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Background. The bleeding of the third stage of labor in one of the three leading causes of mother morbidity and mortality in Ecuador and worldwide. Objective. To compare the results of the modified active third stage of labor procedure, which proves the placental descent vaginally, with the active third stage of labor at the Health Ministry procedure. Materials and Methods. There were randomly assigned 300 pregnant women in labor, in each group, for the two attention procedures, using different protocols. Attention was assessed at the third stage of labor, duration and blood less, frequency of partial or total placental attention and amount of blood loss during the first hour post third stage of labor in pregnant at Vicente Corral Moscoso Hospital in Cuenca City. Hypothesis. The modified-active third stage of labor decreases the time and the blood loss than the active third stage of labor. Results. The average length of modified-active third stage of labor was 4,35 ± 1,359 minutes and the active third stage of labor 4,22 ± 1,603 with a p value of 0.297, which means that the two types of attention are similar. The average blood at modified-active third stage of labor was 193.01 ± 66.974 cubic centimeters and active third of labor 182.97 ± 54.62 with a p value of 0.045 which being slightly better the active one. Conclusions. The two attention procedures have similar results, although not best the modified active third level of labor

Background. The bleeding of the third stage of labor in one of the three leading causes of mother morbidity and mortality in Ecuador and worldwide. Objective. To compare the results of the modified active third stage of labor procedure, which proves the placental descent vaginally, with the active third stage of labor at the Health Ministry procedure. Materials and Methods. There were randomly assigned 300 pregnant women in labor, in each group, for the two attention procedures, using different protocols. Attention was assessed at the third stage of labor, duration and blood less, frequency of partial or total placental attention and amount of blood loss during the first hour post third stage of labor in pregnant at Vicente Corral Moscoso Hospital in Cuenca City. Hypothesis. The modified-active third stage of labor decreases the time and the blood loss than the active third stage of labor. Results. The average length of modified-active third stage of labor was 4,35 ± 1,359 minutes and the active third stage of labor 4,22 ± 1,603 with a p value of 0.297, which means that the two types of attention are similar. The average blood at modified-active third stage of labor was 193.01 ± 66.974 cubic centimeters and active third of labor 182.97 ± 54.62 with a p value of 0.045 which being slightly better the active one. Conclusions. The two attention procedures have similar results, although not best the modified active third level of labor

El prolapso es motivo frecuente de consulta para en Ginecología y la mayoría de las mujeres que lo padecen sobrepasan los 50 años.Se realizó un estudio retrospectivo, descriptivo y longitudinal desde 1995 al 2000 en el hospital Naval de Guayaquil.El objetivo: Conocer los factores causales más comunes.Comprobar la importancia de la relación entre los antecedentes gineco-obstétricos y el desarrollo del prolapso genital.Identificar el tipo de tratamiento quirúrgico y las complicaciones que se presentaron al momento de la resolución en las pacientes internadas en el hospital Naval de Guayaquil (HOSNAV).Se encontraron 65 casos en el estudio de 6 años, la edad media de presentación fue 57 años 8 meses, se demostró que mientras más se acerquen a la etapa del climaterio, la incidencia de prolapso genital aumenta en forma proporcional. El factor causal que se relaciona al desarrollo de prolapsos es la multiparidad y los partos distócicos.