ABSTRACT
The objective of this article is to present the results from a cross-sectional survey carried out to assess and compare knowledge, attitudes, and beliefs of the obstetrician-gynecologists and midwives, regarding a set of complementary and alternative therapies in the area of the Corredor del Henares in Spain. The results show a high percentage of acceptance regarding complementary and alternative therapies in the field of obstetrics and gynecology, and more than half of the Spanish professionals of reproductive health would like to learn more about these therapies.
Subject(s)
Complementary Therapies/methods , Health Knowledge, Attitudes, Practice , Nurse Midwives/standards , Obstetrics/standards , Adult , Cross-Sectional Studies , Female , Health Services Accessibility/standards , Humans , Male , Middle Aged , Nurse Midwives/statistics & numerical data , Obstetrics/statistics & numerical data , Spain , Surveys and QuestionnairesABSTRACT
Human infections caused by Streptococcus lactarius have not been previously reported. In the present report, we describe a lactational mastitis caused by this organism. The infection occurred in a 28-year-old breast-feeding female, with a 10-days history of moderate pain on the right breast. The patient was cured after antibiotic treatment with levofloxacin for 21 days. Our case shows that S. lactarius should be considered as a cause of lactational mastitis. The introduction of molecular microbiology techniques can be extremely useful for knowing the implication of streptococci in lactational mastitis.
Subject(s)
Mastitis/etiology , Mastitis/pathology , Streptococcal Infections/diagnosis , Streptococcal Infections/pathology , Streptococcus/classification , Streptococcus/isolation & purification , Adult , Anti-Bacterial Agents/therapeutic use , Female , Humans , Levofloxacin/therapeutic use , Mastitis/drug therapy , Mastitis/microbiology , Molecular Diagnostic Techniques , Streptococcal Infections/drug therapy , Streptococcal Infections/microbiology , Treatment OutcomeABSTRACT
INTRODUCTION: A prolonged third stage of labor is considered to be a risk factor for postpartum hemorrhage. The objective of this study was to determine the ability of acupuncture to reduce the length of the third stage of labor. METHODS: Seventy-six puerperal women who had a normal spontaneous birth at the Hospital Universitario Principe de Asturias, Alcalá de Henares, Spain, were included in a single-blind randomized trial and evaluated by a third party. Women were randomly assigned to receive true acupuncture or placebo acupuncture (also known as sham acupuncture). In the first group, a sterilized steel needle was inserted at the Ren Mai 6 point, which is located on the anterior midline between the umbilicus and the upper part of the pubic symphysis. In the second group, the insertion site was located at the same horizontal level as the Ren Mai 6 point but shifted slightly to the left of the anterior midline. The management of the third stage of labor was the same in both groups. RESULTS: Statistically significant differences were found, with an average time to placental expulsion of 15.2 minutes in the placebo group and 5.2 minutes in the acupuncture group. No major complications occurred in either group. DISCUSSION: These results confirm that acupuncture at the Ren Mai 6 point can decrease the time to placental expulsion. This treatment represents a simple, safe, and inexpensive way of decreasing the duration of the third stage of labor.
Subject(s)
Acupuncture Therapy , Delivery, Obstetric , Labor Stage, Third , Postpartum Hemorrhage/prevention & control , Abdomen , Acupuncture Points , Adult , Female , Hospitals , Humans , Needles , Oxytocics , Placenta , Postpartum Period , Pregnancy , Single-Blind Method , SpainABSTRACT
Introducción: En la actualidad, en los países desarrollados la mayoría de los embarazos son planificados. La fertilidad es el resultado de la interacción de numerosos factores. El tiempo medio en alcanzar un embarazo constituye un marcador de fertilidad, y su estimación puede ser útil para facilitar la planificación de la gestación así como la determinación de la influencia de diversos factores. Objetivo: Conocer el tiempo medio en alcanzar un embarazo deseado en una pareja fértil y determinar la forma en la que influyen factores como la edad de ambos cónyuges, el número de gestación, el número de relaciones sexuales, la toma de ácido fólico preconcepcional, la fórmula menstrual y la menarquia. Método: Estudio descriptivo retrospectivo de 491 gestantes que alcanzaron un embarazo deseado espontáneo en una Zona Básica de Salud de Guadalajara. Se recogieron los datos por medio de una encuesta anónima autocumplimentada que se administró en la primera visita de embarazo atendida por la matrona. Tras su realización, la encuesta fue depositada en un sobre para garantizar el anonimato y la confidencialidad de los datos. Resultados: El tiempo medio en alcanzar un embarazo deseado fue de 7,3 ciclos. Esta estimación estuvo influenciada significativamente por la edad tanto materna como paterna, el número de gestación, la duración de la menstruación y la menarquia. Sin embargo, no se puede asegurar la existencia de relaciones significativas con la toma de ácido fólico preconcepcional, con la duración del ciclo menstrual ni con el número de relaciones sexuales practicadas en la búsqueda de la gestación respecto al tiempo medio requerido para alcanzar un embarazo deseado (AU)
Background: Nowadays, on the developed countries most of the pregnancies are planned. Fertility depends on many influential factors. Time to pregnancy is a fertility marker and its estimation can be useful to make planning of gestation and the determination of the influence factors easier. Objective: The aim of this paper is to study the average time in reaching a desired pregnancy in a fertile couple, determining the dependency with some influence factors like parental age, number of gestation, frequency of sexual relations, pre-conceptional folic acid use, menstrual formula and menarche age. Methods: We carried out a retrospective descriptive study over 491 pregnant who reached a desired spontaneous pregnancy in the health basic area of Guadalajara. The study consists in an anonymous and voluntary survey which is offered and executed during the first pregnancy consult by the midwife. After its accomplishment, the survey was deposited in a closed envelope guaranteeing the anonymity and the confdentiality of the data. Results: Average time to desired pregnancy is 7.3 cycles. This estimation is significantly influenced by maternal and paternal ages, the number of gestation, the duration of menstruation and the menarche age. Nevertheless, we could not find significant relationships between the use of the folic acid before pregnancy, the duration of menstrual cycle or frequency of sexual relations and the average to the time to a desired pregnancy (AU)
