Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2008;30(11):583-583
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2001;23(9):583-587
DOI 10.1590/S0100-72032001000900006
Purpose: to investigate the social and demographic characteristics of women victims of sexual abuse; to evaluate their sexual experience before the abuse; to investigate the use of contraceptive methods at the time of the violence, and to observe the interval between the occurrence of the abuse and the search for a hospital attendance. Methods: 117 encoded records were evaluated, of a total of 134, obtained regarding the attendance of women victims of sexual abuse at the Maternity of the Hospital de Clinicas, in Curitiba, in the period between August, 1998 and June, 2000. Results: the age of the women varied from 5 to 49 years and half of them were young, with 19 years at the most. The majority of them were graduates or attending high school, 41 (41,0%) were students and 82 (82,0%) were single. The sexual experience analysis showed that one third (32,4%) was virgin. Among the women who reported sexual experience, 35 (47,9 %) were using a contraceptive method when they suffered abuse. There was a range from 2 hours to 2 months since the occurrence of the sexual violence until the search for attendance. Conclusions: the number of women victims of sexual abuse showed the importance of specialized attendance and also the necessity of a multidisciplinary attendance, since among the victims there are children who need special attention. The period of time between the sexual abuse and the search for hospital attendance was large, showing that there should be more information available to the population in relation to the prevention of unwanted pregnancy and sexually transmitted diseases, including HIV infection.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2010;32(12):584-590
DOI 10.1590/S0100-72032010001200004
PURPOSE: to evaluate the differences between the maternal and perinatal outcomes of pregnancies complicated by preeclampsia, according to the classification as the severe/mild form, and the early/late onset form. METHODS: a retrospective study with 211 pregnancies complicated by preeclampsia, assessed at a university reference center from 2000 to 2010. The diagnosis and disease severity were based on the values of blood pressure, proteinuria, and clinical and laboratory findings. The pregnant's age, skin color, parity, blood pressure, urine protein semiquantitative values, presence of bilateral notch in the uterine artery dopplervelocimetry and birth conditions were compared between patients with mild and severe disease, as well as between those of early/late onset. The disease was considered to be of early onset when diagnosed at less than 34 weeks of gestational age. RESULTS: most patients had the severe form of preeclampsia (82.8%), and the onset of the condition was early in 50.7%. Blood pressure values (133.6±14.8 versus 115.4 mmHg, p=0.0004 and 132.2±16.5 versus 125.7 mmHg, p=0.0004) and semiquantitative proteinuria (p=0.0003 and p=0.0005) were higher in the early and severe forms compared to mild and late forms. Infant birth weight (1,435.4±521.6 versus 2,710±605.0 g, 1,923.7±807.9 versus 2,415.0±925.0 g, p<0.0001 for both) and Apgar score (p=0.01 for both) were smaller for severe and early preeclampsia compared to mild and late preeclampsia. On the other hand, the presence of a bilateral notch in the uterine arteries was linked to the forms of early onset (69.2 versus 47.9%, p=0.02), whereas fetal growth restriction was more frequent in the severe forms of preeclampsia (30 versus 4.4%, p=0.008). CONCLUSION: the preeclampsia classification based on maternal clinical parameters better reflected the conditions of fetal nutrition, while the early onset of the condition was associated with placental vasculopathy detected by dopplervelocimetry.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2023;45(10):584-593
To evaluate the efficacy and outcomes of the surgical treatment for pelvic organ prolapse (POP) in stages III and IV by sacrospinous ligament fixation (SSLF) or uterosacral ligament suspension (USLS) by comparing anatomical and subjective cure rates and quality-of-life parameters (through the version validated for the Portuguese language of the Prolapse Quality of Life [P-QoL] questionnaire) under two definitions: genital prolapse Ba, Bp, and C< −1 (stage I) and Ba, Bp, and C ≤ 0 (stage II).
After we obtained approval from the Ethics Committee (under CAAE 0833/06) and registered the study in ClinicalTrials.gov (NCT 01347021), 51 patients were randomized into two groups: the USLS group (N = 26) and the SSLF group (N = 25), with follow-up 6 and 12 months after the procedures.
There was a significant improvement in the P-QoL score and anatomical measurements of all compartments in both groups after 12 months (p< 0.001). The anatomical cure rates in the USLS and SSLF groups, considering stage 1, were of 34.6% and 40% (anterior) respectively; of 100% both for groups (apical); and of 73.1% and 92% (posterior) respectively. The rates of adverse outcomes were of 42% (N = 11) and 36% (N = 11) for the USLS and SSLF groups respectively (p = 0.654), and those outcomes were excessive bleeding, bladder perforation (intraoperative) or gluteal pain, and urinary infection (postoperative), among others, without differences between the groups.
High cure rates in all compartments were observed according to the anatomical criterion (stage I), without differences in P-QoL scores and complications either with USLS or SSLF for the surgical treatment of accentuated POP.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2004;26(7):584-584
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2004;26(7):584-584
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2004;26(7):585-585