Do We Know How to Avoid OASIs in Non-Supine Birth Positions? A Retrospective Cohort Analysis
Conclusion Upright birth positions were not associated with a lower rate of perineal tears. The interpretation of the findings regarding these positions raised doubts about perineal protection that are still unanswered.Resumo Objetivo Avaliar a associa ção entre as posições maternas verticais e supinas ao nascimento e a taxa de incidência de lesões obstétricas do esfíncter anal (LOEAs). Métodos Estudo coorte retrospectivo que analisou os dados de 1.728 gestantes que tiveram parto vaginal cefálico simples com peso ao nascer de 2.500 g. Análises de regressão múltipla foram usadas para investigar o efeito de...
Source: Revista Brasileira de Ginecologia e Obstetricia - November 8, 2019 Category: OBGYN Source Type: research

‘Missing Adenocarcinomas’: Are They a Real Problem in Cervical Cancer Screening in Brazil?
(Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - November 8, 2019 Category: OBGYN Source Type: research

Vulvar Tuberculosis-A Rare Manifestation of the Disease
Abstract Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis. According to data from the World Health Organization, this disease remains one of the leading causes of death worldwide. Although it most commonly affects the lungs, tuberculosis can compromise any organ. The present study reports a rare case of vulvar tuberculosis in a postmenopausal woman with a history of asymptomatic pulmonary and pleural tuberculosis, with no prior documented contact with the bacillus. Diagnosis was based on vulvar lesion biopsies, with histological findings suggestive of infection and isolation of M. tuberculosis by ...
Source: Revista Brasileira de Ginecologia e Obstetricia - October 1, 2019 Category: OBGYN Source Type: research

Pharmacological Treatment for Symptomatic Adenomyosis: A Systematic Review
Conclusion Levonorgestrel intrauterine system and dienogest have significantly improved the control of bleeding and pelvic pain, respectively, in women with adenomyosis. However, there is insufficient data from the retrieved studies to endorse eachmedication for this disease. Further randomized control tests (RCTs) are needed to address pharmacological treatment of adenomyosis.Resumo Objetivo: Avaliar a efic ácia de tratamento não cirúrgico para adenomiose. Fontes de dados: Uma pesquisa foi realizada por dois autores nas bases de dados Pubmed, Scopus, Scielo e na literatura cinzenta desde o início de cada base de da...
Source: Revista Brasileira de Ginecologia e Obstetricia - October 1, 2019 Category: OBGYN Source Type: research

Prevalence of Sexual Dysfunctions and their Associated Factors in Pregnant Women in an Outpatient Prenatal Care Clinic
Conclusion The mean sexual function score during pregnancy was classified as good, although most pregnant women reported at least one type of alteration in the sexual function domains, and the report of dissatisfaction was more frequent in women with lower schooling.Resumo Objetivo Determinar a preval ência e fatores associados de disfunção sexual emgestantes. Métodos Estudo descritivo, transversal, incluindo 262 gestantes com idade de 18 anos ou mais, e idade gestacional entre 10 e 35 semanas. Mulheres com infecção de trato urinário e gestação de alto risco foram excluídas. O Inventá rio de Resposta Sexual...
Source: Revista Brasileira de Ginecologia e Obstetricia - October 1, 2019 Category: OBGYN Source Type: research

Quality of Life Assessment by the Endometriosis Health Profile (EHP-30) Questionnaire Prior to Treatment for Ovarian Endometriosis in Brazilian Women
Conclusion Dyspareunia and acyclic pain were independent factors of correlation with high scores in the EHP-30 questionnaire, reflecting a worse quality of life.Resumo Objetivo Avaliar a exist ência de associação entre os achados ultrassonográficos e os fatores epidemiológicos e clínicos com os resultados obtidos no questionário EHP-30 em mulheres com diagnóstico de endometriose ovariana. Métodos Realizou-se um estudo observacional transversal entre julho de 2012 emaio de 2015, no qual as pacientes com dor pélvica crônica com imagem sugestiva de endometrioma na ultrassonografia pélvica transvaginal preenc...
Source: Revista Brasileira de Ginecologia e Obstetricia - October 1, 2019 Category: OBGYN Source Type: research

Follow-up of Toxoplasmosis during Pregnancy: Ten-Year Experience in a University Hospital in Southern Brazil
Conclusions The present study suggests that research on PCR screening of the amniotic fluid may be useful to identify patients with a higher potential for fetal complications, who may benefit from the poly-antimicrobial treatment. Patients with negative PCR results must continue to prevent fetal infection with monotherapy, without risk of fetal or maternal impairment.Resumo Objetivo Descrever uma popula ção de pacientes diagnosticadas com toxoplasmose na gestação e seus respectivos recém-nascidos, relatando o protocolo do hospital durante o tratamento e seguimento. Métodos Coorte retrospectiva de gestantes com ...
Source: Revista Brasileira de Ginecologia e Obstetricia - October 1, 2019 Category: OBGYN Source Type: research

Is Moderate Intensity Exercise during Pregnancy Safe for the Fetus? An Open Clinical Trial
Conclusion In healthy fetuses, physical exercise proved to be safe, since, although FHR and AFM decreased during treadmill walking, an increase in SVT and LTV was observed.Resumo Objetivo Determinar o efeito da caminhada em esteira sobre a frequ ência cardíaca materna (FCM) e parâmetros cardiotocográficos (batimentos cardiofetais basais [BCFs], movimentos ativos fetais [MAFs], número de acelerações e desacelerações e variabilidade de curta [STV] e longa [LTV] duração da frequência cardíaca fetal) em gestantes na 36a semana. Mé todos Foi realizado umensaio clínico não randomizado e aberto com 88 gestant...
Source: Revista Brasileira de Ginecologia e Obstetricia - October 1, 2019 Category: OBGYN Source Type: research

Progesterone’s Serum Level and a New Ultrasonographic Parameter in the First Trimester Pregnancy - Prognostic Factors for Embryonic Demise
Conclusion The DYSE has a high positive predictive value in identifying pregnancies with potentially reserved outcome, with the present study demonstrating that a DYSE<3mm causes an unfavorable evolution of the pregnancy. Low serum levels of progesterone are associated with an increased rate of nonviable embryos. The correlation between these two parameters increases the effectiveness of screening methods in prenatal monitoring and improves the diagnostic methods for the firsttrimester pregnancies whose outcome potential can be reserved. (Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - October 1, 2019 Category: OBGYN Source Type: research

Infertility Associated to Endometriosis: Clarifying Some Important Controversies
(Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - October 1, 2019 Category: OBGYN Source Type: research

Femoral Hernia Containing the Right Fallopian Tube: A Rare Finding
Abstract Femoral hernias comprise a small proportion of all groin hernias. They are more common in women and have a high rate of incarceration and strangulation, leading to emergency repair. A 61-year-old female patient was admitted to the emergency department complaining of a 2-day painful lump in the right groin, that had become more intense in the last 24 hours. Physical examination suggested the presence of a strangulated femoral hernia, and the patient underwent emergency surgical repair. Intraoperatively, the right fallopian tube was observed in the hernia sac. Since there were no signs of ischemia, the tube was redu...
Source: Revista Brasileira de Ginecologia e Obstetricia - September 17, 2019 Category: OBGYN Source Type: research

Do Women have Adequate Knowledge about Pelvic Floor Dysfunctions? A Systematic Review
Conclusion Most women have a gap in the knowledge of pelvic floor muscle dysfunctions, do not understand their treatment options, and are not able to identify risk factors for these disorders.Resumo Objetivos N ós investigamos se as mulheres possuem adequado nível de conhecimento sobre as principais disfunções do assoalho pélvico (incontinência urinária - IU, incontinência fecal - IF, e prolapso de órgãos pélvicos - POP). Fontes de dados Uma revisão sistemática foi realizada nas bases de dad os MEDLINE, PEDro, CENTRAL e Cochrane com publicações até abril de 2018. Seleção dos estudos Foram triados 3.1...
Source: Revista Brasileira de Ginecologia e Obstetricia - September 17, 2019 Category: OBGYN Source Type: research

Effectiveness of Solution-Focused Group Counseling on the Mental Health of Midwifery Students
Conclusion Solution-focused group counseling may improve all levels of mental health. This type of counseling is recommended to be used to solve the psychological problemsand to improve the mental health of students, as well as of the staff of the health system. (Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - September 17, 2019 Category: OBGYN Source Type: research

Assisted Reproductive Technologies in Latin America and Europe: a Comparative Analysis of Reported Databases for 2013
Conclusion Both regions have points to improve in the quality of their reports. Latin America has produced a more uniform reporting, their clinical results are generallyResumo Objetivo Comparar os registros das t écnicas de reprodução assistida da América Latina e da Europa em relação à qualidade dos dados e acesso, utilização do tratamento, efetividade, segurança e qualidade dos serviços. Métodos Estudo ecológico usando os dados das publicações científicas dos registros da América Latina e da Europa com os ciclos iniciados durante o ano de 2013 (que são os dadosmais recentes disponíveis até dezemb...
Source: Revista Brasileira de Ginecologia e Obstetricia - September 17, 2019 Category: OBGYN Source Type: research

Intrauterine Device Insertion during Cesarean Section in Women without Prenatal Contraception Counseling: Lessons from a Country with High Cesarean Rates
Conclusion Two thirds of the women who continued with IUD at 6 months had undergone 2 ormore cesarean sections. Since offering trial of labor is unusual after 2 or more previous cesareans, we believe that offering IUD after admission for delivery may reduce the risk of repeated cesarean sections and its inherent risks.Resumo Objetivo O momento da admiss ão para o parto pode ser considerado inapropriado para oferecer o dispositivo intrauterino (DIU) para mulheres sem aconselhamento contraceptivo pré-natal. Entretanto, em países com elevadas taxas de cesáreas e aconselhamento contraceptivo deficiente, essa estratégia...
Source: Revista Brasileira de Ginecologia e Obstetricia - September 17, 2019 Category: OBGYN Source Type: research