<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2072-8174</journal-id>
<journal-title><![CDATA[Revista del Nacional (Itauguá)]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Nac. (Itauguá)]]></abbrev-journal-title>
<issn>2072-8174</issn>
<publisher>
<publisher-name><![CDATA[Hospital Nacional (Itauguá)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2072-81742025000100102</article-id>
<article-id pub-id-type="doi">10.18004/rdn2025.e1700102</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Características obstétricas y perinatales de pacientes con desgarros del canal del parto]]></article-title>
<article-title xml:lang="en"><![CDATA[Obstetric and perinatal characteristics in patients with birth canal tears]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Brítez Ramirez]]></surname>
<given-names><![CDATA[Karen Leticia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Godoy López]]></surname>
<given-names><![CDATA[Sandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Segovia de Vazquez]]></surname>
<given-names><![CDATA[María Raquel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Itapúa Facultad de Medicina Posgrado en Ginecología y Obstetricia]]></institution>
<addr-line><![CDATA[Encarnación ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Centro Médico Nacional- Hospital Nacional Departamento de Ginecología y Obstetricia]]></institution>
<addr-line><![CDATA[Itauguá ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>17</volume>
<fpage>102</fpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2072-81742025000100102&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2072-81742025000100102&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2072-81742025000100102&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  los desgarros del canal del parto son complicaciones indeseables que se presentan durante el parto vaginal y que dejan secuelas estéticas y funcional es en el periné o en el canal del parto en sí. Su prevalencia, lejos de ir disminuyendo con los conocimientos actuales de la medicina obstétrica, se ha ido incrementando paulatinamente en los últimos años.  Objetivo: determinar las características obstétricas y perinatales en pacientes con desgarros del canal de los partos atendidos en el Centro Médico Nacional - Hospital Nacional en el periodo 2021-2022.  Metodología: estudio observacional, descriptivo, de corte transversal y retrospectivo en el que se incluyeron mujeres con lesiones del canal del parto atendidas en el Centro Médico Nacional - Hospital Nacional en el periodo 2021-2022. Se utilizó la estadística descriptiva para el análisis de datos.  Resultados: se identificaron 198 mujeres con lesiones del canal del parto. El rango etario de mayor frecuencia fue 19-29 años, provenientes del departamento Central. Presentaron más desgarros del canal del parto las nulíparas (47,5 %) sin antecedente de cesárea previa (92,9 %), la lesión más frecuente fue el desgarro de cuello uterino (64,1 %). La morbilidad más frecuente fue la atonía uterina (20,7 %). Con respecto a los datos perinatales, el peso normal y la edad gestacional de término fueron más frecuentes.  Conclusión: Los desgarros de cuello uterino fueron la lesión del canal del parto más frecuente, en nulíparas sin cicatriz previa en un rango etario de 19-29 años provenientes del departamento Central.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  birth canal tears are undesirable complications that occur during vaginal delivery, causing aesthetic and functional problems in the perineum or in the birth canal itself. Its prevalence, far from decreasing with current knowledge of obstetric medicine, has been gradually increasing in recent years.  Objective: to determine the obstetric and perinatal characteristics in patients with birth canal tears treated at the Centro Médico Nacional- Hospital Nacional in the period of 2021-2022.  Methodology: this was an observational, descriptive, cross-sectional, and retrospective study, including women with birth canal injuries treated at the Centro Médico Nacional- Hospital Nacional in the period 2021-2022.Descriptive statistics were used for the data analysis.  Results:  198 women with birth canal injuries were identified. The most frequent age range was 19-29 years and most of them lived in the Central department. Most of the birth canal tears were observed innulliparous women (47.5 %) and without a previous cesarean section (92.9 %); the most frequent injury was the cervical tear (64.1 %). The most common morbidity was uterine atony (20.7 %). Regarding perinatal data, normal weight and term gestational age were more frequent.  Conclusion:  cervical tears were the most frequent birth canal injury in nulliparous women without previous cesarean section with an age range of 19-29 years and from the Central department.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[parto]]></kwd>
<kwd lng="es"><![CDATA[desgarro]]></kwd>
<kwd lng="es"><![CDATA[vagina]]></kwd>
<kwd lng="es"><![CDATA[cuello de útero]]></kwd>
<kwd lng="es"><![CDATA[perineo.]]></kwd>
<kwd lng="en"><![CDATA[obstetric labor]]></kwd>
<kwd lng="en"><![CDATA[tear]]></kwd>
<kwd lng="en"><![CDATA[vagina]]></kwd>
<kwd lng="en"><![CDATA[cervix]]></kwd>
<kwd lng="en"><![CDATA[perineum.]]></kwd>
</kwd-group>
</article-meta>
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