Articles - Revista Brasileira de Ginecologia e Obstetrícia

  • Original Article04-10-1998

    Obstetrical management of fetal death

    Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(3):145-149

    Abstract

    Original Article

    Obstetrical management of fetal death

    Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(3):145-149

    DOI 10.1590/S0100-72031998000300004

    Views221

    Although 80 to 90% of all dead fetuses may be spontaneously eliminated after two to three weeks from death, labor induction has been the mostly used management. The purpose of the current study was to evaluate the results of labor induction for pregnancies with fetal death and gestation age above 20 weeks. It was a descriptive clinical study which was performed at the Hospital e Maternidade Leonor Mendes de Barros in São Paulo, Brazil. One hundred and twenty-two pregnancies with fetal death were evaluated regarding their social and demographic characteristics, causes of fetal death, previous pregnancies history and delivery (induction, route, complications). The statistical procedures used were estimation of mean and standard deviation and chi². The main causes of fetal death were hypertension and infections. The mostly used drug for labor induction was misoprostol (37.7%) followed by oxytocin (19.7%), while 27% of cases had spontaneous onset of labor. The mean time of induction was 3 hours. The majority of women had vaginal delivery and cesarean section was performed in 9.1% of them. It is concluded that labor induction for fetal death is safe and efficient, irrespective of the method used. Misoprostol when used in the vagina is specially useful for cases with an unripe cervix because of the modifying effect of the drug on the cervix.

    See more
    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 Article04-10-1998

    Intrauterine transfusion in fetuses affected by severe perinatal hemolytic disease: a descriptive study

    Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(3):137-144

    Abstract

    Original Article

    Intrauterine transfusion in fetuses affected by severe perinatal hemolytic disease: a descriptive study

    Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(3):137-144

    DOI 10.1590/S0100-72031998000300003

    Views135

    Objective: to report 54 intrauterine intravascular transfusions (IITs), describing procedure related complications and associated perinatal morbidity and mortality. Methods: fetuses undergoing IITs at Clínica Materno-Fetal and Maternidade Carmela Dutra, Florianópolis, SC, between January 1992 and August 1997 were included in the study. Patients demographics, procedure and newborn related data were tabulated for analysis and presented in descriptive form, using percentage, mean, standard deviation, median, range and relative risk (RR) with 95% confidence interval as appropriate. Results: fifty IITs and four exchange transfusions were performed in twenty-one fetuses. There were four deaths (20%), three of which occurred (75%) in hydropic fetuses. Mean gestational age at the time of the first IIT was 29.1 weeks, the mean hemoglobin concentration was 7.1 mg/dl and the mean rise in hemoglobin level per procedure was 5.69 mg/dl. Procedure related mortality rate was 7.4%. Mean gestational age at birth was 33.9 weeks and mean birth weight was 2,437 grams. Sixty-five percent of the newborns received complementary exchange transfusions. Conclusion: the procedure related mortality rate was 7.4%, similar to the mortality rate reported in the world literature. The perinatal mortality rate (20%) was higher than that reported in other countries but lower than the perinatal mortality rate reported in a study conducted in Brazil, with a similar prevalence of hydropic fetuses.

    See more
    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 Article04-10-1998

    Index for the systemic treatment of unruptured ectopic pregnancy with a single dose of methotrexate

    Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(3):127-135

    Abstract

    Original Article

    Index for the systemic treatment of unruptured ectopic pregnancy with a single dose of methotrexate

    Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(3):127-135

    DOI 10.1590/S0100-72031998000300002

    Views107

    A prospective study was performed with 42 patients with unruptured ectopic pregnancy, which intended to elaborate an index to orient the systemic treatment with the administration of a single intramuscular dose of methotrexate (50 mg/m²). Patients were monitored with beta-hCG titers on days 1, 4 and 7 after the methotrexate. When the titers of beta-hCG declined more than 15%, between days 4 and 7 after methotrexate, the patients were discharged and had an outpatient follow-up monitored with beta-hCG titers weekly until the titers were less than 5 mIU/ml, which represents success of the treatment. We prepared an index for the systemic treatment with methotrexate, with five parameters: (1) initial titers of beta-hCG; (2) aspects of the image at ultrasound (hematosalpinx, gestational sac, live embryo); (3) size of the mass; (4) free fluid in cul-de-sac; (5) collor doppler. Each parameter received a grade from 0 to 2. Grade 0 represented bad prognosis, favorable parameters received grade 2 and borderline parameters received grade one. The success rate with a single dose of methotrexate was 69.0% (29/42). The color doppler was performed in 20 of the 42 patients; in this group of 20 patients the success rate was 75.0% (15/20). In the 22 patients who were not submitted to the color doppler, the average grade of the score in the successful cases was 6.6, and in the unsuccessful it was 3.1. In the group who underwent the doppler (20 patients) the average was 7.9 in the successful cases and 4.2 in the cases that failed. In the present study the cut-off grade was 5, for most of the patients with grades above 5 had a successful treatment (15/16 – 93.75%), while grades equal or below 5 failed. The score will help to indicate the best cases for the medical treatment. We do not advise the treatment when the grade is equal or below 5. Therefore, we can predict a good evolution of the treatment when the grade is above five.

    See more
    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.
  • 04-10-1998

    A coordenação necessária

    Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(3):125-125

    Abstract

    A coordenação necessária

    Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(3):125-125

    DOI 10.1590/S0100-72031998000300001

    Views76
    A Coordenação Necessária[…]
    See more
    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.
  • 04-09-1998

    Estudo do teste de angiotensina ii em gestantes hipertensas crônicas na predição da pré-eclâmpsia superajuntada

    Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(9):542-542

    Abstract

    Estudo do teste de angiotensina ii em gestantes hipertensas crônicas na predição da pré-eclâmpsia superajuntada

    Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(9):542-542

    DOI 10.1590/S0100-72031998000900011

    Views50
    Estudo do Teste de Angiotensina II em Gestantes Hipertensas Crônicas na Predição da Pré-Eclâmpsia Superajuntada. […]
    See more
    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.
  • 04-09-1998

    Índice proteinúria/creatininúria em gestantes com hipertensão arterial sistêmica

    Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(9):542-542

    Abstract

    Índice proteinúria/creatininúria em gestantes com hipertensão arterial sistêmica

    Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(9):542-542

    DOI 10.1590/S0100-72031998000900012

    Views78
    Índice Proteinúria/Creatininúria em Gestantes com Hipertensão Arterial Sistêmica […]
    See more
    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.
  • 04-09-1998

    Valor da histerossonografia na avaliação da cavidade endometrial na mulher com sangramento uterino anormal

    Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(9):541-542

    Abstract

    Valor da histerossonografia na avaliação da cavidade endometrial na mulher com sangramento uterino anormal

    Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(9):541-542

    DOI 10.1590/S0100-72031998000900010

    Views67
    Valor da Histerossonografia na Avaliação da Cavidade Endometrial na Mulher com Sangramento Uterino Anormal […]
    See more
    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.
  • 04-09-1998

    Freqüência de mutação no códon 12 do gene K-ras no carcinoma ductal invasivo de mama, através da técnica da reação em cadeia da polimerase

    Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(9):541-541

    Abstract

    Freqüência de mutação no códon 12 do gene K-ras no carcinoma ductal invasivo de mama, através da técnica da reação em cadeia da polimerase

    Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(9):541-541

    DOI 10.1590/S0100-72031998000900009

    Views75
    Freqüência de Mutação no Códon 12 do Gene K-ras no Carcinoma Ductal Invasivo de Mama, Através da Técnica da Reação em Cadeia da Polimerase[…]
    See more
    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 Article07-02-2009

    Depression and anxiety in menopausal women: associated factors

    Revista Brasileira de Ginecologia e Obstetrícia. 2009;31(3)

    Abstract

    Original Article

    Depression and anxiety in menopausal women: associated factors

    Revista Brasileira de Ginecologia e Obstetrícia. 2009;31(3)

    DOI 10.1590/S0100-72032009000300003

    Views15
    A postagem não tem conteúdo
    See more
    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.
  • 05-19-2003
    Revista Brasileira de Ginecologia e Obstetrícia. 2003;25(1):7-7

    Abstract

    Revista Brasileira de Ginecologia e Obstetrícia. 2003;25(1):7-7

    DOI 10.1590/S0100-72032003000100001

    Views38
    EDITORIAL Médico. Atividade Sublime? […]
    See more
    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 Article03-15-2012

    Influência da percepção dos profissionais quanto ao aborto provocado na atenção à saúde da mulher

    Revista Brasileira de Ginecologia e Obstetrícia. 2012;34(2):69-73

    Abstract

    Original Article

    Influência da percepção dos profissionais quanto ao aborto provocado na atenção à saúde da mulher

    Revista Brasileira de Ginecologia e Obstetrícia. 2012;34(2):69-73

    DOI 10.1590/S0100-72032012000200005

    Views75

    OBJETIVO: Identificar o conhecimento e a percepção dos profissionais da saúde em relação à legislação brasileira sobre o aborto provocado. MÉTODOS: Envelopes selados não identificados contendo os questionários foram enviados a todos os profissionais (n=149) que trabalham no Departamento de Obstetrícia de hospital universitário e de hospital público da periferia de São Paulo. Responderam ao questionário 119 profissionais. Para análise dos dados, utilizou-se intervalo de confiança de 0,05 e os testes exatos de Fischer e χ². RESULTADOS: Dos profissionais entrevistados, 48,7% eram médicos, 33,6% profissionais da área de enfermagem e 17,6% eram profissionais de outras áreas (psicólogos, nutricionistas, fisioterapeutas, administrativos e técnicos de laboratórios). Constatou-se diferença significativa (p=0,01) na proporção de profissionais que acreditam que o aborto por malformação fetal não letal e no aborto decorrente de gestações não planejadas deveriam ser incluídos na legislação brasileira. Observou-se que o conhecimento da legislação e da descrição das situações permitidas por lei acerca do aborto foi significativamente diferente na comparação entre os profissionais de saúde (p=0,01). Quando questionados sobre as situações em que a legislação brasileira permite o aborto, observou-se que 32,7% dos médicos, 97,5% profissionais da área de enfermagem e 90,5% dos demais profissionais desconhecem a legislação vigente. CONCLUSÃO: Neste estudo, evidenciou-se o desconhecimento dos profissionais de saúde com relação à legislação brasileira, em menor proporção entre obstetras e em maior proporção entre os profissionais da área de enfermagem. Foram constatadas atitudes de discriminação, julgamento e preconceito na assistência prestada às mulheres que provocam o aborto.

    See more
    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 Article07-20-2004

    Evaluation of alternative methods in cervical screening: HPV DNA detection and visual inspection

    Revista Brasileira de Ginecologia e Obstetrícia. 2004;26(4):269-275

    Abstract

    Original Article

    Evaluation of alternative methods in cervical screening: HPV DNA detection and visual inspection

    Revista Brasileira de Ginecologia e Obstetrícia. 2004;26(4):269-275

    DOI 10.1590/S0100-72032004000400002

    Views16

    OBJECTIVE: to evaluate the performance of Pap smear, hybrid capture II (HC II), and visual inspection with acetic acid in the detection of pre-invasive and invasive cervical lesions. METHODS: a total of 2281 women were submitted to a clinical exam, including Pap smear, HC II for HPV DNA detection and visual inspection with 5% acetic acid (VIA). When at least one of the tests was positive, colposcopy was performed and targeted biopsies were taken from suspicious lesions. Colposcopy was also performed in 420 women with negative results. Test performance was evaluated, using colposcopy as the gold standard, with or without biopsy. RESULTS: Pap smear, VIA and HC II were positive in 9.2, 10.9 and 17.5% of all women screened, respectively. Although at least one positive test was found in 671 women (29.4%), only 82 (3.6%) presented histologically confirmed disease (50 NIC1, 20 NIC2, 7 NIC3, and 5 invasive carcinoma). VIA and HC II sensitivities were similar and significantly higher than Pap smear. Pap smear showed better specificity than VIA and than HC II. In women with a negative Pap smear result, VIA showed better performance than HC II. CONCLUSION: Pap smear combined with VIA performed better than Pap smear combined with HC II or than Pap smear alone.

    See more
    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.
  • 02-13-2002

    Efeito das Drogas Anti-Retrovirais sobre as Taxas de Fertilidade de Ratas Wistar

    Revista Brasileira de Ginecologia e Obstetrícia. 2002;24(9):630-630

    Abstract

    Efeito das Drogas Anti-Retrovirais sobre as Taxas de Fertilidade de Ratas Wistar

    Revista Brasileira de Ginecologia e Obstetrícia. 2002;24(9):630-630

    DOI 10.1590/S0100-72032002000900012

    Views59
    Efeito das Drogas Anti-Retrovirais sobre as Taxas de Fertilidade de Ratas Wistar […]
    See more
    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.
  • 09-02-2004
    Revista Brasileira de Ginecologia e Obstetrícia. 2004;26(6):427-427

    Abstract

    Revista Brasileira de Ginecologia e Obstetrícia. 2004;26(6):427-427

    DOI 10.1590/S0100-72032004000600001

    Views38
    EDITORIAL Hospitais Universitários / pessoal Médico […]
    See more
    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.
  • Erratum11-11-2005
    Revista Brasileira de Ginecologia e Obstetrícia. 2005;27(6):368-370

    Abstract

    Erratum

    Revista Brasileira de Ginecologia e Obstetrícia. 2005;27(6):368-370

    DOI 10.1590/S0100-72032005000600016

    Views43
    ERRATA No volume 27, número 3, página 106 […]
    See more
    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.
  • Letter to the Editor08-26-2005
    Revista Brasileira de Ginecologia e Obstetrícia. 2005;27(5):293-293

    Abstract

    Letter to the Editor

    Revista Brasileira de Ginecologia e Obstetrícia. 2005;27(5):293-293

    DOI 10.1590/S0100-72032005000500011

    Views40
    CARTAS Ao Editor, […]
    See more
    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.

Search

Search in:

Article type
Article type
abstract
book-review
brief-report
case-report
correction
editorial
letter
other
rapid-communication
research-article
review-article
Section
Section
Autors' Reply
Case Report
Clinical Consensus Recommendation
Editor's Note
Editorial
Equipments and Methods
Erratum
FEBRASGO POSITION STATEMENT
FIGO Statement
GUIDELINES
Integrative Review
Letter to the Editor
Nominata 2024
Original Article
Original Article/Contraception
Original Article/Infertility
Original Article/Obstetrics
Original Article/Oncology
Original Article/Sexual Violence/Pediatric and Adolescent Gynecology
Original Article/Teaching and Training
Previous Note
Reply to the Letter to the Editor
Resumos dos Trabalhos Premiados no 50º Congresso Brasileiro de Ginecologia e Obstetrícia
Review Article
Short Communication
Special Article
Systematic Review
Thesis Abstract
Year / Volume
Year / Volume
2025; v.47
2025; v.46
2024; v.46
2023; v.45
2022; v.44
2021; v.43
2020; v.42
2019; v.41
2018; v.40
2017; v.39
2016; v.38
2015; v.37
2014; v.36
2013; v.35
2012; v.34
2011; v.33
2010; v.32
2009; v.31
2008; v.30
2007; v.29
2006; v.28
2005; v.27
2004; v.26
2003; v.25
2002; v.24
2001; v.23
2000; v.22
1999; v.21
1998; v.20
ISSUE
ISSUE