Analysis of Conization Results in Patients undergoing Hysterectomy for Uterine Adenocarcinoma
Conclusion The prevalence of adenocarcinoma in situ increased in the past years. There is still a large part of the medical literature that advocates the use of conservative treatment for this disease, even though it is common knowledge that it is a multifocal disease. However, the majority of studies advocate that hysterectomy should remain the preferred treatment for women who have already completed their reproductive purpose.Resumo Objetivo Observar se o resultado proveniente de uma coniza ção realizada após o diagnóstico de adenocarcinoma cervical in situ é compatível com a análise histopatológica da histerect...
Source: Revista Brasileira de Ginecologia e Obstetricia - June 22, 2020 Category: OBGYN Source Type: research

Different Perceptions among Women and Their Physicians Regarding Contraceptive Counseling: Results from the TANCO Survey in Brazil
Conclusion Despite the high levels of use and satisfaction with the current methods, women were interested in receiving more information on all contraceptive methods. Structured contraceptive counseling based on individual needs and expectations may lead to greater knowledge and a greater likelihood of proper contraceptive choice.Resumo Objetivo A utiliza ção ideal de métodos contraceptivos requer que as mulheres participem da escolha orientada sobre métodos que atendam às suas necessidades e expectativas individuais. O estudo Thinking About Needs in Contraception (TANCO)- Pensando nas Necessidades em Contracepção-...
Source: Revista Brasileira de Ginecologia e Obstetricia - June 22, 2020 Category: OBGYN Source Type: research

Maternal and Perinatal Outcomes of Pregnancies Complicated by Chronic Hypertension Followed at a Referral Hospital
Conclusion Chronic hypertension is related with the high occurrence of PE, C-sections, prematurity and neonatal complications. Close surveillance and multidisciplinary care are important for early diagnosis of complications.Resumo Objetivo Avaliar os resultados maternos e perinatais em gesta ção de mulheres com hipertensão crônica. Métodos Coorte retrospectiva de mulheres hipertensas crônicas acompanhadas em hospital de referência por 5 anos (2012-2017). Foi realizada revisão dos prontuários médicos e os resultados são descritos em médias e frequências. A regressão de Poi sson foi usada para identificar os ...
Source: Revista Brasileira de Ginecologia e Obstetricia - June 22, 2020 Category: OBGYN Source Type: research

Evaluation of High-Dose Vitamin A Treatment in Postmolar Patients with Low and Plateauing Serum Human Chorionic Gonadotropin Levels
Conclusion The limited use of HD Vit-A seems to have a safe and signi fi cant effect on the treatment of postmolar patients with L&P serum hCG levels and may decrease the development of postmolar GTN in this population.Resumo Objetivo Comparar o efeito de alta dose de vitamina A (VitA) no seguimento p ósmolar de pacientes com gonadotro fi na cori ônica humana (hCG) sérica apresentando valoresbaixoseem platô(L&P). M étodos Estudo retrospectivo de série de casos comparando duas coortes não simultâneas. Grupo controle (CG): 34 pacientes com títulos de hCG sérico L&P submetidos a manejo expectante por...
Source: Revista Brasileira de Ginecologia e Obstetricia - June 22, 2020 Category: OBGYN Source Type: research

Platelet to Lymphocyte Ratio and Neutrophil to Lymphocyte Ratio in Missed Abortion
Conclusion The PDW, NLR and PLR values of the missed abortion group were reported high; and MPV values were reported low in the present study. These fi ndings may help to speculate a defective placentation in the pathogenesis of missed abortion. (Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - June 22, 2020 Category: OBGYN Source Type: research

Hormone Therapy, Breast Cancer Risk and the Collaborative Group on Hormonal Factors in Breast Cancer Article
(Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - June 22, 2020 Category: OBGYN Source Type: research

Congenital Complete Atrioventricular Heart Block in a Pregnant Woman with Sjögren Syndrome: Prenatal Care Follow-Up and the Challenge of Intrauterine Treatment
Abstract The present report describes a case of complete atrioventricular block (CAVB) diagnosed at 25 weeks of gestation in a pregnant woman with Sj ögren's syndrome and positive anti-Ro/SSA antibodies. Fluorinated steroids (dexamethasone and betamethasone) and terbuline were used to increase the fetal heart rate, but the fetal heart block was not reversible, and the administration of drugs was discontinued due to maternal collateral effects. F ollow-up fetal echocardiograms were performed, and the fetus evolved with pericardial effusion, presence of fibroelastosis in the right ventricle, and ventricular dysfunction. Int...
Source: Revista Brasileira de Ginecologia e Obstetricia - May 18, 2020 Category: OBGYN Source Type: research

Thromboprophylaxis during the Pregnancy-Puerperal Cycle - Literature Review
Conclusion: There are some gaps in the research, and clinical studies with appropriate methodology are needed to support decisions made regarding the risk of thromboembolism in the perigestational period. Thus, the attention of the professionals involved in the care of pregnant and postpartum women is crucial, as it is a condition associated with high morbidity and mortality.Resumo Objetivo Identificar as estrat égias e recomendações atuais para profilaxia de tromboembolismo venoso associado ao ciclo gravídico-puerperal, condição de alta morbimortalidade entre mulheres. Métodos A busca na literatura ocorreu entre ...
Source: Revista Brasileira de Ginecologia e Obstetricia - May 18, 2020 Category: OBGYN Source Type: research

Quality of Life for Women with Human Papillomavirus-induced Lesions
Conclusion Human papillomavirus infection impairs the quality of life of women as it significantly affects sexual, affective, physical, emotional, and everyday habits. Therefore, HPV infection can lead to exponential changes in the quality of life of women, which can be mitigated by the availability of sources of support such as family, friends and the multi-professional team, helping to improve knowledge and cope with HPV.Resumo Objetivo Desvelar as altera ções na qualidade de vida referidas por mulheres com lesões induzidas pelo papilomavírus humano (HPV). Métodos Trata-se de um estudo transversal, descritivo-expl...
Source: Revista Brasileira de Ginecologia e Obstetricia - May 18, 2020 Category: OBGYN Source Type: research

Is there an Increased Risk for Unfavorable Obstetric Outcomes in Women with Endometriosis? An Evaluation of Evidences
Conclusion Placenta previa and preterm birth are the most statistically significant outcomes related to endometriosis, as indicated by our systematic review. The present information is useful to alert obstetricians and patients abou t possible unfavorable obstetric outcomes.Resumo Objetivo Realizar uma revis ão sistemática e crítica da literatura de modo a avaliar se a presença de endometriose determina desfechos obstétricos adversos na gestação. Fonte dos dados O presente estudo foi realizado no Hospital Israelita Albert Einstein, São Paulo, SP, Brasil, de acordo com a metodologia PRISMA para r evisões sistemát...
Source: Revista Brasileira de Ginecologia e Obstetricia - May 18, 2020 Category: OBGYN Source Type: research

Consecutive Use of the 52 mg Levonorgestrel-releasing Intrauterine System: Variations in Bleeding Patterns
Conclusion Changes in bleeding patterns occur during the use of LNG-IUS and should not be decisive for the early replacement of the device.Resumo Objetivo Varia ções no padrão de sangramento podem afetar a decisão de troca do sistema intrauterino de levonorgestrel (SIU-LNG) antes do período de uso estendido recomendado de 7 anos. Nós avaliamos mudanças no padrão de sangramento de usuárias ao final do uso do primeiro SIU-LNG 52 mg (SIU-1) e durante o uso do segundo dispositivo (SIU-2). Métodos Revisamos os prontuários de todas as mulheres que inseriram consecutivamente o SIU-LNG no ambulatório de Planejamento ...
Source: Revista Brasileira de Ginecologia e Obstetricia - May 18, 2020 Category: OBGYN Source Type: research

Frequency of Congenital Anomalies in the Brazilian Midwest and the Association with Maternal Risk Factors: Case-control Study
Conclusion The most frequent CAs are those of the central nervous system, followed by those of the genitourinary system, and then multiple anomalies. The maternal risk factors that may have influenced the occurrence of structural CA were previous children with CA, family history, and consanguinity among the parents.Resumo Objetivo Avaliar a frequ ência de anomalias congênitas (ACs) estruturais no centro-oeste brasileiro e a associação com fatores de risco maternos. Métodos Estudo prospectivo, observacional, caso-controle, baseado em uma população hospitalar. Foram analisadas gestantes atendidas em um serviço de m...
Source: Revista Brasileira de Ginecologia e Obstetricia - May 18, 2020 Category: OBGYN Source Type: research

Pubic Arch Angle Measurement by Transperineal Ultrasonography: A Prospective Cross-Sectional Study
Conclusion Ultrasonographic measurement of the PAA was not a predictor of delivery type, but was associated with the persistence of occipital varieties after birth.Resumo Objetivo Avaliar a medida do ângulo do arco púbico (AAP) por ultrassonografia transperineal durante trabalho de parto em predizer tipo de parto e modo de desprendimento do polo cefálico. Métodos Um estudo prospectivo transversal foi conduzido com 221 mulheres em trabalho de parto com gestação única ≥ 37 semanas, com fetos em apresenta ção cefálica, foram submetidas à avaliação ultrassonográfica por via transperineal para aferição do A...
Source: Revista Brasileira de Ginecologia e Obstetricia - May 18, 2020 Category: OBGYN Source Type: research

Local References for Ultrasound-Estimated Fetal Weight Based on 2,211 Singleton Pregnancies in the City of Curitiba, South of Brazil
Conclusion We provide a local reference curve for estimated fetal weight. The proposed model was different from other models, and these differences might be due to the use of different populations for model construction.Resumo Objetivo Desenvolver curvas de refer ência para o peso fetal estimado em uma população de Curitiba, Sul do Brasil, e compará-las com curvas estabelecidas para outras populações. Métodos Foi realizado um estudo observacional, transversal e retrospectivo. Um modelo de referência para o peso fetal estimado foi desenvolvido usando uma amostra local de 2.211 gestações únicas de baixo risco d...
Source: Revista Brasileira de Ginecologia e Obstetricia - May 18, 2020 Category: OBGYN Source Type: research

Maternal Mortality: An Eco-Social Phenomenon that Calls for Systemic Action
(Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - May 18, 2020 Category: OBGYN Source Type: research