Child with ambiguous genitalia and nursing intervention
Keywords:
Ambiguous genitalia, Nursing care, IntersexAbstract
Before the seventh week of gestation, the gonads and external genitals are exactly the same in both sexes. It is not until the eighth week that the sexual differentiation appears by the action of HY antigen produced by the Y chromosome. In many cases an alteration of the course during the stage of the fetuss formation might bring differentiation sexual disorders.
Such disorders have been considerate a social-medical emergency to be cared by a multidisciplinary team which is constituted basically by a pediatric endocrinologist, genetist, psychologist or psychiatrist, radiologist, pediatric urologist and nurses. Participation of nurses in this multidisciplinary team has been left aside, but they play a fundamental role in caring of this kind of patients, because since birth, in different stages of the studies, and during the treatment they spend a lot of time with the patient and his relatives. This is the reason why they must have good knowledge of pathology and the way to handle the situation in advantage of the child and his parents
References
Allen TD. Disorders of sexual differentiation. En: Kellalis Md, King Md, editors, Clinical Pediatric Urology. Philadelphia, USA:Saunders Company; 1985. p. 904-919.
Hendren WH, Crawford JD. Adrenogenital syndrome: The anatomy pf the anomaly and its repair. Some new concepts. J Pediatr Surg 1969;4-49.
Glassber KI. The intersex infant: early gender assigment and surgical reconstruction. J Pediatr Adolesc Gynecol, 1988. 11: 151-154.
Coran AG, Polley TZ. Surgical management of ambiguuous genitalia in the infant and child. J Pediatr Surg 1991; 26:-812-820.
Donahoe PK, Hendren WH. Perineal reconstruction in ambiguous genitalia in infants raised as females. Ann Surg 1984;200:363-371
Ramírez JA, Morales E, Díaz M. El niño con genitales ambiguos. Tratamiento quirúrgico. Rev Med Inst Mex Seguro Soc.2002; 40: 15-17.
Asamblea Médica Mundial: Declaración de Lisboa; Derechos del paciente; Bol of Savitt Panam; 1990;108,642.
Lifshitz GA, Trujillo D. Comisión Nacional de Derechos Humanos; 1995; 7,10,11,13,15.
Congreso Nacional de Colombia; 2000,volumen, 2801.
Seminario de Salud y Derechos Humanos, Declaración de los Derechos Humanos del paciente de la Asociación Americana de Hospitales y de la declaración de los derechos del paciente; Lisboa;1981.
Gutiérrez-Reyes, Mederos Sosa, Vásquez Ocaña, Velázquez Aranda: Derechos del paciente hospitalizado: Responsabilidad en la práctica de enfermería Rev Enferm Inst Mex Seguro Soc. 2001;9 (1):15-18.
Comisión Interinstitucional de Enfermería de la SSA Proyecto de Código de Ética para las Enfermeras Mexicanas Rev Enferm Inst Mex Seguro Soc. 2001; 9 (1): 27-34.
Declaración Universal de Derechos Humanos Rev Enferm Inst Mex Seguro Soc. 2001;9 (1):49-52.
Actualización en Enfermería, una responsabilidad profesional Rev Enferm Inst Mex Seguro Soc. 2002;10 (1):3-6.
