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  • Artigos Originais

    Low educational level as a limiting factor in the fight against anemia in pregnant women

    Revista Brasileira de Ginecologia e Obstetrícia. 2006;28(6):331-339

    Summary

    Artigos Originais

    Low educational level as a limiting factor in the fight against anemia in pregnant women

    Revista Brasileira de Ginecologia e Obstetrícia. 2006;28(6):331-339

    DOI 10.1590/S0100-72032006000600003

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    PURPOSE: to evaluate the impact of supplementary ferrous sulfate and dietary counseling on hemoglobin levels in pregnant women. METHODS: a total of 197 pregnant women were evaluated during antenatal care at a health center. The treatment group consisted of 105 women who were prescribed 60 mg dietary iron per day, received dietary counseling and had hemoglobin measured by a portable photometer between the 14th and 20th week of pregnancy. The treatment group was reevaluated according to hemoglobin levels and food intake by a semiquantitative food frequency questionnaire after the 34th week of pregnancy. The control group consisted of 92 women in a cross-sectional study, at no less than 34 weeks of pregnancy. Hemoglobin was analyzed by a portable photometer and anemia was defined concentrations of less than 11 g/dL. All pregnant women had their weight and height measured. Hierarchical logistic regression model was developed for the multivariate analysis. RESULTS: prevalence of anemia at the end of the third trimester was 31.6% in the treatment group and 26.1% in the control group (p=0.43). Use of the prescribed supplement was reported by 65% of women in the treatment group, of which 67.7% interrupted the treatment at some point. Principal reasons for interrupting treatment were forgetting (43.2%) and nausea or vomiting (27.2%). Risk of anemia in the third trimester was three times higher in women with less than 8 years of schooling. CONCLUSIONS: use of ferrous sulfate was not shown to be associated with lower prevalence of anemia. The results suggest that structural changes in socioeconomic conditions are needed in order to alter the current situation regarding iron deficiency anemia.

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  • Relato de Caso

    Sclerosing stromal tumor of the ovary associated with a Meigs’ syndrome and pregnancy: a case report

    Revista Brasileira de Ginecologia e Obstetrícia. 2013;35(7):331-335

    Summary

    Relato de Caso

    Sclerosing stromal tumor of the ovary associated with a Meigs’ syndrome and pregnancy: a case report

    Revista Brasileira de Ginecologia e Obstetrícia. 2013;35(7):331-335

    DOI 10.1590/S0100-72032013000700008

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    The sclerosing stromal tumor of the ovary is an extremely rare benign tumor more common in young women and without specific symptoms in most cases. Less than 150 cases have been described, of which 8 were diagnosed during pregnancy. In this report, we describe the association between sclerosing stromal tumor of the ovary, Meigs' syndrome and elevated levels of CA-125 in term pregnancy.

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    Sclerosing stromal tumor of the ovary associated with a Meigs’ syndrome and pregnancy: a case report
  • Editorial

    Use of selective serotonin reuptake inhibitors for treatment of depression in pregnancy and breast-feeding

    Revista Brasileira de Ginecologia e Obstetrícia. 2007;29(7):331-334

    Summary

    Editorial

    Use of selective serotonin reuptake inhibitors for treatment of depression in pregnancy and breast-feeding

    Revista Brasileira de Ginecologia e Obstetrícia. 2007;29(7):331-334

    DOI 10.1590/S0100-72032007000700001

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  • Original Article

    Which mode and potency of electrocoagulation yields the Smallest Unobstructed Area of the Fallopian Tubes?

    Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(6):332-337

    Summary

    Original Article

    Which mode and potency of electrocoagulation yields the Smallest Unobstructed Area of the Fallopian Tubes?

    Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(6):332-337

    DOI 10.1055/s-0038-1656718

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    Abstract

    Objective

    To determine which mode and potency of electrocoagulation, using a modern electrosurgical generator, yields the smallest unobstructed area of the Fallopian tubes.

    Methods

    In an experimental study, tubes from 48 hysterectomies or tubal ligation were evaluated. Tubes were randomly allocated to one of the following groups: group A) 25 W x 5 seconds (n = 17); group B) 30 W x 5 seconds (n = 17); group C) 35 W x 5 seconds (n = 18), group D) 40 W x 5 seconds (n = 20); group E) 40 W x 5 seconds with visual inspection (blanch, swells, collapse) (n = 16); group F) 50 W x 5 seconds (n = 8). Bipolar electrocoagulation was performed in groups A to E, and monopolar electrocoagulation was performed in group F. Coagulation mode was used in all groups. Digital photomicrography of the transversal histological sections of the isthmic segment of the Fallopian tube were taken, and themedian percentage of unobstructed luminal area (mm2) was measured with ImageJ software (ImageJ, National Institutes of Health, Bethesda, MD, USA). The Kruskal-Wallis test or analysis of variance (ANOVA) was used for statistical analysis.

    Results

    Ninety-six Fallopian tube sections were analyzed. The smallest median occluded area (%; range) of the Fallopian tube was obtained in the group with 40 W with visual inspection (8.3%; 0.9-40%), followed by the groups 25 W (9.1%; 0-35.9%), 40 W (14.2; 0.9-43.2%), 30 W (14.2; 0.9-49.7%), 35 W (15.1; 3-46.4%) and 50 W (38.2; 3.1-51%). No statistically significant difference was found among groups (p = 0.09, Kruskal-Wallis test).

    Conclusion

    The smallest unobstructed area was obtained with power setting at 40 W with visual inspection using a modern electrosurgical generator. However, no statistically significant difference in the unobstructed area was observed among the groups using these different modes and potencies.

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    Which mode and potency of electrocoagulation yields the Smallest Unobstructed Area of the Fallopian Tubes?
  • Review Article

    Maternal Exposure to Alcohol and Low Birthweight: A Systematic Review and Meta-Analysis

    Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(5):333-347

    Summary

    Review Article

    Maternal Exposure to Alcohol and Low Birthweight: A Systematic Review and Meta-Analysis

    Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(5):333-347

    DOI 10.1055/s-0039-1688905

    Views1

    Abstract

    Objective

    To investigate the relationship between maternal exposure to alcohol and low birthweight (LBW).

    Methods

    The literature search was performed in January 2017 using the following electronic databases: Medline, Embase, LILACS, SciELO, Web of Science, Scopus, CINHAL, Proquest, and PsychInfo. The search strategy used the following terms: alcohol drinking, binge drinking, alcohol-related disorders, alcoholism, alcohol addiction/ use/abuse/consumption, light/moderate/social/low drinking, low birthweight, case-control studies, retrospective studies, and cohort studies. No restrictions regarding language or publication date were considered. The literature search yielded 2,383 articles, and after screening and eligibility assessment, 39 articles were included in the systematic review, and 38 studies were included in the meta-analysis.

    Results

    Maternal alcohol consumption was associated with LBWamong retrospective cohort studies (relative risk [RR] = 1.37; 95%CI [confidence interval]:1.10-1.77; I2 = 98.4%; p < 0.01). Prospective cohort studies (RR = 1.11; 95%CI: 0.98-1.25; I2 = 81.5%; p < 0.01), and case-control studies (odds ration [OR] = 1.16; 95%CI: 0.68-1.97; I2 = 61.2%; p = 0.05) showed no association between alcohol and LBW.No publication bias was identified, and the meta-regression showed that the sample size influenced the high heterogeneity among retrospective cohort studies. The subgroup analysis showed differences in association between groups when compared by sample size, type of adjustment, or crude measures and publication year.

    Conclusions

    We have not found an association between alcohol consumption during gestation and LBW in the analysis in all of the subgroups. In addition, we have found a high heterogeneity between the primary studies, which is related to methodological differences in the conduction of these studies.

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    Maternal Exposure to Alcohol and Low Birthweight: A Systematic Review and Meta-Analysis
  • Original Article

    The Effectiveness of Psycho-Educational and Cognitive-Behavioral Counseling on Female Sexual Dysfunction

    Revista Brasileira de Ginecologia e Obstetrícia. 2020;42(6):333-339

    Summary

    Original Article

    The Effectiveness of Psycho-Educational and Cognitive-Behavioral Counseling on Female Sexual Dysfunction

    Revista Brasileira de Ginecologia e Obstetrícia. 2020;42(6):333-339

    DOI 10.1055/s-0040-1712483

    Views6

    Abstract

    Introduction

    Sexual function is a multidimensional phenomenon that is affected by many biological and psychological factors. Cognitive-behavioral sex therapies are among themost common nonpharmacological approaches to psychosexual problems. The purpose of the present study was to investigate the effectiveness of psychoeducational and cognitive-behavioral counseling on female sexual dysfunction.

    Methods

    The present study was a clinical trial with intervention and control groups. The study population consisted of women referring to the general clinic of a governmental hospital in Iran. After completing the demographic questionnaire and Female Sexual Function Index (FSFI), those who obtained the cutoff score ≤ 28 were contacted and invited to participate in the study. Convenience sampling method was used and 35 subjects were randomly allocated for each group. Eight counseling sessions were held for the intervention group (two/week/1.5 hour). Post-test was taken from both groups after 1 month, and the results were statistically analyzed by PASW Statistics for Windows, Version 18 (SPSS Inc., Chicago, IL, USA).

    Results

    The total mean scores of FSFI and the subscales of sexual desire, arousal, orgasm, and satisfaction were significantly higher in the intervention group than in the control group after the intervention. In addition, postintervention pain mean scores in the intervention group were significantly lower than in the control group (p < 0.05).

    Conclusion

    The results of the present study indicate that psychoeducational cognitive- behavioral counseling is effective in improving female sexual function. It is recommended to compare the effects of psychoeducational cognitive-behavioral counseling on sexual dysfunctions of couples and with a larger sample size in future research.

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  • Resumos de Teses

    Estudo da Cardiotocografia Anteparto em Gestações com Diástole Zero ou Reversa à Dopplervelocimetria das Artérias Umbilicais

    Revista Brasileira de Ginecologia e Obstetrícia. 2001;23(5):333-333

    Summary

    Resumos de Teses

    Estudo da Cardiotocografia Anteparto em Gestações com Diástole Zero ou Reversa à Dopplervelocimetria das Artérias Umbilicais

    Revista Brasileira de Ginecologia e Obstetrícia. 2001;23(5):333-333

    DOI 10.1590/S0100-72032001000500011

    Views1
    Estudo da Cardiotocografia Anteparto em Gestações com Diástole Zero ou Reversa à Dopplervelocimetria das Artérias Umbilicais […]
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  • Resumos de Teses

    Avaliação da Leptina em Pacientes Portadoras da Síndrome dos Ovários Policísticos: Estudo de Suas Relações com a Testosterona, o Estradiol, o FSH e a Insulina

    Revista Brasileira de Ginecologia e Obstetrícia. 2001;23(5):333-333

    Summary

    Resumos de Teses

    Avaliação da Leptina em Pacientes Portadoras da Síndrome dos Ovários Policísticos: Estudo de Suas Relações com a Testosterona, o Estradiol, o FSH e a Insulina

    Revista Brasileira de Ginecologia e Obstetrícia. 2001;23(5):333-333

    DOI 10.1590/S0100-72032001000500010

    Views2
    Avaliação da Leptina em Pacientes Portadoras da Síndrome dos Ovários Policísticos – Estudo de Suas Relações com a Testosterona, o Estradiol, o FSH e a Insulina […]
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