Summary
Rev Bras Ginecol Obstet. 2021;43(10):782-788
To review the evidence about universal iron supplementation in pregnancy to prevent maternal anemia.
Bibliographic research of randomized and controlled clinical trials, meta-analyses, systematic reviews, and clinical guidelines, published between August 2009 and August 2019, using the MeSH terms: iron; therapeutic use; pregnancy; anemia, prevention and control.
We included six clinical guidelines, three meta-analyses and one randomized controlled clinical trial.
Most articles point to the improvement of hematological parameters and reduction of maternal anemia risk, with supplementary iron. However, they do not correlate this improvement in pregnant women without previous anemia with the eventual improvement of clinical parameters.
Universal iron supplementation in pregnancy is controversial, so we attribute a SORT C recommendation strength.
Summary
Rev Bras Ginecol Obstet. 2021;43(10):789-792
Abnormal uterine bleeding is more frequent in adolescence. Although, most commonly, it has a non-structural etiology, it may be due to any cause described.
A 12-year-old adolescent, with no relevant personal history, menarche 1 month before, was observed in the emergency department for severemenstrual bleeding with progressive worsening, and hemodynamic repercussion in need of transfusion support. Physiological ovulatory dysfunction associated with possible previously unknown coagulopathy was considered to be the most likely diagnosis and medical treatment was initiated. Without response, the patient was submitted to sedated observation and uterine aspiration, which ultimately led to the diagnosis of a Burkitt Lymphoma.
Although structural causes, and particularly malignancy, whether gynecological or not, are a rare cause of abnormal uterine bleeding in this age group, they must be considered, thus enhancing the fastest and most appropriate treatment.
Summary
Rev Bras Ginecol Obstet. 2021;43(10):793-793
Summary
Rev Bras Ginecol Obstet. 2021;43(10):794-795
Summary
Rev Bras Ginecol Obstet. 2021;43(10):796-801