Articles - Revista Brasileira de Ginecologia e Obstetrícia

Review Article12-04-2024

Female genital tract microbiome: the influence of probiotics on assisted reproduction
- Ana Sofia Almeida Santana ,
- Ana Margarida Póvoa
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo82

Views241

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.
Abstract
Review Article
Female genital tract microbiome: the influence of probiotics on assisted reproduction
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo82
DOI 10.61622/rbgo/2024rbgo82
Ana Sofia Almeida Santana ,
Ana Margarida Póvoa
Views241
Abstract

Assisted reproductive technology (ART) has been evolving since 1978, with the number of techniques performed increasing over the years. Despite continued advances, some couples continue to have difficulties getting pregnant, and it has recently been considered that the microbiome of the female genital tract (FGT) may influence embryo implantation and the establishment of pregnancy. This review aims to evaluate the role of probiotics on reproductive outcomes in infertile women on ART. A search throughout medical databases was performed, and six articles met the criteria. Five studies showed improvements in pregnancy rates, with only one demonstrating statistical significance. One article showed no improvement but reported a statistically significant reduction in the miscarriage rate in the probiotic group. Further research is needed to evaluate the true potential of probiotics, namely to assess whether they effectively modulate the FGT microbiome and if these changes are maintained over time.

Key-words Abortion, spontaneous Embryo implantation Genitalia, female Infertility, female Pregnancy outcome Pregnancy rate Probiotics Reproductive techniques, assisted, Microbiota
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 Article12-04-2024

Prevalence and factors associated with non-alcoholic fatty liver disease among women with polycystic ovary syndrome
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo81

Views286

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.
Abstract
Original Article
Prevalence and factors associated with non-alcoholic fatty liver disease among women with polycystic ovary syndrome
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo81
DOI 10.61622/rbgo/2024rbgo81
Maria Elisa Franciscatto ,
Juliana Bosso Taniguchi ,
Raquel Wohlenberg ,
Isadora Luísa Riedi ,
Karen Oppermann
Views286
Abstract

Objective:

To verify the prevalence and factors associated with Non-Alcoholic Fatty Liver Disease (NAFLD) among women with Polycystic Ovary Syndrome (PCOS).

Methods:

A cross-sectional study was conducted with 53 patients with PCOS. The diagnosis of PCOS followed the Rotterdam criteria. The diagnosis of NAFLD was made through US showing hepatic steatosis, excluding significant alcohol consumption and chronic liver disease. The following variables were compared between the groups of women with and without NAFLD: age, race, anthropometric data, blood pressure levels, liver enzymes, glycemic and lipid profiles, total testosterone, presence of hirsutism, and metabolic syndrome (MS). Variables were compared between the groups using T-test, Mann-Whitney, and Chi-square tests.

Results:

Among 53 patients with PCOS, 50.9% had NAFLD. The NAFLD group had higher weight (p=0.003), BMI (p=0.001), waist circumference (p≤0.001), fasting glucose (p=0.021), HbA1C% (p=0.028), triglycerides (p=0.023), AST (p=0.004), ALT (p=0.001), higher prevalence of MS (p=0.004), and lower levels of HDL cholesterol (p=0.043). The other variables did not differ between the groups. Both groups were predominantly of caucasian race, and there was no significant difference in age.

Conclusion:

The prevalence of NAFLD among patients with PCOS was 50.9%. Metabolic and hepatic enzyme abnormalities were more prevalent in this group compared to the group without the disease. Obesity tripled the prevalence of NAFLD.

Key-words Alcohol drinking Hyperandrogenism metabolic syndrome non-alcoholic fatty liver disease Obesity Polycystic ovary syndrome Waist circumference
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.
Review Article12-04-2024

Zuranolone for postpartum depression: a systematic review and meta-analysis of two randomized studies
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo79

Views303

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.
Abstract
Review Article
Zuranolone for postpartum depression: a systematic review and meta-analysis of two randomized studies
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo79
DOI 10.61622/rbgo/2024rbgo79
Juliana Almeida Oliveira ,
Karine Eskandar ,
Marcos Aurélio Araújo Freitas ,
Chris Elizabeth Philip
Views303
Abstract

Objective:

To evaluate the maternal outcomes in women with postpartum depression using zuranolone, the first oral medication indicated to treat postpartum depression.

Methods:

We conducted a systematic search in September 2023, on Pubmed, Embase and Cochrane Trials. We included randomized controlled trials comparing the effectiveness and safety of zuranolone versus placebo in women with postpartum depression. No time or language restrictions were applied. 297 results were retrieved, of which 11 papers were selected and fully reviewed by two authors. Review Manager 5 was used for statistical analysis and Cochrane Risk-of-bias tool for randomized trials was applied for quality assessment.

Results:

We included 2 studies, with 346 women, of whom 174 (50.2%) were treated with zuranolone. Zuranolone was significantly associated to an improvement of Clinical Global Impression response rate; Hamilton Depression Rating Scale 15 days and 45-day remission, 3-day, 15-day, and 45-day symptom remission, and reduction in the dose of antidepressants. As for safety outcomes, it was noticed that zuranolone increases sedation risk, which can be dose related. No significant differences were found for other adverse events.

Conclusion:

These findings suggest that zuranolone might present a safe and effective medication for out-of-hospital treatment of PPD. Sedation effects need to be further assessed.

Key-words Major depressive disorder postpartum depression Synthetic neurosteroid Zuranolone
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.
Review Article12-04-2024

Self-medication among pregnant women in comparison to the general population: a scoping review of the main characteristics
- Gabriela Pereira ,
- Cinthia Madeira de Souza ,
- Amanda Canato Ferracini ,
- Fernanda Garanhani Surita ,
- Sherif Eltonsy ,
- Priscila Gava Mazzola
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo77

Views295

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.
Abstract
Review Article
Self-medication among pregnant women in comparison to the general population: a scoping review of the main characteristics
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo77
DOI 10.61622/rbgo/2024rbgo77
Gabriela Pereira ,
Cinthia Madeira de Souza ,
Amanda Canato Ferracini ,
Fernanda Garanhani Surita ,
Sherif Eltonsy ,
Priscila Gava Mazzola
Views295
Abstract

Objective:

An in-depth evaluation of the published evidence is needed on self-medication, specifically the evidence focusing on vulnerable groups, such as pregnant women. This scoping review aims to provide an overview of the differences in self-medication prevalence and study characteristics among different groups, while identifying gaps in the literature.

Methods:

A literature search was performed in PubMed and Web of Science, including articles published in the last 10 years for the pregnant women group (PWG) and the general population group (GPG). Data on study design, self-medication prevalence, medications used, and other variables were collected, tabulated, and summarized.

Results:

From 2888 screened articles, 75 were considered including 108,559 individuals. The self-medication (SM) in the PWG ranged from 2.6 to 72.4% and most studies had an SM prevalence between 21 and 50% and in the GPG, 32 from 50 studies had a SM prevalence higher than 50%. The reviewed studies varied considerably in methodology, requiring careful interpretation. While most of the studies assessed self-medication during the entire pregnancy, self-medication definition was often inconsistent between studies. Acetaminophen was the most used medication and headache was the most frequent symptom leading to self-medication initiation in the PWG.

Conclusions:

Self-medication among pregnant women showed a lower prevalence when compared to the general population. The medications used and symptoms reported were similar between groups. However, methodological differences must be carefully considered. Pregnant women should carefully follow their physicians’ advice before initiating self-medication to avoid preventable maternal and fetal adverse effects.

Key-words drug-related side effects and adverse reactions Medication use Pregnant women Self-medication
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.
FEBRASGO POSITION STATEMENT11-25-2024

Nonclassic congenital adrenal hyperplasia due to 21-hydroxylase deficiency in women: diagnosis and treatment: Number 11 – 2024
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-FPS11

Views195

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.
Abstract
FEBRASGO POSITION STATEMENT
Nonclassic congenital adrenal hyperplasia due to 21-hydroxylase deficiency in women: diagnosis and treatment: Number 11 – 2024
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-FPS11
DOI 10.61622/rbgo/2024FPS11
Andrea Prestes Nácul ,
Ana Carolina Japur Sá Rosa e Silva ,
Daniela Angerame Yela ,
Sebastião Freitas de Medeiros ,
José Maria Soares Júnior ,
Gabriela Pravatta Rezende Antoniassi ,
Lia Cruz da Costa Damásio ,
Técia Maria de Oliveira Maranhão ,
Gustavo Arantes Rosa Maciel ,
Cristina Laguna Benetti-Pinto
Views195
Key points[…]
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.
FEBRASGO POSITION STATEMENT11-14-2024

Challenges and strategies in adolescent vaccination: Number 12 – 2024
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-FPS12

Views185

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.
Abstract
FEBRASGO POSITION STATEMENT
Challenges and strategies in adolescent vaccination: Number 12 – 2024
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-FPS12
DOI 10.61622/rbgo/2024FPS12
Cecília Maria Roteli-Martins ,
Renato de Ávila Kfouri ,
André Luís Ferreira Santos
Views185
Key points[…]
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 Editor10-23-2024

The gynecologist and cancer in women
- Iolanda Matias Gomes
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo92

Views163

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.
Abstract
Letter to the Editor
The gynecologist and cancer in women
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo92
DOI 10.61622/rbgo/2024rbgo92
Iolanda Matias Gomes
Views163
Cervical cancer continues to claim an alarming number of victims around the world, especially among poor women. In Brazil, in 2022, an incidence of 16.3/100,000 women was recorded,() with a projection for 2023 of 17,010 new cases, corresponding to a rate of 15.38/100,000, representing 7% of tumors in women.In the Brazilian reality, where there is […]
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 Article10-23-2024

Nipple-sparing mastectomy in young versus elderly patients
- Antônio Luiz Frasson ,
- Isabela Miranda ,
- Betina Vollbrecht ,
- Carolina Malhone ,
- Ana Beatriz Falcone ,
- Martina Lichtenfels
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo90

Views176

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.
Abstract
Original Article
Nipple-sparing mastectomy in young versus elderly patients
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo90
DOI 10.61622/rbgo/2024rbgo90
Antônio Luiz Frasson ,
Isabela Miranda ,
Betina Vollbrecht ,
Carolina Malhone ,
Ana Beatriz Falcone ,
Fernanda Barbosa ,
Francisco Pimentel Cavalcante ,
Martina Lichtenfels
Views176
Abstract

Objective:

In this study, we compared indications and outcomes of 115 young (< 40 years) versus 40 elderly (> 60 years) patients undergoing nipple-sparing mastectomy (NSM) as risk-reducing surgery or for breast cancer (BC) treatment.

Methods:

Between January 2004 and December 2018, young and elderly patients undergoing NSM with complete data from at least 6 months of follow-up were included.

Results:

BC treatment was the main indication for NSM, observed in 85(73.9%) young versus 33(82.5%) elderly patients, followed by risk-reducing surgery in 30(26.1%) young versus 7(17.5%) elderly patients. Complication rates did not differ between the age groups. At a median follow-up of 43 months, the overall recurrence rate was higher in the younger cohort (p = 0.04). However, when stratified into local, locoregional, contralateral, and distant metastasis, no statistical difference was observed. During the follow-up, only 2(1.7%) young patients died.

Conclusion:

Our findings elucidate a higher recurrence rate of breast cancer in younger patients undergoing NSM, which may correlate with the fact that age is an independent prognostic factor. High overall survival and low complication rates were evidenced in the two groups showing the safety of NSM for young and elderly patients.

Key-words Age factors Breast neoplasm Breast neoplasms Mastectomy Nipples subcutaneous Young adult
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.

Thesis Abstract04-04-2007

Effect of raloxifene on the vaginal epithelium of postmenopausal women
- Armando Delmanto
Revista Brasileira de Ginecologia e Obstetrícia. 2007;29(1):57-57

Views40

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.
Abstract
Thesis Abstract
Effect of raloxifene on the vaginal epithelium of postmenopausal women
Revista Brasileira de Ginecologia e Obstetrícia. 2007;29(1):57-57
DOI 10.1590/S0100-72032007000100012
Armando Delmanto
Views40
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.
Letter to the Editor12-21-2020
Revista Brasileira de Ginecologia e Obstetrícia. 2020;42(10):676-678

Views77

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.
Abstract
Letter to the Editor
Revista Brasileira de Ginecologia e Obstetrícia. 2020;42(10):676-678
DOI 10.1055/s-0040-1719110
Debora Farias Batista Leite ,
Aline Duarte Maranhão ,
Elias F. Melo Jr
Views77
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.
Thesis Abstract04-10-2005

Evaluation of nitric oxide effects on embryo development in mice in vivo and in vitro
- Roberto Pimenta Barroso
Revista Brasileira de Ginecologia e Obstetrícia. 2005;27(11):706-706

Views45

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.
Abstract
Thesis Abstract
Evaluation of nitric oxide effects on embryo development in mice in vivo and in vitro
Revista Brasileira de Ginecologia e Obstetrícia. 2005;27(11):706-706
DOI 10.1590/S0100-72032005001100012
Roberto Pimenta Barroso
Views45
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.
Thesis Abstract04-13-2005

Influence of hypothyalamic obesity on type 2 Diabetes mellitus in successive generations of female Wistar rats
- Kleber Eduardo de Campos
Revista Brasileira de Ginecologia e Obstetrícia. 2005;27(12):779-779

Views45

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.
Abstract
Thesis Abstract
Influence of hypothyalamic obesity on type 2 Diabetes mellitus in successive generations of female Wistar rats
Revista Brasileira de Ginecologia e Obstetrícia. 2005;27(12):779-779
DOI 10.1590/S0100-72032005001200011
Kleber Eduardo de Campos
Views45
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.
07-04-2003

Estudo exploratório: ultra-sonografia, ecocardiografia fetal e resultados perinatais em gestantes portadoras do HIV em uso de terapia anti-retroviral
- Marco Antonio Borges Lopes
Revista Brasileira de Ginecologia e Obstetrícia. 2003;25(2):136-136

Views42

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.
Abstract
Estudo exploratório: ultra-sonografia, ecocardiografia fetal e resultados perinatais em gestantes portadoras do HIV em uso de terapia anti-retroviral
Revista Brasileira de Ginecologia e Obstetrícia. 2003;25(2):136-136
DOI 10.1590/S0100-72032003000200011
Marco Antonio Borges Lopes
Views42
RESUMO DE TESE Estudo exploratório: ultra-sonografia, ecocardiografia fetal e resultados perinatais em gestantes portadoras do HIV em uso de terapia anti-retroviral […]
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.
Thesis Abstract10-14-2004

Gene polymorphisms in preeclampsia
- Adriani Oliveira Galão
Revista Brasileira de Ginecologia e Obstetrícia. 2004;26(7):584-584

Views49

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.
Abstract
Thesis Abstract
Gene polymorphisms in preeclampsia
Revista Brasileira de Ginecologia e Obstetrícia. 2004;26(7):584-584
DOI 10.1590/S0100-72032004000700014
Adriani Oliveira Galão
Views49
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.
Thesis Abstract03-11-2007

Predictive model for the risk of malignancy in solid breast nodules based on the ultra-sonography
- Régis Resende Paulinelli
Revista Brasileira de Ginecologia e Obstetrícia. 2007;29(12)

Views43

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.
Abstract
Thesis Abstract
Predictive model for the risk of malignancy in solid breast nodules based on the ultra-sonography
Revista Brasileira de Ginecologia e Obstetrícia. 2007;29(12)
DOI 10.1590/S0100-72032007001200010
Régis Resende Paulinelli
Views43
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.
Letter to the Editor10-01-2018

Comments on: Conservative Surgical Treatment of a Case of Placenta Accreta
- Ahmed Reda
Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(10):654-655

Views76

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.
Abstract
Letter to the Editor
Comments on: Conservative Surgical Treatment of a Case of Placenta Accreta
Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(10):654-655
DOI 10.1055/s-0038-1675221
Ahmed Reda
Views76
Dear Editor,Placenta accreta describes pathological adherence or invasion of the placenta to the myometrium. It may be a consequence of any procedure affecting the integrity of the uterine lining. The incidence is rising due to increase in the rate of cesarean delivery, which is the major risk factor. Published guidelines recommend delivery with planned cesarean […]
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 Article11-01-2018

Obstetric Outcomes among Syrian Refugees: A Comparative Study at a Tertiary Care Maternity Hospital in Turkey
- Sule Ozel,
- Selen Yaman,
- Hatice Kansu-Celik,
- Necati Hancerliogullari,
- Nurgul Balci,
- Yaprak Engin-Ustun
Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(11):673-679

Views174

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.
Abstract
Original Article
Obstetric Outcomes among Syrian Refugees: A Comparative Study at a Tertiary Care Maternity Hospital in Turkey
Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(11):673-679
DOI 10.1055/s-0038-1673427
Sule Ozel,
Selen Yaman,
Hatice Kansu-Celik,
Necati Hancerliogullari,
Nurgul Balci,
Yaprak Engin-Ustun
Views174
Abstract

Objective

The aim of this study was to analyze and compare obstetric and neonatal outcomes between Syrian refugees and ethnic Turkish women.

Methods

Retrospective, observational study. A total of 576 Syrian refugees and 576 ethnic Turkish women were included in this study, which was conducted between January 2015 and December 2015 at a tertiary maternity training hospital in Ankara, Turkey. The demographic characteristics, obstetric and neonatal outcomes were compared. The primary outcomes were pregnancy outcomes and cesarean rates between the groups

Results

The mean age was significantly lower in the refugee group (p< 0.001). Mean gravidity, proportion of adolescent pregnancies, proportion of pregnant women aged 12 to 19 years, and number of pregnancies at < 18 years were significantly higher among the refugee women (p< 0.001). Rates of antenatal follow-up, double testing, triple testing, gestational diabetes mellitus (GDM) screening, and iron replacement therapy were significantly lower in the refugee group (p< 0.001). The primary Cesarean section rate was significantly lower in the refugee group (p= 0.034). Pregnancies in the refugee group were more complicated, with higher rates of preterm delivery (< 37 weeks), preterm premature rupture of membranes (PPROM), and low birth weight (< 2,500 g) when compared with the control group (4.2% versus 0.7%, p< 0.001; 1.6% versus 0.2%, p= 0.011; and 12% versus 5.8%, p< 0.001, respectively). Low education level (odds ratio [OR] = 1.7, 95% confidence interval [CI] = 0.5–0.1), and weight gain during pregnancy (OR = 1.7, 95% CI = 0.5–0.1) were found to be significant indicators for preterm birth/PPROM and low birthweight.

Conclusion

Syrian refugees had increased risks of certain adverse obstetric outcomes, including preterm delivery, PPROM, lower birth weight, and anemia. Several factors may influence these findings; thus, refugee women would benefit from more targeted care during pregnancy and childbirth.

Key-words Antenatal care immigrants neonatal outcomes obstetric outcomes Syrian Refugees
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.
Editorial09-01-2018

Maternal Mortality in Brazil: Proposals and Strategies for its Reduction
Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(9):501-506

Views222

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.
Abstract
Editorial
Maternal Mortality in Brazil: Proposals and Strategies for its Reduction
Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(9):501-506
DOI 10.1055/s-0038-1672181
Rodolfo Carvalho Pacagnella,
Marcos Nakamura-Pereira,
Flavia Gomes-Sponholz,
Regina Amélia Lopes Pessoa de Aguiar,
Gláucia Virginia de Queiroz Lins Guerra,
Carmen Simone Grilo Diniz,
Brenno Belazi Nery de Souza Campos,
Eliana Martorano Amaral,
Olímpio Barbosa de Moraes Filho
Views222
Maternal mortality is one of the health indicators that most reflect the social conditions of women. The inequities observed in this indicator between high- and low-income countries and among regions in the same country are explained by differences in the provision, in the access, and in the quality of obstetric care and of family planning. […]
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 Article06-27-2019

Quality of Life among University Students with Premenstrual Syndrome
Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(5):312-317

Views265

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.
Abstract
Original Article
Quality of Life among University Students with Premenstrual Syndrome
Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(5):312-317
DOI 10.1055/s-0039-1688709
Fernanda Figueira Victor,
Ariani Impieri Souza,
Cynthia Danúbia Tavares Barreiros,
João Lucas Nunes de Barros,
Flavia Anchielle Carvalho da Silva,
Ana Laura Carneiro Gomes Ferreira
Views265
Abstract

Objective

To evaluate the quality of life among university students with premenstrual syndrome (PMS).

Methods

The cross-sectional study was conducted at the Faculdade Pernambucana de Saúde, in Recife, Brazil, between August 2016 and July 2017. Sociodemographic, gynecological, and lifestyle variables, and PMS occurrence, were investigated among 642 students. The short form of the World Health Organization Quality of Life (WHOQOL Bref) questionnaire was used to evaluate four domains of the quality of life of the students: physical, mental, social relationships, and environmental. The American College of Obstetricians and Gynecologists’ criteria were used to define PMS.

Results

Of the 642 students, 49.9% had PMS, 23.3% had mild PMS and 26.6% had premenstrual dysphoric disorder (PMDD). Most of the students were between 18 and 24 years old, had regular menstrual cycles, and practiced physical activity. Regarding the physical and mental domains of the WHOQOL-Bref questionnaire, a statisticallysignificant difference was observed between the students who did not have and those who had mild or PMDD (p < 0.001). A difference was also found between the students who did not have PMS and those who had mild PMS in the social relationships (p = 0.001) and environmental domains (p = 0.009).

Conclusion

Mild PMS and PMDD are prevalent among university students on healthrelated courses, and the syndrome can affect the students’ self-assessment of all the domains of quality of life.

Key-words medical student Menstruation disturbances premenstrual dysphoric disorder Premenstrual syndrome Quality of life
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.
Review Article06-01-2016

Selective Episiotomy: Indications, Techinique, and Association with Severe Perineal Lacerations
- Mário Dias Corrêa Junior,
- Renato Passini Júnior
Revista Brasileira de Ginecologia e Obstetrícia. 2016;38(6):301-307

Views197

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.
Abstract
Review Article
Selective Episiotomy: Indications, Techinique, and Association with Severe Perineal Lacerations
Revista Brasileira de Ginecologia e Obstetrícia. 2016;38(6):301-307
DOI 10.1055/s-0036-1584942
Mário Dias Corrêa Junior,
Renato Passini Júnior
Views197
Abstract

Introduction

Episiotomy is a controversial procedure, especially because the discussion that surrounds it has gone beyond the field of scientific debate, being adopted as an indicator of the “humanization of childbirth”. The scientific literature indicates that episiotomy should not be performed routinely, but selectively.

Objectives

To review the literature in order to assess whether the implementation of selective episiotomy protects against severe perineal lacerations, the indications for the procedure, and the best technique to perform it.

Methods

A literature search was performed in PubMed using the terms episiotomy or perineal lacerations, and the filter clinical trial. The articles concerning the risk of severe perineal lacerations with or without episiotomy, perineal protection, or episiotomy techniques were selected.

Results

A total of 141 articles were identified, and 24 of them were included in the review. Out of the 13 studies that evaluated the risk of severe lacerations with and without episiotomy, 5 demonstrated a protective role of selective episiotomy, and 4 showed no significant differences between the groups. Three small studies confirmed the finding that episiotomy should be performed selectively and not routinely, and one study showed that midline episiotomy increased the risk of severe lacerations. The most cited indications were primiparity, fetal weight greater than 4 kg, prolonged second stage, operative delivery, and shoulder dystocia. As for the surgical technique, episiotomies performed with wider angles (> 40°) and earlier in the second stage (before “crowning “) appeared to be more protective.

Conclusions

Selective episiotomy decreases the risk of severe lacerations when compared with the non-performance or the performance of routine episiotomy. The use of a proper surgical technique is fundamental to obtain better results, especially in relation to the angle of incision, the distance from the vaginal introitus, and the correct timing for performing the procedure. Not performing the episiotomy when indicated or not applying the correct technique may increase the risk of severe perineal lacerations.

Key-words Episiotomy obstetrical delivery perineal lacerations
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.
Review Article08-01-2017

Physical Activity during Pregnancy: Recommendations and Assessment Tools
Revista Brasileira de Ginecologia e Obstetrícia. 2017;39(8):424-432

Views236

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.
Abstract
Review Article
Physical Activity during Pregnancy: Recommendations and Assessment Tools
Revista Brasileira de Ginecologia e Obstetrícia. 2017;39(8):424-432
DOI 10.1055/s-0037-1604180
Cibele Santini,
Thiago dos Santos Imakawa,
Elaine Christine Dantas Moisés
Views236
Abstract

The literature that supports and recommends the practice of exercise during pregnancy is extensive.However, although a more complete research on ways to evaluate the physical activity performedby pregnant women has been perfomed, it is found that there is no gold standard and that the articles in the area are inconclusive. Thus, the objective of the present article is to review relevant aspects, such as, technique and applicability of the different methods for the assessment of physical activity during pregnancy to providemore reliable and safe information for health professionals to encourage their pregnant patients to engage in the practice of physical activity. This review concluded that all tools for the analysis of physical activity have limitations. Thus, it is necessary to establish the objectives of evaluation in an appropriate manner, as well as to determine their viability and costeffectiveness for the population under study.

Key-words Evaluation physical activity physical exercise questionnaire Pregnancy
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 Article02-01-2017

Predictors of cesarean delivery in pregnant women with gestational diabetes mellitus
Revista Brasileira de Ginecologia e Obstetrícia. 2017;39(2):60-65

Views231

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.
Abstract
Original Article
Predictors of cesarean delivery in pregnant women with gestational diabetes mellitus
Revista Brasileira de Ginecologia e Obstetrícia. 2017;39(2):60-65
DOI 10.1055/s-0037-1598644
Carmem Luiza Lucht Gascho,
Danieli Mayumi Kimura Leandro,
Thiago Ribeiro e Silva,
Jean Carl Silva
Views231
Abstract

Purpose

The aim of this study was to evaluate which risk factors may lead patients with gestational diabetes mellitus to cesarean delivery.

Methods

This was a retrospective, descriptive study. The subjects of the study were pregnant women with gestational diabetes mellitus attending a public maternity hospital in the south of Brazil. The primary outcomes assessed were based on maternal and fetal characteristics. The data were correlated using an odds ratio (OR) with a 95% confidence interval (95%CI), calculated using multinomial logistic regression.

Results

A total of 392 patients with gestational diabetes mellitus were analyzed, and 57.4% of them had cesarean deliveries. Among the maternal characteristics, the mean age of the patients and the pregestational body mass index were greater when a cesarean delivery was performed (p = 0.029 and p < 0.01 respectively). Gestational age at birth, newborn weight, weight class according to gestational age, and Apgar score were not significant. The analysis of the OR showed that the chance of cesarean delivery was 2.25 times (95%CI = 1.49-2.39) greater if the pregnant woman was obese, 4.6 times (95%CI = 3.017-7.150) greater if she was a primigravida, and 5.2 times (95% CI = 2.702-10.003) greater if she had a previous cesarean delivery. The other parameters analyzed showed no differences.

Conclusion

The factors that led to an increase in the occurrence of cesarean deliveries included history of a prior cesarean section, first pregnancy, and obesity.

Key-words Cesarean section Gestational diabetes Risk factors
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.
Editorial12-01-2015

Maternal mortality and the new objectives of sustainable development (2016-2030)
- Joao Paulo Souza
Revista Brasileira de Ginecologia e Obstetrícia. 2015;37(12):549-551

Views104

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.
Abstract
Editorial
Maternal mortality and the new objectives of sustainable development (2016-2030)
Revista Brasileira de Ginecologia e Obstetrícia. 2015;37(12):549-551
DOI 10.1590/SO100-720320150005526
Joao Paulo Souza
Views104
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.
Original Article08-21-2015

Increased oxidative stress markers may be a promising indicator of risk for primary ovarian insufficiency: a cross-sectional case control study
- Aytekin Tokmak,
- Gülçin Yıldırım,
- Esma Sarıkaya,
- Mehmet Çınar,
- Nihal Boğdaycıoğlu,
- Nafiye Yılmaz
Revista Brasileira de Ginecologia e Obstetrícia. 2015;37(9):411-416

Views90

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.
Abstract
Original Article
Increased oxidative stress markers may be a promising indicator of risk for primary ovarian insufficiency: a cross-sectional case control study
Revista Brasileira de Ginecologia e Obstetrícia. 2015;37(9):411-416
DOI 10.1590/SO100-720320150005397
Aytekin Tokmak,
Gülçin Yıldırım,
Esma Sarıkaya,
Mehmet Çınar,
Nihal Boğdaycıoğlu,
Fatma Meriç Yılmaz,
Nafiye Yılmaz
Views90
PURPOSE:

The aim of this study was to evaluate serum levels of inducible nitric oxide synthase (INOS), myeloperoxidase (MPO), total antioxidant status (TAS), and total oxidative status (TOS) in women with primary ovarian insufficiency (POI) and to compare them with healthy fertile women. We also examined the possible risk factors associated with POI.

METHODS:

This cross-sectional case control study was conducted in Zekai Tahir Burak Women’s Health Education and Research Hospital. The study population consisted of 44 women with POI (study group) and 36 healthy fertile women (control group). In all patients, serum levels of INOS, MPO, TAS, and TOS were determined. INOS and MPO levels were measured by enzyme-linked immunosorbent assay whereas colorimetric method was used for evaluating TAS and TOS levels. Age, body mass index (BMI), obstetric history, smoking status, family history, comorbidities, sonographic findings, complete blood count values, C-reactive protein and baseline hormone levels were also analyzed. Student’s t-test or Mann-Whitney U test was used to compare continuous variables between the groups; categorical data were evaluated by using Pearson χ² or Fisher exact test, when appropriate. Binary logistic regression method was used to identify risk factors for POI.

RESULTS:

We found significantly elevated levels of INOS (234.1±749.5 versus133.8±143.0; p=0.005), MPO (3,438.7±1,228.6 versus 2,481.9±1,230.1; p=0.001), and TOS (4.3±1.4 versus 3.6±1.4; p=0.02) in the sera of the study group when compared to the BMI-age matched control group. However, difference in serum levels of TAS were not significant between the 2 groups (1.7±0.2 versus 1.6±0.2; p=0.15). Logistic regression method demonstrated that BMI <25 kg/m², nulliparity, family history of POI, smoking, and elevated serum levels of INOS, MPO, and TOS were independent risk factors for POI.

CONCLUSION:

We found an increase in INOS, MPO, and TOS in women with POI. These serum markers may be promising in early diagnosis of POI. Further large-scale studies are required to determine whether oxidative stress markers have a role in diagnosing POI.

Key-words Oxidative stress Primary ovarian insufficiency Risk factors
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 in:

Titles

Authors

Key-words

Website content

Article type

abstract

book-review

brief-report

case-report

correction

editorial

letter

other

rapid-communication

research-article

review-article

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

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

Female genital tract microbiome: the influence of probiotics on assisted reproduction

Abstract

Prevalence and factors associated with non-alcoholic fatty liver disease among women with polycystic ovary syndrome

Abstract

Objective:

Methods:

Results:

Conclusion:

Zuranolone for postpartum depression: a systematic review and meta-analysis of two randomized studies

Abstract

Objective:

Methods:

Results:

Conclusion:

Self-medication among pregnant women in comparison to the general population: a scoping review of the main characteristics

Abstract

Objective:

Methods:

Results:

Conclusions:

Nonclassic congenital adrenal hyperplasia due to 21-hydroxylase deficiency in women: diagnosis and treatment: Number 11 – 2024

Challenges and strategies in adolescent vaccination: Number 12 – 2024

The gynecologist and cancer in women

Nipple-sparing mastectomy in young versus elderly patients

Abstract

Objective:

Methods:

Results:

Conclusion:

Effect of raloxifene on the vaginal epithelium of postmenopausal women

Evaluation of nitric oxide effects on embryo development in mice in vivo and in vitro

Influence of hypothyalamic obesity on type 2 Diabetes mellitus in successive generations of female Wistar rats

Estudo exploratório: ultra-sonografia, ecocardiografia fetal e resultados perinatais em gestantes portadoras do HIV em uso de terapia anti-retroviral

Gene polymorphisms in preeclampsia

Predictive model for the risk of malignancy in solid breast nodules based on the ultra-sonography

Comments on: Conservative Surgical Treatment of a Case of Placenta Accreta

Obstetric Outcomes among Syrian Refugees: A Comparative Study at a Tertiary Care Maternity Hospital in Turkey

Abstract

Objective

Methods

Results

Conclusion

Maternal Mortality in Brazil: Proposals and Strategies for its Reduction

Quality of Life among University Students with Premenstrual Syndrome

Abstract

Objective

Methods

Results

Conclusion

Selective Episiotomy: Indications, Techinique, and Association with Severe Perineal Lacerations

Abstract

Introduction

Objectives

Methods

Results

Conclusions

Physical Activity during Pregnancy: Recommendations and Assessment Tools

Abstract

Predictors of cesarean delivery in pregnant women with gestational diabetes mellitus

Abstract

Purpose

Methods

Results

Conclusion

Maternal mortality and the new objectives of sustainable development (2016-2030)

Increased oxidative stress markers may be a promising indicator of risk for primary ovarian insufficiency: a cross-sectional case control study

PURPOSE:

METHODS:

RESULTS:

CONCLUSION:

Tag Cloud