RESUMO
Sexual violence is a pathological entity that requires urgent attention. The gynecologist/obstetrician (G/O), as a medical professional in charge of women's health, especially as it pertains to women's reproductive organs, should become an active agent in the management of the sociomedical processes that constitute sexual violence. The results of a survey conducted in Mexico on the opinions and practices of G/Os regarding violence against women--especially sexual violence--are reported. It is necessary to sensitize and train G/Os and other physicians in bio-ethics, and to look for formal support of such activities in the legislative branch of government.
Assuntos
Ginecologia , Obstetrícia , Papel do Médico , Delitos Sexuais , Atitude do Pessoal de Saúde , Cultura , Feminino , Humanos , Estupro , Fatores Socioeconômicos , Saúde da MulherRESUMO
We analyze a selected patients group in whom obstetric hysterectomy were performed, represented the present orientation for management pregnancy, delivery and puerperal complicated. No mortality in this series was observed, but morbidity arose 65.21%. This paper maintenance risk shape related age, evolution pregnancy, type of complication and change about parity (III-IV more frequency), no Cesarean section history and different kind of morbidity. Conclude preventive integral management and early indication of Obstetric Hysterectomy with good extrafascial technic and indentification difficulties or surgical problems.
Assuntos
Histerectomia/tendências , Doenças Ovarianas/cirurgia , Adulto , Feminino , Humanos , Complicações do Trabalho de Parto/cirurgia , Período Pós-Parto , Gravidez , Complicações na Gravidez , Transtornos Puerperais/cirurgiaRESUMO
Genital hemorrhage continues to be the primary cause of death among fertile women. Hysterectomy, when practiced as a second surgical procedure following an obstetric event, and without having been planned, is an ongoing therapeutic resource. The author depicts the risk profile of women who could eventually undergo obstetric hysterectomy. Certain pathologies, guidelines, surgical technique instructions, and other surgical manouvers are also presented. The causes of surgical re-intervention and other surgical techniques, as well as massive blood loss, and morbidity are assessed. The authors finally emphasize the importance of an early consultation, of a correct surgical technique, the appropriate equipment management, and the measures for preventing the originating pathology.