Jengibre como tratamiento de náuseas y vómitos en el embarazo / Ginger as treatment for nausea and vomiting during pregnancy. bibliography review

Objetivo. Describir la efectividad y la seguridad del uso de jengibre para las náuseas y vómitos en el embarazo. Material y Métodos: Se trata de una revisión bibliográfica de artículos, otras revisiones basadas en la evidencia científica y guías de práctica clínica. Resultados. El 90% de las mujeres embarazadas utiliza la medicina alternativa, remedios naturales o suplementos dieté-ticos. Varios estudios concluyen la eficacia del jengibre res-pecto al placebo, vitamina B6 y dimenhidrinato. Su uso no ha demostrado el incremento de muerte perinatal o fetal, parto prematuro, menor peso o APGAR. Sin embargo, determina-das investigaciones afirman el efecto anticoagulante, que puede aumentar hemorragias y abortos espontáneo. Conclusión. El jengibre puede considerarse una buena opción para el tratamiento de las náuseas y vómitos, aunque no existen evidencias científicas suficientes para establecer la dosis o duración

Objective. To describe the effectiveness and safety of using ginger for nausea and vomiting during pregnancy. Material an Methods. It has been done a systematic rewiev of articles; other rewievs based on scientific evidence and clinical practice guidelines. Results. 90% of pregnant women use alternative medicine, natural remedies or dietary supplements. Several studies conclude the effectiveness of ginger over placebo, vitamin B6 and dimenhydrinate. Its use hasn't demonstrated the increase of perinatal or fetal death, premature birth, lower weight or APGAR. However, determined research claims the anticoagulant effect, which can increase hemorrhages and miscarriages. Conclusion. Ginger can be considered a good option for the treatment of nausea and vomiting, although there is not enough scientific evidence to establish dose or duration

Características de los partos inducidos en el Hospital Universitario Marqués de Valdecilla / Characteristics of induced labors at Marqués de Valdecilla University Hospital

OBJETIVO: La inducción del parto (IDP) es una práctica obstétrica frecuente que se ha incrementado en las últimas décadas. El objetivo principal de este estudio es describir las características de los partos inducidos en el Hospital Universitario Marqués de Valdecilla. MÉTODO: Diseño descriptivo retrospectivo de los partos inducidos entre el 1 de enero y el 30 de abril de 2014 mediante la revisión de historias clínicas. La recogida de datos se ha realizado mediante un registro estandarizado. RESULTADOS: La muestra fue de 376 IDP, siendo la incidencia del 35,1%. Las indicaciones más frecuentes fueron la rotura prematura de membranas (33,9%) y el embarazo en vías de prolongación (16,7%). El 66,8% de las IDP se iniciaron con oxitocina. El 61,4% de los partos fueron eutócicos y el 25,23%, cesáreas. Se observó un aumento del porcentaje de cesáreas en los grupos de embarazo en vías de prolongación (27,3%) y estados hipertensivos del embarazo (29,8%). La principal causa de distocia fue el riesgo de pérdida de bienestar fetal (36,4%). El 94% de los neonatos tuvieron una adaptación a la vida extrauterina dentro de los parámetros de normalidad. CONCLUSIONES: Comparando las IDP con los partos espontáneos, se observó que en las primeras los partos eutócicos disminuyen y aumentan las cesáreas y los partos instrumentales. Se aporta información de interés a los profesionales del ámbito de la ginecología y la obstetricia, y se abre camino a futuras investigaciones para obtener resultados transferibles a la práctica clínica

OBJECTIVE: Induction of labor (IOL) is a common obstetric practice which has increased in recent decades. The main objective of this study is to describe the characteristics of induced labor at Marqués de Valdecilla University Hospital. METHOD: A descriptive, retrospective study was performed between January 1st and April 30th of 2014, by reviewing medical histories. A standardised registration has been used to collect data. RESULTS: There were a total of 376 IOL, the incidence was 35.1%. The most frequent indications were premature rupture of membranes (33.9%) and gestational age of 41 completed weeks or more (16.7%). Oxytocin was used to start 66.8% of the IOL. Of all births, 61.4% were spontaneous vaginal births and 25.3% caesarean sections. An increase in the rate of caesarean sections was observed in the group of gestational age of 41 completed weeks or more (27.3%) and hypertensive disorders of pregnancy (29.8%). The main cause of dystocia was suspected fetal compromise (36.4%). Adaptation to extrauterine life was within the parameters of normality in 94% of the newborn infants. CONCLUSIONS: Comparing the IOL with spontaneous labor, a decrease in spontaneous vaginal births and an increase in caesarean sections and operative vaginal births was observed in the inductions. This study provides relevant information to the professionals in the fields of gynaecology and obstetrics, and opens the way for future research to obtain results transferable to the clinical practice

Characteristics of induced labors at Marqués de Valdecilla University Hospital. / Características de los partos inducidos en el Hospital Universitario Marqués de Valdecilla.

OBJECTIVE: Induction of labor (IOL) is a common obstetric practice which has increased in recent decades. The main objective of this study is to describe the characteristics of induced labor at Marqués de Valdecilla University Hospital. METHOD: A descriptive, retrospective study was performed between January 1st and April 30th of 2014, by reviewing medical histories. A standardised registration has been used to collect data. RESULTS: There were a total of 376 IOL, the incidence was 35.1%. The most frequent indications were premature rupture of membranes (33.9%) and gestational age of 41 completed weeks or more (16.7%). Oxytocin was used to start 66.8% of the IOL. Of all births, 61.4% were spontaneous vaginal births and 25.3% caesarean sections. An increase in the rate of caesarean sections was observed in the group of gestational age of 41 completed weeks or more (27.3%) and hypertensive disorders of pregnancy (29.8%). The main cause of dystocia was suspected fetal compromise (36.4%). Adaptation to extrauterine life was within the parameters of normality in 94% of the newborn infants. CONCLUSIONS: Comparing the IOL with spontaneous labor, a decrease in spontaneous vaginal births and an increase in caesarean sections and operative vaginal births was observed in the inductions. This study provides relevant information to the professionals in the fields of gynaecology and obstetrics, and opens the way for future research to obtain results transferable to the clinical practice.

Afrontamiento ante el diagnóstico de una anomalía fetal. Revisión de la bibliografía / Afrontment for the diagnosis of a fetal anomaly. Bibliography review

Objetivo. Identificar las respuestas psicológicas de una mujer ante la detección prenatal de una anomalía fetal y analizar los factores que influyen en el afrontamiento. Material y métodos. Se ha realizado una revisión bibliográfica de artículos, guías de práctica clínica y otras revisiones basadas en la evidencia científica. Resultados. El afrontamiento está condicionado por la cultura y la sociedad en la que están integradas las mujeres. Estos factores influyen en las consecuencias psicológicas, en un primer momento principalmente negativas, pero que determinan el afrontamiento negativo o positivo de las mujeres y las estrategias empleadas a la hora de continuar con el embarazo o ponerle fin con el aborto. Este proceso puede verse beneficiado por el acompañamiento de la pareja y la atención especializada e integral de los profesionales sanitarios. Conclusión. Se debe prestar atención en el momento del diagnóstico, en el transcurso del embarazo o en la interrupción de este y en la prevención de un nuevo embarazo (AU)

Objective. Identify woman psychological responses at a prenatal diagnosis of fetal abnormality and to analyze the factors that influence in confrontation. Material and methods. It has been done a systematic review of articles, clinical practice guidelines and other reviews based on scientific evidence. Results. Confrontation is conditioned by culture and society where women are integrated. These factors are taking influence in psychological consequence, firstly there are negatives, but the positive or negative confrontation of women and the strategies employed when they continue the pregnancy or to finish with abortion. This process can be benefited by the couple accompanying and specialized and comprehensive care of health professionals. Conclusion. We must provide medical attention at the time of diagnosis, during pregnancy or the interruption and the prevention of a new pregnancy (AU)