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.

Preeclampsia as an Inaugural Manifestation of Primary Hyperparathyroidism: A Case Report
We describe a case of preeclampsia with severe features at 27 weeks of gestational age. The severity of the preeclampsiamotivated an early termination of the pregnancy by cesarean section. During the postpartum period, the patient presented life-threatening complications, such as severe hypercalcemia and acute pancreatitis. An ultrasound exam found two parathyroid nodules, suggestive of parathyroid adenomas. The patient recovered after the pharmacological correction of the calcemia levels.Resumo O hiperparatiroidismo prim ário é umdistúrbio endócrino caraterizado pela elevação do cálcio sérico associada a níveis d...
Source: Revista Brasileira de Ginecologia e Obstetricia - January 11, 2021 Category: OBGYN Source Type: research

Update on Thrombocytopenia in Pregnancy
Abstract Thrombocytopenia, defined as platelet count< 150,000mm3, is frequently diagnosed by obstetricians since this parameter is included in routine surveillance during pregnancy, with an incidence of between 7 and 12%. Therefore, decisions regarding subsequent examination and management are primordial. While most of the cases are due to physiological changes, as gestational thrombocytopenia, other causes can be related to severe conditions that can lead to fetal or maternal death. Differentiating these conditions might be challenging: they can be pregnancy-specific (pre-eclampsia/ HELLP syndrome [hemolysis, elevated ...
Source: Revista Brasileira de Ginecologia e Obstetricia - January 11, 2021 Category: OBGYN Source Type: research

Reproductive Outcomes in Cases of Subclinical Hypothyroidism and Thyroid Autoimmunity: A Narrative Review
Abstract Thyroid diseases are relatively common in women in the reproductive period. It is currently understood that clinically-evident thyroid disorders may impair ovulation and, consequently, fertility. However, to date it has not been proven that high serum levels of thyroid-stimulating hormone and/or positivity for antithyroid antibodies are associated to a reduction in fertility, mainly in the absence of altered thyroxine levels. The present comprehensive review aims to present current data on the association between subclinical hypothyroidism and/or thyroid autoimmunity and reproductive outcomes.Resumo As doen ças d...
Source: Revista Brasileira de Ginecologia e Obstetricia - January 11, 2021 Category: OBGYN Source Type: research

Sociodemographic and Clinical-pathological Study of Molecular Subtitles of Breast Carcinoma in a Reference Unit of Maranhão
Conclusion It was concluded that in the association of molecular subtypes with sociodemographic and clinical-pathological characteristics, there were no statistically significant results obtained, except for complementary therapy, referring to hormone therapy, and there was a high index of metastasis at diagnosis, which was a worrying factor and indicative of failures in the screening and early diagnosis of this population.Resumo Objetivo Avaliar a distribui ção das principais características sociodemográficas e clínico-patológicas em mulheres com câncer de mama segundo o perfil molecular pela imunohistoquímica....
Source: Revista Brasileira de Ginecologia e Obstetricia - January 11, 2021 Category: OBGYN Source Type: research

Physical Performance Regarding Handgrip Strength in Women with Polycystic Ovary Syndrome
Conclusion Women with PCOS have greater HGS. This may be associated with age and BMI, and it may be related to lean mass. In addition, the dominance effect on muscle mass may influence the physical performance regarding HGS in women with PCOS.Resumo Objetivo O objetivo deste estudo foi avaliar a for ça de preensão manual (FPM) em mulheres com síndrome dos ovários policísticos (SOP). Métodos Estudo de caso-controle que incluiu 70 mulheres com SOP e 93 mulheres saudáveis comidade entre 18 e 47 anos e índice demassa corporal (IMC) de 18 Kg/m2 a 39.9 Kg/m2. Foram dosados os níveis séric os de testosterona total,...
Source: Revista Brasileira de Ginecologia e Obstetricia - January 11, 2021 Category: OBGYN Source Type: research

Fetal Echocardiography Indications and Lack of Association between Abnormal Exams and Advanced Maternal Age: A Cross-Sectional Study - Fetal Abnormal Echocardiography
Conclusions It was observed that routine exams and advancedmaternal age referrals were very frequent. Those exams were not associated to fetal echocardiography abnormalities. In this scenario, when the obstetric ultrasound suggests a fetal cardiacResumo Objetivo Analisar as indica ções mais frequentes para realização de ecocardiografia fetal, incluindo idade materna avançada, e a associação destas com exames alterados. Métodos Foram incluídas todas as gestantes que realizaram ecocardiografia fetal na idade gestacional entre 22 e 32 semanas, em 2 centros de referên cia no Rio de Janeiro, no período de junho ...
Source: Revista Brasileira de Ginecologia e Obstetricia - January 11, 2021 Category: OBGYN Source Type: research

Retrospective Evaluation of Patients Treated for Ectopic Pregnancy: Experience of a Tertiary Center
Conclusion The fertility status of the patients, the clinical and laboratory findings, and the levels of β -hCG are the factors that must be considered in planning the appropriate treatment. (Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - January 11, 2021 Category: OBGYN Source Type: research

Advantages and Disadvantages of Medical Abortion, According to Brazilian Residents in Obstetrics and Gynaecology
Conclusion Residents perceived both clinical and personal issues as advantages of medical abortion.Resumo Objetivo Descobrir qual foi a opini ão dos residentes em ginecologia e obstetrícia sobre as vantagens e desvantagens do aborto medicamentoso em relação aos procedimentos cirúrgicos. Métodos Estudo multicêntrico transversal entre residentes de ginecologia e obstetrícia de 21 maternidades localizadas em 4 diferentes regiões g eográficas do Brasil, utilizando um questionário autorrespondido com 31 questões relacionadas à sua opinião e experiência na prestação de serviços de aborto. Resultados A ma...
Source: Revista Brasileira de Ginecologia e Obstetricia - January 11, 2021 Category: OBGYN Source Type: research

Risk Factors for Urinary Incontinence in Pregnancy: A Case Control Study
Conclusion Urinary incontinence can be a major problem in pregnancy.We identified the use of tobacco as a risk factor for developing UI in pregnancy, which provides an extra reason to encourage patients to quit smoking.Resumo Objetivo A incontin ência urinária (IU) é um importante problema de saúde pública que pode trazer prejuízos àsmulheres emqualquer período da vida, inclusive durante o período gestacional. A IU durante a gravidez temsido estudada por ser capaz de reduzir a qualidade de vida e interferir em vários aspectos do b inômio materno-fetal. O objetivo deste estudo foi determinar a prevalência de ...
Source: Revista Brasileira de Ginecologia e Obstetricia - January 11, 2021 Category: OBGYN Source Type: research

Compulsory Vaccination: The Limit between Public and Private
(Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - January 11, 2021 Category: OBGYN Source Type: research

Postpartum hemorrhage: prevention, diagnosis and non-surgical management
Abstract Pre-eclampsia (PE) is an obstetric disease with a multifactorial cause that affects ∼ 5% of pregnant women. Vision can be affected with varying severity, and retinal detachment is a very rare complication. It tends to be bilateral, diagnosed postpartum, and more prevalent in women who are primiparous and/or undergo caesarean delivery. The condition typically resolves completely and rarely causes total visual loss in the affected women. Fluorescence angiographic findings support the hypothesis that retinal detachment in PE is secondary to choroidal ischemia from intense arteriolar vasospasm. The present article ...
Source: Revista Brasileira de Ginecologia e Obstetricia - December 21, 2020 Category: OBGYN Source Type: research

Does the COVID-19 Pandemic Impact Reproductive Health?
Abstract Pre-eclampsia (PE) is an obstetric disease with a multifactorial cause that affects ∼ 5% of pregnant women. Vision can be affected with varying severity, and retinal detachment is a very rare complication. It tends to be bilateral, diagnosed postpartum, and more prevalent in women who are primiparous and/or undergo caesarean delivery. The condition typically resolves completely and rarely causes total visual loss in the affected women. Fluorescence angiographic findings support the hypothesis that retinal detachment in PE is secondary to choroidal ischemia from intense arteriolar vasospasm. The present article ...
Source: Revista Brasileira de Ginecologia e Obstetricia - December 21, 2020 Category: OBGYN Source Type: research

Serous Retinal Detachment in Pre-eclampsia: Case Report and Literature Review
Abstract Pre-eclampsia (PE) is an obstetric disease with a multifactorial cause that affects ∼ 5% of pregnant women. Vision can be affected with varying severity, and retinal detachment is a very rare complication. It tends to be bilateral, diagnosed postpartum, and more prevalent in women who are primiparous and/or undergo caesarean delivery. The condition typically resolves completely and rarely causes total visual loss in the affected women. Fluorescence angiographic findings support the hypothesis that retinal detachment in PE is secondary to choroidal ischemia from intense arteriolar vasospasm. The present article ...
Source: Revista Brasileira de Ginecologia e Obstetricia - December 21, 2020 Category: OBGYN Source Type: research

Embolization in Patient with Hypovolemic Shock after Transobturator Sling Procedure
We present a case of injury to a branch of the left obturator artery following the placement of a urethral sling using TOT, followed by intense bleeding and hemodynamic instability, which was treated with embolization.Resumo Sling de uretra m édia é o tratamento padrão para a incontinência urinária de esforço. A abordagem transobturatória (TOT) surgiu como alternativa para minimizar os riscos da inserção às cegas das agulhas com taxa de complicações perfurativas menores quando comparadas à abordagem retropúbica. Apresentamo s um caso de lesão em ramo da artéria obturatória esquerda após sling TOT que evol...
Source: Revista Brasileira de Ginecologia e Obstetricia - December 21, 2020 Category: OBGYN Source Type: research

Cytotoxic Activity of Antineoplastic Agents on Fertility: A Systematic Review
Conclusion: Antineoplastic treatments have cytotoxic effects on the germ cells leading to hormonal modulation, and pubertal status does not interfere with the cytotoxic action of therapies.Resumo Objetivo: Analisar os efeitos a longo prazo dos tratamentos antineopl ásicos na fertilidade de pacientes. Fontes de dados: Os estudos foram selecionados através das bases de dados New PubMed, Scielo e Lilacs, junto com as referências utilizadas para a confecção do trabalho. Seleção dos estudos: Para a seleção dos estudos, foram utilizados artigos publicados entre os períodos de 01 de janeiro de 2015 a 06 de abril de ...
Source: Revista Brasileira de Ginecologia e Obstetricia - December 21, 2020 Category: OBGYN Source Type: research