Risks of Maternal Obesity in Pregnancy: A Case-control Study in a Portuguese Obstetrical Population
Abstract Objective The present study aims to understand to what extent obesity is related to adversematernal, obstetrical, and neonatal outcomes in a Portuguese obstetrical population. Methods A retrospective case-control study was conducted at the Department of Obstetrics of a differentiated perinatal care facility. The study compared 1,183 obese pregnant womenwith 5,399 normal or underweight pregnantwomen for the occurrence of gestational diabetes, hypertensive pregnancy disorders, and preterm birth. Mode of delivery, birthweight, and neonatal intensive care unit (ICU) admissionswere also evaluated. Mean blood glucose va...
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
Abstract Objective To evaluate whether the use of intraoperative ultrasound leads to more conservative surgeries for benign ovarian tumors. Methods Women who underwent surgery between 2007 and 2017 for benign ovarian tumors were retrospectively analyzed. The women were classified into two groups: those who underwent intraoperative ultrasound (group A) and those who did not (group B). In group A, minimally-invasive surgery was performed for most patients (a specific laparoscopic ultrasound probe was used), and four patients were submitted to laparotomy (a linear ultrasound probe was used). The primary endpoint was ovarian s...
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
Abstract Objective To analyze the effect of thalidomide on the progression of endometriotic lesions experimentally induced in rats and to characterize the pattern of cell proliferation by immunohistochemical Proliferating Cell Nuclear Antigen (PCNA) labeling of eutopic and ectopic endometrium. Methods Fifteen female Wistar rats underwent laparotomy for endometriosis induction by resection of one uterine horn, isolation of the endometrium and fixation of a tissue segment to the pelvic peritoneum. Four weeks after, the animals were divided into 3 groups: control (I), 10mg/kg/day (II) and 1mg/kg/day (III) intraperitoneal thal...
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
Abstract Objective The incidence of obesity, which is a chronic condition, has increased in recent years. The association between obesity and female sexual dysfunction remains unclear, particularly in postmenopausal women. In the present study, we evaluated whether obesity is a risk factor for sexual dysfunction in postmenopausal women. Methods This is a cross-sectional study that analyzed data from interviews of postmenopausal women at the Climacteric Outpatient Clinic from 2015 to 2018. After applying the inclusion and exclusion criteria, 221 women aged between 40 and 65 years old were selected and invited to participate...
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
Abstract Objective The present study aims to compare the maternal and fetal outcomes of parturients with and without a gestational diabetes diagnosis. Methods A case-control study including parturients with (cases) and without (control) a gestational diabetes diagnosis, who delivered at a teaching hospital in Southern Brazil, between May and August 2018. Primary and secondary data were used. Bivariate analysis and a backward conditionalmultivariate logistic regression were used to make comparisons between cases and controls, which were expressed by odds ratio (OR), with a 95% confidence interval (95%CI) and a statistical s...
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)...
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
Abstract Objective To evaluate the association between the acceptance on the part of the patients and their reasons to consent to or refuse medical student attendance during gynecological outpatient care, considering the participants ’ demographic characteristics, consultation experience, and gender bias or lack thereof. Methods Face-to-face interviews with patients waiting for gynecological consultations that had been scheduled in advance at Hospital Universit ário de Brasília. Contingency analyses were used to determine the levels of association among the patient variables. The accepted significance level was values of p
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 ter&cce...
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 Maternidadeescol...
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
Abstract Objective To assess the daily dietary intake and energy contribution of ultraprocessed foods among women who are positive and negative for the human immunodeficiency virus (HIV) during pregnancy. Methods This case-control study included 77 HIV-positive and 79 HIV-negative puerperal women between 2015 and 2016. The socioeconomic and maternal demographic data were assessed, and a food frequency questionnaire (FFQ) adapted for pregnant women was applied. The Fisher exact test and the Mann-Whitney test were applied to detect differences between the groups. Linear regression was used to assess the associations between ...
Source: Revista Brasileira de Ginecologia e Obstetricia - November 8, 2019 Category: OBGYN Source Type: research

Do We Know How to Avoid OASIs in Non-Supine Birth Positions? A Retrospective Cohort Analysis
Abstract Objective To evaluate the association between the upright and supine maternal positions for birth and the incidence of obstetric anal sphincter injuries (OASIs). Methods Retrospective cohort study analyzed the data of 1,728 pregnant women who vaginally delivered live single cephalic newborns with a birth weight of 2,500 g. Multiple regression analyses were used to investigate the effect of the supine and upright positions on the incidence of OASIs after adjusting for risk factors and obstetric interventions. Results In total, 239 (13.8%) births occurred in upright positions, and 1,489 (86.2%) in supine positions. ...
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 iníc...
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 for...
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 end...
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 r...
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
Abstract Objective To determine the effect of treadmill walking on maternal heart rate (MHR) and cardiotocographic parameters (basal fetal heart rate [FHR], active fetal movements [AFM], number of accelerations and decelerations, and short-term variation [STV] and long-term variation [LTV] of fetal heart rate) in pregnant women at 36 weeks. Methods A nonrandomized, open clinical trial involving 88 healthy pregnant women submitted to moderate intensity walking and computed cardiotocography in 3 20- minute periods (resting, treadmill walking, and postexercise recovery). Results The mean FHR decreased during walking (resting:...
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
Abstract Objective The etiology of embryonic demise is multifactorial, with chromosomal abnormalities being the most common (40%). The purpose of the present study is to evaluate the correlation between a serum biomarker, progesterone, and an ultrasonographic parameter, the distance between yolk sac and embryo (DYSE) in assessing the prognosis of pregnancy outcome in the 1st trimester. Methods The present study is a prospective case-control analysis that includes 2 groups of patients: 81 patients with first-trimester normal evolutive pregnancy and 89 patients with embryonic demise, all of the patients having between 6 and ...
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 pu...
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
Abstract Objective The present study was conducted with the objective of investigating the effectiveness of solution-focused group counseling (SFGC) on promoting the mental health of midwifery students. Methods The present study is an intervention-based study with a pretest, a post-test, and a control group. The statistical population included all of the midwifery students studying in the midwifery department of the Bam University of Medical Sciences, Kerman, Iran, who filled out the General Health Questionnaire (GHQ) in the screening phase. In the second phase, 40 individuals, having a low level of mental health based on ...
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 o...
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 deficie...
Source: Revista Brasileira de Ginecologia e Obstetricia - September 17, 2019 Category: OBGYN Source Type: research

Ultrasound Evaluation of the Cervix to Predict Failed Labor Induction
Conclusion Although TVS is useful for screening for induction failure, this tool should not be used as an indication for cesarean section.Resumo Objetivo Nem sempre a indu ção do parto termina emparto vaginal, expondo tanto a mãe quanto o feto aos riscos inerentes ao procedimento de indução, ou a uma possível cesárea. A ultrassonografia transvaginal (UTV) semostrou interessante instrumento na predição da prematuridade e, neste estudo, utilizamos este instrume nto na situação inversa: indução do parto no pós-datismo. Mét...
Source: Revista Brasileira de Ginecologia e Obstetricia - September 17, 2019 Category: OBGYN Source Type: research

Putting Knowledge into Practice-The Challenge of Acquiring Healthy Habits during Pregnancy Colocando conhecimento em prática - O desafio de adquirir hábitos saudáveis durante a gravidez
Conclusion Despite understanding the need for HH during pregnancy, women still need encouragement to practice PE during pregnancy, as well as more information about GWG.Resumo Objetivo O objetivo deste estudo foi investigar os conhecimentos sobre ganho de peso gestacional (GPG), nutri ção, e exercício físico (EF) em gestantes e o quanto elas os colocam em prática. Métodos Estudo transversal realizado no Hospital da Mulher, CAISM, Unicamp, com 61 gestantes acima das 26 semanas gestacionais. Questionários sobre conhecimento de hábitos saudáveis (HS) durante a ges...
Source: Revista Brasileira de Ginecologia e Obstetricia - September 17, 2019 Category: OBGYN Source Type: research

The Algorhytm: FRAX Brazil
(Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - September 17, 2019 Category: OBGYN Source Type: research

Pelvic Actinomycosis Mimicking Pelvic Malignancy
We report a case of pelvic actinomycosis mimicking ovarian malignancy diagnosed postoperatively. Preoperative diagnosis is possible if there is a high index of suspicion, obviating extensive surgery and preserving fertility, since long term antibiotic treatment can be completely effective. Pelvic actinomycosis should be included in the differential diagnosis of women presenting a pelvic mass, especially if there is intrauterine device use history.Resumo A coloniza ção assintomática do aparelho genital feminino por Actinomyces spp não é infrequente, sobretudo em utilizadoras de dispositivo...
Source: Revista Brasileira de Ginecologia e Obstetricia - August 15, 2019 Category: OBGYN Source Type: research

New Approaches to Fetal Growth Restriction: The Time for Metabolomics Has Come
Abstract Fetal growth restriction (FGR) diagnosis is often made by fetal biometric ultrasound measurements orDoppler evaluation, but most babies are only diagnosed after birth, using the birth weight as a proxy for intrauterine development. The higher risks of neurodevelopmental delay, metabolic syndrome, and cardiovascular illness associated with FGR impose a shift on the focus during pregnancy. New methodological approaches, like metabolomics, can provide novel biomarkers for intrauterine fetal development. Recent evidence on metabolites involved with fetal growth and weight show a consistent role played by lipids (espec...
Source: Revista Brasileira de Ginecologia e Obstetricia - August 15, 2019 Category: OBGYN Source Type: research

Is the Expression of the Components of the Carotid Matrix of Rats Influenced by Estrogen, Progestin and Tibolone?
Conclusion Estradiol alone or associated with MPA and TIB treatment can increase mRNA HSPE expression of the walls of the carotid arteries in ovariectomized rats.Resumo Objetivo Analisar os efeitos do estrog ênio isolado ou em combinação com progestogênios e tibolona (TIB) na expressão das metaloproteinases 2 e 9 da matriz extracelular (MMP-2 e MMP-9), da perlecan e da heparanase (HPSE) das paredes vasculares das artérias carótidas. Métodos Trinta ratas Wistar ovariectomizadas com 250 dias de idade foram tratadas oralmente por 5 semanas com: a) 1 mg/kg de benzoato de es...
Source: Revista Brasileira de Ginecologia e Obstetricia - August 15, 2019 Category: OBGYN Source Type: research

Ovarian Sertoli-Leydig Cell Tumors: Epidemiological, Clinical and Prognostic Factors
Conclusion Abdominal pain was the most frequent presentation. There was no ultrasonographic pattern. All of the SLCTs were at stage IA, and most of them were moderately differentiated. Relapses did not occur, but one death related to the surgical staging occurred.Resumo Objetivo Descrever uma s érie de casos de tumores de células de Sertoli-Leydig (TCSLs) ovarianos. Métodos Revisão retrospectiva de 12 casos de TCSL tratados no Hospital de Câncer de Barretos entre outubro de 2009 e agosto de 2017. Resultados A mediana de idade foi 31 anos (15-71 anos). Um total de 9 pacientes (75,0 %) apres...
Source: Revista Brasileira de Ginecologia e Obstetricia - August 15, 2019 Category: OBGYN Source Type: research

Validation of the Six-item Female Sexual Function Index in Middle-Aged Brazilian Women
Conclusion The FSFI-6 was translated and adapted to the Brazilian culture and is a consistent and reliable tool for female sexual dysfunction screening in Brazilianmiddleaged women.Resumo Objetivo Validar o Índice de Função Sexual Feminina - 6 itens (FSFI-6, na sigla em inglês) para mulheres brasileiras de meia-idade. Métodos Estudo transversal observacional que incluiu 737 (pré-menopausa n = 117, perimenopausa n = 249, pós-menopausa n = 371) mulheres brasileiras sexualmente ativas, entre 40 e 55 anos, sem métodos contraceptivos hormonais. A versão brasileira do...
Source: Revista Brasileira de Ginecologia e Obstetricia - August 15, 2019 Category: OBGYN Source Type: research

Assessment of Polymorphismof the VDR Gene and Serum Vitamin D Values in Gestational Diabetes Mellitus
Conclusion There was no association between the FokI polymorphism and the development of GDM, nor was t here any change in serum vitamin D levels in patients with GDM.Resumo Objetivo Avaliar a rela ção entre o polimorfismo do gene receptor da vitamina D (VDR) (FokI [rs10735810]) e a concentração sérica de vitamina D no diabetes mellitus gestacional (DMG). Métodos Estudo prospectivo tipo caso-controle que recrutou gestantes saudáveis (grupo controle) (n = 78) e com DMG (grupo DMG) (n = 79), sem outras comorbidades. Foram coletadas amostras de sangue periférico no 3°...
Source: Revista Brasileira de Ginecologia e Obstetricia - August 15, 2019 Category: OBGYN Source Type: research

Pregnancy Among Women with Kidney Transplantation: A 20-Years Single-Center Registry
Abstract Objective To assess maternal and perinatal outcomes in pregnancies after kidney transplantation in a tertiary center in Brazil. Methods Retrospective cohort of pregnancies in women with kidney transplantation at the Universidade Estadual de Campinas, from January 1995 until December 2017. Medical charts were reviewed, andmaternal and perinatal outcomes were described as means and frequencies. Renal function and blood pressure were evaluated during pregnancy and postpartum. Results A total of 22 women had at least 1 pregnancy during the considered timeinterval, and 3 of them had> 1 pregnancy, totalizing 25 pregn...
Source: Revista Brasileira de Ginecologia e Obstetricia - August 15, 2019 Category: OBGYN Source Type: research

HPV Vaccines: Separating Myths from Reality
(Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - August 15, 2019 Category: OBGYN Source Type: research

A Case of Chronic and Relapsing Paget Disease of the Vulva
Abstract Extramammary Paget disease is a rare neoplastic condition that more commonly affects postmenopausal Caucasian women. Although the vulvar area is the most frequently affected location, it corresponds solely to 1 to 2% of all vulvar malignancies. A 72-year-old female patient was observed in our outpatient clinic with a 2-year history of an erythematous and pruritic plaque on the vulva. Histopathology and immunohistochemistry studies were compatible with extramammary Paget disease of the vulva. Associated neoplastic conditions were excluded. Due to multiple relapses, the patient was submitted to three surgical interv...
Source: Revista Brasileira de Ginecologia e Obstetricia - July 23, 2019 Category: OBGYN Source Type: research

Endometrial Tuberculosis: Hysteroscopic Findings of a Clinical Case
Abstract Endometrial tuberculosis is a rare diagnosis in the postmenopausal period, and it can mimic a carcinoma. The present article describes the case of a 54-year-old female patient with weight loss, abdominal pain, and ascites. An ultrasonography showed endometrial thickening, and a video hysteroscopy revealed a uterine cavity with formations with cotton aspect covering the entire endometrial surface and the tubal ostia. An anatomopathological evaluation diagnosed endometrial tuberculosis. The treatment was with a standardized therapeutic scheme (ethambutol, isoniazid, pyrazinamide and rifampicin), and the patient evol...
Source: Revista Brasileira de Ginecologia e Obstetricia - July 23, 2019 Category: OBGYN Source Type: research

The Impact on Ovarian Reserve of Different Hemostasis Methods in Laparoscopic Cystectomy: A Systematic Review and Meta-analysis
Conclusion We recommend suture for hemostasis during laparoscopic cystectomy.Resumo Objetivo O objetivo desta revis ão foi comparar o impacto dos diferentes métodos hemostáticos na reserva ovariana durante a ooforoplastia laparoscópica. Fontes de Dados Os estudos foram identificados através da pesquisa de bases de dados eletrônicas (MEDLINE, Embase, Cochrane, LILACS) e listas de referência de artigos. S eleção dos estudos Selecionamos ensaios clínicos que avaliaram a influência das técnicas hemostáticas na reserva ovariana em pacientes ...
Source: Revista Brasileira de Ginecologia e Obstetricia - July 23, 2019 Category: OBGYN Source Type: research

Interest In and Practices Related to Gynecologic Oncology among Members of the Brazilian Federation of Associations of Gynecology and Obstetrics
Conclusion The role of OB-GYNs and of OB-GYNs ONCO appears to be complementary. Obstetricians and gynecologists actmore often in screening and prevention and in low-complexity surgical procedures, whereas OB-GYNs ONCO are more involved in highly complex cases. Strategies to raise standards in cancer training and to encourage the recognition of gynecologic oncology as a subspecialty should be adopted in Brazil.Resumo Objetivo Opresente estudotemcomo objetivo obter informa ções demográficas básicas, o nível de interesse e de treinamento em ginecologia oncológica entre obstetras e gin...
Source: Revista Brasileira de Ginecologia e Obstetricia - July 23, 2019 Category: OBGYN Source Type: research

Estimation of the Costs of Invasive Cervical Cancer Treatment in Brazil: A Micro-Costing Study
Conclusion We found a high economic impact of health care systems treating ICC in a poor region of Brazil. These estimates could be applicable to further evaluations of the cost-effectiveness of preventing and treating ICC.Resumo Objetivo O objetivo principal do presente estudo foi estimar os custos anuais por paciente do tratamento do c âncer do colo do útero (CCU) invasivo em um centro de oncologia no Brasil, sob a perspectiva da sociedade, considerando os custos diretos médicos, diretos não médicos e indiretos. Métodos Foi realizado um estudo descritivo de análise de custo...
Source: Revista Brasileira de Ginecologia e Obstetricia - July 23, 2019 Category: OBGYN Source Type: research

Lessons from the Field Beyond the Numbers: Narratives of Professionals on Women who Experienced Severe Maternal Morbidity
Conclusion The analysis of narratives may offer an idea on the complexity of the perception of care by professionals and on the need for an interdisciplinary follow-up of women surviving an SMM or an MNM episode.Resumo Objetivo Diversos fatores podem afetar a sa úde e a qualidade de vida das mulheres que tiveram um episódio de morbidade materna grave (MMG) ou near-miss materno (NMM). O objetivo do presente estudo foi explorar as perspectivas dos profissionais sobre as repercussões da MMG ou do NMM após terem entrevistados mulheres que sobreviveram a um desses episódios. Métodos Cas...
Source: Revista Brasileira de Ginecologia e Obstetricia - July 23, 2019 Category: OBGYN Source Type: research

Content and Face Validity of the Mackey Childbirth Satisfaction Rating Scale Questionnaire Crossculturally Adapted to Brazilian Portuguese
Conclusion The final version of the Brazilian Portuguese MCSRS questionnaire had face and content validity confirmed. This instrument of evaluation of maternal satisfaction during childbirth was validated to be applied in the Brazilian female population.Resumo Objetivo O objetivo deste estudo foi determinar a valida ção de face e conteúdo da Escala Mackey de Avaliação da Satisfação com o Parto (MCSRS, na sigla em inglês), transculturalmente adaptada para o português brasileiro. Métodos O MCSRS é um questionário com 34 itens relacionados &agra...
Source: Revista Brasileira de Ginecologia e Obstetricia - July 23, 2019 Category: OBGYN Source Type: research

Factors Associated with Intrapartum Cesarean Section in Women Submitted to Labor Induction
Conclusion Labor induction was successful inmost patients. In the cases in which the final outcome was a cesarean section, the most strongly associated factors were: previous history of cesarean delivery, presence of fetuses with IUGR, and either excessively short or excessively long periods of induction.Resumo Objetivo Avaliar os resultados da indu ção de trabalho de parto e determinar os principais fatores associados à realização de cesarianas intraparto em pacientes do Hospital Universitário da Universidade Federal de Santa Catarina (HU-UFSC), Florianópolis, SC, Brasil. M...
Source: Revista Brasileira de Ginecologia e Obstetricia - July 23, 2019 Category: OBGYN Source Type: research

New Criteria for the Clinical Diagnosis of Hyperandrogenism in Polycystic Ovarian Syndrome and the Risk of Overdiagnosis
(Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - July 23, 2019 Category: OBGYN Source Type: research