Revista Brasileira de Ginecologia e Obstetricia 
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(Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - April 17, 2020 Category: OBGYN Source Type: research
Delayed-Interval Delivery in Dichorionic Twin Pregnancies: A Case Report of 154 Latency Days
We report one case of delayed-interval delivery of a dichorionic pregnancy assisted in our center. In this case, prophylactic cerclage, tocolytic therapy and administration of broad-spectrum prophylactic antibiotics enabled delivery at 37 weeks, corresponding to 154 days of latency, which is, to our knowledge, the longest interval described in the literature. The attempt to defer the delivery of the second fetus in peri-viability is an option that should be offered to parents after counseling, providing that the clinical criteria of eligibility are fulfilled. The correct selection of candidates, combined with the correct p...
Source: Revista Brasileira de Ginecologia e Obstetricia - March 27, 2020 Category: OBGYN Source Type: research
A Comprehensive Integrative Review of the Factors Associated with Spontaneous Preterm Birth, Its Prevention and Prediction, Including Metabolomic Markers
Abstract Pretermbirth is amajormaternal complication that has a great impact on perinatal and neonatal health, with consequences suffered during childhood and adulthood. Little is known about its etiology and development, resulting in poor screening, prediction and preventive methods. The present integrative review discusses the current knowledge regarding some risk factors for preterm birth, the differences between screening and prediction methods, the limitations of some current preventive interventions, the importance of applying standardized concepts for exposures and outcomes, and why it is important to develop more a...
Source: Revista Brasileira de Ginecologia e Obstetricia - March 27, 2020 Category: OBGYN Source Type: research
The Effect of Testosterone Replacement on Intramedullary, Inguinal and Visceral Fat in Ovariectomized Rats
Conclusion The use of testosterone in high doses leads to an important expansion in both visceral and inguinal adipose tissues. Association with estradiol exerts an expansion-repressive effect on the visceral and inguinal adipose tissues.Resumo Objetivo Este artigo tem como objetivo avaliar o impacto do tratamento com testosterona na expans ão dos tecidos adiposos visceral, subcutâneo e intramedular de ratas ovariectomizadas e a expressão de receptores ativados por proliferadores de peroxissoma (RAPPs) gama nas gorduras visceral e subcutânea. Métodos No total, 48 ratas Wistar foram castradas e divididas aleatoria...
Source: Revista Brasileira de Ginecologia e Obstetricia - March 27, 2020 Category: OBGYN Source Type: research
Is Surgical Treatment an Option for Locally Advanced Cervical Cancer in the Presence of Central Residual Tumor after Chemoradiotherapy?
Conclusion In patients with LACC, hysterectomy is an option in the presence of a central residual tumor after CRT. However, the risk of grades 3 and 4 complications of performed surgery is high. The presence of macroscopic tumor in the pathology specimen and positive surgical margins are poor prognostic factors. The goal of the surgeon should be to achieve a negative surgical margin. It does not seem important if the surgery is simple or radical. (Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - March 27, 2020 Category: OBGYN Source Type: research
Construct and Criterion Validity of the Postmenopause Sexuality Questionnaire - PMSQ
Conclusion Since the PMSQ showed a strong correlation with the FSFI questionnaire, it presented good psychometric properties to assess the sexuality in postmenopausal women. Based on these results, the PMSQ could be widely tested as a specific instrument to examine the sexual function in postmenopausal women. Future studies, designed to examine the PMSQ instrument in different populations, are needed.Resumo Objetivos Validar o construto e o crit ério do Questionário para Avaliação da Sexualidade Feminina após a Menopausa (QSFM). Métodos Estudo metodológico de validação de questionário incluiu mulheres na pó...
Source: Revista Brasileira de Ginecologia e Obstetricia - March 27, 2020 Category: OBGYN Source Type: research
Self-care and Health Care in Postpartum Women with Obesity: A Qualitative Study
Conclusion Women with obesity need support from the health team and from their families after childbirth, when they are overwhelmed by the exhausting care for the newborn. The present study reveals how important it is for health care professionals to broaden their perception and care provided after childbirth for women with obesity so they may experience an improvement in their quality of health and of life.Resumo Objetivo Explorar as viv ências de mulheres com obesidade sobre o autocuidado e os cuidados recebidos da famÃlia e da equipe de saúde após o parto. Métodos Estudo clÃnico-qualitativo realizado no AmbulatÃ...
Source: Revista Brasileira de Ginecologia e Obstetricia - March 27, 2020 Category: OBGYN Source Type: research
Gestational Diabetes in the Population Served by Brazilian Public Health Care. Prevalence and Risk Factors
Conclusion In this population, the prevalence of gestational diabetes mellitus was of 5.4%. Age and being overweight were predictive factors for gestational diabetes.Resumo Objetivo Avaliar a preval ência de diabetes mellitus gestacional, e dos principais fatores de risco associados, em população usuária do Sistema Único de Saúde em Caxias do Sul-RS. Métodos Um estudo descritivo, transversal e retrospectivo foi feito. As variáveis maternas foramcoletadas de registros de prontuários d e todas gestantes atendidas nas Unidades Básicas de Saúde do municÃpio em 2016. A identificação de hiperglicemia na gestaÃ...
Source: Revista Brasileira de Ginecologia e Obstetricia - March 27, 2020 Category: OBGYN Source Type: research
High Incidence of Herpes Simplex Virus-1 in Cord Blood and Placenta Infection of Women in Southern Brazil
Conclusion The occurrence of HSV-1 DNA in the placenta and in cord blood found suggests vertical transmission from asymptomatic pregnant women to the fetus.Resumo Objetivo Estimar a preval ência do DNA do vÃrus herpes humano 1 (HSV-1) em amostras de placenta, sua incidência no sangue do cordão umbilical de recém-nascidos e fatores de risco associados. Métodos Biópsias de placenta e de sangue de cordão umbilical foram analisadas, totalizando 480 amostras de parturientes assin tomáticas e seus recém-nascidos emum hospital universitário. Reação de cadeia de polimerase (RCP) nested e sequenciamento gênico fo...
Source: Revista Brasileira de Ginecologia e Obstetricia - March 27, 2020 Category: OBGYN Source Type: research
The Use of Antidepressant Drugs in Climacteric Syndrome
(Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - March 27, 2020 Category: OBGYN Source Type: research
The Impact of Systematic Laparoscopic Skills and Suture Training on Laparoscopic Hysterectomy Outcomes in a Brazilian Teaching Hospital
Conclusion The total operative time for laparoscopic hysterectomy was significantly shorter in the group of patients (I-3) operated after the systematic laparoscopic skills and suture training was introduced in our hospital.Resumo Objetivo Avaliar o impacto do treinamento laparosc ópico sistematizado de habilidades e sutura (TLSHS) nos resultados intra e pós-operatórios da histerectomia laparoscópica em um hospital universitário brasileiro. Métodos Estudo observacional transversal de revisão de 244 prontuários de pacientes submetidas a histerectomia total laparoscó pica (HTL) operadas entre 2008 e 2014. Os fa...
Source: Revista Brasileira de Ginecologia e Obstetricia - February 3, 2020 Category: OBGYN Source Type: research
Association of Menopausal Status, Expression of Progesterone Receptor and Ki67 to the Clinical Response to Neoadjuvant Chemotherapy in Luminal Breast Cancer
Conclusion Premenopausal status, lower PR expression and higher Ki67 expression were associated with a higher rate of cCR to neoadjuvant chemotherapy in luminal breast cancer.Resumo Objetivo Identificar biomarcadores de resposta à quimioterapia neoadjuvante em câncer luminal de mama. Métodos Estudo transversal em que foram incluÃdas todas as pacientes com câncer luminal de mama em estádio inicial ou localmente avançado que foram submetidas a quimioterapia neoadjuvante nos anos de 2013 e 2014. Dados demográficos, c lÃnicos e patológicos foram obtidos de prontuários médicos. As expressões de receptor de est...
Source: Revista Brasileira de Ginecologia e Obstetricia - February 3, 2020 Category: OBGYN Source Type: research
Effect of Testosterone on Proliferation Markers and Apoptosis in Breasts of Ovariectomized Rats
Conclusion Isolated T did not have a proliferative effect on the mammary tissue, contrary to EB. Testosterone in combination with EB may or may not decrease the proliferation, depending on the dose of T.Resumo Objetivo Investigar a a ção da testosterona (T) isolada ou associada ao benzoato de estradiol (EB) na proliferação e apoptose de mamas de ratas ovariectomizadas. Métodos Um total de 48 ratas Wistar castradas foram divididas em 6 grupos, e cada um foi submetido a um dos seguintes tratamentos durante 5 semanas: 1) con trole; 2) BE 50 mcg/dia + T 50mcg/dia; 3) T 50 mcg/dia; 4) BE 50 mcg + T 300mcg/dia; e) T 30...
Source: Revista Brasileira de Ginecologia e Obstetricia - February 3, 2020 Category: OBGYN Source Type: research
Factors Associated with the Need for Insulin as a Complementary Treatment to Metformin in Gestational Diabetes Mellitus
Conclusion Obesity resulted in an increased chance of the mother needing insulin as a complementary treatment to metformin, while FG<90 mg/dL and primiparity were protective factors.Resumo Objetivo Avaliar os fatores associados à necessidade de insulina como tratamento complementar à metformina em gestantes com diabetes mellitus gestacional (DMG). Métodos Um estudo caso-controle foi realizado de abril de 2011 a fevereiro de 2016 comgestantes portadoras de DMG que necessitaram de tratamentos complementares além de die ta e exercÃcios fÃsicos. Aquelas tratadas commetformina foram comparadas com aquelas que, alÃ...
Source: Revista Brasileira de Ginecologia e Obstetricia - February 3, 2020 Category: OBGYN Source Type: research
Perinatal Outcomes of Fetuses with Early Growth Restriction, Late Growth Restriction, Small for Gestational Age, and Adequate for Gestational Age
Conclusion Fetal growth restriction and SGA were associated with adverse perinatal outcomes. The type of FGR at the moment of diagnosis was an independent variable to predict respiratory distress and the need for neonatal resuscitation. The model including both the type of FGR and the gestational age at birth predicted the risk of needing neonatal ICU hospitalization.Resumo Objetivo Avaliar o efeito da restri ção de crescimento fetal (RCF) precoce, RCF tardio, fetos pequenos constitucionais para idade gestacional (PIG) e fetos adequados para idade gestacional (AIG) sobre resultados adversos perinatais. Métodos Estu...
Source: Revista Brasileira de Ginecologia e Obstetricia - February 3, 2020 Category: OBGYN Source Type: research
