OBJECTIVE: Restless legs syndrome (RLS) is a common neurologic disorder. Secondary RLS includes pregnancy and iron deficiency. Prevalence of RLS in pregnancy ranges from 11% to 27%. We aimed to assess the frequency and characteristics of RLS in pregnancy in a Peruvian population and to evaluate the possible pregnancy or delivery complications due to RLS. METHODS: We assessed 218 consecutive expectant mothers at the inpatient clinic of the Hospital San Bartolome in Lima, Peru. Assessment was performed by using the standard diagnostic criteria for RLS and by using a clinical and diagnostic interview. Questionnaires for RLS severity, idiopathic RLS (IRLS), and excessive daytime sleepiness (EDS) according to the Epworth sleepiness scale (ESS) were used. Blood examination was performed for hemoglobin and hematocrit. For comparison, RLS patients were matched for age and body mass index (BMI) with pregnant women without RLS. RESULTS: Out of 218 patients, 40 (18.4%) fulfilled diagnostic criteria for RLS. In RLS patients, prophylactic iron supplementation therapy during pregnancy was less frequently taken (P=.02). Pregnant women with RLS had a higher ESS score than pregnant controls (10.6 +/-3.1 vs 7.6. +/-3.6; P<.001). Preeclampsia was more frequent in RLS (7/40 vs 1/39; P=.03). CONCLUSIONS: In our study, RLS was frequent in pregnant Peruvian women, especially in those without prophylactic iron supplementation. RLS patients described more EDS. Preeclampsia was more common in RLS. Our study is the first study to indicate a possible association between RLS and preeclampsia. Restless legs syndrome (RLS) is a common neurological disorder. Secondary RLS includes pregnancy and iron deficiency. Prevalence of RLS in pregnancy ranges between 11-27%. We aimed at assessing frequency and characteristics of RLS in pregnancy in a Peruvian population and to evaluate possible pregnancy or delivery complications due to RLS. Methods:We assessed 218 consecutive expectant mothers at the inpatient clinic of the Hospital San Bartolome, Lima, Peru. Assessment was performed by using the standard diagnostic criteria for RLS and by a clinical-diagnostic interview. Questionnaires for RLS severity (IRLS) and excessive daytime sleepiness (EDS) by Epworth Sleepiness Scale (ESS) were used. Blood examination was performed for hemoglobin and hematocrit. For comparison, RLS patients were matched for age-and BMI with pregnant women without RLS. Results:Out of 218 patients, 40 (18.4%) fulfilled diagnostic criteria for RLS. In RLS patients, prophylactic iron supplementation therapy during pregnancy was taken less frequently (p=0.02). Pregnant women with RLS had a higher ESS score than pregnant controls (10.6 +/-3.1 vs. 7.6. +/-3.6; p<0.001). Preeclampsia was more frequent in RLS (7/40 vs. 1/39; p=0.03). Conclusions:In our study, RLS was frequent in pregnant Peruvian women, especially in those without prophylactic iron supplementation. RLS patients described more daytime sleepiness.Preeclampsia was more common in RLS. This is the first study indic...

Objetivos: Determinar la incidencia, características epidemiológicas, clínicas y el manejo médico quirúrgico de las pacientes con el diagnóstico de embarazo ectópico. Diseño: Estudio descriptivo y retrospectivo. Institución: Hospital Nacional Docente Materno Infantil (HONADOMANI) San Bartolomé Participantes: Mujeres con embarazo ectópico. Métodos: Revisión de 46 historias clínicas de pacientes con diagnóstico de embarazo ectópico en el periodo mayo 2013 a abril 2014. Principales medidas de resultados: Características clínicas del embarazo ectópico. Resultados: Se estudió un total de 46 pacientes. La incidencia de embarazo ectópico fue 0,63% o 1/157 partos. La mayoría de las pacientes era multípara; 89% tenía entre 20 y 40 años de edad, 37% tuvo amenorrea de 5 a 7 semanas; había antecedente de embarazo ectópico en 20% y de cirugía pélvica previa en 39%; 59% presentó cuadro clínico típico (amenorrea, dolor abdominal y sangrado vaginal). Se realizó ecografía transvaginal en todas las pacientes; los hallazgos ecográficos más frecuentes fueron presencia de tumoración anexial y líquido libre en el fondo de saco posterior. Se encontró 54% de embarazos ectópicos complicados; 89% tuvo localización tubárica. La cirugía más empleada fue la laparotomía en 48% y se pudo confirmar el diagnóstico en 48%, con anatomía patológica. Conclusiones: El embarazo ectópico en el hospital de referencia sigue siendo causa de emergencia gineco- obstétrica, la mitad de ellos están complicados. Sospecharlo en casos de cirugía pélvica previa y en el embarazo ectópico previo. La ecografía transvaginal fue la principal herramienta diagnóstica y predominó el manejo quirúrgico.