk factor or collagen disease. In her first pregnancy a congenital heart block and hydrops in the fetus were diagnosed, and these caused stillbirth. In a second pregnancy an in utero treatment resulted in the succesful delivery of a normal child.

[Prenatal risk factors in late fetal death].

Objective: To identify the sociodemographics, obstetrical and perinatology factors of risk most frequently associated to fetal death in greater pregnancies of 27 weeks.

Patients And Methods: From January 2001 to May 2005, in the Hospital Civil de Guadalajara Dr Juan I. Menchaca, we carried out a study of cases and controls with 450 cases of fetal death of more than 27 weeks of gestation and 450 newborn alive whose birth happened immediately later.

[Associated factors to abnormal glucosylated hemoglobin in the postpartum period].

Objective: To demonstrate the association between risk factors and abnormal glucosylated hemoglobin detected in women during the postpartum period.

Patients And Methods: A case and control study was carried out at the Hospital Civil de Guadalajara Dr. Juan I.

[Perforation of surgical gloves during cesarean section].

We carried out a prospective study with the object of knowing the frequency of surgical gloves perforation during cesarean section, the member of the surgical team with a major affection and the double gloves importance. We analysed 258 C. section practiced in the Tocosurgery's Service at "Nuevo Hospital Civil de Guadalajara" from September 1993 to January 1994.

[Acute kidney failure associated with the HELLP syndrome. A case report].

A patient with 36 weeks' gestation with severe preeclampsia and HELLP syndrome associated to acute renal failure, was studied. Symptomatology, abnormal laboratories results and treatment, are emphasized. The haptoglobin level has been reported like sensitive marker of moderate hemolysis; it could permit an early diagnosis of HELLP syndrome.

[Cases of hydatidiform mole at the Nuevo Hospital Civil in Guadalajara].

Thirty nine patients with hydatiform mole with clinical, echosonographic and hormonal diagnosis, were analyzed, from March, 1991 to February 1993 at the Nuevo Hospital Civil de Guadalajara. Incidence was I out of 301 pregnancies; average age, 24.6 years; 35.

[Guillain-Barré syndrome and pregnancy].

Guillain-Barré syndrome is a rare occurrence in pregnant women. We describe the case of a 21-year old woman, seen at "Nuevo Hospital Civil de Guadalajara" with a term pregnancy, who presented with limbs weakness and paresthesias, drowsiness and malaise. Her vital signs were normal but she was quadriparetic, there was muscular atrophy in the extremities and deep tendon reflexes were decreased.

[The intensity of fetal movements vs. amnioscopy and cardiotocography in assessing fetal well-being].

In 1989 at the Hospital Civil of Guadalajara we make a study with 100 patients with a term pregnancy, initial labor and alive fetus. At all women we practiced interrogatory about subjective intensity of fetal movements, amnioscopy and cardiotocographic registry and we compare results with Apgar score of the newborns at minute and five minutes. The fetal movements were normal in 91% of which 95.

[Oxytocin. Use and abuse].

From 1985 to 1988 we analyzed two hundred puerperas with term pregnancies and live newborns which pregnancy ended by vaginal route. One hundred of them received oxytocin during the labor and one hundred didn't receive it. The results showed that the use of oxytocin produces and increase in the cervical and vaginal tears; the Apgar score of the newborns was lower with a longer period in the incubator, and a high rate of complications regarding to respiratory distress and jaundice.

[Lymphatic axillary metastasis in cancer of the breast].

From 1978 at the Gynecology service of the Hospital Civil of Guadalajara we conducted a study with 50 patients with breast cancer in which we related the size tumor with some risk factors of breast cancer with axilar ganglionar metastasis. The average size of the tumor was 4.9 cm, 21 patients (42%) had evidence of ganglionar axilar metastasis, 64% were located in the upper-outer quadrant, the average age was 52.

[Routine antibiotic therapy in cesarean section?].

From August 1988 to January 1989 at the Obstetrical service of the "Nuevo Hospital Civil de Guadalajara" we studied 150 patients with cesarean section without risk of infection. Three groups of 50 patients each were formed. Group A: had no antibiotics; Group B: antibiotic prophylaxis with penicillin, and Group C: ampicillin plus gentamicin for 7 to 10 days.

[Eclampsia management at the Civil Hospital Medical Complex of Guadalajara].

Prospectively from 1986 to 1988 we studied at the "Complejo Médico Hospital Civil de Guadalajara" 17 eclamptic patients treated with diazoxide besides magnesium sulfate, diazepam and dexamethasone. The average age was 25.4 years, the average gestational age was 33.

[Abnormal cervical cytology. Management without colposcope].

From 1980 to 1987 we analyzed prospectively 30 cases of abnormal cytology at the Hospital Civil de Guadalajara without colposcopy. We practice cervical biopsy with Schiller test and according to result we practiced cervical conization. The cytologic results analyzed were: class V 20 (66.

[Mucinous carcinoma of the breast. An analysis of 12 cases].

From 1975 to 1985 we review 12 cases of mucinous carcinoma of the breast in the "Hospital Civil de Guadalajara" and we found: one in the male sex and 11 in female. The mean age was 53 years 4 (36.3%) were nulliparas, the period between the star of symptomatology and the treatment was of 3 months to 6 years, 50% were in the upperexternal quadrant, the size was of 2 to 20 cm; 5 were pure mucinous and 7 mixed (with ductal invasive carcinoma), metastasis were presenting 9 patients and the treatment utilized in the majority of the cases was the radical mastectomy.