Salud Fem. Dra. Lilian Fiallos Ginecóloga Obstetra

15/11/2025

AJOG Expert Review: Uterine closure after cesarean delivery: surgical principles, biological rationale, and clinical implications - First hypothesis for the mechanism of uterine scar defect: incomplete approximation of the myometrium
(A) The figure shows a superficial closure of the uterine wall in a single layer, not including the endometrium (darker). Including less tissue (B) may reduce strangulation but could cause incomplete approximation of the myometrium (C). The black star shows where the myometrium has not been appropriately approximated. https://ow.ly/Furt50Xs3Xx

08/11/2025

AJOG Expert Review: Abnormal fetal heart rate patterns caused by pathophysiologic processes other than fetal acidemia - FHR tracing of a case of hematogenous fetal infection because of Listeria monocytogenes
This patient was at 35 weeks and 5 days gestation in active labor; on admission, there were frequent uterine contractions accompanied by late FHR decelerations (arrows) (A); 60 min after admission, persistent and frequent late decelerations (arrows) with absent FHR variability were noted, resulting in an undulating FHR pattern (B); 90 min after admission, persistent fetal tachycardia, absent variability, and subtle late decelerations (arrows) were noted (C). At cesarean delivery, 90 min after admission, foul smelling amniotic fluid was noted; Apgar scores were 1, 6, and 7 at 1, 5, and 10 minutes, respectively; cord artery pH=7.18, cord vein pH=7.21; neonatal blood cultures were positive for Listeria monocytogenes; the female neonate was treated for neonatal sepsis with gentamycin and ampicillin for 2 weeks. Paper speed 3 cm/min. https://ow.ly/icue50XoOT6

01/11/2025

29/10/2025

EL ENTRENAMIENTO DE FUERZA COMO PILAR EN LA SALUD ÓSEA POSMENOPÁUSICA El ejercicio físico constituye una estrategia fundamental para la salud ósea posmenopáusica. Los programas que incluyen ejercicios de equilibrio reducen las caídas, mientras que el entrenamiento de fuerza e impacto de alta intensidad (HiRIT) estimula la formación ósea en la columna lumbar y mejora la estructura femoral sin comprometer la seguridad. Persisten interrogantes sobre la duración óptima, la frecuencia necesaria para mantener los beneficios y la mejor forma de combinarlo con la farmacoterapia. (lee el artículo completo en BLOG JL Chicharro en https://www.fisiologiadelejercicio.com) t.ly/9Tm87

14/10/2025

Among US women, the lifetime risk of developing is 1 in 91, and death due to ovarian cancer occurs 1 in 143 women.

Approximately 80% of ovarian cancers are at an advanced stage at diagnosis. Earlier detection is difficult because there are no effective screening methods, and 95% of patients have nonspecific initial symptoms, such as abdominal pain, bloating, and urinary urgency or frequency.

This Review focuses on diagnosis and management of high-grade serous ovarian cancer

Link in the comments. ⬇️

08/10/2025

is a natural stage of a woman's life when monthly menstruation, also known as periods, ends, marking the end of the reproductive years.

Symptoms associated with menopause can incl.:
🔥 Hot flushes & night sweats
🩸 Changes in regularity & flow of menstrual cycle
🥴 Vaginal dryness, pain during sexual in*******se, incontinence
🛏️ Difficulty sleeping/insomnia
😢 Changes in mood, depression & anxiety

08/10/2025

People with an abnormal breast lump should seek medical care, even if the lump does not hurt.
Most breast lumps are not cancer.

Breast lumps that are cancerous are more likely to be successfully treated when they are small and have not spread to nearby lymph nodes.

05/10/2025

Vaginal estrogen use in breast cancer survivors: a systematic review and meta-analysis of recurrence and mortality risks https://ow.ly/XLG350VmTXN

05/10/2025

Aspirin 162 mg vs 81 mg for preeclampsia prophylaxis in high-risk obese individuals: a comparative effectiveness open-label randomized trial (ASPREO) https://ow.ly/gOvX50VcySB