Summary
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(5):261-266
DOI 10.1590/S0100-72031999000500003
Purpose: to evaluate the immune status of women in reproductive age regarding the rubella virus. Methods: 2,243 samples of serum from women in the age range of 15 to 45 years, with an average of 26 years, living in the urban area of Natal, RN were analyzed, to evaluate the immune status in regard to rubella virus. Of these women, 1,170 (52.1%) were pregnant and 1,073 (47.9%) were not. IgM and IgG antibodies were determined, using solid phase ELISA and fluorescence (ELFA) techniques. Results: of the 2,243 women, 1,632 showed immunity to rubella virus and 611 did not, therefore being susceptible to this virus. The rates of immunity and susceptibility in this study were 73.0% and 27.0%, respectively. In 611 susceptible woman, 14.5% did not present antibodies against rubella virus, 7.7% had only IgM antibody and 4.8% had IgG and IgM antibodies. Conclusions: our findings show that a significant group of women from Natal, in reproductive age, is still susceptible to rubella virus, indicating the risk of congenital infection by this pathogen. We advise the selective vaccination of those women against rubella to prevent clinical manifestations related to the congenital form of the disease.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(5):261-264
DOI 10.1590/S0100-72031998000500005
The disadvantages of the second twin in respect of his birth conditions are of great concern. In this study we have reviewed 90 twin births occurred at the Maternidade da Encruzilhada (CISAM) in Recife, from January/92 to December/93, in order to compare perinatal variables between the first and second twin. Fetal presentation, way of delivery, birth weight, Apgar of the 1st and 5th minutes, occurrence of perinatal complications such as hyaline membrane syndrome, transitory tachypnea, and neonatal infection and, finally, the prognosis of each of the twins were evaluated. There was no statistical difference between the incidence of non-vertex presentation, cesarean section, low birth weight, Apgar < 7 in the 1st and 5th minutes and neonatal complication cited above. There was also no difference in perinatal mortality between the first and the second twin. Our results suggest a similar birth condition for both twins of a same pregnancy, therefore, the same perinatal care must be provided for each one.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2001;23(4):262-263
DOI 10.1590/S0100-72032001000400013
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2001;23(4):262-262
DOI 10.1590/S0100-72032001000400012
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2013;35(6):262-267
DOI 10.1590/S0100-72032013000600005
PURPOSE: To correlate preoperative serum cancer antigen 125 (Ca-125) levels and laparoscopic findings in women with pelvic pain symptoms suggestive of endometriosis. METHODS: A retrospective study was conducted including all women with pelvic pain symptoms suspected for endometriosis operated by laparoscopy from January 2010 to March 2013. Patients were divided into 2 groups according to preoperative Ca-125 level (<35 U/mL and >35 U/mL). Subsequently, patients with ovarian endometriomas were excluded and a further analysis was conducted again according to the preoperative Ca-125 level. The following parameters were compared between groups: presence of ovarian endometrioma, presence and number of deep infiltrating endometriosis (DIE) lesions and American Society for Reproductive Medicine score. The statistical analysis was performed with Statistica version 8.0, using the Fisher exact test, Student's t-test and Mann-Whitney test, when needed. A p value of <0.05 was considered to be statistically significant. RESULTS: During the study period, a total of 350 women were submitted to laparoscopic treatment of endometriosis. One hundred thirty patients (37.1%) had Ca-125>35 U/mL and 220 (62.9%) had Ca-12<35 U/mL. The presence of ovarian endometriomas (47.7 versus 15.9%), DIE lesions (99.6 versus 78.6%) and intestinal DIE lesions (60 versus 30.9%) was more frequent, and the AFSr score was higher (34 versus 6) in the former group. In the second analysis, excluding the patients with ovarian endometriomas (>35 U/mL=68 patients and <35 U/mL=185 patients), similar results were obtained. The presence of DIE lesions (91.2 versus 76.2%), intestinal DIE lesions (63.2 versus 25.4%), bladder DIE lesions (20.6 versus 4.8%) and ureteral DIE lesions (7.3 versus 1.6%) was more frequent, and the AFSr score was higher (10 versus 6) in the Ca-125 >35 U/mL group. CONCLUSIONS: Investigation for DIE is mandatory in women with pelvic pain symptoms suggestive of endometriosis with a preoperative Ca-125 level >35 U/mL, especially when an ovarian endometrioma is not present.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2009;31(5):262-262
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2009;31(5):262-262
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2009;31(5):263-263