SARS-CoV-2 and Pregnancy: A Review of the Facts
Conclusion The COVID-19 outbreak resulted in a pandemic with> 3.3 million cases and 230 thousand deaths until May 2nd. It is caused by the SARS-CoV2 virus and may lead to severe pulmonary infection and multi-organ failure. Past experiences show that unique characteristics in pregnancy make pregnant women more susceptible to complications from viral infections. Yet, this has not been reported with this new virus. There are risk factors that seem to increase morbidity in pregnancy, such as obesity (body mass index [BMI]> 35), asthma and cardiovascular disease. Current reports describe an increased rate of pretermbirth...
Source: Revista Brasileira de Ginecologia e Obstetricia - October 23, 2020 Category: OBGYN Source Type: research

Preoperative Differentiation of Benign and Malignant Non-epithelial Ovarian Tumors: Clinical Features and Tumor Markers
Conclusion Non-epithelial ovarian tumors were benign in the majority of cases, and the malignant caseswere diagnosed at initial stages with good prognosis. Themeasurements of CA125, HE4, and CEA serum levels were not useful in the preoperative diagnosis of these tumors.Resumo Objetivo Avaliar o papel das caracter ísticas clínicas e a medida pré-operatória dos níveis séricos de CA125, HE4, e CEA em mulheres com tumores de ovário não epiteliais benignos e malignos. Métodos Cento e dezenovemulheres consecutivas comtumores ovarianos de células germinativas, do cordão sexual-estroma, e miomas ovarian os foram in...
Source: Revista Brasileira de Ginecologia e Obstetricia - October 23, 2020 Category: OBGYN Source Type: research

Epidemiological Profile of the Victims of Sexual Violence Treated at a Referral Center in Southern Brazil
Conclusion Most victims of sexual violence were treated within 72 hours of the occurrence. The majority of these victims were white and young, and those< 19 years old had a higher risk of not using contraception and to know the sexual perpetrator.Resumo Objetivo Caracterizar o perfil sociodemogr áfico de mulheres vítimas de violência sexual atendidas em um hospital universitário da região Sul do Brasil. Métodos Estudo transversal de todas as mulheres atendidas na unidade de vítimas de violência sexual do Hospital de Clínicas de Porto Alegre (HCPA) entre 18 de abril de2000 a 31 de dezembro de 2017. Os dado...
Source: Revista Brasileira de Ginecologia e Obstetricia - October 23, 2020 Category: OBGYN Source Type: research

Women’s Obstetric History and Midtrimester Cervical Length Measurements by 2D/3D and Doppler Ultrasound
Conclusion The present study showed a significant association between the presence of a short cervix in the current pregnancy and at least one previous preterm birth. None of the vascularization indexes correlate with cervical length as an independent parameter. Uterine artery Doppler findings do not correlate with cervical length.Resumo Objetivo O objetivo do presente estudo foi comparar a hist ória obstétrica e os parâmetros bi- e tridimensionais ultrassonográficos de acordo com os diferentes comprimentos cervicais. Métodos O presente estudo transversal analisou 248 gestantes no segundo trimestre de acordo com ...
Source: Revista Brasileira de Ginecologia e Obstetricia - October 23, 2020 Category: OBGYN Source Type: research

The Effect of Small Size Uterine Fibroids on Pregnancy Outcomes in High-risk Pregnancies
Conclusion Small size uterine fibroids seem to have no adverse effect on pregnancy outcomes even in high-risk pregnancies, and cesarean myomectomy may be safelyperformed in properly selected cases. (Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - October 23, 2020 Category: OBGYN Source Type: research

Twin Pregnancies, Crown-rump Length and Birthweight Discordancy: The Influence of Chorionicity
Conclusion No statistically significant influence of chorionicity was identified in both birthweight and birthweight discordancy, as in crown-rump length and crown-rump length discordancy. Birthweight discordancy was correlated to crown-rump length discordancy in 20% of cases.Resumo Objetivo O objetivo do presente estudo foi analisar a influ ência da corionicidade nos parâmetros biométricos comprimento craniocaudal, peso ao nascimento, discordância de comprimento craniocaudal e discordância de peso ao nascimento, determinar a correlação entre estes dois últimos caso haja discordância intergemelar e analisar a i...
Source: Revista Brasileira de Ginecologia e Obstetricia - October 23, 2020 Category: OBGYN Source Type: research

Cesarean-section Rates in Brazil from 2014 to 2016: Cross-sectional Analysis Using the Robson Classification
Conclusion Over half of the births in Brazil were cesarean sections. The Midwest had the highestCS rates,while theNorth had the lowest. The largestobstetric population in the North and in the Northeast was composed of women in group 3, while in the South, Southeast and Midwest it was group 5. Among all regions, the largest contribution to the overall CS rate was from group 5.Resumo Objetivo Identificar as taxas de ces área de acordo com a Classificação de Robson nas cinco regiões do Brasil. Métodos Estudo epidemiológico descritivo utilizando dados secundários obtidos do Departamento de Informática do Sistema Ã...
Source: Revista Brasileira de Ginecologia e Obstetricia - October 23, 2020 Category: OBGYN Source Type: research

Thinking about COVID-19 Scenario in Brazil: The Alternation between the Useful, the Uncertain and the Futile
(Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - October 23, 2020 Category: OBGYN Source Type: research

Premature ovarian insufficiency: A hormonal treatment approach
Abstract Primary dysmenorrhea is defined asmenstrual pain in the absence of pelvic disease. It is characterized by overproduction of prostaglandins by the endometrium, causing uterine hypercontractility that results in uterine muscle ischemia, hypoxia, and, subsequently, pain. It is the most common gynecological illness in women in their reproductive years and one of the most frequent causes of pelvic pain; however, it is underdiagnosed, undertreated, and even undervalued by women themselves, who accept it as part of themenstrual cycle. It hasmajor implications for quality of life, such as limitation of daily activities an...
Source: Revista Brasileira de Ginecologia e Obstetricia - September 25, 2020 Category: OBGYN Source Type: research

An Easy to Miss, but Preventable Tragedy: Vasa Previa
Abstract Primary dysmenorrhea is defined asmenstrual pain in the absence of pelvic disease. It is characterized by overproduction of prostaglandins by the endometrium, causing uterine hypercontractility that results in uterine muscle ischemia, hypoxia, and, subsequently, pain. It is the most common gynecological illness in women in their reproductive years and one of the most frequent causes of pelvic pain; however, it is underdiagnosed, undertreated, and even undervalued by women themselves, who accept it as part of themenstrual cycle. It hasmajor implications for quality of life, such as limitation of daily activities an...
Source: Revista Brasileira de Ginecologia e Obstetricia - September 25, 2020 Category: OBGYN Source Type: research

Primary Dysmenorrhea: Assessment and Treatment
Abstract Primary dysmenorrhea is defined asmenstrual pain in the absence of pelvic disease. It is characterized by overproduction of prostaglandins by the endometrium, causing uterine hypercontractility that results in uterine muscle ischemia, hypoxia, and, subsequently, pain. It is the most common gynecological illness in women in their reproductive years and one of the most frequent causes of pelvic pain; however, it is underdiagnosed, undertreated, and even undervalued by women themselves, who accept it as part of themenstrual cycle. It hasmajor implications for quality of life, such as limitation of daily activities an...
Source: Revista Brasileira de Ginecologia e Obstetricia - September 25, 2020 Category: OBGYN Source Type: research

Factors Associated with Sexual Activity for Women with Pelvic Floor Dysfunction - A Cross-Sectional Study
Conclusion Postmenopausal status and age negatively affected SA. Being married facilitated SA. Presence of POP and UI did not affect SA. However, NSAwomen with POP exhibited compromised QoL.Resumo Objetivo Examinar mulheres com disfun ções do assoalho pélvico (DAP) e identificar fatores associados ao status de atividade sexual (AS) e impacto na qualidade de vida (QV). Métodos Realizamos um estudo transversal, no qual participaram mulheres> 18 anos, que apresentaram pelo menos um sintoma de DAP (incontin ência urinária [UI] e/ou prolapso de órgão pélvico [POP]), em ambulatórios especializados em uroginecol...
Source: Revista Brasileira de Ginecologia e Obstetricia - September 25, 2020 Category: OBGYN Source Type: research

Analysis of Body Composition and Pain Intensity inWomen with Chronic Pelvic Pain Secondary to Endometriosis
Conclusion We concluded that, despite the difference in the pain score assessed between the two groups, th ere was no difference regarding body composition and anthropometry.Resumo Objetivo Determinar a composi ção corporal média (porcentagem de gordura corporal), os marcadores antropométricos, e a intensidade de dor clínica em mulheres com diagnóstico clínico de dor pélvica crônica (DPC) secundária a endometriose. Métodos Um estudo de caso-controle realizado com 91 mulheres, 46 das quais com DPC secundária a endometriose, e 45 das quais com DPC secundária a outras causas. As pacientes foram submetidas à...
Source: Revista Brasileira de Ginecologia e Obstetricia - September 25, 2020 Category: OBGYN Source Type: research

Factors Associated with the Complications of Hysteroscopic Myomectomy
Conclusions Our results show that hysterosc opic myomectomy may result in up to 13% of complications, and the chance of complete resection is greater in small and completely intracavitary fibroids; women with larger fibroids and with a high degree of myometrial penetration have a greater chance of developing complications from hysteroscopic m yomectomy.Resumo Objetivo Avaliar os fatores associados a miomectomia por histeroscopia completa em um único procedimento e as suas complicações. Métodos Estudo de corte transversal com mulheres submetidas a histeroscopia para exérese de miomas submucosos. As variáveis depe...
Source: Revista Brasileira de Ginecologia e Obstetricia - September 25, 2020 Category: OBGYN Source Type: research

Preoperative Fasting Abbreviation and its Effects on Postoperative Nausea and Vomiting Incidence in Gynecological Surgery Patients
Conclusion The incidence of n ausea and vomiting was lower than in the literature, but it cannot be said that this is due to the abbreviation of fasting. It can provide greater comfort, with the possibility of PONV prevention in patients at risk for these episodes.Resumo Objetivo Investigar os efeitos da abrevia ção do jejum pré-operatório, por meio de solução enriquecida comcarboidrato e proteína, na incidência de náuseas e vômitos no pós-operatório (NVPO) em cirurgias ginecológicas, população naturalmente de risco para esses episódios desagradáveis. Métodos O presente estudo prospectiv o randomizad...
Source: Revista Brasileira de Ginecologia e Obstetricia - September 25, 2020 Category: OBGYN Source Type: research