Revista Brasileira de Ginecologia e Obstetricia This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Does Big Mean Evil? Giant, but Benign Uterine Leiomyoma: Case Report and Review of the Literature
We present the case of a 49-year-old woman who underwent a total abdominal hysterectomy of a 13.5-kg uterine leiomyoma with no malignancies at histopathology and review the literature about giant uterine leiomyomas and their clinical repercussion. We concluded that large volumes do not always pose a threat regarding malignancy; however, future molecular studies are needed to investigate giant uterine fibroids.Resumo Leiomioma uterino é o tumor benigno ginecológico de maior prevalência. Ele afeta mais de 80% das mulheres no mundo e, deste grupo, mais de 50% podem ser assintomáticas. Contudo, miomas de grande volume pode...
Source: Revista Brasileira de Ginecologia e Obstetricia - March 8, 2021 Category: OBGYN Source Type: research

Pre-eclampsia: Universal Screening or Universal Prevention for Low andMiddle-Income Settings?
Abstract Pre-eclampsia (PE) is a severe disorder that affects up to 8% of all pregnancies and represents an important cause of maternal and perinatal morbidity and mortality. The screening of the disease is a subject of studies, but the complexity and uncertainties regarding its etiology make this objective a difficult task. In addition, the costs related to screening protocols, the heterogeneity of the most affected populations and the lack of highly effective prevention methods reduce the potential of current available algorithms for screening. Thus, the National Specialized Commission of Hypertension in Pregnancy of the...
Source: Revista Brasileira de Ginecologia e Obstetricia - March 8, 2021 Category: OBGYN Source Type: research

COVID-19: Uncertainties from Conception to Birth
Abstract Scientific information on the impact of the new coronavirus (SARS-CoV-2) on the health of pregnant women, fetuses and newborns is considered of limited confidence, lacking good-quality evidence, and drawing biased conclusions. As a matter of fact, the initial impressions that the evolution of COVID-19 was no different between pregnant and non-pregnant women, and that SARS-CoV-2 was not vertically transmitted, are confronted by the documentation of worsening of the disease during pregnancy, poor obstetric outcomes, and the possibility of vertical transmission. The present article aims to compile the data available ...
Source: Revista Brasileira de Ginecologia e Obstetricia - March 8, 2021 Category: OBGYN Source Type: research

Mid- to Long-Term Magnetic Resonance Imaging Results of Two Prolapse Surgeries for Apical Defect: A Secondary Analysis of a Randomized Controlled Trial
Conclusion Both surgeries for prolapse were similar regarding theobjective variables (POP-Q measurements and MRI cure rates). Larger eLASV areas were associated with surgical failure.Resumo Objetivo A resson ância magnética (RM) tem sido considerada uma outra ferramenta para uso pré e pós-operatório em casos de prolapso de órgãos pélvicos. Contudo, pouco consenso existe sobre a sua prática para prolapso e a associação entre as linhas de referência da RM e o exame físico. Nós objetivamos av aliar resultados de médio a longo prazo de duas técnicas cirúrgicas para prolapso apical. Métodos Um total de 40...
Source: Revista Brasileira de Ginecologia e Obstetricia - March 8, 2021 Category: OBGYN Source Type: research

Efficacy of Endometrial Cancer Follow-up Protocols: Time to Change?
Conclusion Taking into account that the recurrence rate of endometrial cancer is low, that relapse occurs mainly within the first 3 years post-treatment and that symptom evaluation and physical examination are the most effective follow-up methods, we postulate that a modification of the current model of hospital follow-up should be considered. (Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - March 8, 2021 Category: OBGYN Source Type: research

Residual Disease after Operative Hysteroscopy in Patients with Endometrioid Endometrial Cancer Associated with Polyps
Conclusion Patients with endometrioid EC associated with polyps may have the tumor completely removed during hysteroscopy, but the variables shown in the present study could not safely predict which patient w ould have no residual disease.Resumo Objetivo Avaliar a presen ça de doença residual no exame anatomopatológico definitivo de pacientes com câncer de endométrio endometrioide após polipectomia ou biópsia de pólipo histeroscópica. Métodos Analisamos 104 pacientes (92 casos do Hospital AC Camargo e 12 casos do Hospital do Servidor Público Estadual de São Paulo) com pólipos diagnosticados durante histe...
Source: Revista Brasileira de Ginecologia e Obstetricia - March 8, 2021 Category: OBGYN Source Type: research

The Graduated Embryo Score of Embryos from Infertile Women with and without Peritoneal Endometriosis
Conclusion Embryo quality measured by the mean GES was not influenced by peritoneal endometriosis. Likewise, the evaluated reproductive outcomes were similar between infertile patients with and w ithout endometriosis.Resumo Objetivo Determinar a qualidade do embri ão (média de escore embrionário graduado [EEG]) em pacientes inférteis com endometriose submetidas à fertilização in vitro com transferência de embrião (FIV-TE) em comparação com pacientes inférteis sem endometriose. Métodos Realizamos um estudo de caso-controle comparando 706 embriõ es (162 pacientes) divididos em dois grupos: 472 embriões de...
Source: Revista Brasileira de Ginecologia e Obstetricia - March 8, 2021 Category: OBGYN Source Type: research

Agreement Analysis between Sonographic Estimates and Birth Weight, by the WHO and Intergrowth-21st Tables, in Newborns of Diabetic Mothers
Conclusion The initial AC and final EFW were the parameters of best agreement regarding birth weight classification. The WHO and intergrowth-21st tables showed high agreement in the classification of ultrasound measurements in relation to the 90thResumo Objetivo Analisar a concord ância, em relação ao percentil 90, das medidas ultrassonográficas da circunferência abdominal (CA) e peso fetal estimado (PFE), entre as tabelas da Organização Mundial de Saúde (OMS) e do International Fetal and Newborn Growth Consortium for the 21st Century integrowth-21st, bem como em rela ção ao peso ao nascer em fetos/recém-nasc...
Source: Revista Brasileira de Ginecologia e Obstetricia - March 8, 2021 Category: OBGYN Source Type: research

Intercultural Childbirth: Impact on the Maternal Health of the Ecuadorian Kichwa and Mestizo People of the Otavalo Region
Conclusion This scenario reveals that the intermingling of cultures and respect for childbirth traditions have decreased maternal mortality in this World Health Organization- awarded program.Resumo Objetivo Considerandoa crescente frequ ência demortesmaternas notificadas de 2001 a 2005 entre mulheres indígenas e mestiças da área rural equatoriana de Otavalo, onde o povo Kichwa vive há séculos, o objetivo deste artigo é descrever como os esforços da comunidade local de saúde e dos trabalhadores hospitalares, juntamente com um ambiente político propício, facilitaram a implementação do parto intercultural, que...
Source: Revista Brasileira de Ginecologia e Obstetricia - March 8, 2021 Category: OBGYN Source Type: research

Is it Possible to Predict Massive Bleeding in Nulliparous Women with Placenta Previa?
Conclusion We could not determine the predictive features for massive hemorrhage based on clinical features, delivery features, or placental location. (Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - March 8, 2021 Category: OBGYN Source Type: research

Peripartum Hysterectomies over a Fifteen-year Period
Conclusion Most (66.0%) patients were admitted to the intensive care unit (ICU). Those who did n ot need it were significantly older, and had more placenta accreta, placenta previa, or previous Cesarean delivery.Resumo Objetivo Determinar as indica ções e os desfechos das histerectomias periparto realizadas no Hospital de Clínicas de Porto Alegre nos últimos 15 anos, bem como analisar as características clínicas das mulheres submetidas a esse procedimento. Métodos Estudo transversal de 47 histerectomias periparto realizadas no períod o de 2005 a 2019. Resultados Em nosso hospital, as histerectomias periparto...
Source: Revista Brasileira de Ginecologia e Obstetricia - March 8, 2021 Category: OBGYN Source Type: research

Call to Eliminate Cervical Cancer in the Next Decade with a Focus on Brazil
(Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - March 8, 2021 Category: OBGYN Source Type: research

Vaccination in pregnant and postpartum women
Conclusion C1-inhibitor concentrate could be useful to prevent angioedema attacks during and after delivery.Resumo Objetivo Verificar a efic ácia da profilaxia de curto prazo para o parto vaginal ou cesáreo com inibidor de C1 derivado de plasma concentrado em mulheres grávidas. Eles devem ter angioedema hereditário e inibidor normal de C1 no plasma. Métodos Relato de caso de gestantes diagnosticadas com angioedema hereditário com inibidor de C1 normal que foram tratadas com inibidor intravenoso de concentrado de C1 para profilaxia de ataques de angioedema quando hospitalizadas para o parto. O exon 9 do gene de ...
Source: Revista Brasileira de Ginecologia e Obstetricia - January 11, 2021 Category: OBGYN Source Type: research

Medical Treatment for Ectopic Pregnancy during the COVID-19 Pandemic
Conclusion C1-inhibitor concentrate could be useful to prevent angioedema attacks during and after delivery.Resumo Objetivo Verificar a efic ácia da profilaxia de curto prazo para o parto vaginal ou cesáreo com inibidor de C1 derivado de plasma concentrado em mulheres grávidas. Eles devem ter angioedema hereditário e inibidor normal de C1 no plasma. Métodos Relato de caso de gestantes diagnosticadas com angioedema hereditário com inibidor de C1 normal que foram tratadas com inibidor intravenoso de concentrado de C1 para profilaxia de ataques de angioedema quando hospitalizadas para o parto. O exon 9 do gene de ...
Source: Revista Brasileira de Ginecologia e Obstetricia - January 11, 2021 Category: OBGYN Source Type: research

Short-term Prophylaxis for Delivery in Pregnant Women with Hereditary Angioedema with Normal C1-Inhibitor
Conclusion C1-inhibitor concentrate could be useful to prevent angioedema attacks during and after delivery.Resumo Objetivo Verificar a efic ácia da profilaxia de curto prazo para o parto vaginal ou cesáreo com inibidor de C1 derivado de plasma concentrado em mulheres grávidas. Eles devem ter angioedema hereditário e inibidor normal de C1 no plasma. Métodos Relato de caso de gestantes diagnosticadas com angioedema hereditário com inibidor de C1 normal que foram tratadas com inibidor intravenoso de concentrado de C1 para profilaxia de ataques de angioedema quando hospitalizadas para o parto. O exon 9 do gene de ...
Source: Revista Brasileira de Ginecologia e Obstetricia - January 11, 2021 Category: OBGYN Source Type: research