Estrés en tiempos de pandemia COVID-19, y su relación con las complicaciones maternas. Centro de Salud El Bosque. 2021

Con la finalidad de determinar la relación entre el estrés en tiempos de pandemia COVID-19 con las complicaciones maternas en las gestantes atendidas en el Centro de Salud El Bosque durante el año 2021, se realizó un estudio descriptivo, transversal, de relación, en una muestra de 160 gestantes, atendidas en los meses de enero a junio 2021, encontrándose que existe relación estadística significativa (p<0.05) entre el estrés prenatal y las complicaciones maternas, asimismo, la mayoría de gestantes demostraron un bajo (47%) y medio (46%) estrés percibido por pandemia COVID-19, presentaron alguna complicación materna (83.1%), siendo la infección urinaria la más frecuente (57.5%), seguido de la ganancia excesiva en peso (30%). Además, se determinó que existe relación estadística significativa entre el estrés percibido por pandemia COVID 19 con la anemia y las enfermedades hipertensivas, así como también existe relación significativa entre el estrés prenatal y algunos tipos de complicaciones maternas, como fueron el insomnio, anemia y enfermedades hipertensivas.In order to determine the relationship between stress in times of the COVID-19 pandemic and maternal complications in pregnant women treated at the El Bosque Health Center during the year 2021, a descriptive, retrospective, relationship study was carried out in a sample of 160 pregnant women, attended in the months of January to June 2021, finding that there is a significant statistical relationship (p <0.05) between prenatal stress and maternal complications, likewise, the majority of pregnant women demonstrated a low (47%) and medium (46%) perceived stress due to the COVID-19 pandemic, presented some maternal complication (83.1%), being urinary infection the most frequent (57.5%), followed by excessive weight gain (30%). In addition, it was determined that there is a significant statistical relationship between the stress perceived by the COVID 19 pandemic with anemia and hypertensive diseases, as well as a significant relationship between prenatal stress and some types of maternal complications, such as insomnia, anemia and hypertensive diseasesTesi

Infants with esophageal atresia and right aortic arch: Characteristics and outcomes from the Midwest Pediatric Surgery Consortium

Purpose Right sided aortic arch (RAA) is a rare anatomic finding in infants with esophageal atresia with or without tracheoesophageal fistula (EA/TEF). In the presence of RAA, significant controversy exists regarding optimal side for thoracotomy in repair of the EA/TEF. The purpose of this study was to characterize the incidence, demographics, surgical approach, and outcomes of patients with RAA and EA/TEF. Methods A multi-institutional, IRB approved, retrospective cohort study of infants with EA/TEF treated at 11 children's hospitals in the United States over a 5-year period (2009 to 2014) was performed. All patients had a minimum of one-year follow-up. Results In a cohort of 396 infants with esophageal atresia, 20 (5%) had RAA, with 18 having EA with a distal TEF and 2 with pure EA. Compared to infants with left sided arch (LAA), RAA infants had a lower median birth weight, (1.96 kg (IQR 1.54–2.65) vs. 2.57 kg (2.00–3.03), p = 0.01), earlier gestational age (34.5 weeks (IQR 32–37) vs. 37 weeks (35–39), p = 0.01), and a higher incidence of congenital heart disease (90% vs. 32%, p  0.29). Conclusion RAA in infants with EA/TEF is rare with an incidence of 5%. Compared to infants with EA/TEF and LAA, infants with EA/TEF and RAA are more severely ill with lower birth weight and higher rates of prematurity and complex congenital heart disease. In neonates with RAA, surgical repair of the EA/TEF is technically feasible via thoracotomy from either chest. A higher incidence of anastomotic strictures may occur with a right-sided approach