[Occurrence of pregnancy after microsurgical treatment of sterile patients with tubo-ovarian adhesive diseases]. / Frecuencia de embarazos después de tratamiento microquirúrgico en pacientes estériles por enfermedad adherencial tuboovárica.

In the last years, the adherence adnexal disease has been increased due to pelvic infections. This may cause infertility problems depending, of the nature, extension and localization inside the pelvis. In this paper we inform the results obtained in 70 patients with adnexal adhesions to whom it was performed a salpingo-ovariolysis with microsurgery technology, with the purpose of promote the fertility. All the patients received pre, trans and postoperative support (Heparin, steroids and antimicrobials). The minimal time of postoperative observation was at least 6 months. In 27 (Group I) of the 70 cases (38.6%), the adherences were avascular (IA & IIA based on Hulka's classification); and in the 43 patients of the group II (61.4%), the lesions were dense and vascular (IB & IIB). In group I, 15 pregnancies were obtained (55.6%), 13 at term, 1 miscarriage and 1 ectopic pregnancy; in the group II we documented 9 pregnancies (20.9%), 5 at term, 4 miscarriage (I trimester).

[Newborn of diabetic mother]. / Recién nacido hijo de madre diabética.

OBJECTIVE: Shows the general findings in a cohort of newborn babies born to diabetic mothers. DESIGN: Prospective and observational study, during a year (1988). PLACE: Hospital de Ginecoobstetricia del Centro Médico "La Raza", a terciary Center. RESULTS: There were 92 newborn babies born to diabetic mothers; 62 were delivery with cesarean section and 30 were vaginally; 51 were males and 41 females; with 49% prematurelly born, 38% with macrosomia; there were eight stillbirths and four neonatal deaths, with a perinatal mortality of 13%. From the live born babies in 50% had any problem with icterus in 40%, respiratory insufficiency in 22.5%, hypoglycemia in 16.2% and polycytemia in 13%; 44.5% had an uncomplicate course. There were five patients with congenital anomalies. CONCLUSIONS: The newborn baby born to diabetic mother needed a special control from early stages of pregnancy, preferable for a interdisciplinary medical team, with the goal to obtained in our perinatal mortality rate will be similar to published in the international literature, lesser of 2%.