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Original Article01-04-2000
Use of Verapamil in Chronic Hypertensive Pregnant Women: flow Analysis of Uterine Arteries and Umbilical Artery
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(5):265-274
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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. Abstract
Original ArticleUse of Verapamil in Chronic Hypertensive Pregnant Women: flow Analysis of Uterine Arteries and Umbilical Artery
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(5):265-274
DOI 10.1590/S0100-72032000000500003
Views116See morePurpose: this study, using verapamil, a slow calcium channel blocker, was a randomized, clinical, double blind and placebo controlled trial, whose objective was to observe if there was a uteroplacental and fetoplacental flow variation during its chronic oral use. Methods: 123 patients were accompanied: study group (n = 61), submitted to verapamil 240 mg/day and control group (n = 62), submitted to placebo. These patients were randomized into groups of four women and treatment or placebo was given for thirty days. A flow examination of the uterine arteries and umbilical artery through doppler-velocimetry was recorded. The values of resistance (RI) and pulsatility index (PI) and of the systole/diastole ratio (S/D) of the arteries were compared after the drug administration calculating means and standard deviations. Results: the verapamil group showed RI = 0.82 (0.28), PI = 1.06 (0.12) and S/D = 2.42 (0.51) in the uterine arteries. The placebo group showed RI = 0.75 (0.35), PI = 1.00 (0.18) and S/D = 2.30 (0.38). When we analyzed the umbilical artery, the verapamil group showed RI = 0.73 (0.12), PI = 1.04 (0.13) and S/D = 2.94 (0.32). The placebo group showed RI = 0.70 (0.14), PI = 1.03 (0.07) and S/D = 3.02 (0.78). The statistical analysis of the differences of the means by the F ratio showed that there was no difference between these two groups. Conclusion: this study indicates the use of verapamil for chronic hypertensive pregnants since it does not provoke damage to the uterine and fetal blood flow.
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Original Article01-04-2000
Comparative Study of Maternal and Perinatal Outcomes among Patients with Pregestational Type I and Type II Diabetes
- Micheline Monte de Carvalho,
- Veruska Andrade de Mendonça,
- Carlos Augusto Alencar Júnior,
- Ana Paula Andrade Augusto,
- Marcelo Bezerra Nogueira
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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. Abstract
Original ArticleComparative 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
DOI 10.1590/S0100-72032000000500002
- Micheline Monte de Carvalho,
- Veruska Andrade de Mendonça,
- Carlos Augusto Alencar Júnior,
- Ana Paula Andrade Augusto,
- Marcelo Bezerra Nogueira
Views117See morePurpose: 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.
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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. -
01-04-2000
Gravidez na Adolescência
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(5):256-256
Views40This 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
Gravidez na Adolescência
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(5):256-256
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. -
08-07-1999
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
Views48This 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
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
DOI 10.1590/S0100-72031999000700012
Views48Relação entre o Fator de Crescimento Endotelial Vascular Tumoral e o CA 125 Plasmático em Pacientes com Neoplasias Epiteliais do Ovário […]See moreThis 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. -
08-07-1999
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
Abstract
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
DOI 10.1590/S0100-72031999000700013
Views54Avaliação da Imunoexpressão do Anticorpo Monoclonal MIB-1 no Epitélio Mamário Adjacente ao Fibroadenoma de Mulheres no Menacme Tratadas com Tamoxifeno […]See moreThis 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. -
08-07-1999
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
Views54This 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
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
DOI 10.1590/S0100-72031999000700011
Views54Avaliação dos Efeitos Vasculares do 17b – Estradiol sobre as Artérias Uterinas de mulheres na pós-menopausa através da Dopplervelocimetria Transvaginal Colorida […]See moreThis 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. -
08-07-1999
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
Views47This 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 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
DOI 10.1590/S0100-72031999000700010
Views47Estudo da Citometria de Fluxo e de outras Variáveis Prognósticas em Carcinoma Invasivo da Mama […]See moreThis 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. -
Case Report08-07-1999
Squamous cell carcinoma of the breast tissue: a case report
- Rubens José Pereira,
- Wilson Garcia Pereira,
- Luiz Fernando Jubé Ribeiro,
- Rita de Cássia Alencar,
- Vera Saddi, [ … ],
- Ruffo de Freitas Júnior
Views94This 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
Case ReportSquamous cell carcinoma of the breast tissue: a case report
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):419-421
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
Views94See moreSquamous 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.
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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Original Article01-01-2014
Doplervelocimetria da artéria uterina no segundo e terceiro trimestres para predição dos resultados gestacionais
- Maryam Afrakhteh,
- Aida Moeini,
- Morteza Sanei Taheri,
- Hamid Reza Haghighatkhah,
- Mohammad Fakhri, [ … ],
- Nina Masoom
Views395PlumX Metrics- Citations
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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. Abstract
Original ArticleDoplervelocimetria da artéria uterina no segundo e terceiro trimestres para predição dos resultados gestacionais
Revista Brasileira de Ginecologia e Obstetrícia. 2014;36(1):35-39
DOI 10.1590/S0100-72032014000100008
- Maryam Afrakhteh,
- Aida Moeini,
- Morteza Sanei Taheri,
- Hamid Reza Haghighatkhah,
- Mohammad Fakhri,
- Nina Masoom
Views395OBJETIVO:
O objetivo do presente estudo longitudinal foi avaliar o valor da ultrassonografia Doppler das artérias uterinas no segundo e terceiro trimestres de gestação para a predição de desfecho adverso da gravidez em mulheres de baixo risco.
MÉTODOS:
De julho de 2011 até agosto de 2012, 205 gestantes de feto único atendidas em nossa clínica de pré-natal foram incluídas no presente estudo prospectivo e avaliadas em termos de dados demográficos e obstétricos. As pacientes foram submetidas à avaliação de ultrassom durante o segundo e terceiro trimestres, incluindo avaliação Doppler das artérias uterinas bilaterais, visando determinar os valores do índice de pulsatilidade (IP) e do índice de resistência (IR), bem como a presença de incisura diastólica precoce. O desfecho do presente estudo foi a avaliação da sensibilidade, especificidade, valor preditivo positivo (VPP) e valor negativo preditivo (VNP) da ultrassonografia Doppler das artérias uterinas para a predição de desfechos adversos da gravidez, incluindo pré-eclâmpsia, natimortalidade, descolamento prematuro da placenta e trabalho de parto prematuro.
RESULTADOS:
A média de idade das gestantes foi de 26,4±5,11 anos. Os valores de IP e IR das artérias uterinas para o primeiro (IP: 1,1±0,42 versus 1,53±0,59, p=0,002; IR: 0,55±0,09 versus 0.72±0.13, p=0,000, respectivamente) e para o terceiro trimestre (IP: 0,77±0,31 versus 1,09±0,46, p=0,000; IR: 0,46±0,10 versus 0,60±0,14, p=0,010, respectivamente) foram significativamente maiores em pacientes com desfecho adverso da gravidez em relação às mulheres com desfecho normal. A combinação de IP e IR > percentil 95 e a presença de incisura bilateral apresentou sensibilidade e especificidade de 36,1 e 97%, respectivamente, no segundo trimestre e de 57,5 e 98,2% no terceiro trimestre.
CONCLUSÕES:
Com base no presente estudo, o Doppler das artérias uterinas parece ser ferramenta valiosa para a predição de uma variedade de desfechos adversos no segundo e terceiro trimestres de gestação.
Key-words Laser-doppler flowmetryPregnancy outcomePregnancy trimester, secondPregnancy trimester, thirdUltrasonography, dopplerUterine artery/ultrasonographySee morePlumX Metrics- Citations
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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. -
Review Article12-21-2020
Use of GnRH Analogues in the Reduction of Submucous Fibroid for Surgical Hysteroscopy: A Systematic Review and Meta-Analysis
- Thayane Delazari Corrêa
,
- Isabela Maciel Caetano
,
- Pedro Henrique Tannure Saraiva
,
- Maurício Bechara Noviello,
- Admário Silva Santos Filho
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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. Abstract
Review ArticleUse of GnRH Analogues in the Reduction of Submucous Fibroid for Surgical Hysteroscopy: A Systematic Review and Meta-Analysis
Revista Brasileira de Ginecologia e Obstetrícia. 2020;42(10):649-658
- Thayane Delazari Corrêa
,
- Isabela Maciel Caetano
,
- Pedro Henrique Tannure Saraiva
,
- Maurício Bechara Noviello,
- Admário Silva Santos Filho
Views292See moreAbstract
Objective
Gonadotropin-releasing hormone analogues (GnRH-a) have been used preoperatively before hysteroscopic myomectomy to decrease the size and vascularization of the myomas, but evidence to support this practice is weak. Our objective was to analyze the use of GnRH-a in the reduction of submucous fibroid as a facilitator for surgical hysteroscopy from published clinical trials.
Data sources
Studies from electronic databases (Pubmed, Scielo, EMBASE, Scopus, PROSPERO), published between 1980 and December 2018. The keywords used were fibroid, GnRH analogue, submucous, histeroscopy, histeroscopic resection and their correspondents in Portuguese.
Study selection
The inclusion criteria were controlled trials that evaluated the GnRH-a treatment before hysteroscopic resection of submucous myomas. Four clinical trials were included in the meta-analysis.
Data collection
Two review authors extracted the data without modification of the original data, using the agreed form. We resolved discrepancies through discussion or, if required, we consulted a third person.
Data synthesis
The present meta-analysis included a total of 213 women and showed no statistically significant differences in the use of GnRH-a compared with the control group for complete resection of submucous myoma (relative risk [RR]: 0.94; 95%; confidence interval [CI]: 0.80-1.11); operative time (mean difference [MD]: – 3.81; 95%;CI : – 3.81-2.13); fluid absorption (MD: – 65.90; 95%;CI: – 9.75-2.13); or complications (RR 0.92; 95%;CI: 0.18-4.82).
Conclusion
The present review did not support the routine preoperative use of GnRH-a prior to hysteroscopic myomectomy. However, it is not possible to determine its inferiority when compared with the other methods due to the heterogeneity of existing studies and the small sample size.
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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. - Thayane Delazari Corrêa
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Review Article04-11-2022
Doppler Ultrasound of the Umbilical Artery: Clinical Application
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(5):519-531
Views253This 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 ArticleDoppler Ultrasound of the Umbilical Artery: Clinical Application
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(5):519-531
Views253See moreAbstract
Objective
To provide a survey of relevant literature on umbilical artery Doppler ultrasound use in clinical practice, technical considerations and limitations, and future perspectives.
Methods
Literature searches were conducted in PubMed and Medline, restricted to articles written in English. Additionally, the references of all analyzed studies were searched to obtain necessary information.
Results
The use of this technique as a routine surveillance method is only recommended for high-risk pregnancies with impaired placentation. Meta-analyses of randomized trials have established that obstetric management guided by umbilical artery Doppler findings can improve perinatal mortality and morbidity. The values of the indices of Umbilical artery Doppler decrease with advancing gestational age; however, a lack of consensus on reference ranges prevails.
Conclusion
Important clinical decisions are based on the information obtained with umbilical artery Doppler ultrasound. Future efforts in research are imperative to overcome the current limitations of the technique.
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 Article03-14-2024
Breast Imaging Reporting and Data System (BI-RADS®): a success history and particularities of its use in Brazil
- Vanessa Merjane
,
- Douglas Marcel Puricelli Perin
,
- Patrícia Martins Gomes El Bacha
,
- Beatriz Medicis Maranhão Miranda
,
- Almir Galvão Vieira Bitencourt
,
[ … ], - Wagner Iared
Views393This 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 ArticleBreast Imaging Reporting and Data System (BI-RADS®): a success history and particularities of its use in Brazil
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo6
- Vanessa Merjane
,
- Douglas Marcel Puricelli Perin
,
- Patrícia Martins Gomes El Bacha
,
- Beatriz Medicis Maranhão Miranda
,
- Almir Galvão Vieira Bitencourt
,
- Wagner Iared
Views393See moreAbstract
BI-RADS® is a standardization system for breast imaging reports and results created by the American College of Radiology to initially address the lack of uniformity in mammography reporting. The system consists of a lexicon of descriptors, a reporting structure with final categories and recommended management, and a structure for data collection and auditing. It is accepted worldwide by all specialties involved in the care of breast diseases. Its implementation is related to the Mammography Quality Standards Act initiative in the United States (1992) and breast cancer screening. After its initial creation in 1993, four additional editions were published in 1995, 1998, 2003 and 2013. It is adopted in several countries around the world and has been translated into 6 languages. Successful breast cancer screening programs in high-income countries can be attributed in part to the widespread use of BI-RADS®. This success led to the development of similar classification systems for other organs (e.g., lung, liver, thyroid, ovaries, colon). In 1998, the structured report model was adopted in Brazil. This article highlights the pioneering and successful role of BI-RADS®, created by ACR 30 years ago, on the eve of publishing its sixth edition, which has evolved into a comprehensive quality assurance tool for multiple imaging modalities. And, especially, it contextualizes the importance of recognizing how we are using BI-RADS® in Brazil, from its implementation to the present day, with a focus on breast cancer screening.
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. - Vanessa Merjane
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Review Article10-07-2022
The Effects of Hysterectomy on Urinary and Sexual Functions of Women with Cervical Cancer: A Systematic Review
- Mariana Alves Firmeza
,
- Camila Teixeira Moreira Vasconcelos
,
- José Ananias Vasconcelos Neto
,
- Luiz Gustavo de Oliveira Brito
,
- Flávio Mendes Alves
,
[ … ], - Natália Maria de Vasconcelos Oliveira
Views263This 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 ArticleThe Effects of Hysterectomy on Urinary and Sexual Functions of Women with Cervical Cancer: A Systematic Review
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(8):790-796
- Mariana Alves Firmeza
,
- Camila Teixeira Moreira Vasconcelos
,
- José Ananias Vasconcelos Neto
,
- Luiz Gustavo de Oliveira Brito
,
- Flávio Mendes Alves
,
- Natália Maria de Vasconcelos Oliveira
Views263See moreAbstract
Objective
This systematic review aims at describing the prevalence of urinary and sexual symptoms among women who underwent a hysterectomy for cervical cancer.
Methods
A systematic search in six electronic databases was performed, in September 2019, by two researchers. The text search was limited to the investigation of prevalence or occurrence of lower urinary tract symptoms (LUTS) and sexual dysfunctions in women who underwent a hysterectomy for cervical cancer. For search strategies, specific combinations of terms were used.
Results
A total of 8 studies, published between 2010 and 2018, were included in the sample. The average age of the participants ranged from 40 to 56 years, and the dysfunctions predominantly investigated in the articles were urinary symptoms (n= 8). The rates of urinary incontinence due to radical abdominal hysterectomy ranged from 7 to 31%. The same dysfunction related to laparoscopic radical hysterectomy varied from 25 to 35% and to laparoscopic nerve sparing radical hysterectomy varied from 25 to 47%. Nocturia ranged from 13%, before treatment, to 30%, after radical hysterectomy. The prevalence rates of dyspareunia related to laparoscopic radical hysterectomy and laparoscopic nerve sparing radical hysterectomy ranged from 5 to 16% and 7 to 19% respectively. The difficulty in having orgasm was related to laparoscopic radical hysterectomy (10 to 14%) and laparoscopic nerve sparing radical hysterectomy (9 to 19%).
Conclusion
Urinary and sexual dysfunctions after radical hysterectomy to treat cervical cancer are frequent events. The main reported disorders were urinary incontinence and dyspareunia.
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. - Mariana Alves Firmeza
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Review Article07-10-2023
Technologies Applied to the Mental Health Care of Pregnant Women: A Systematic Literature Review
- Laís Lage de Carvalho
,
- Júlia Magna da Silva Teixeira
,
- Roberto José Gervásio Unger
,
- Vivian Genaro Motti
,
- Giovanni Marcos Lovisi
,
[ … ], - Fabiane Rossi dos Santos Grincenkov
Views264This 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 ArticleTechnologies Applied to the Mental Health Care of Pregnant Women: A Systematic Literature Review
Revista Brasileira de Ginecologia e Obstetrícia. 2023;45(3):149-159
- Laís Lage de Carvalho
,
- Júlia Magna da Silva Teixeira
,
- Roberto José Gervásio Unger
,
- Vivian Genaro Motti
,
- Giovanni Marcos Lovisi
,
- Fabiane Rossi dos Santos Grincenkov
Views264See moreAbstract
Objective:
This article aims to review the literature regarding the use of technologies to promote mental health for pregnant women. We seek to: understand the strategies that pregnant women use for mental health care. Also, we investigate the existence of scientific evidence that validates such practices.
Methods:
This study follows the PRISMA guidelines for systematic reviews. We analyze 27 studies published between 2012 and 2019. We include publications in Portuguese, English, and Spanish.
Results:
The results revealed several different possibilities to use technology, including the use of text messages and mobile applications on smartphones. Mobile applications are the most commonly used approaches (22.5%). Regarding the strategies used, cognitive-behavioral approaches, including mood checks, relaxation exercises, and psychoeducation comprised 44.12% of the content.
Conclusion:
There is a need for further investigation and research and development efforts in this field to better understand the possibilities of intervention in mental health in the digital age.
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. - Laís Lage de Carvalho
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Letter to the Editor04-09-2024
Letter to Editor: “Combined aerobic and strength training improves dynamic stability and can prevent against static stability decline in postmenopausal women: A randomized clinical trial”
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo26
Views393This 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 EditorLetter to Editor: “Combined aerobic and strength training improves dynamic stability and can prevent against static stability decline in postmenopausal women: A randomized clinical trial”
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo26
Views393Dear Editor,First and foremost, we express our gratitude towards the authors for their clear and concise description of the positive effects of aerobic and strength training on dynamic stability.() Additionally, their ability to provide a focused and informative introduction section is commendable. The study piqued our interest in further exploring the benefits of aerobic and […]See moreThis 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 Article03-11-2022
Exercise and Physical Activity Levels and Associated Factors Among High-Risk Pregnant Women
- Larissa Antunes Miranda
,
- Anna Caroline Ribeiro de Moura
,
- Karina Tamy Kasawara
,
- Fernanda Garanhani Surita
,
- Mayle Andrade Moreira
,
[ … ], - Simony Lira do Nascimento
Views272This 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 ArticleExercise and Physical Activity Levels and Associated Factors Among High-Risk Pregnant Women
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(4):360-368
- Larissa Antunes Miranda
,
- Anna Caroline Ribeiro de Moura
,
- Karina Tamy Kasawara
,
- Fernanda Garanhani Surita
,
- Mayle Andrade Moreira
,
- Simony Lira do Nascimento
Views272See moreAbstract
Objective
To assess the levels of physical activity and exercise practice, and examine the associated maternal characteristics; as well as the anxiety levels of high-risk pregnant women.
Methods
A cross-sectional study conducted with pregnant women at a High-risk Prenatal Clinic (HRPC) in a tertiary maternity. Pregnant women of 18 to 40-years-old, with a single fetus, and with gestational age up to 38 weeks were included. The level of physical activity and exercise practice of the study’s participants were investigated using the Pregnancy Physical Activity Questionnaire (PPAQ). Maternal sociodemographic, anthropometric, and medical data were investigated using a specific form. For anxiety levels, the short version of the State-Trait Anxiety Inventory (STAI) was applied. We used the Student t-test, chi-square test, odds ratio (OR) with 95% confidence interval (95% CI) and multiple logistic regression. The significance level was 5%.
Results
Among the 109 pregnant women included, 82 (75.2%) were classified as sedentary/little active. The higher energy expenditure were for domestic activities (133.81±81.84 METs), followed by work-related activities (40.77±84.71 METs). Only 19.3% women exercised during pregnancy (4.76±12.47 METs), with slow walking being the most reported exercise. A higher level of education was the most important factor associated with women being moderately or vigorously active (OR=29.8; 95% CI 4.9-117.8). Nulliparity (OR=3.1; 95% CI 1.0-9.1), low levels of anxiety (OR=3.6; 95% CI 1.2-10.7), and unemployment (OR=4.8; 95% CI 1.1-19.6) were associated with the practice of exercise during pregnancy.
Conclusion
Most women with high-risk pregnancies exhibited a sedentary pattern, with low prevalence of physical exercise practice. Recognizing factors that hinder the adoption of a more physically active lifestyle is essential for an individualized guidance regarding exercise during pregnancy.
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. - Larissa Antunes Miranda
-
Original Article06-19-2019
Health-related Quality of Life in Women with Cervical Cancer
- Larissa Nascimento dos Santos,
- Luciana Castaneda
,
- Suzana Sales de Aguiar,
- Luiz Claudio Santos Thuler,
- Rosalina Jorge Koifman, [ … ],
- Anke Bergmann
Views233This 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 ArticleHealth-related Quality of Life in Women with Cervical Cancer
Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(4):242-248
- Larissa Nascimento dos Santos,
- Luciana Castaneda
,
- Suzana Sales de Aguiar,
- Luiz Claudio Santos Thuler,
- Rosalina Jorge Koifman,
- Anke Bergmann
Views233See moreAbstract
Objective
To analyze the factors associated with health-related quality of life (HRQoL) in women with cervical cancer (CC) in a single center in Rio de Janeiro, state of Rio de Janeiro, Brazil.
Methods
A cross-sectional study in women with a diagnosis of CC followed-up in the gynecology outpatient clinic of the Hospital do Câncer II (HCII, in the Portuguese acronym) of the Instituto Nacional de Câncer (INCA, in the Portuguese acronym). The data were collected from March to August 2015. Women with palliative care, communication/cognition difficulty, undergoing simultaneous treatment for other types of cancer, or undergoing chemotherapy and/or radiation therapy were excluded. For the evaluation of the HRQoL, a specific questionnaire for women with CC was used (Functional Assessment of Cancer Therapy – Cervix Cancer [FACT-Cx]). The total score of the questionnaire ranges from 0 to 168, with higher scores indicating a better HRQoL.
Results
A total of 115 women were included in the present study, with a mean age of 52.64 years old (standard deviation [SD] = 12.13). The domains of emotional (16.61; SD = 4.55) and functional well-being (17.63; SD = 6.15) were those which presented the worst scores. The factors that had an association with better HRQoL in women with CC were having a current occupation, a longer time since the treatment and diagnosis, and women who had undergone hysterectomy.
Conclusion
Considering the domains of HRQoL of the women treated for cervical cancer, a better score was observed in the domains of physical and social/family wellbeing. For most domains, better scores were found between those with a current occupation, with a longer time after the diagnosis and treatment, and among those who had undergone a hysterectomy.
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 Article06-01-2018
Guidelines for HPV-DNA Testing for Cervical Cancer Screening in Brazil
- Luiz Carlos Zeferino,
- Joana Bragança Bastos,
- Diama Bhadra Andrade Peixoto do Vale,
- Rita Maria Zanine,
- Yara Lucia Mendes Furtado de Melo, [ … ],
- Fábio Russomano
Views345PlumX Metrics- Citations
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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. Abstract
Review ArticleGuidelines for HPV-DNA Testing for Cervical Cancer Screening in Brazil
Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(6):360-368
- Luiz Carlos Zeferino,
- Joana Bragança Bastos,
- Diama Bhadra Andrade Peixoto do Vale,
- Rita Maria Zanine,
- Yara Lucia Mendes Furtado de Melo,
- Walquíria Quida Salles Pereira Primo,
- Flávia de Miranda Corrêa,
- Isabel Cristina Chulvis do Val,
- Fábio Russomano
Views345See moreAbstract
Evidence-based clinical guidelines ensure best practice protocols are available in health care. There is a widespread use of human papillomavirus deoxyribonucleic acid (HPVDNA) tests in Brazil, regardless of the lack of official guidelines. On behalf of the Brazilian Association for the Lower Genital Tract Pathology and Colposcopy (ABPTGIC, in the Portuguese acronym), a team of reviewers searched for published evidence and developed a set of recommendations for the use of HPV-DNA tests in cervical cancer screening in Brazil. The product of this process was debated and consensus was sought by the participants. One concern of the authors was the inclusion of these tests in the assessment of women with cytologic atypia and women treated for cervical intraepithelial neoplasia (CIN). Testing for HPV is recommended in an organized screening scenario to identify women with precursor lesions or asymptomatic cervical cancer older than 30 years of age, and it can be performed every 5 years. It also has value after the cytology showing atypical squamous cells of undetermined significance (ASC-US) or low-grade squamous intraepithelial lesions (LSILs) as a triage test for colposcopy, in the investigation of other cytological alterations when no abnormal findings are observed at colposcopy, seeking to exclude disease, or, further, after treatment of high-grade cervical intraepithelial neoplasia, to rule out residual disease.
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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
Original Article06-22-2020
Platelet to Lymphocyte Ratio and Neutrophil to Lymphocyte Ratio in Missed Abortion
Revista Brasileira de Ginecologia e Obstetrícia. 2020;42(5):235-239
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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. Abstract
Original ArticlePlatelet to Lymphocyte Ratio and Neutrophil to Lymphocyte Ratio in Missed Abortion
Revista Brasileira de Ginecologia e Obstetrícia. 2020;42(5):235-239
Views235See moreAbstract
Objective
Missed abortion occurs in ~ 15% of all clinical pregnancies. The pathogenesis is not clearly known. However, defective placentation resulting in maternal systemic inflammatory response is considered responsible for missed abortion. Platelet lymphocyte ratio (PLR) and neutrophil lymphocyte ratio (NLR) are increasingly cited parameters of inflammation in the literature. However, no study evaluated the PLR and NLR rates in missed abortions so far. The aim of the present study is to investigate whether complete blood count (CBC) inflammatory parameters such as NLR and PLR are increased in patients with missed abortion.
Methods
Medical records of 40 pregnant women whose gestation ended in missed abortion at between 6 and14 weeks of gestation and of 40 healthy pregnant women were collected and compared retrospectively. The groups were compared regarding hemoglobin, hematocrit, platelet count (PLT), mean platelet volume (MPV), platelet distribution width (PDW), PLR and NLR.
Results
Platelet distribution width, NLR and PLR values were higher in the missed abortion group compared with the healthy pregnant women group (rates are p = 0.043; p = 0.038; and p = 0.010, respectively). Hematocrit, MPV, and lymphocyte values were found to be lower in the missed abortion group compared with the healthy pregnant women group (p = 0.027, p = 0.044 and p = 0.025, respectively).
Conclusion
The PDW, NLR and PLR values of the missed abortion group were reported high; and MPV values were reported low in the present study. These findings may help to speculate a defective placentation in the pathogenesis of missed abortion.
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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
Original Article11-01-2018
Comparative Study of the Use of HPA Lanolin and Breast Milk for Treating Pain Associated with Nipple Trauma
- Corintio Mariani Neto,
- Rosemeire Sartori de Albuquerque,
- Sonia Cristina de Souza,
- Renata Oliveira Giesta,
- Andrea Penha Spinola Fernandes, [ … ],
- Bárbara Mondin
Views251This 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 ArticleComparative Study of the Use of HPA Lanolin and Breast Milk for Treating Pain Associated with Nipple Trauma
Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(11):664-672
- Corintio Mariani Neto,
- Rosemeire Sartori de Albuquerque,
- Sonia Cristina de Souza,
- Renata Oliveira Giesta,
- Andrea Penha Spinola Fernandes,
- Bárbara Mondin
Views251Abstract
Objective
To compare two different treatments—the use of highly purified anhydrous (HPA) lanolin and expressed breast milk—for women with pain and nipple trauma during the breastfeeding process.
Method
A total of 180 puerperal women were randomly assigned to 2 groups: one was treated with HPA lanolin and the other with their own expressed breast milk. All of the participants received the same breastfeeding technique instructions and therapeutic care standard. Three assessments were performed: at the time of inclusion in the study (after randomization); after 48 hours; and after 7 days. At each interval, data was collected in relation to pain and trauma. A numerical/verbal category scale was used for the pain variable, and the nipple trauma score for the trauma variable. The results were subjected to statistical analysis using the chi-squared test, the Fisher exact test, the student t-test, and the Kolmogorov-Smirnov test. Generalized estimating equations were calculated using the STATA 12 statistical software package (StataCorp LLC, College Station, TX, USA) and IBM SPSS Statistics for Windows, Version 20.0 (IBM Corp, Armonk, NY, USA).
Results
There was pain improvement from the second to the third assessment in the group that used HPA lanolin, while the pain remained unchanged between these two periods (p< 0.001) in the breast milk group. In terms of trauma, improvement was identified in its extension and depth from the first to the third assessment, and it was higher in the HPA lanolin group than in the breast milk group (p= 0.025).
Conclusion
The treatment of pain and nipple trauma with HPA lanolin achieved better results than the one with breast milk, based on a 7-day treatment period.
Key-words breastfeeding/adverse effectsbreastfeeding/nipple painlanolin/therapeutic usenipples/injurieswound healing/drug effectsSee moreThis 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 Article11-07-2019
Antiphospholipid Antibody Syndrome and Infertility
Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(10):621-627
Views255This 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 ArticleAntiphospholipid Antibody Syndrome and Infertility
Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(10):621-627
Views255See moreAbstract
Antiphospholipid antibody syndrome (APS) is a systemic, autoimmune, prothrombotic disease characterized by persistent antiphospholipid antibodies (aPLs), thrombosis, recurrent abortion, complications during pregnancy, and occasionally thrombocytopenia. The objective of the present study was to review the pathophysiology of APS and its association with female infertility. A bibliographic review of articles of the past 20 yearswas performed at the PubMed, Scielo, and Bireme databases. Antiphospholipid antibody syndrome may be associated with primary infertility, interfering with endometrial decidualization and with decreased ovarian reserve. Antiphospholipid antibodies also have direct negative effects on placentation, when they bind to the trophoblast, reducing their capacity for invasion, and proinflammatory effects, such as complement activation and neutrophil recruitment, contributing to placental insufficiency, restricted intrauterine growth, and fetal loss. In relation to thrombosis, APS results in a diffuse thrombotic diathesis, with global and diffuse dysregulation of the homeostatic balance. Knowing the pathophysiology of APS, which is closely linked to female infertility, is essential for new therapeutic approaches, specialized in immunomodulation andinflammatory signaling pathways, to provide important advances in its treatment.
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 Article03-27-2020
Gestational Diabetes in the Population Served by Brazilian Public Health Care. Prevalence and Risk Factors
- Pâmela Antoniazzi dos Santos
,
- José Mauro Madi
,
- Emerson Rodrigues da Silva
,
- Daiane de Oliveira Pereira Vergani
,
- Breno Fauth de Araújo
,
[ … ], - Rosa Maria Rahmi Garcia
Views317This 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 ArticleGestational Diabetes in the Population Served by Brazilian Public Health Care. Prevalence and Risk Factors
Revista Brasileira de Ginecologia e Obstetrícia. 2020;42(1):12-18
- Pâmela Antoniazzi dos Santos
,
- José Mauro Madi
,
- Emerson Rodrigues da Silva
,
- Daiane de Oliveira Pereira Vergani
,
- Breno Fauth de Araújo
,
- Rosa Maria Rahmi Garcia
Views317See moreAbstract
Objective
To assess the prevalence of gestational diabetes mellitus and the main associated risk factors in the population served by the Brazilian Unified Health System in the city of Caxias do Sul, state of Rio Grande do Sul.
Materials and Methods
A descriptive, cross-sectional and retrospective study was conducted. Maternal variables were collected from the medical records of all pregnant women treated at the basic health units in 2016. Hyperglycemia during pregnancy (pregestational diabetes, overt diabetes and gestational diabetes mellitus) was identified by analyzing the results of a 75-g oral glucose tolerance test, as recommended by the Brazilian Ministry of Health. Based on the data, the women were allocated into two groups: the gestational diabetes group and the no gestational diabetes group.
Results
The estimated prevalence of gestational diabetes among 2,313 pregnant women was of 5.4% (95% confidence interval [95%CI]: 4.56-6.45). Pregnant women with 3 or more pregnancies had twice the odds of having gestational diabetes compared with primiparous women (odds ratio [OR]=2.19; 95%CI: 1.42-3.37; p<0.001). Pregnant women aged 35 years or older had three times the odds of having gestational diabetes when compared with younger women (OR=3.01; 95%CI: 1.97-4.61; p<0.001). Overweight pregnant women were 84% more likely to develop gestational diabetes than those with a body mass index lower than 25 kg/m2 (OR =1.84; 95%CI: 1.25-2.71; p=0.002). A multivariable regression analysis showed that being overweight and being 35 years old or older were independent variables.
Conclusion
In this population, the prevalence of gestational diabetes mellitus was of 5.4%. Age and being overweight were predictive factors for gestational diabetes.
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. - Pâmela Antoniazzi dos Santos
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Original Article09-01-2018
Urinary Incontinence and Quality of Life in Female Patients with Obesity
- Christiana Campani Nygaard,
- Lucas Schreiner,
- Thiago Picolli Morsch,
- Rodrigo Petersen Saadi,
- Marina Faria Figueiredo, [ … ],
- Alexandre Vontobel Padoin
Views184This 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 ArticleUrinary Incontinence and Quality of Life in Female Patients with Obesity
Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(9):534-539
- Christiana Campani Nygaard,
- Lucas Schreiner,
- Thiago Picolli Morsch,
- Rodrigo Petersen Saadi,
- Marina Faria Figueiredo,
- Alexandre Vontobel Padoin
Views184See moreAbstract
Objective
To analyze the prevalence of urinary incontinence (UI) in female patients with an indication for bariatric surgery, to investigate the potential risk factors and the impact on quality of life.
Methods
A cross-sectional study with female patients with obesity. The evaluation consisted of a structured interview, a specific study form and quality of life questionnaires. The Poisson regression was performed to identify independent risk factors related to UI.
Results
A total of 221 patients were enrolled; 118 of the study participants (53.4%) reported UI episodes. Mixed UI (MUI), stress UI (SUI) only, and urgency UI (UUI) only were reported by 52.5% (62), 33.9% (40) , and 13.5% (16) of these patients respectively. The prevalence of UI was increased by 47% among the women who had given birth vaginally and by 34% of the women who had entered menopause. Vaginal delivery and menopause were identified as independent risk factors related to UI. The mean International Consultation on Incontinence Questionnaire – Short Form (ICIQ-SF) score was 9.36 ± 4.9. The severity of symptoms was considered moderate in 53.3% (63) of the patients with UI.
Conclusion
Urinary incontinence impacts quality of life negatively, and the prevalence of UI is high among obese patients. In the present study, vaginal delivery and menopause were independently associated with UI.
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 Article03-04-2022
Screening of Perinatal Depression Using the Edinburgh Postpartum Depression Scale
- Tenilson Amaral Oliveira
,
- Guilherme Guarany Cardoso Magalhães Luzetti
,
- Márcia Maria Auxiliadora Rosalém
,
- Corintio Mariani Neto
Views451This 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 ArticleScreening of Perinatal Depression Using the Edinburgh Postpartum Depression Scale
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(5):452-457
- Tenilson Amaral Oliveira
,
- Guilherme Guarany Cardoso Magalhães Luzetti
,
- Márcia Maria Auxiliadora Rosalém
,
- Corintio Mariani Neto
Views451See moreAbstract
Objective
To detect depression during pregnancy and in the immediate postpartum period using the Edinburgh postpartum depression scale (EPDS).
Methods
Cross sectional study of 315 women, aged between 14 and 44 years, who received perinatal care at the Leonor Mendes de Barros Hospital, in São Paulo, between July 1st, 2019 and October 30th, 2020. The cutoff point suggesting depression was ≥ 12.
Results
The screening indicated 62 (19.7%) patients experiencing depression. Low family income, multiparity, fewer prenatal appointments, antecedents of emotional disorders, dissatisfaction with the pregnancy, poor relationship with the partner, and psychological aggression were all risk factors associated with depression in pregnancy or in the immediate postpartum period. Antecedents of depression and psychology aggression during pregnancy were significant variables for predicting perinatal depression in the multivariate analysis.
Conclusion
There is a significant association between the occurrence of perinatal depression and the aforementioned psychosocial factors. Screening patients with the EPDS during perinatal and postpartum care could facilitate establishing a line of care to improve the wellbeing of mother and infant.
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. - Tenilson Amaral Oliveira
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