Browsing by Author "Matute Ortega, Viviana Soledad"

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    Actualización de hemorragia posparto. Revisión sistemática
    (Universidad de Cuenca, 2021-05-31) Morales Ayora, Xavier Santiago; Matute Ortega, Viviana Soledad; Salazar Torres, Zoila Katherine
    Background: Postpartum hemorrhage (PPH) is an obstetric complication with high morbidity and mortality, a problem that is accentuated in developing countries, due to its repercussions, timely identification and management is a priority. General objective: to determine the prevalence, causes, risk factors and effectiveness of the medical and / or surgical treatment of PPH. Methodology: systematic review. Controlled, randomized clinical trials, analytical, descriptive studies, published in the last 5 years, without language discrimination, were included. The search was carried out in electronic databases such as Cochrane Library Plus, Embase, Pubmed and Lilacs. The information was synthesized in personalized tables. Results: the prevalence of PPH fluctuates between 2.1% and 79.6%. Uterine atony was the most common cause of PPH, followed by trauma. Age ≥ 35 years, nulliparity, history of PPH, hypertensive disorders of pregnancy, longer duration of the third stage of labor, instrumental deliveries, and perineal tears were considered as risk factors. Hayman suture showed effectiveness between 87 and 95.1% and hydrostatic balloon tamponade between 91 and 96% in the PPH control. Conclusions: the prevalence varies according to access to health, uterine atony was the most frequent cause, nulliparity was the factor most commonly associated with PPH. The Hayman suture and hydrostatic tamponade showed high effectiveness in the management of PPH. Limitations: restriction on access to information by economic category, in addition, limited studies with representative samples that evaluated the effectiveness in the management of PPH.
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    Prevalencia de disfunción sexual femenina y factores asociados, Hospital José Carrasco Arteaga
    (2014) Matute Ortega, Viviana Soledad; Espinoza Peña, Andrea Paulina; Arévalo Peláez, Carlos Eduardo
    Background: Female sexual dysfunction (FSD) includes multiple common disorders present in one in three women, why knowledge of the physiology of the female sexual response and alterations necessary. Objective: To determine the prevalence of female sexual dysfunction and associated factors. Methods: Cross-sectional study in 303 patients who were interviewed at the offices of the gynecology service Carrasco José Arteaga Hospital during the period January to July 2013. Results: Prevalence of Female Sexual Dysfunction according to the Index of Female Sexual Dysfunction Rossen et al. it was 60.4% in the clinical forms of female sexual dysfunction, pain with intercourse was 60.7%, followed by the change in desire and arousal with 60.1% each , lubrication and anorgasmia in 51.4% each and finally sexual dissatisfaction was presented in 41.0% , as risk factors in order of importance; primary education (OR ) of 7.04 (IC 95%:2.21-22.27 ) with a p-value of 0.000, the age between 41-60 years (OR) of 5.72 (IC 95%:3.37-9.70) with a p-value of 0.000, nerve disorders (OR) of 2.70 (IC 95%:1.44-5.04 ) with a p-value of 0.002, the organic diseases (OR) of 2.35 (IC 95%:1.44-3.82 ) with a p-value of 0.001, previous pelvic surgery (OR ) of 2.26 (IC 95%:1.31-3 .90) with a p-value of 0.003, the violence (OR ) of 1.95 (IC 95%:1.03-3.70) and a p-value of 0.047 Descriptors: PREVALENCE, FEMALE SEXUAL DYSFUNCTION, ASSOCIATED FACTORS.