Twenty eight term small for gestational age (SGA) infants and 18 term appropriate for gestational age (AGA) infants were studied prospectively to assess bone mineral density and cord serum zinc concentrations. Growth Term healthy infants were recruited in the delivery room; all had been born after uncomplicated pregnancies and deliveries. We excluded infants with clinical conditions known to affect calcium metabolism, such as diabetes or parathyroid, bone, or gastrointestinal diseases, or whose mothers had any of the above. None of the SGA infants had clinical evidence of chromosomal abnormalities, or intrauterine infection, or malformations.The study was approved by the institutional review board of the University Hospital Virgen Macarena and parental informed consent obtained.Birthweight and crown-heel length, head circumference, mid arm circumference, triceps and subscapular skinfolds, and body surface area (between 48 and 72 hours of life) were measured in duplicate by the same investigator (FCV). All these measurements were made using standard techniques. For weight we used F126 Low bone mineral density and cord blood zinc in SGA infants
Restricción del crecimiento fetal y trombofiliaFetal growth restriction and thrombophilia Restrição de crescimento fetal e trombofiliaResumen: La restricción del crecimiento fetal es una patología obstétrica frecuente, multifactorial, con elevada morbimortalidad perinatal, que debe ser abordada por un equipo multidisciplinario. Se define como la incapacidad para lograr el máximo potencial de crecimiento fetal. En Uruguay se recomienda para los criterios diagnósticos los establecidos en 2016 por la International Society of Ultrasound in Obstetric and Gynecology (ISUOG), destacando que la realización del seguimiento del crecimiento ecográfico no debe realizarse en un plazo menor a 2 semanas. Se describen causas maternas, fetales y ovulares Dentro de las probables causas maternas se describen en la literatura las trombofilias, fundamentalmente las adquiridas.
Métodos: revisión de historias clínicas de diciembre de 2012 a diciembre de 2018. Resultados: de 448 pacientes, 361 completaron el proceso IVE, 63 requirieron una segunda dosis de Misoprostol. Cuarenta pacientes decidieron continuar sus embarazos y siguieron con el control en el servicio y 32 no volvieron tras su primera entrevista. Conclusiones: basado en los resultados de la investigación, el procedimiento médico de IVE es efectivo en todos los casos, solo en 33 pacientes se requirió procedimientos quirúrgicos adicionales. La ley IVE representa un progreso considerable en la salud reproductiva de la mujer uruguaya. La IVE ha asegurado asistencia médica, salud y el respeto a los derechos reproductivos sexuales y humanos, incluyendo oportunidad, continuidad y humanización de la interrupción del embarazo. La existencia de la ley de por sí no garantiza que las mujeres opten por abortar.
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