Obstetricia

URI permanente para esta colecciónhttps://hdl.handle.net/20.500.13053/22

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Examinando Obstetricia por Línea de Investigación "Derecho y salud"

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    (Universidad Privada Norbert Wiener, 2017-12-07) Cruzado Valeriano, Delly Hermelinda; Cuba Navarrete, Luduvina Editta; Ayala Peralta, Félix Dasio
    Uterine rupture is a clinical situation that may occur during labor or, more rarely, during pregnancy, with severe consequences for both maternal and fetal life. The possibility of uterine rupture in an intact uterus is rare, but prevalent risk factors such as multiparity, dystocia, fetal macrosomia, use of oxytocin, breech deliveries, obstetric trauma, internal and external fetal versions, uterine abnormalities, misuse of prostaglandins, and instrumental deliveries are described. This clinical case involves a 44-year-old multiparous patient at 38 weeks of gestation with uterine hypokinesia and a third-degree facial presentation. Fetal bradycardia was noted, and an immediate cesarean section revealed uterine rupture with posterior uterine segment rupture, followed by a cesarean hysterectomy and unilateral right salpingo-oophorectomy. The patient recovered well and was discharged with her newborn on the 7th postoperative day.
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    Characteristics of the environment, aggressor and victim of the alleged crime against sexual liberty in adolescent women 2018 to 2019, Peru.
    (Universidad Privada Norbert Wiener, 2020-10-09) Pradera Perez, Lizbeth; Morales Alvarado, Sabrina Ynés
    To describe the characteristics of the environment, perpetrator, and victim in cases of alleged crimes against sexual freedom involving adolescent girls treated at the Forensic Gynecology and Obstetrics Section of DIRCRI - PNP from 2018 to 2019. The study population included 29 cases (100%). The method and design used were descriptive, retrospective, and non-experimental. Results: Characteristics of the perpetrator: 48% were acquaintances, of whom 50% had a friendly relationship; 52% used seduction as a method, and 31% resorted to abduction. Incidents occurred at dawn in 34% of cases. Among victims, 60% delayed reporting by days, and 35% by hours; 32% of complaints originated from DIVPOL NORTE 1 in Lima. Characteristics of the victims: 48% were adolescents aged 16-17 years; 35% had a history of sexual assault during childhood. Upon ectoscopic examination, 14 presented extra-genital injuries, and 14 had genital injuries. 48% had a distensible hymen, and 28% had a dilated hymen. Regarding access, 57% involved two routes (vaginal and anal). Conclusion: This research determined that analyzing the characteristics of the environment, perpetrator, and victim contributes to improved forensic case management.
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    Relationship between gender-based violence in women and the use of contraceptive methods.
    (Universidad Privada Norbert Wiener, 2021-03-02) Anicama Queneche, Blanca Isidora; Benites Vidal, Elvira Soledad
    Results: Thirty scientific publications were analyzed, resulting in 24 (80%) original articles establishing a significant association between gender-based violence in women and the use of contraceptive methods. On the other hand, 6 (20%) articles concluded that there was no significant association between gender-based violence in women and contraceptive use. Eight cohort design articles were studied, of which 87% established a significant association and 13% established no significant association between gender-based violence in women and contraceptive use. Similarly, 22 cross-sectional design articles were analyzed, of which 77% found a significant association and 23% found no significant association between gender-based violence in women and contraceptive use.
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    ÍtemAcceso abierto
    Sexual violence in adolescents 2015-2021: bibliographic review
    (Universidad Privada Norbert Wiener, 2021-12-06) Velarde Ascona, Mirian Carmen; Alfaro Fernández, Paul Rubén
    Objective: To describe scientific evidence on prevalence, types, risk factors, consequences, and preventive measures of sexual violence in adolescents during 2010–2020. Materials and Methods: The design is a bibliographic review of descriptive studies aimed at identifying risk factors, consequences, and preventive measures related to sexual violence in adolescents. A total of 50 studies were identified, resulting in a final sample of 20 articles. Results: Of the 20 original articles, 60% of the final sample came from PubMed, 40% featured a cross-sectional descriptive design, and 25% were conducted in the United States. The main risk factors for sexual violence were alcohol consumption by the victim or their aggressors and having the aggressor within their family environment. The main consequences included depressive symptoms and post-traumatic stress disorder. The key preventive measure identified was the "Mi Sol" Educational Program, which had a positive effect on knowledge about sexual abuse and prevention skills. Conclusion: The scientific literature highlights the main factors, consequences, and preventive measures regarding sexual violence in adolescents.