By Aller Juan,. Obstetricia Moderna. Contenido: SECCIÓN 1. Conducta con el embarazo. Capítulo 1: Diagnóstico de embarazo. Capítulo 2: keep watch over. juan aller obstetricia moderna pdf. Quote. Postby Just» Tue Aug 28, am. Looking for juan aller obstetricia moderna pdf. Will be grateful for any help!. 3ra Ed. Obstetricia Moderna. 2 dosis Dosis total: mg Aller DEL TRABAJO DE P. Comp: mg x 30 5mg/ 12 h IM. ESTEROIDES: Inductores .

Author: Malall Neshicage
Country: Gambia
Language: English (Spanish)
Genre: Education
Published (Last): 22 February 2004
Pages: 251
PDF File Size: 20.86 Mb
ePub File Size: 13.90 Mb
ISBN: 695-5-43576-586-7
Downloads: 69109
Price: Free* [*Free Regsitration Required]
Uploader: Manris

Universidad Central del Ecuador, Quito, Ecuador. Cephalopelvic disproportion in the pelvic inlet is a maternal risk factor in childbirth. A high number of dystocias are attended as emergencies and end in cesarean sections because there is no way to diagnose a narrow pelvis early on, a determination which would be easy to perform and at no cost to the patient.

Obstetricia Moderna 3 Ed. (spanish edition) by Aller Juan, PDF – Perspectives E-books

The aim of this study was to determine the Anterior Pelvic Index API as a predictive estimator of the obstetric conjugate diameter to differentiate modernaa and normal pelvises. The study was conducted with adolescent girls aged 14 to 19 years, from Quito, Ecuador; the parents signed the informed consent and the girls agreed to take part.

The interspinous distance, height and obstetric xller diameter were measured by ultrasonography. Then the API was calculated and the predictive value of the obstetric conjugate diameter was obtained by simple linear regression. The average API value was The association between the API and the obstetric conjugate diameter measured by ultrasonography produced a Jjan correlation value of 0. The simple linear regression test between the API and the obstetric conjugate diameter measured by ultrasonography was statistically significant.

Therefore, it was determined that the prediction of the obstetric conjugate diameter, having the API as a predictor, can be calculated with the following formula: Pelvis; Pelvimetry; Narrow pelvis; Obstetric conjugate diameter. One of the aspects that increases risk in pregnancy is related to cephalopelvic disproportion, which is the third cause of Cesarean section in pregnant women under 20 Guerra Verdecia et al.

For many years, obstetricians have sought a way to measure the zller inlet in order to be prepared for a possible cephalopelvic disproportion. They began by measuring the pelvis indirectly through instrumental external pelvimetry; then, with the use of the pelvic x-ray, the indirect measurement was put aside.

However, the use of x-rays in pregnancy causes fetal genetic alterations that limit their practicality. The scientific literature has reported the index of the relative iliac bicrestal width to measure the pelvic inlet, but its measurement has two drawbacks: This study was conducted on adolescent girls aged 14 to 19 years residing in the urban parishes of the Distrito Metropolitano de Quito DMQEcuador, with the aim of determining the Anterior Pelvic Index API as a predictive estimator of the obstetric conjugate diameter to differentiate narrow and normal pelvises.

This study was conducted with adolescent girls, 14 to 19 years of age, born and residing in the Distrito Metropolitano de Quito DMQEcuador, from 35 high schools in the urban educational zones of the north, center and south of the district, who had not given birth; for those who had, the delivery was vaginal, with a normal pelvis, with no underlying pathology, who could take part in the study by their parents signing the informed consent and their own agreement.

The study was approved by the Ethics Committee of the Universidad del Ecuador. To calculate the sample size, the formula to calculate this for the determination of the correlation coefficient between variables was applied, and it was selected using two-stage probability cluster sampling.

  CONFESIONES DE UNA SOLTERA ATREVIDA LIBRO PDF

A single investigator recorded the weight, height and interspinous distance, and another measured the obstetric conjugate diameter measured by ultrasonography. To this end, previously established measurement protocols were followed.

The values of the interspinous distance and height were measured in centimeters and subjected to a Pearson correlation analysis to determine their linear association. This result, like the value of the obstetric conjugate diameter, was used to construct a mathematical model, applying a simple linear regression to obtain a prediction value for the obstetric conjugate diameter by calculating coefficients of the linear regression line.

An alpha error of 0. In order to determine the API, height and interspinous distance were used; in addition, obstetric conjugate diameter measured by ultrasonography was used to predict the true conjugate diameter. The mean of the height was The minimum height of the sample was cm and the maximum was cm with an interquartile range of 8.

obstetricia moderna juan aller pdf merge

The coefficient of variation was 3. The measures of central tendency and dispersion, for each age, are shown in Table I. The mean of the interspinous distance was The resulting coefficient of variation was 5.

The minimum value of this distance was 20 cm and the maximum value was The interspinous distance of the adolescents according to age is shown in Table II. The mean of the obstetric conjugate diameter was The minimum value of this diameter was 10 cm and the maximum value was 12 cm.

The measures of central tendency and dispersion of this diameter according to age were distributed as shown in Table III. In order to determine the linear association between height and anterior transverse diameter, the Pearson correlation was used, the result of which was of 0.

The value of the coefficient of determination was 0. The API for each subject was calculated and an average value of The coefficient of variation was 2. The minimum value of this index was The distribution of obsttericia measures of central tendency and dispersion of this obstetricka, according to age, is shown in Table IV.

A Pearson correlation was used to establish the linear association between the API and the obstetric conjugate diameter measured by ultrasonography, obtaining an r value of 0. Taking the variable API as independent and the obstetric conjugate diameter measured by ultrasonography as dependent, these were subjected to a simple modrena regression test, obtaining the following results: The formula to predict the obstetric conjugate diameter, having the API as a predictor, is the modrrna Measures of central tendency and dispersion of height cm according to age years in adolescent girls in Quito, Ecuador.

Measures of central tendency and dispersion of the interspinous distance cm according to obstetrixia years in adolescent girls in Quito, Ecuador. modrrna

obstetricia moderna juan aller pdf writer

Measures of central tendency and dispersion of obstetric conjugate diameter measured by ultrasonography according to age years in adolescent girls in Quito, Ecuador. Measures of central tendency and dispersion of the Anterior Pelvic Index according to age years in adolescent girls in Quito, Ecuador.

Scatter plot with regression line between the values of the Anterior Pelvic Index and the obstetric conjugate diameter measured by ultrasonography, in adolescent girls in Quito, Ecuador. Scatter plot with regression line between the values of the Anterior Pelvic Index and the predicted obstetric conjugate diameter measured by ultrasonography, in adolescent girls in Quito, Ecuador.

  LA DISTINZIONE BOURDIEU PDF

Pelvimetry is an important tool when it comes time to decide the type of delivery, mainly if there is a suspicion of dystocia, which involves the decision to perform a Cesarean section at the critical moment of an obstetric emergency.

A common dystocia is cephalopelvic disproportion, which is linked to an increase in the risk of fetomaternal morbidity and mortality Lenhard et al. There have been very few scientific studies on external pelvimetry, perhaps because of today’s modern technology like MRI, ultrasound 3D, digital tomography, etc. Accordingly, the measurements taken using external pelvimetry make it possible to obtain, indirectly, the diameters of the internal pelvimetry, a principle that has motivated this study, using biostatistics as an important tool for calculation and prediction.

The interspinous distance was chosen as the measurement of external pelvimetry because it is more visible, stable and easy to measure; however, other pelvic points, like the highest point of the iliac crest, can be prone to error because, on many occasions, it is covered by abundant adipose tissue. The anterior transverse diameter measures obtained in this study The obstetric conjugate diameter, which corresponds to internal pelvimetry, was selected because it represents the narrowest space of the initial part of the birth canal and can be easily measured by ultrasonography.

The average value obtained in our study The harmonic, symmetrical and proportionate development of the human body can be seen when the correlation between height and anterior transverse diameter is calculated, since a high, statistically significant r value with a strong coefficient of determination was obtained. The correlation between the API and the obstetric conjugate diameter measured by ultrasonography was positive and statistically significant.

The essential part of this study consisted of finding an adjusted formula that can predict the value of the obstetric conjugate diameter through the API, which was achieved. There are no reports in the international scientific literature on anything similar. In conclusion, the construction of the API is mathematically possible, given its strong positive correlation and its statistical significance.

Therefore, the value of the obstetric conjugate diameter can be predicted to determine a narrow pelvis from the API using the formula obtained from a simple linear regression analysis. Obstetricia Moderna, 3rd ed. The history of imaging in obstetrics. Radiology, 2 Suppl. Hidalgo de Paz, A.

Maracaibo, Universidad de Zulia, Alicante, Publicaciones Universidad de Alicante, Embarazo en adolescentes complicaciones. Pelvimetry by reformatted computed tomography in female pelvis. Morphometric variations regarding age. MATERIAL AND METHOD This study was conducted with adolescent girls, 14 to 19 years of age, born and residing in the Distrito Metropolitano de Quito DMQEcuador, from 35 high schools in the urban educational zones of the north, center and south of the district, who had not given birth; for those who had, the delivery was vaginal, with a normal pelvis, with no underlying pathology, who could take part in the study by their parents signing the informed consent and their own agreement.

RESULTS In order to determine the API, height and interspinous distance were used; in addition, obstetric conjugate diameter measured by ultrasonography was used to predict the true conjugate diameter. Casilla D Temuco – Chile Tel.: