Articles - Revista Brasileira de Ginecologia e Obstetrícia

Trabalhos Originais
Comparative Study of Maternal and Perinatal Outcomes among Patients with Pregestational Type I and Type II Diabetes
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(5):257-263
01-04-2000

Views111

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Summary
Trabalhos Originais
Comparative Study of Maternal and Perinatal Outcomes among Patients with Pregestational Type I and Type II Diabetes
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(5):257-263
01-04-2000
DOI 10.1590/S0100-72032000000500002
Micheline Monte de Carvalho,
Veruska Andrade de Mendonça,
Carlos Augusto Alencar Júnior,
Ana Paula Andrade Augusto,
Marcelo Bezerra Nogueira
Views111
Purpose: to evaluate the evolution of gestation, metabolic control and perinatal outcome of pregestational diabetic patients and to perform a comparative study of the results of patients with insulin-dependent diabetes (type I) and non-insulin-dependent diabetes (type II). Methods: retrospective analysis of 57 pregestational diabetic woman charts who began a prenatal follow-up in the Service of Maternofetal Medicine of the Maternidade-Escola Assis Chateaubriand of the Universidade Federal do Ceará, in the period from January 1995 to December 1998. The 57 pregnant women included in the study were divided into groups: the first, composed of 28 patients with insulin-dependent diabetes (type I), and the second with 29 pregnant women with non-insulin-dependent diabetes (type II), controlled with diet or with oral hypoglycemics before pregnancy. Results: there was no statistically significant difference between the two groups in relation to the need of hospitalization for glycemia control (39.2% x 27.5%) and maternal complications, such as: chronic arterial hypertension (14.2% x 27.5%), pregnancy-induced hypertension (14.2% x 17.2%), premature rupture of membranes (3.5% x 10.3%), urinary tract infection (10.7% x 6.8%), and preterm labor (3.5% x 6.8%). However, episodes of maternal hypoglycemia were more frequent among insulin-dependent patients (35.7% x 3.4%). The perinatal results were similar. We observed a great number of congenital anomalies and increased perinatal morbidity and mortality. Conclusion: there was no difference in the incidence of obstetric and clinical complications between insulin-dependent and non-insulin-dependent patients, except for maternal hypoglycemia.

Key-words Diabetes mellitus Fetal malformation Perinatal outcome Pregnancy complications
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Editorial
Gravidez na Adolescência
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(5):256-256
01-04-2000

Views29

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Summary
Editorial
Gravidez na Adolescência
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(5):256-256
01-04-2000
DOI 10.1590/S0100-72032000000500001
Views29
Gravidez na Adolescência[…]
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Resumos de Tese
Relação entre o fator de crescimento endotelial vascular tumoral e o CA 125 plasmático em pacientes com neoplasias epiteliais do ovário
- Francisco José Candido dos Reis
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):423-423
08-07-1999

Views37

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Summary
Resumos de Tese
Relação entre o fator de crescimento endotelial vascular tumoral e o CA 125 plasmático em pacientes com neoplasias epiteliais do ovário
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):423-423
08-07-1999
DOI 10.1590/S0100-72031999000700012
Francisco José Candido dos Reis
Views37
Relação entre o Fator de Crescimento Endotelial Vascular Tumoral e o CA 125 Plasmático em Pacientes com Neoplasias Epiteliais do Ovário […]
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Resumos de Tese
Avaliação da imunoexpressão do anticorpo monoclonal MIB-1 no epitélio mamário adjacente ao fibroadenoma de mulheres no menacme tratadas com tamoxifeno
- Juarez Antônio de Sousa
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):423-423
08-07-1999

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.
Summary
Resumos de Tese
Avaliação da imunoexpressão do anticorpo monoclonal MIB-1 no epitélio mamário adjacente ao fibroadenoma de mulheres no menacme tratadas com tamoxifeno
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):423-423
08-07-1999
DOI 10.1590/S0100-72031999000700013
Juarez Antônio de Sousa
Views45
Avaliação da Imunoexpressão do Anticorpo Monoclonal MIB-1 no Epitélio Mamário Adjacente ao Fibroadenoma de Mulheres no Menacme Tratadas com Tamoxifeno […]
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Resumos de Tese
Avaliação dos efeitos vasculares do 17beta: estradiol sobre as artérias uterinas de mulheres na pós-menopausa através da dopplervelocimetria transvaginal colorida
- João Pedro Junqueira Caetano
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):422-422
08-07-1999

Views41

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Summary
Resumos de Tese
Avaliação dos efeitos vasculares do 17beta: estradiol sobre as artérias uterinas de mulheres na pós-menopausa através da dopplervelocimetria transvaginal colorida
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):422-422
08-07-1999
DOI 10.1590/S0100-72031999000700011
João Pedro Junqueira Caetano
Views41
Avaliação dos Efeitos Vasculares do 17b – Estradiol sobre as Artérias Uterinas de mulheres na pós-menopausa através da Dopplervelocimetria Transvaginal Colorida […]
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Resumos de Tese
Estudo da citometria de fluxo e de outras variáveis prognósticas em carcinoma invasivo da mama
- Regina Paula Zambotti
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):422-422
08-07-1999

Views36

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Summary
Resumos de Tese
Estudo da citometria de fluxo e de outras variáveis prognósticas em carcinoma invasivo da mama
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):422-422
08-07-1999
DOI 10.1590/S0100-72031999000700010
Regina Paula Zambotti
Views36
Estudo da Citometria de Fluxo e de outras Variáveis Prognósticas em Carcinoma Invasivo da Mama […]
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Relato de Caso
Squamous cell carcinoma of the breast tissue: a case report
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):419-421
08-07-1999

Views79

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Summary
Relato de Caso
Squamous cell carcinoma of the breast tissue: a case report
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):419-421
08-07-1999
DOI 10.1590/S0100-72031999000700009
Rubens José Pereira,
Wilson Garcia Pereira,
Luiz Fernando Jubé Ribeiro,
Rita de Cássia Alencar,
Vera Saddi,
Geraldo Silva Queiroz,
Ruffo de Freitas Júnior
Views79
Squamous cell carcinoma of the mammary tissue is a very rare neoplasm, representing less than 1% of all breast carcinomas. The present study reports a case of squamous cell carcinoma of the breast, treated at the Hospital Araújo Jorge/ACCG. The tumor diagnosis, treatment and prognosis are also discussed.

Key-words Aspiration cytology Breast Cancer Mammography
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Trabalhos Originais
Massive hemorrhage in gynecologic cancer surgery: the use of hemostatic pack
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):415-418
08-07-1999

Views118

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Summary
Trabalhos Originais
Massive hemorrhage in gynecologic cancer surgery: the use of hemostatic pack
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):415-418
08-07-1999
DOI 10.1590/S0100-72031999000700008
Heitor Ricardo Cosiski Marana,
Jurandyr Moreira de Andrade,
Ângelo do Carmo da Silva Matthes,
Francisco Cyro Reis Campos do Prado Filho,
Francisco Jose Cândido dos Reis,
Sérgio Bighetti
Views118
Purpose: to introduce the use of the hemostatic pack, a tampon consisting of compresses tied to the bleeding surface and left in place for 48 to 72 h and which is one of the therapeutic alternatives to be used in this situation. Patients and Methods: we evaluated 3 cases of massive bleeding during surgery, with the exchange, on average, of 1.4 blood volumes (1.2-2.4), in terms of hemostatic effectiveness of the pack and of some patient parameters such as age and amount and type of volume infused. Results: the mean age of the patients was 57 years (51, 56 and 64). Only one had been previously irradiated. The bleeding was of venous origin, from the fossa of the obturator nerve, the iliac plexus and the presacral plexus. The volume expander most often used was 0.9% physiological saline solution, followed by blood derivatives and by Ringer lactate. Two patients were submitted to ligation of the hypogastric vein during surgery, with no improvement. The use of hemostatic synthetic material was inefficient in all three cases. In one of the patients, the use of nonabsorbable sutures to close the bleeding area led to a considerable reduction of bleeding, but did not eliminate it completely. One patient died before 24 h had elapsed, with signs and symptoms of heart failure. The other two patients developed acute renal failure and one of them developed aspirative pneumonia during surgical reexploration. Conclusion: massive bleeding is related to high morbidity and mortality. Among the emergency measures used for hemostasis, the pack seems to be the most adequate.

Key-words complications Massive hemorrhage Surgery
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Original Article
School-based HPV Vaccination: The Challenges in a Brazilian Initiative
- Julio Cesar Teixeira ,
- Mariana Silva Castro Vianna ,
- Diama Bhadra Vale ,
- Daniella Moretti Arbore ,
- Thais Helena Wilmers Perini ,
- Luiz Carlos Zeferino
Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(12):926-931
01-24-2021

Views231

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Summary
Original Article
School-based HPV Vaccination: The Challenges in a Brazilian Initiative
Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(12):926-931
01-24-2021
DOI 10.1055/s-0041-1740279
Julio Cesar Teixeira ,
Mariana Silva Castro Vianna ,
Diama Bhadra Vale ,
Daniella Moretti Arbore ,
Thais Helena Wilmers Perini ,
Tulio Jose Tomass Couto ,
Jose Pedroso Neto ,
Luiz Carlos Zeferino
Views231
Abstract

Objective

The present study assesses the implementation and the impact after 2 years of a school-based human papillomavirus (HPV) vaccination program in a Brazilian city.

Methods

A prospective study assessing the implementation of the program, offering quadrivalent HPV vaccine in two annual doses to girls and boys aged from 9 to 10 years old. The program was started in the city of Indaiatuba, state of São Paulo, Brazil, in 2018, and had authorization from the National Immunization Program. The number of HPV vaccine first doses applied and the coverage in 2018 was calculated and compared to the year 2017. There were described events that have influenced the results.

Results

The program invited 4,878 children through schools (87.1% of the target population), and 7.5% refused vaccination. Several concurrent events required or competed for health professionals of the vaccination teams. The coverage of the first dose (between 9 and 10 years old) was 16.1% in 2017 and increased to 50.5% in 2018 (p < 0.0001). The first dose in all ages increased 78% in 2018 compared with 2017 (6,636/3,733). Competing demands over the program continued in 2019, and the first dose coverage dropped (26.9%). For 2020, a municipal law instituted school-based vaccination and the creation of dedicated teams for vaccination, and these strategies are waiting to be tested.

Conclusion

School-based annual HPV vaccination in children between 9 and 10 years old was feasible and increased vaccination coverage, regardless of gender, although the program was vulnerable to competing events.

Key-words Adolescents HPV vaccine Human papillomavirus schools Vaccination
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Case Report
Lipschütz Ulcer: An Unusual Diagnosis that Should Not be Neglected
Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(5):414-416
07-30-2021

Views194

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Summary
Case Report
Lipschütz Ulcer: An Unusual Diagnosis that Should Not be Neglected
Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(5):414-416
07-30-2021
DOI 10.1055/s-0041-1729147
Daniela Alexandra Gonçalves Pereira ,
Eliana Patrícia Pereira Teixeira ,
Ana Cláudia Martins Lopes ,
Ricardo José Pina Sarmento ,
Ana Paula Calado Lopes
Views194
Abstract

The diagnosis of genital ulcers remains a challenge in clinical practice. Lipschütz ulcer is a non-sexually transmitted rare and, probably, underdiagnosed condition, characterized by the sudden onset of vulvar edema along with painful necrotic ulcerations. Despite its unknown incidence, this seems to be an uncommon entity, with sparse cases reported in the literature. We report the case of an 11-year-old girl who presented at the emergency department with vulvar ulcers. She denied any sexual intercourse. The investigation excluded sexually transmitted infections, so, knowledge of different etiologies of non-venereal ulcers became essential. The differential diagnoses are extensive and include inflammatory processes, drug reactions, trauma, and malignant tumors. Lipschütz ulcer is a diagnosis of exclusion. With the presentation of this case report, the authors aim to describe the etiology, clinical course, and outcomes of this rare disease, to allow differential diagnosis of genital ulceration.

Key-words Adolescent non-venereal lesions vulvar ulcer
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Original Article
The Pathway of Female Couples in a Fertility Clinic
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(7):660-666
06-03-2022

Views147

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Summary
Original Article
The Pathway of Female Couples in a Fertility Clinic
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(7):660-666
06-03-2022
DOI 10.1055/s-0042-1744444
Pedro Brandão ,
Nathan Ceschin ,
Victor Hugo Gómez
Views147
Abstract

Objective

The present study aims to describe the main characteristics of female couples resorting to a fertility clinic, to understand whether these patients have clear previous plans concerning procreation and how they end up completing their family planning, and to briefly describe the main outcomes of the recepción de ovocitos de pareja (ROPA, in the Spanish acronym: in English, reception of partner’s oocytes) method.

Methods

This is a descriptive retrospective study of the pathway and outcomes of female couples in a fertility clinic during a 2-year period.

Results

A total of 129 couples were treated. Only one third of the couples had no condition potentially affecting fertility or advanced age. Most couples were decided to undergo artificial insemination or in vitro fertilization and the majority kept their plans, as opposed to 38% of the couples who decided to the ROPA method (lesbian shared in vitro fertilization) who changed plans. Live birth rates per treatment (including frozen embryo transfers) for artificial insemination, 58% for in vitro fertilization, 80% for treatments with donated oocytes or embryos, and 79% for ROPA. Four in five couples achieved live births.

Conclusion

The present study highlights the importance of a thorough medical workup in same-sex couples resorting to assisted reproduction. Despite the higher-than-expected rates of fertility disorders, the outcomes were good. Most couples end up in a single parented method. Furthermore, the results of the ROPA method are reassuring.

Key-words assisted donor conception Fertilization in vitro homosexuality Reproductive techniques ROPA
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Original Article
Risk Factors for Intrapartum Cesarean Section Delivery in Low-risk Multiparous Women Following at Least a Prior Vaginal Birth (Robson Classification 3 and 4)
- Gul Nihal Buyuk ,
- Hatice Kansu-Celik ,
- Zeynep Asli Oskovi Kaplan ,
- Burcu Kisa ,
- Sule Ozel ,
- Yaprak Engin-Ustun
Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(6):436-441
07-27-2021

Views140

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Summary
Original Article
Risk Factors for Intrapartum Cesarean Section Delivery in Low-risk Multiparous Women Following at Least a Prior Vaginal Birth (Robson Classification 3 and 4)
Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(6):436-441
07-27-2021
DOI 10.1055/s-0041-1731378
Gul Nihal Buyuk ,
Hatice Kansu-Celik ,
Zeynep Asli Oskovi Kaplan ,
Burcu Kisa ,
Sule Ozel ,
Yaprak Engin-Ustun
Views140
Abstract

Objective

The aim of the present study was to evaluate the risk factors for cesarean section (C-section) in low-risk multiparous women with a history of vaginal birth.

Methods

The present retrospective study included low-risk multiparous women with a history of vaginal birth who gave birth at between 37 and 42 gestational weeks. The subjects were divided into 2 groups according to the mode of delivery, as C-section Group and vaginal delivery Group. Risk factors for C-section such as demographic characteristics, ultrasonographic measurements, smoking, weight gain during pregnancy (WGDP), interval time between prior birth, history of macrosomic birth, and cervical dilatation at the admission to the hospital were obtained fromthe charts of the patients. Obstetric and neonatal outcomes were compared between groups.

Results

The most common C-section indications were fetal distress and macrosomia (33.9% [n=77 and 20.7% [n=47] respectively). A bivariate correlation analysis demonstrated that mothers aged>30 years old (odds ratio [OR]: 2.09; 95% confidence interval [CI]: 1.30-3.34; p=0.002), parity >1 (OR: 1.81; 95%CI: 1.18-2.71; p=0.006), fetal abdominal circumference (FAC) measurement>360mm (OR: 34.20; 95%CI: 8.04 -145.56; p<0.001)) and<345mm (OR: 3.06; 95%CI: 1.88-5; p<0.001), presence of large for gestational age (LGA) fetus (OR: 5.09; 95%CI: 1.35-19.21; p=0.016), premature rupture of membranes (PROM) (OR: 1.52; 95%CI: 1-2.33; p=0.041), and cervical dilatation<5cm at admission (OR: 2.12; 95%CI: 1.34-3.34; p=0.001) were associated with the group requiring a C-section.

Conclusion

This is the first study evaluating the risk factors for C-section in low-risk multiparous women with a history of vaginal birth according to the Robson classification 3 and 4. Fetal distress and suspected fetal macrosomia constituted most of the Csection indications.

Key-words cervical dilatation Cesarean section fetal abdominal circumference Risk factors Vaginal delivery
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Review
Dietary Patterns during Pregnancy and Gestational Weight Gain: A Systematic Review
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(5):540-547
04-28-2022

Views217

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Summary
Review
Dietary Patterns during Pregnancy and Gestational Weight Gain: A Systematic Review
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(5):540-547
04-28-2022
DOI 10.1055/s-0042-1744290
Larissa Bueno Ferreira ,
Cecília Viana Lobo ,
Aline Elizabeth da Silva Miranda ,
Brenda da Cunha Carvalho ,
Luana Caroline dos Santos
Views217
Abstract

The present systematic review (PROSPERO: CRD42020148630) hypothesizes the association of excessive weight gain during pregnancywith dietary patterns composed of ultraprocessed foods. Thus, the objective was to investigate the association between dietary patterns after analysis and weight gain during pregnancy. The search for articles was performed in nine databases. Two reviewers selected the articles in the databases and extracted from them the data used in the review. Two scales were used to evaluate the quality of the selected studies: New Castle-Ottawa Quality Assessment for cohort-based studies and Appraisal tool for Cross-Sectional Studies (AXIS) for cross-sectional-based studies. In total, 11 studies were identified with sample size variation (n=173-5,733). Women presenting more adherence to healthy and traditional patterns (fruits, vegetables, salads, nuts, and dairy) recorded less excessive gestational weight gain (GWG). Higher intake ofmixed patterns and western patterns rich in ultraprocessed foods were associated with a higher prevalence of excessive GWG (24.48- 55.20%). Gestational dietary patterns a posteriori-derived that have presented ultraprocessed components rich in fat and sugars presented association with high GWG; healthy and traditional dietary patterns were related to better mother-child health conditions, such as adequate GWG.

Key-words diets gestational dietary patterns Pregnancy Pregnant women Weight gain
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Original Article
COVID-19 in Pregnancy: Implication on Platelets and Blood Indices
Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(8):595-599
11-15-2021

Views146

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.
Summary
Original Article
COVID-19 in Pregnancy: Implication on Platelets and Blood Indices
Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(8):595-599
11-15-2021
DOI 10.1055/s-0041-1733912
Wassan Nori ,
Ban Hadi Hameed ,
Asmaa Rajih Thamir ,
Amenah Fadhil
Views146
Abstract

Objective

To describe the hematological changes, the platelet indices in particular, in pregnant women with coronavirus disease 2019 (COVID-19) compared to healthy pregnant women.

Methods

A retrospective case-control study conducted at the Al Yarmouk Teaching Hospital, in Baghdad, Iraq, involving 100 pregnant women, 50 with positive viral DNA for COVID-19 (case group), and 50 with negative results (control group); both groups were subjected to a thorough hematological evaluation.

Results

Among the main hematological variables analyzed, the platelet indices, namely the mean platelet volume (MPV) and the platelet distribution width (PDW), showed statistically significant differences (MPV: 10.87±66.92 fL for the case group versus 9.84±1.2 fL for the control group; PDW: 14.82±3.18 fL for the case group versus 13.3±2.16 fL for the controls). The criterionvalue of the receiver operating characteristic (ROC) curve forPDWat a cutoffpoint of>11.8 fL showed a weak diagnostic marker, while the MPV at a cutoff value of>10.17 fL showed a good diagnostic marker.

Conclusion

The MPV and PDW are significantly affected by the this viral infection, even in asymptomatic confirmed cases, and we recommend that both parameters be included in the diagnostic panel of this infection.

Key-words COVID-19 Mean platelet volume platelet distribution width platelet indices Pregnancy
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Original Article
Association between Prenatal Care Adequacy Indexes and Low Birth Weight Outcome
Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(4):256-263
06-18-2021

Views159

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.
Summary
Original Article
Association between Prenatal Care Adequacy Indexes and Low Birth Weight Outcome
Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(4):256-263
06-18-2021
DOI 10.1055/s-0041-1728779
Conceição Christina Rigo Vale ,
Nubia Karla de Oliveira Almeida ,
Renan Moritz Varnier Rodrigues de Almeida
Views159
Abstract

Objective

To investigate the association between prenatal care (PNC) adequacy indexes and the low birth weigth (LBW) outcome.

Methods

A total of 368,093 live term singleton births in the state of Rio de Janeiro (Brazil) from 2015 to 2016 were investigated using data from the Brazilian Live Birth Information System (Sistema de Informações sobre Nascidos Vivos, SINASC, in Portuguese). Seven PNC adequacy indexes were evaluated: four developed by Brazilian authors (Ciari Jr. et al., Coutinho et al., Takeda, and an index developed and used by the Brazilian Ministry of Health – MS) and three by authors from other countries (Kessner et al., the Adequacy of Prenatal Care Utilization index – APNCU, and the Graduated Prenatal Care Utilization Index – GINDEX). Adjusted odds ratios were estimated for the PNC adequacy indexes by means of multivariate logistic regression models using maternal, gestational and newborn characteristics as covariates.

Results

When the PNC is classified as “inadequate”, the adjusted odds ratios to the LBWoutcome increase between 42% and 132%, depending on which adequacy index is evaluated. Younger (15 to 17 years old) and older (35 to 45 years old) mothers, those not married, of black or brown ethnicity, with low schooling (who did not finish Elementary School), primiparous, with preterm births, as well as female newborns had increasing odds for LBW. The models presented areas under the receiver operating characteristic (ROC) curve between 80.4% and 81.0%, and sensitivity and specificity that varied, respectively, between 57.7% and 58.6% and 94.3% and 94.5%.

Conclusion

Considering all PNC adequacy indexes evaluated, the APNCU had the best discriminatory power and the best ability to predict the LBW outcome.

Key-words Low birth weight maternal and newborn health perinatal epidemiology Prenatal care
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Original Article
The Impact of the COVID-19 Pandemic on Depression and Sexual Function: Are Pregnant Women Affected More Adversely?
- Ramazan Denizli ,
- Önder Sakin ,
- Kazibe Koyuncu ,
- Nayif Çiçekli ,
- Nihat Farisoğulları ,
- Mikail Özdemir
Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(10):765-774
12-17-2021

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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.
Summary
Original Article
The Impact of the COVID-19 Pandemic on Depression and Sexual Function: Are Pregnant Women Affected More Adversely?
Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(10):765-774
12-17-2021
DOI 10.1055/s-0041-1736174
Ramazan Denizli ,
Önder Sakin ,
Kazibe Koyuncu ,
Nayif Çiçekli ,
Nihat Farisoğulları ,
Mikail Özdemir
Views162
Abstract

Objective

To investigate depression and sexual function among pregnant and nonpregnant women throughout the COVID-19 pandemic.

Methods

A total of 188 women, 96 pregnant and 92 non-pregnant were included. The Beck Depression Inventory (BDI) and the Arizona Sexual Experience Scale (ASEX) were applied to the participants after obtaining sociodemographic data.

Results

The depression scores of pregnant and non-pregnant women were similar (p = 0.846). We found that the depression scores were significantly higher among the group of participants who have lower economic status (p = 0.046). Moreover, the depression score was significantly higher among women who lost their income during the pandemic (p = 0.027). The score on the ASEX was significantly higher, and sexual dysfunction was more prevalent among women who have lower levels of schooling and income (p < 0.05). Likewise, the ASEX scores were significantly higher (p = 0.019) among the group who experienced greater income loss throughout the pandemic. Upon comparing the pregnant and non-pregnant groups, we detected that sexual dysfunction had a significantly higher rate among pregnant women (p < 0.001).

Conclusion

In times of global crisis, such as the current pandemic, low-income families have an increased risk of experiencing depression and sexual dysfunction. When we compared pregnant women with non-pregnant women, depression scores were similar, but pregnant women were at a 6.2 times higher risk of developing sexual dysfunction.

Key-words COVID-19 Depression pandemic pregnant sexual function
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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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