Risks of Maternal Obesity in Pregnancy: A Case-control Study in a Portuguese Obstetrical Population
Conclusion Obesity is associated with increased risks of adverse pregnancy and neonatal outcomes. These risks seem to increase progressively with increasing body mass index (BMI) class. Female obesity should be considered a major public health issue and has consequences on maternal-fetal health.Resumo Objetivo O presente estudo pretende avaliar em que medida a obesidade influencia os desfechos maternos, obst étricos e neonatais em uma população obstétrica portuguesa. Métodos Um estudo caso-controle retrospectivo foi realizado no departamento de obstetrícia de um centro perinatal diferenciado. O estudo comparou 1...
Source: Revista Brasileira de Ginecologia e Obstetricia - February 3, 2020 Category: OBGYN Source Type: research

Androgen Abuse among Recreational Athletes
(Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - February 3, 2020 Category: OBGYN Source Type: research

Intraoperative Ultrasound Leads to Conservative Management of Benign Ovarian Tumors: A Retrospective, Single-Center Study
Conclusion The use of intraoperative ultrasound resulted in more conservative surgeries for the resection of benign ovarian tumors at our center.Resumo Objetivo Avaliar se o uso do ultrassom intraoperat ório leva a cirurgias mais conservadoras para tumores ovarianos benignos. Métodos Mulheres que foram submetidas a cirurgia entre 2007 e 2017 por tumores ovarianos benignos foram analisadas retrospectivamente. As mulheres foram classificadas em dois grupos: aquelas que foram submetidas ao ultrass om intraoperatório (grupo A), e aquelas que não o foram (grupo B). No grupo A, foi realizada cirurgia minimamente invasiv...
Source: Revista Brasileira de Ginecologia e Obstetricia - December 21, 2019 Category: OBGYN Source Type: research

Thalidomide Reduces Cell Proliferation in Endometriosis Experimentally Induced in Rats
Conclusion Thalidomide proved to be effective in reducing the lesion area and CPI of the experimental endometriosis implants both at the dose of 1mg/kg/day and at the dose of 10 mg/kg/day.Resumo Objetivo Analisar o efeito da talidomida na progress ão de lesões endometrióticas induzidas experimentalmente em ratas e caracterizar o padrão de proliferação celular pela marcação imunohistoquímica de Antígeno Nuclear de Célula Proliferativa (PCNA) no endométrio eutópico e ectópico. Métodos Quinze ratas Wistar foram submetidas a lapa rotomia para indução de endometriose por ressecção de um corno uterino, is...
Source: Revista Brasileira de Ginecologia e Obstetricia - December 21, 2019 Category: OBGYN Source Type: research

Evaluation of Obesity Influence in the Sexual Function of Postmenopausal Women: A Cross- Sectional Study
Conclusion In the present study, obese and overweight postmenopausal women had higher total scores than women with normal BMI. Our results show that obese and overweight postmenopausal women had a higher index of dysfunction in desire and arousal and lower sexual satisfaction than normal-weight women.Resumo Objetivo A incid ência de obesidade, que é uma condição crônica, aumentou nos últimos anos. A associação entre obesidade e disfunção sexual feminina ainda não está clara, particularmente emmulheres após amenopausa. No presente estudo, avaliamos se a obesidade é um fator de risco para disfunção sexual ...
Source: Revista Brasileira de Ginecologia e Obstetricia - December 21, 2019 Category: OBGYN Source Type: research

Outcomes of Cases of Prenatally-Diagnosed Congenital Pulmonary Airway Malformation
Conclusion A precise postnatal diagnosis is very important to organize the proper management of the pregnancies with fetuses with CPAM. The positive predictive value of the prenatal diagnosis of CPAM via ultrasonography is of 70.3%. The differential diagnosis of CPAM may be prolonged to the postpartum period in some cases. (Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - December 21, 2019 Category: OBGYN Source Type: research

Comparison of Maternal and Fetal Outcomes in Parturients With and Without a Diagnosis of Gestational Diabetes
Conclusion Therefore, maternal age, family history of type 2 diabetes, obesity and pregestational overweightness are important associated factors for a higher chance of developing gestational diabetes.Resumo Objetivo O presente estudo tem como objetivo comparar os desfechos maternos e fetais das parturientes com e sem diagn óstico de diabetes gestacional. Métodos Estudo caso-controle, incluindo parturientes com (casos) e sem (controle) diagnóstico de diabetes gestacional, que tiveram parto em um hospital de ensino no Sul do Brasil, entre maio e agosto de 2018. Foram utilizados dados primários e secundários. Aná ...
Source: Revista Brasileira de Ginecologia e Obstetricia - December 21, 2019 Category: OBGYN Source Type: research

Knowledge, Attitude and Practice of Brazilian Obstetricians Regarding Episiotomy
Conclusion Most respondents had inadequate knowledge, attitudes and practices regarding episiotomy. Although some factors such as age, teaching, working in the public sector and attending congresses improved knowledge, attitude and practice, we must recognize that episiotomy rates remain well above what would be considered ideal. Adequate knowledge is more prevalent than adequate attitude or practice, indicating that improving knowledge is crucial but insufficient to change the outlook of episiotomies in Brazil.Resumo Objetivo Determinar o n ível e os fatores associados a conhecimento, atitude e prática (CAP) dos obst...
Source: Revista Brasileira de Ginecologia e Obstetricia - December 21, 2019 Category: OBGYN Source Type: research

Current Breast Cancer Screening Scenario in Brazil
(Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - December 21, 2019 Category: OBGYN Source Type: research

Rare Case of Sarcomatoid Squamous Cell Carcinoma Arising in an Ovarian Mature Teratoma
Abstract Although mature cystic teratoma (MCT) is benign, malignant transformation (MT) occurs in ~ 1% to 2% of all cases, and usually consists of squamous cell carcinoma (SCC), which accounts for ~ 80% of the cases. Spindle-cell (sarcomatoid) carcinoma (SCSC) is an uncommon type of SCC, comprising up to 3% of all cases. The lack of characteristic symptoms and specific imaging findings may lead to preoperative misdiagnosis. Moreover, the clinicopathologic characteristics, the treatment, the prognostic factors and the mechanism of MT have not yet been well understood due to the rarity of such tumors, especially in women of ...
Source: Revista Brasileira de Ginecologia e Obstetricia - November 8, 2019 Category: OBGYN Source Type: research

Antiphospholipid Antibody Syndrome and Infertility
The objective of the present study was to review the pathophysiology of APS and its association with female infertility. A bibliographic review of articles of the past 20 yearswas performed at the PubMed, Scielo, and Bireme databases. Antiphospholipid antibody syndrome may be associated with primary infertility, interfering with endometrial decidualization and with decreased ovarian reserve. Antiphospholipid antibodies also have direct negative effects on placentation, when they bind to the trophoblast, reducing their capacity for invasion, and proinflammatory effects, such as complement activation and neutrophil recruitme...
Source: Revista Brasileira de Ginecologia e Obstetricia - November 8, 2019 Category: OBGYN Source Type: research

Attitudes and Personal Attributes Regarding Patient Receptivity towards the Participation of Medical Students in Gynecological Consultations: A Cross-Sectional Study
Conclusion Greater receptivity to student participation related significantly to five conditions in decreasing order of strength of association: lack of bias regarding the gender of the Ob-Gyn, previous experience with student involvement, awareness of the presence of students, older age, and multiparity. We also found that a more positive inclination to consent to student attendance correlated positively with a greater receptivity to student participation and to a suitable student-doctor demeanor.Resumo Objetivo Avaliar a associa ção entre as razões das pacientes para consentir ou recusar a presença de estudantes d...
Source: Revista Brasileira de Ginecologia e Obstetricia - November 8, 2019 Category: OBGYN Source Type: research

Empowering Adolescent Mothers in the Choice of Contraceptive Methods at the Postpartum Period: Avoiding a Subsequent Pregnancy
Conclusion Antenatal and p ostpartum education have shown a significant increase in the choice for LARC methods among adolescent mothers, with very high acceptability after a period using the method. The educational groups performed during the antenatal care and beyond the gestational period are easy to be applied worldwide w ith low dependence on funding.Resumo Objetivo Cerca de 80% das gesta ções na adolescência não são planejadas, e entre 28 e 63% das mães adolescentes apresentam repetição da gravidez em 18 meses. Entre as meninas com gravidez repetida, dois terços relataram que a gravidez não foi planejada...
Source: Revista Brasileira de Ginecologia e Obstetricia - November 8, 2019 Category: OBGYN Source Type: research

Trends Associated with Stillbirth in a Maternity Hospital School in the North Zone of São Paulo: A Cross-Sectional Study
Conclusion Among the factors associated to SB were: hypertensive syndromes, amniotic sac infections, fetal malformations, placental abruption and syphilis. There was a growing trend in the number of cases of syphilis, which translates an alert. Diagnostic limitations justify indeterminate causes.Resumo Objetivo Avaliar aspectos relacionados à ocorrência da condição de natimortalidade em uma maternidade-escola na zona norte de São Paulo e possíveis tendências associadas aos fatores causais. Métodos Estudo observacional, transversal, realizado no Hospital Maternidadeescola Vila Nova Cachoeirinha com 1.139 óbito...
Source: Revista Brasileira de Ginecologia e Obstetricia - November 8, 2019 Category: OBGYN Source Type: research

Contribution of Ultra-processed Food to the Daily Food Intake of HIV-positive and HIV-Negative Women during Pregnancy
Conclusion These findings demonstrate that the energy consumption and ultraprocessed food intake were similar in both groups, which reinforces the trend toward a high intake of ultra-processed food in the general population. The intake of ultraprocessed food was positively associated with the consumption of carbohydrates, trans fat and sodium, and negatively associated with the consumption of protein and fiber.Resumo Objetivo Avaliar o consumo alimentar di ário e a contribuição dos alimentos ultraprocessados na dieta de gestantes soropositivas e soronegativas para o vírus da imunodeficiência humana (HIV). Métodos...
Source: Revista Brasileira de Ginecologia e Obstetricia - November 8, 2019 Category: OBGYN Source Type: research