Articles - Revista Brasileira de Ginecologia e Obstetrícia

  • Original Article04-12-1998

    Post-tubal sterilization syndrome: evaluation of the psychological and clinical disturbances in tubal ligation syndrome

    Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(4):199-205

    Abstract

    Original Article

    Post-tubal sterilization syndrome: evaluation of the psychological and clinical disturbances in tubal ligation syndrome

    Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(4):199-205

    DOI 10.1590/S0100-72031998000400005

    Views111

    The purpose of the present study was to investigate the menstrual disturbances and the psychological effects of post-tubal sterilization – the so-called post-tubal sterilization syndrome. Does it exist? The authors followed-up prospectively 300 women from the Gynecological Endoscopy and Family Planning Section, Department of Obstetrics and Gynecology, Botucatu Medical School, Universidade Estadual Paulista (UNESP) during one, three and five years after tubal sterilization surgery. Different parameters such as menstrual cycle length, duration of menstrual flow, dysmenorrhea, pelvic pain, regret rates etc, after tubal ligation, were analyzed. Each woman served as her own control. In conclusion, our findings suggest that most women reported no menstrual changes subsequent to sterilization. These findings do not deny or diminish the importance or benefits of tubal sterilization, but serve as a focus for further investigation.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • Original Article04-12-1998

    Diabetes and pregnancy: clinical and perinatal features

    Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(4):193-198

    Abstract

    Original Article

    Diabetes and pregnancy: clinical and perinatal features

    Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(4):193-198

    DOI 10.1590/S0100-72031998000400004

    Views91

    The patients who do not adjust to the metabolic changes of pregnancy and those with previous alterations in carbohydrate metabolism show a significant increase in perinatal morbidity and mortality. In order to contribute to a better prenatal management of diabetic patients, the authors reviewed 60 cases of diabetes during pregnancy, assisted at the Department of Obstetrics and Gynecology, Faculty of Medicine of Ribeirão Preto, University of São Paulo. The sample was divided into two groups: one with prenatal care according to the Department protocol, and referred to this center for pregnancy resolution, and the other without appropriate prenatal care. In the group with prenatal care according to the Department protocol the complications observed were related to prematurity. The group without appropriate care showed 3 cases of congenital malformations, 3 cases of prematurity, 1 case of severe neonatal hypoglycemia, 1 case of macrossomia, 1 case of intrauterine growth retardation and 1 neonatal death. Comparing the groups, it became clear that the appropriate prenatal care is essential for the diabetic pregnant patient, but also that a reference center, such as this Obstetrical and Gynecological Department, must be fully integrated with the regional health centers, in order to offer assistance before and during gestation to the diabetic patients.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • Original Article04-12-1998

    Acute appendicitis in the gravidic-puerperal cycle: a study of 13 cases

    Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(4):187-192

    Abstract

    Original Article

    Acute appendicitis in the gravidic-puerperal cycle: a study of 13 cases

    Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(4):187-192

    DOI 10.1590/S0100-72031998000400003

    Views108

    The present study describes 13 cases of appendicitis in the gravidic-puerperal cycle, at the Maternidade Escola Januário Cicco, from Jan/89 to Dec/96. The cases were assisted by a team of obstetricians and surgeons. Eleven patients were pregnant (4 in the 1st trimester, 6 in the 2nd and 1 in the 3rd) and 2 were in the puerperal period. The incidence was 1/3.422; the age ranged from 18 to 30 years and the majority was nulliparous. The most frequent symptom was abdominal pain (intense or moderate). The appendix was perforated in 6 cases, 2 of them with abdominal wall abscess and 1 patient had an abortion. Pregnancy presented no complications in 9 cases, and delivery occurred at term. The authors observed that appendix perforations occurred more frequently in cases whose symptoms had begun earlier. The authors found that the earlier the diagnosis, the better the prognosis.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • Original Article04-12-1998

    Social, demographic and medical care factors associated with maternal death

    Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(4):181-185

    Abstract

    Original Article

    Social, demographic and medical care factors associated with maternal death

    Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(4):181-185

    DOI 10.1590/S0100-72031998000400002

    Views82

    With the purpose of identifying the social, demographic, pregnancy-related and medical care factors associated with maternal death, this study evaluated all deaths of women aged 10 to 49 years occurring in Recife, Pernambuco, Brazil, during 1992 and 1993. The data were obtained reviewing 1,013 death certificates, with 42 cases of identified maternal deaths. The data of these deaths were complemented with information from medical records, autopsies and also interviews with physicians from the hospitals where the death took place, and with the dead women’s relatives. Almost two thirds (62%) of maternal deaths occurred among women aged 20 to 29 years and more than half of them were single. There was a higher number of deaths among caesarean deliveries than among vaginal ones. The majority of deaths occurred within the first three days of hospitalization and approximately 90% of hospital charges were sponsored by the National Health System (SUS).

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 04-12-1998

    As Comissões Nacionais Especializadas

    Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(4):179-179

    Abstract

    As Comissões Nacionais Especializadas

    Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(4):179-179

    DOI 10.1590/S0100-72031998000400001

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    As Comissões Nacionais Especializadas […]
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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 04-11-1998

    Influência da tibolona e do exercício físico aeróbio sobre a antropometria e o perfil lipídico na menopausa

    Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(6):362-362

    Abstract

    Influência da tibolona e do exercício físico aeróbio sobre a antropometria e o perfil lipídico na menopausa

    Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(6):362-362

    DOI 10.1590/S0100-72031998000600012

    Views95
    Influência da Tibolona e do Exercício Físico Aeróbio sobre a Antropometria e o Perfil Lipídico na Menopausa[…]
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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 04-11-1998

    Quimioterapia primáriaem câncer de mama localmente avançado: estudo comparativo entre dois esquemas terapêuticos com intensificação de doses

    Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(6):361-362

    Abstract

    Quimioterapia primáriaem câncer de mama localmente avançado: estudo comparativo entre dois esquemas terapêuticos com intensificação de doses

    Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(6):361-362

    DOI 10.1590/S0100-72031998000600011

    Views62
    Quimioterapia Primáriaem Câncer de Mama Localmente Avançado. Estudo Comparativo entre Dois Esquemas Terapêuticos com Intensificação de Doses […]
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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 04-11-1998

    Correlação entre as concentrações plasmáticas e foliculares de IGF-I

    Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(6):361-361

    Abstract

    Correlação entre as concentrações plasmáticas e foliculares de IGF-I

    Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(6):361-361

    DOI 10.1590/S0100-72031998000600010

    Views52
    Correlação entre as Concentrações Plasmáticas e Foliculares de IGF-I[…]
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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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