- Reproductive Health and Contraception
- Global Maternal and Child Health
- Maternal and Neonatal Healthcare
- Pelvic floor disorders treatments
- Ethics and bioethics in healthcare
- COVID-19 Impact on Reproduction
- Maternal and Perinatal Health Interventions
- Hernia repair and management
- Male Reproductive Health Studies
- Social Sciences and Policies
- Neonatal and fetal brain pathology
- Homicide, Infanticide, and Child Abuse
- Ethics in medical practice
- Maternal Mental Health During Pregnancy and Postpartum
- Demographic Trends and Gender Preferences
- Reproductive Health and Technologies
- Patient Safety and Medication Errors
- Academic Publishing and Open Access
- Intimate Partner and Family Violence
- Cardiac Arrest and Resuscitation
- Reconstructive Surgery and Microvascular Techniques
- Ovarian cancer diagnosis and treatment
- Neonatal Respiratory Health Research
- Endometriosis Research and Treatment
- Health and Medical Education
Universidad de la República
2015-2025
Centro Hospitalario Pereira Rossell
2006-2025
Universidad de Montevideo
2006-2023
ORCID
2022
Hospital de Clínicas
2013-2018
Universidad de la Empresa
2017
Administracion de los Servicios de Salud del Estado
2015
Ministerio de Salud Pública
2007-2013
Weatherford College
2007
Universidad La República
2002-2003
Abstract The history of the creation risk and harm reduction model applied to unsafe abortion is reviewed, from its initial implementation by a small group gynecologists at Pereira Rossell Hospital Center in Uruguay spread rest country. Its ethical rationale, successful application hospital, decision disseminate it with cooperation International Federation Gynecology Obstetrics (FIGO), intervention procedures are explained. It was evaluated epidemiological anthropological viewpoints, changes...
To evaluate changes in maternal mortality rates Uruguay over the past 25 years, as well their distribution by cause, and temporal relationship with social Human Development Index (HDI) indicators.Data on obtained directly from Uruguayan Ministry of Public Health for 2001 to 2015 period were analyzed together data United Nations Inter-Agency Group Child Mortality Estimation 1990 period. The swiftness decrease per five-year period, variation percentage abortion-related deaths, correlation HDI...
Abstract Objective To describe public policies, social actions, particularly those of obstetricians/gynecologists, and changes in abortion‐related legislation the different historical periods between 1990 2015, to analyze temporal correlations with a reduction maternal mortality. Methods The 1990–2015 period was divided into three stages permit evaluation legislation, health regulations, healthcare system, professional practices related care provided cases unsafe abortion: 1990–2001,...
To analyze the attitudes and behavior of gynecologists in Uruguay with respect to right conscientious objection that is included law concerning voluntary termination pregnancy.The relevant laws decrees, academic articles, legal or administrative claims, positions published by institutions representing physicians groups were analyzed.In general, positioned themselves favor correct application immense majority followed this conduct. Small mounted a strong opposition one department (province)...
Introduction Social consequences of pandemics, impacts on perinatal results, especially those who are the most vulnerable.
Abstract Objective To evaluate the implementation of law that liberalizes voluntary abortion in Uruguay and enables health services to offer these population. Methods The legal regulatory provisions are described national data—provided by Ministry Public Health's National Information System (SINADI)—on number terminations pregnancy, method (medical or surgical), whether it was performed as an outpatient inpatient analyzed. determine complications, maternal deaths admissions intensive care...
Abstract Aim: To determine whether fetal intrauterine resuscitation using tocolysis and delayed delivery is better for the fetus than emergency when hypoxia suspected because of a non‐reassuring heart‐rate (FHR) pattern conventional heart rate monitoring. Methods: This was prospective randomized study, conducted between 2001 2004 at Pereira Rossell Hospital, Montevideo, Uruguay. The population consisted 390 fetuses, in which distress diagnosed electronic FHR Of these, 197 were randomly...
Antecedentes: la pandemia COVID-19 tiene el potencial de impactar fuertemente en agenda salud y los derechos sexuales reproductivos desde disminución calidad servicios salud.Justificación: Uruguay se destaca por una situación privilegiada lo referido a tal motivo es necesario, un lado, sistematizar impacto y, otro, desarrollar medidas para prevenir dicho sobre mantener más alto estándar cuidados relacionado pesar actual.Propósito: atención sanitaria sexual reproductiva promover estrategias...
Abstract Objective To determine to what extent women adopted highly effective contraceptive methods after a legal abortion. Methods The data available during period before and another liberalization of the abortion law were reviewed. gathering was incomplete reliable only certain periods, which used in study. Results There an increase proportion who returned for contraception any method long‐acting methods; however, no administered immediately 16% all treated started use liberalized....
No widely accepted treatment regimen is available when fetal hypoxia suspected from a nonreassuring heart rate (FHR) pattern during conventional intrapartum monitoring. The major treatment—once uterine hyperstimulation and maternal hypotension are ruled out—is emergency delivery (ED), most often in the form of cesarean section. An alternative option intrauterine resuscitation (FIR), using β2-sympathomimetic agent to promote relaxation and, presumably, improve placental blood flow...
Antecedentes: en Uruguay, el Ministerio de
El espectro acretismo placentario es una patología que cursa con alta morbimortalidad, viéndose en los últimos años un incremento su incidencia y cobrando relevancia por la tasa de cesáreas aumento, siendo principal factor riesgo.Se describe el caso paciente 32 años, portadora placentario, diagnosticado mediante ecografía a las 31 semanas edad gestacional, donde se logró planificar paso cirugía equipo, colocando previo balones arterias hipogástricas catéter doble Jota, haciendo...
Introducción: la justicia reproductiva es capacidad de las personas y sociedades poder concretar los derechos sexuales reproductivos. Por el contrario, injusticia (IR) expone presencia riesgos para proceso desarrollo durante embarazo primera infancia.Objetivo: describir evolución un conjunto indicadores vinculados a en Sistema Nacional Integrado Salud (SNIS) Uruguay últimos 12 años comparar tendencias entre subsector público privado.Metodología: estudio descriptivo, retrospectivo, incluidos...
The following is the case of a 36-year old pregnant woman reaching term, suffering from advanced pulmonary alveolar microlithiasis. To our knowledge, this first record such case.