The Latin American Federation of Obstetrics and Gynecology Societies (FLASOG), a scientific institution affiliated to FIGO, the World Federation of Gynecology and Obstetrics based in London, and made up of gynecological-obstetrician physicians from all Latin American and Caribbean countries , which ensures the health of women, in relation to the use of vaccines in pregnant women states the following:

That the impact of the global health crisis due to the COVID 19 pandemic has been very detrimental to sexual and reproductive health, and its most obvious expression is maternal mortality.

That, at present, not only has the decline in maternal deaths in Latin America and the Caribbean stopped, but an increase in cases is reported in several countries of the region, deepening social inequalities (1) ; In some countries, even cases of maternal death have increased by 47%, being the main cause, indirectly, COVID-19 (2) .

That, to date, there are numerous studies that show that there is a greater risk of maternal and fetal complications in pregnant women with COVID-19 (3) , and compared with the non-obstetric population, they are three times more likely to require admission to an intensive care unit, 2.9 times more likely to require mechanical ventilation and 70% higher risk of mortality (4) .

That preventive measures such as hand washing, use of masks and social distancing, although they significantly reduce the risk of contagion with COVID-19, are not enough (5) and in the absence of an efficient and effective treatment, efforts have been made focused on the development of vaccines (6) , messenger RNA, adenovirus vector and inactivated virus, which to date have demonstrated their efficacy and should not be associated with maternal or fetal risk (7) .

According to the first reports of vaccination in pregnant women (8-10) , it is indicated in the surveillance of the messenger RNA vaccine, (BioTech-Pfizer and Moderna), which includes almost 36,000 vaccinated pregnant women in the United States, that the incidence of adverse reactions is the same as that of the general population (pain in the puncture site, fatigue, headache and myalgia), that in relation to fetal complications, the incidence of spontaneous abortion and fetal death in vaccinated pregnant women was found within of the expected percentage in the general population; Likewise, neonatal complications (premature birth, small for gestational age, abortions, stillbirth) were found in a similar percentage to the general obstetric population (8) .

That, in addition, in pregnant women who were vaccinated, several cases of transfer of antibodies against SARS-CoV2 through the placenta and breast milk have been reported (11-13) , which could potentially protect the newborn from COVID-19.

In this sense, taking into consideration the increase in maternal-fetal morbidity and mortality secondary to COVID-19, the Latin American Federation of Obstetrics and Gynecology Societies (FLASOG) considers that vaccination against COVID-19 should be included in the pregnant women or those who are breastfeeding; likewise, it makes the following recommendations (14-15) :

  1. Give priority to pregnant or lactating women in access to vaccination.
  2. Encourage pregnant women to get vaccinated, voluntarily against COVID-19.
  3. Provide adequate advice to the pregnant woman for informed decision making, including the level of activity of the virus in her community, risk and potential severity of maternal disease due to COVID-19, the efficacy of the vaccine, safety in pregnancy , expected side effects of vaccination.
  4. Do not limit vaccination to a specific gestation trimester.
  5. Give a separation time of at least 14 days with the triple vaccine (Tdap) and Influenza.
  6. Monitor the vaccination against COVID 19 in pregnant women by the respective health professional.
  7. Do not delay or terminate pregnancy due to vaccination.
  8. Do not suspend breastfeeding due to vaccination against COVID 19.
  9. Not doing a pregnancy test as a requirement for vaccination against COVID 19.
  10. Carry out follow-up studies on vaccinated pregnant women and their children, on behalf of the Gynecology and Obstetrics Societies.
  11. In the event that pregnant women decline to receive the vaccine against COVID 19, they will be given information about the risks that this implies and the other prevention measures will be emphasized.

FLASOG recommends the priority of vaccinating pregnant women, on a voluntary and informed basis, based on the concept of risk-benefit, and to help prevent maternal morbidity and mortality in Latin America and the Caribbean.



(1)         Strategic Interagency Consensus for the Reduction of Maternal Morbidity and Mortality: Strategic Orientations for the 2020-2030 decade. Regional Working Group for the Reduction of Maternal Mortality (GTR), 2021.
(2) National Center for Epidemiology, Prevention and Control of Diseases. Ministry of Health of Peru. Maternal Mortality 2020
(3) Villar J, Ariff S, Gunier RB, et al. Maternal and Neonatal Morbidity and Mortality Among Pregnant Women with and without COVID-19 Infection: The INTERCOVID Multinational Chort Study. JAMA Pediatr. Published online April 22, 2021.doi: 10.1001 / jamapediatrics.2021.1050
(4)        Zambrano L, Ellington S, Strid P et al. Update: Characteristics of Symmptomatic Women of Reproductive Age with Laboratory-Confirmed SARS CoV-2 Infection by Pregnancy Status-Unitade States, Jan 22- Oct 3, 2020. Weekly, Nov 6, 2020/69;1641-1647 MMWR
(5)        Lerner AM, Folkers GK, Fauci AS.Ppreventing the Spread of SARS-CoV-2 with masks and other “Low-tech” Interventions. Jama. 2020; 324 (19): 1935-1936.doi:10.1001/jama2020.21946
(6)        Lyu WW, Wehby GL. Community Use of Face Masks and COVID-19: Evidence from a Natural Experimento f State Mandates in the U.S. Health affairs (Project Hope).2020;39(8).
(7)        Kalafat E, O´Brien P, Health PT, et al. Benefits and potential harms of COVID-19 vaccination during pregnancy evidence summary for patient counseling. Ultrasound Obstet Gynecol.2021 May;57 (5):681-686.doi:10.1002/uog.23631.PMID:33734524
(8)        Shimabukuru T, Kim S et al. Prelimary Findings of mRNA Covid-19 Vaccine Safety in Pregnant Persons. NEJM Abril 21,20021.doi:10.1056/MEJMoa2104983
(9)        Collier AY, McMahan K, Yu J, et al. Immunogenicity of COVID-19 mRNA Vaccines in Pregnant and Lactating Women. JAMA. Publicado online May 13, 2021.doi:10,1001/jama.2021.7563
(10)      Male V, Are  COVID-19 vaccines safe in pregnancy? Nat Rev Immunolo 21. 200-201 (2021).
(11)      Perl SU-Y, Klainer A, Asiskovich H, et al. SARS-CoV-2-Specific Antibodies in Breast Milk After COVID-19 Vaccination of Breastfeeding Women JAMA.2021;325 (19)
(12)      Mithal LB, Otero S, Shanes ED, et al. Cord blood antibodies following maternal coronavirus disease 2019 vaccination during pregnancy. Am J Obstet Gynecol.2021 Apr 1:S0002-9378(21)00215-5.doi:10.1006/j.ajog.2021.03.035.Epub ahead of print.PMID:33812808:PMC8012273
(13)      Gray KB, Bordt EA, Atyeo, C et al. COVID-19 vaccine response in pregnant and lactating women : a cohort study. MedRxiv 2021 03.07.21253094; doi: 2021.03.07.2153094
(14) FIGO. Vaccination against COVID-19 for pregnant and lactating women / FIGO 2021
(15) ACOG. Vaccinating Pregnant and Lactating Patients Against COVID-19 April 28,2021.

Review: Dr. José Douglas Jarquín González 908 372 admin

Review: Dr. José Douglas Jarquín González


A good doctor must have certain characteristics, such as a real vocation, possess certain skills inherent to his profession, good communication and a special dedication to work among other things, Douglas Jarquín, besides all this, possessed empathy, respect and good treatment for with his patients; critical and proactive towards his colleagues, when he should. As a Professional, he was a tireless worker, researcher and teacher, who put all his intellectual energies to achieve the proposed results, he was constantly motivating his students, colleagues and subordinates, so that everyone felt part of each project that was carried out .

Despite being a skilled OB-GYN surgeon, he preferred to leave the operating room and dedicate himself to Maternal and Child Public Health, as well as clinical and operational research. Training that I carry out at the Latin American Center for Perinatology (CLAP) in Montevideo, Uruguay.

At the union level, he was a born leader of the Gynecology Association, participating in Reproductive Health projects, giving training throughout the country, with good results. In the research studies, he went to the communities, to see their needs closely, review with the operatives the difficulties they had, and gave them support to overcome them.

At the level of the Ministry of Health, I participated as the main researcher, in the realization of the Maternal Mortality Baseline, implementing actions at the Country level, such as training in their workplace, holding workshops with the personnel involved, in order to reduce Maternal Morbidity and Mortality in El Salvador. It also worked in a unified way as ASOGOES; with the Western Gynecology Association (AGOSA) and the Eastern Gynecology Association (AGOO), holding Continuing Education Sessions with them.

He participated in the reactivation of the Central American Federation of Gynecology (FECASOG) in 1995, and the COMIN-FECASOG Research Committee, being its Coordinator (2004 to 2016), conducting various investigations in the Central American Area, including the Maternal Morbidity Study Extreme in the Central American Region, awarded as the Best Scientific Work in the Obstetric Area, in the Latin American Congress of Gynecology and Obstetrics, in 2008 in the City of Mendoza, Argentina.

He was a Master of Central American and Latin American Gynecology and Obstetrics. He represented our Country on multiple occasions, raising the name of El Salvador, the Central American Region, as well as Latin America as Coordinator of the FLASOG Maternal Mortality Committee.

As a person, he was an excellent husband, father, grandfather and friend, always ready to provide his support in bad times as well as in good times. His family was his priority, being an example of work and dedication for his children and grandchildren.

Rest in peace our friend Dr. José Douglas Jarquín González.

Diagnosis of Management Skills 908 372 admin

Diagnosis of Management Skills


It is with great satisfaction that we greet you and inform you that within the scope of the activities planned by the Management Development Commission, we have been working to make this diagnosis possible in order to consolidate for the future a greater professionalization of the Directors of our Companies that make up the FLASOG.

In this sense, we define the competencies that we consider the most important to be developed by those who aspire and who must then exercise a management position in their various functions.

We asked the experts for their opinion and they brought us a form so that we can make a self-assessment of these skills, which will not have any cost for those who perform it.

To access this material you must “click” on this link or copy and paste in your browser:

At the end you can send and within 48 hours you will receive feedback on your results privately in your email.

After that, each one will be able to select the skills that they can reinforce in their knowledge in a personal way.

Any questions or queries we are at your service

Dr. Néstor Garello
President Elected  FLASOG Coordinator Executive Development Committee 




COVID-19 (Coronavirus) is a pathogen with a high speed of contagion given its reproductive factor, it is not SARS or influenza, and it is spreading rapidly worldwide, causing considerable impacts on health, economically and socially at a global level.

So far men appear to be more affected than women and limited data is available on COVID-19 during pregnancy.

Based on current evidence, pregnant women do not appear to be at higher risk of infection with this virus or of more severe symptoms than the general population. To this day, no deaths have been reported in pregnant women and there is no evidence of vertical transmission to the fetus during pregnancy.

We are aware that historically, in other respiratory virus epidemics, pregnant women have been disproportionately affected by severe respiratory diseases, with a higher mortality rate, admission to the ICU and other associated infectious diseases, compared to the non-pregnant population.

For this reason, FLASOG urges obstetricians-gynecologists and other health professionals in Latin America to pay close attention to the health and well-being of pregnant women and to highlight any symptoms of fever, dry cough, or respiratory distress, trying to guarantee timely and adequate diagnoses and therapies, following the recommendations of PAHO / WHO on biosecurity to avoid contagion in the face of suspected cases or carriers of COVID-19 infection.

It is mandatory to obtain a detailed travel and contact history with infected people or with people at risk of infection who come from high-risk countries, as well as taking into account the epidemiological history of the pregnant woman with fever and acute respiratory disease, to take the pertinent measures to promote their health. It is imperative, in these cases, to notify the infection control team of the corresponding health institution.

In order to keep them updated to guarantee and offer the best to our patients during pregnancy, childbirth and the puerperium, given that the evidence will change over time, FLASOG is paying close attention to scientific publications and management protocols issued by the OMS and will share new information once it is published, through a dedicated portal that we have created on our website.

Finally, we invite you to be more united than ever, to defeat this scourge that puts humanity at risk and to continue contributing the best of each one in these moments of crisis.

Welcome Message: 1st Ibero-American Summit on Contraception, Sexual and Reproductive Health 908 372 admin

Welcome Message: 1st Ibero-American Summit on Contraception, Sexual and Reproductive Health


Distinguished personalities from the table of honor.
Friends and friends, everyone.

I warmly appreciate the opportunity that the Organizing Committee of the First Ibero-American Summit on Contraception, Sexual and Reproductive Health, for the request that they have made me to address a few words at this opening ceremony.

I want them to be, naturally, words of greeting and welcome that reflect the friendly feelings that characterize our great Ibero-American family. We first of all thank our distinguished personalities at the table of honor for their unrestricted support and the distinction of their presence at this ceremony. Thanks to the special guests and foreign and Mexican teachers. It is an exemplary trait of detachment and fellowship, they have not hesitated to depart from their enormous work to share among us the concerns of knowledge and give us their scientific knowledge. Our recognition for them has no limits, as well as the consideration we keep for them.

Despite these advances, at the World Conference on Human Rights, held in Vienna in 1993, it became necessary to insist that the rights of women and girls constitute inalienable human rights. The contribution of these conferences was the recognition of new rights, such as sexual and reproductive rights and, mainly, enriching the strategy for the implementation of affirmative actions regarding the march towards gender equality. Among the main components of the rights-based approach are: gender equality and equity, sexual and reproductive rights, and attention to sexual and reproductive health.

The fundamental objective of this approach is to transform the language of rights into real improvements in people’s quality of life and, from one point of view, transform them into daily actions. The world must react that in medicine not everything is biology, physiology, technology, modernity and novelty, but it is essential to consider its humanitarian roots, especially those of human reproduction where health personnel play a fundamental role as individuals who facilitate , promote the faculty of the patient to exercise their sexual and reproductive rights, highlighting the right to information and education.

It is therefore convenient to review, forgetting our old prejudices, all the isolated facts, the legends, traditions and old doctrines that have been supporting the reality of this entelechy, despite the paralyzing skepticism of many scientists. We simply insist on calling attention to renewed concerns, no longer esoteric or primitive, but based on recent advances in experimental science and backed by rigorous and equanimous reasoning. With such premises, the objective, rigorously scientific verification of this legendary principle is sought. We formulate an invocation so that when this is achieved, the dawn of a propitious future will guide the evolution of medicine along the still hidden paths of human improvement.

Dear Congressmen, the world is sicker every day with distrust and fear, we border on anguish at times. It is up to us to contribute to the eradication of these evils, to serve the cause of human understanding, and to fight to ensure peace. That peace that is not anyone’s poster, because it is everyone’s flag, no matter what the color or the country or religion. We are individuals of flesh and blood and hope, who come together to advance our science, but with a supreme purpose, that of better helping human beings.

Friends, all of us, we present ourselves without a mask and without pretending to put false glasses before your eyes. We are a Latin country, more than by origin, by temperament, by the inclination of the spirit, a people of artistic sensitivity, for which the promise of a beautiful dream is usually more true than the harsh objective reality. Welcome to the Mexican home.

Dr. Samuel Karchmer
July, 2019

Always Cristina 908 372 admin

Always Cristina


In my profession of Gynecologist and Sexologist for so many years, I have been able to see stories from the first page, the denouement, the end and the epilogue; Most of the time, with the certainty that I was able to contribute some element that would make life peaceful, and with the gratification that from this humanist profession one can always see the human being with the clarity of a May sky.

Two years ago a patient who had not seen for years came to the office, I remembered her for her frank smile, the sharpness of her gaze and because she always read my articles, -as she tells me- she liked the ones from the series of ” San Jeronimito ”(a satire of politics in a lost town in our homeland).

As soon as Camelia entered, she shuddered into a cry that almost prevented her from speaking, she could not spin words and of course she showed atrocious suffering.
“20 years ago you treated me for my last delivery, it was when Cristian was born, do you remember?

“Of course I remember you! But the truth is I don’t have Cristian in mind,” I answered sincerely, “but it doesn’t matter.” What’s going on? calm down and tell me

With great effort and wiping away her tears, she told me her story of a girón: “Cristian is the child we expected, for my husband the fact that we had two women first made him always think about the arrival of his child, that is why when he found out that he was going to be a man, he made a party every moment he could. From a very young age I discovered, but I didn’t want to give it importance, that he liked to dress up like his sisters, and on more than one occasion I saw him wanting to put on his little sister’s skirt; I thought he was trying to look like her or that he was amused by women’s clothing. As time went by, there were more facts that I should have taken into account, such as when at Halloween parties I liked to go to all of them and always dressed as a woman, knowing that it was a costume I even applauded; my problem Dr. it is that now that his university is finished as an Electronics Engineer he has confessed to me something that I do not understand, that makes me very unhappy “- The tears did not let her continue with her speech. I gave her time by inviting her to take a deep breath, and finally she added:
“Mom from today I stop being Cristian and I want you to call me CRISTINA, because I am convinced that I was born in the wrong body, I am a woman in all my essence and therefore from now on I will live as a woman” do you accept me? “His father, who heard everything, was about to hit him, attacking him with strong words that made him immediately defend my son: -I accept him because I love him, if you don’t, you’d better go!” with anger and resentment to see the hatred in his eyes. In fact, after a few days, he left, saying that it would be better to look for work in the United States and that later he would send me money for his children ”.

Cristian is a transsexual and since he was a child he realized that he had to fight a thousand demons, hundreds of ravines and thousands of mighty rivers. Transsexuality is a gender incongruity, that is, feeling in the wrong body; Since June 2018, according to the World Health Organization (WHO), it ceased to be a mental illness, remaining as a disorder due to the lack of adaptation of the body and gender that the person feels; This inadequacy requires professional support to reassign body and gender, which implies living the new role, hormonal treatment and finally surgical treatment. I explained to Camelia in detail each point and the paths that exist in Mexico to accompany these difficult life stories. She calmed down and went out ready to fight.

Camelia recently returned beaming with victory, just to tell me all the trails she has traveled.

“Cristina just started working in a large company, and we already plan for this year once she sells a house that my father left me to operate in Canada, I still have a hard time but I love her like my other daughters. My husband sends us money but he never asks for Cristina. The fight was very difficult because in order to change the name of her documents we had to get to the Supreme Court of Justice of the Nation, and I drew strength even from the stones but I was always with my daughter, and finally we WIN, now with her documents They are in order, it is very clear to me that there are no culprits, that it is part of life and that she deserves to be happy. I am willing to continue fighting because the fight is not over yet, our family, the people; but what does it matter if Mi Cristi is happy, and her sisters adore her ”.

Camelia left and I was left thinking about the greatness of mothers who never leave their children, who are capable of swimming all the seas to see the happiness on the faces of their offspring. Would parents do the same?

The evolution of communication 908 372 admin

The evolution of communication


From the beginning of humanity’s existence it has been characterized by living in community and staying in communication. This is how humans tend to group together to live together and keep things in common in our relationships.

As towns and cities develop, the creation of groups related to common interests appears, be they work, cultural, sports or political.

The medical professional, although it is true that, generally practiced alone; it is more and more frequent and necessary to create groups with common denominators, such as the workplace or the type of specialty to which it is dedicated.

The call to communicate and share the knowledge of the specialty is what motivates the creation of organizations, as is the case of our Latin American Federation of Obstetrics and Gynecology Societies (FLASOG). Since 1952, with the First Latin American Congress in Buenos Aires, the commitment to hold regular meetings of all members who can attend the country chosen as the venue begins. To date, 22 FLASOG congresses have been held in different venues in Latin America. This way of maintaining scientific exchange communications each day becomes more difficult to carry out and as the term now established by statute is every 3 years, it is necessary to maintain more fluid and frequent communication with other communication tools.

This is how the intention of the printed magazine initially appears, for distribution in different countries (1993), which is very onerous for the federation and for the associations. This type of communication is not viable and with the advent of the new millennium and the appearance of electronic communication, our first FLASOG web page comes to light, very rudimentary, due to not having a budget and only with the disinterested collaboration and friendship of the German pharmaceutical house Schering was able to keep that page in force for several years and until a budget was obtained and a professional team was hired that has built what we now make available to all obstetricians – gynecologists in Latin America and the world.

To nourish the page and keep it current and attractive, the participation of all National Societies and their members is necessary, providing informational, scientific and cultural material from each country that could be of interest to those who visit the page.

Ideally, when approaching the FLASOG website, you can find recent and interesting scientific information, know about the local congresses in each country and even the names and addresses of colleagues so that those who want to communicate can do so by obtaining that information by this way, or if it is not on the page, in our physical offices in Panama.

FLASOG currently makes its website, social networks, Gineco FLASOG Magazine, the Newsletter, blogs, videos, etc; available to all; as well as all the electronic tools, services and products that have been designed by the FLASOG Alliance for us to make use of them. Let us participate by sending scientific papers, communications, news and activities of the Societies of the specialty in the continent, FLASOG has put the most effective contemporary platform to disseminate our achievements and we must use it.

Autonomy of women, a matter of human rights 908 372 admin

Autonomy of women, a matter of human rights


Our region, where more than 20 million women have unmet demand for contraception, has some of the most restrictive abortion laws in the world, and 95% of abortions are unsafe, leading to maternal morbidity and mortality. Research has shown that countries without barriers to contraception, sex education and legal access to abortion have substantially reduced the rate of maternal and infant mortality and have the lowest rate of induced abortions.

Those of us who have been working in Sexual Health and Reproductive Health for several years have attended countless conferences, forums, committees, etc., aimed at reducing maternal mortality and today, if we contrast with the reality of the moment, we are overwhelmed by a feeling of helplessness, anguish inequity, neglect and social injustice and it is when the words of the former president of the International Federation of Obstetrics and Gynecology (FIGO) Professor Mahmould Fathalla come into force: “Women are not dying from causes that we cannot avoid … they are dying due to that society considers that their lives are not worth the price of saving them ”.

Maternal mortality is just the visible tip of a great iceberg that represents a much more complex problem. As health professionals, it has taken us a long time to understand this phenomenon within a broader context of human rights and social change. We are committed to fighting unfair and unequal attitudes about the value of human lives, particularly the lives of women. It is a struggle in which women are the victims but they can also be protagonists to make the change.

We now better understand the issue of maternal morbidity and mortality in this more global context and have understood that we are part of a larger struggle, which needs new perspectives on problems that have plagued us for a long time, such as maternal mortality. As health professionals we endorse international recommendations and understand health as a social right which is expressed in the various obligations that States must comply with in accordance with the international conventions, protocols and declarations that they have signed. The current approach to health is based on human rights, recognizing that people are right holders, which implies that other people are obliged to ensure their validity: governments must be guarantors of rights,

The sexual and reproductive rights of people are based on the Universal Declaration of Human Rights of 1948, the ownership of these rights indicates that everyone has natural rights that must be recognized, respected and guaranteed by governments in a mandatory way. At the international level, the various agreements reached on human rights have a higher hierarchy than national legislation. What is established in international law becomes an obligation of the States with the citizenship and it is a duty of the countries to guarantee its effective compliance.

The World Health Organization proposed the concepts of Sexual Health and Reproductive Health, which were approved at the International Conference on Population and Development, Cairo, 1994 and ratified at the Fourth World Conference on Women, Beijing, 1995. The The concept of Sexual Health and Reproductive Health is focused on people, men and women, as active subjects in the exercise of their sexual and reproductive rights, participating in the achievement of a better quality of personal life, of their partners, of their family and society in general.

Maternal, neonatal and child health are highly relevant issues for societies and constitute the center of the rights to health. For more than a century, health policies around the world have prioritized safe motherhood and child survival.

Maternal health is currently considered a human right and maternal deaths as a serious violation of women’s human rights. In this context, it is the obligation of governments to protect women’s rights to life, health and equality.

Therefore, it is incomprehensible that in the XXI century there is a debate about whether or not women can legally interrupt a pregnancy. Unfortunately, sometimes it focuses only on abortion over the false dichotomy of “pro-life” (anti-rights) versus “pro-choice” (rights). Nobody is against life, all of us are in favor of life, but of a dignified life, with quality and with the possibility of making choices.

It is born with a series of rights that the State does not grant us, but has to recognize them, constituting these rights in limits to the exercise of political power.

With an unfinished work on the Millennium Development Goals, we are now embarked on Sustainable Development, the concept of which was defined in 1988 by the World Commission on Environment and Development as: development that meets the needs of the present generation without compromising the ability of future generations to meet their own needs.

The Post-2015 Development Agenda proposes 17 Sustainable Development Goals. The fifth is to achieve gender equality and the empowerment of all women and girls, and thus guarantee universal access to sexual and reproductive health within a framework of sexual and reproductive rights in accordance with the Program of Action of the International Conference on Population and Development, the Beijing Platform for Action and the outcome documents of its follow-up conferences.

Monique Witting wrote: “Although women are extremely visible as sexual beings, they remain invisible as social beings”, it is time for our society to become aware of the rights and autonomy of women to decide on their bodies is a reality in all our countries without any exception”.

The medical prescription 908 372 admin

The medical prescription


The professional practice of the doctor requires a permanent update, in accordance with the advances in medicine, which as a science, implies innovation and creativity and research to find new drugs, treatments and diagnostic techniques that alleviate human pain, restore lost health and allow the prevention of multiple diseases that afflict the community.

Medications in medical services are also considered as a way of measuring medical behavior. The use that we make of this tool evidences the knowledge, aptitudes, ethical and human values ​​and even the personality. With his work, the doctor makes the diagnosis, prognosis and treatment of the disease. His professional activity is directed to the sick human being. For this reason, they must show unquestionable ethical behavior at all times. The responsibility to heal another requires consistent behavior.

One of the immediate consequences of inappropriate prescription of drugs, especially antibiotics, is the appearance of germs resistant to the safest and cheapest antimicrobials, with the consequent increase in morbidity and mortality of the population and the cost of services of health. For this reason, prescription problems are a determining factor in the quality of medical care.

Starting from the premise: There are no diseases but sick people, each case must be evaluated individually, considering the particularities of each patient, in this way we will arrive at the ideal prescription that offers greater benefits, not only in their general state of health. Also the one that causes the least expense, is easy to obtain, that does not cause side effects or at least that these are minimal and tolerable and that is aimed at achieving prompt recovery.

Furthermore, the medical prescription should not be modified by outsiders who, in order to sell products, arbitrarily replace what the doctor indicated and offer or suggest other types of products or substances with some similarity and generally inducing acceptance through marketing strategies that end in the sale of their products.

Intuitive or empirical prescription can generate distrust and deteriorate the doctor-patient relationship, essential in the medical act. This, in addition, dilutes the responsibility of the professional by creating situations in which it is impossible to determine whether the prescribed medicine or the substitute could cause an undesirable reaction.

The doctor must have knowledge and take responsibility for what happens due to what is done or what is omitted. Therefore, before the prescription, the consideration that each patient requires what is specific for their health problem is imposed, never more and much less when the doctor deliberately promotes the unjustified use of a drug, influenced by interests or motivations of a personal nature or due to insecurity disguised as “security”, when in reality what it does is promote the sale, protect itself from a possible disagreement or underestimation by the patient, for “not prescribing”; as the most common example is the unjustified prescription of antibiotics at the time of discharge in the middle or late postoperative period without evidence of current infection, when in addition one or more doses were administered prophylactically.

In this order of ideas, it is necessary to update the therapeutic knowledge, but also to consider the less onerous options and the possible or alternative non-pharmacological measures, that is, to take medication only when there is no other option. It is also convenient to question whether something is always prescribed so that the patient “does not go to find another doctor” or to avoid the comment that “nothing was given to him in exchange for the money he paid for his consultation”. Also a prescription can serve to interrupt or replace the conversation between the doctor and the patient.

Today the prescription requires knowledge and technique, methodology, recommendations and guidelines for action based on the best available evidence through the systematic search for answers to questions asked about specific problems.

In summary, the fundamentals of medical prescription are: Rational scientific criteria and ethical principles, which include balanced: freedom of prescription, solidarity with the patient and awareness of their existence; respect for their autonomy, adequate instructions and avoid unnecessary expenses; Thus, to improve prescription, it will be necessary to promote access to drug information systems, use of clinical guidelines and protocols; adequate prescription formats, sufficient and adequate training of physicians; incorporation of ethical criteria in all aspects, evaluation of the effectiveness and efficacy of drugs and better health regulations, this constitutes a great challenge in which each of those involved in part that corresponds to us, we have a permanent and transcendental responsibility.

A New Year – A New Challenge 720 250 admin

A New Year – A New Challenge


We welcome all our readers to this first issue of 2019 of the FLASOG Newsletter. We look forward to your preference throughout this year, as we will continue working to introduce you to medical news and research, as well as health-related topics that are useful to your medical practice.

Despite the normal obstacles and difficulties that arise when the first steps are taken in the digitization and massification of our services, our position is quite solid and the spirit of FLASOG is increasingly strong, aware that we are in the correct road. With discipline, vision and enthusiasm, 2018 made us stronger.

2018 was a year of many challenges and intense work that brought us multiple lessons, the main one being to appreciate what really counts: our values. They are indeed the light that guides us in storms: it was so in 2018 and we are sure it will be in 2019.

We are committed to working hard, to being creative; We will maintain the spirit shown and in that sense, we are sure that 2019 will also be a year of great institutional achievements.

We have fulfilled the objectives that we projected, providing the Latin American community with this means of communication that reaffirms FLASOG’s commitment to affiliated Societies and to Latin American obstetrician-gynecologists.

From our workspaces, FLASOG intends to contribute to facilitating access to up-to-date medical information for specialists in our continent and therefore, improving the quality of care for our women.

In the next publications we will include new sections that we are sure will be of great interest to all our followers, to whom we make a new invitation to participate actively in it with articles that they consider to be of continental interest.

We hope that the knowledge poured into all the articles, studies, news and research shown here will integrate them into your medical practice and allow you to innovate in your fields of work.

Finally, we believe it appropriate to express our total conviction that the dissemination of the research, news and reflections that we present in this medium will be a contribution that will nurture our readers and in some way will be a source of knowledge. We thank those who have made this FLASOG Bulletin possible and all the collaborators, for their effort and dedication, thanks to which it was possible to fulfill this dear desire. Their permanent support has made it possible to fulfill the two central objectives of this tool, which are: the dissemination of news and research of general interest and being an agent for the promotion of professional culture. Similarly, we extend our gratitude to all the Companies that make up FLASOG,

We hope that this 2019 brings us health, peace, well-being and personal growth that will strengthen our institutions and our Latin American women.