Articles - Revista Brasileira de Ginecologia e Obstetrícia

  • Original Article01-23-2022

    Nutritional Status of Iodine in a Group of Pregnant Women from the State of Minas Gerais Correlated with Neonatal Thyroid Function

    Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(10):909-914

    Abstract

    Original Article

    Nutritional Status of Iodine in a Group of Pregnant Women from the State of Minas Gerais Correlated with Neonatal Thyroid Function

    Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(10):909-914

    DOI 10.1055/s-0042-1756147

    Views142

    Abstract

    Objective

    To evaluate the iodine sufficiency of pregnant women assisted in a University Hospital of Minas Gerais, and to correlate the urinary concentrations of maternal iodine with the fetal thyroid hormone levels at birth.

    Methods

    Urinary iodine concentrations from 30 pregnant women with a singleton pregnancy and gestational age lower than 20 weeks were analyzed. Occasional samples of the mothers’ urine were collected for the urinary iodine concentration dosage, and these were correlated with the newborns’ thyroid-stimulating hormone (TSH) levels.

    Results

    The median iodine urinary concentration of this study’s pregnant women population was 216.73 mcg/l, which is proper for the group, following the World Health Organization (WHO). No cases of neonatal hypothyroidism were reported in the study, which corroborates the iodine sufficiency in this population sample.

    Conclusion

    This study shows that despite the increased demand for iodine from pregnant women and the Brazilian Health Regulatory Agency (ANVISA) recommendation of 2013 for reduction of salt iodization levels, the population of pregnant women attended in the prenatal ambulatory of normal risk from the Federal University of Minas Gerais is considered sufficient in iodine. As a higher sample is necessary for the confirmation of these findings, it is too early to recommend the universal supplementation of iodine for Brazilian pregnant women, and more studies must be carried out, considering that iodine supplementation for pregnant women in an area of iodine sufficiency is associated to the risks of the fetus’s excessive exposure to iodine.

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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.
  • Editorial01-23-2022

    Fear of Childbirth: It is Time to Talk About It!

    Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(10):907-908

    Abstract

    Editorial

    Fear of Childbirth: It is Time to Talk About It!

    Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(10):907-908

    DOI 10.1055/s-0042-1758467

    Views200
    Fear encompasses concerns on a spectrum ranging from mild fear to phobia. When it comes to fear related to childbirth, there is no consensus on its exact definition. However, there is no doubt about its importance in obstetric care.– When fear of childbirth is intense, it can harm the woman’s health,, becoming a disabling factor […]
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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 Article01-06-2022

    Robson’s Ten Group Classification System to Evaluate Cesarean Section Rates in Honduras: The Relevance of Labor Induction

    Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(9):830-837

    Abstract

    Original Article

    Robson’s Ten Group Classification System to Evaluate Cesarean Section Rates in Honduras: The Relevance of Labor Induction

    Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(9):830-837

    DOI 10.1055/s-0042-1753547

    Views212

    Abstract

    Objective

    To use the Robson Ten Group Classification (RTGC) to analyze cesarean section (CS) rates in a Honduran maternity hospital, with focus in groups that consider induction of labor.

    Methods

    Cross-sectional study. Women admitted for childbirth (August 2017 to October 2018) were classified according to the RTGC. The CS rate for each group and the contribution to the overall CS rate was calculated, with further analyses of the induction of labor among term primiparous (group 2a), term multiparous (group 4a), and cases with one previous CS (group 5.1).

    Results

    A total of 4,356 women were considered, with an overall CS rate of 26.1%. Group 3 was the largest group, with 38.6% (1,682/4,356) of the cases, followed by Group 1, with 30.8% (1,342/4,356), and Group 5, with 10.3% (450/4,356). Considering the contribution to overall CS rates per group, Group 5 contributed with 30.4% (345/1,136) of the CSs and within this group, 286/345 (82.9%) had 1 previous CS, with a CS rate > 70%. Groups 1 and 3, with 26.6% (291/1,136) and 13.5% (153/1,136), respectively, were the second and third larger contributors to the CS rate. Groups 2a and 4a had high induction success, with low CS rates (18.4 and 16.9%, respectively).

    Conclusion

    The RTGC is a useful tool to assess CS rates in different healthcare facilities. Groups 5, 1, and 3 were the main contributors to the CS rate, and groups 2 and 4 showed the impact and importance of induction of labor. These findings may support future interventions to reduce unnecessary CS, especially among primiparous and in women with previous CS.

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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.
  • Editorial01-06-2022

    The Role of Entrustable Professionals Activities in the Training of Specialists in Gynecology and Obstetrics

    Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(9):819-820

    Abstract

    Editorial

    The Role of Entrustable Professionals Activities in the Training of Specialists in Gynecology and Obstetrics

    Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(9):819-820

    DOI 10.1055/s-0042-1755339

    Views112
    Competency-based training emerged in the early 2000s and stands out as the primary internationally recognized guidance model for undergraduate and postgraduate (PG) training. The knowledge, skills, and attitudes expected from physicians and specialists were established in competencies frameworks. In Brazil, the Medical Residency Commission (COREME) of the Brazilian Federation of Gynecology and Obstetrics Associations (Febrasgo) […]
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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.
  • FEBRASGO POSITION STATEMENT12-17-2021

    Fertility preservation in women with endometriosis Number 10 – October 2021

    Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(10):796-801

    Abstract

    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 Editor12-17-2021

    Rescue Vaginal Cerclage to Stop Funneling Following Laparoscopic Cerclage

    Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(10):794-795

    Abstract

    Letter to the Editor

    Rescue Vaginal Cerclage to Stop Funneling Following Laparoscopic Cerclage

    Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(10):794-795

    DOI 10.1055/s-0041-1736553

    Views145
    Dear Editor,Laparoscopic cerclage is an effective treatment option for cervical insufficiency leading to repeated preterm birth. However, surgical intervention with various cerclage techniques, such as vaginal, transabdominal laparoscopic approaches, still remains the ultimate solution, unfortunately, without the guarantee of success. There is still no consensus regarding the priority of each technique over the other. However, […]
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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.
  • Letter to the Editor12-17-2021

    Urology-Related Conditions Should Not Be Overlooked in Women with Polycystic Ovary Syndrome

    Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(10):793-793

    Abstract

    Letter to the Editor

    Urology-Related Conditions Should Not Be Overlooked in Women with Polycystic Ovary Syndrome

    Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(10):793-793

    DOI 10.1055/s-0041-1736552

    Views143
    Dear Editor,It has been documented that women with polycystic ovary syndrome (PCOS) may suffer from sequelae that can surpass the obstetrics and gynecology armamentarium. For example, Shah and Rasool gathered data from the literature showing clear evidence that PCOS is associated with an increased risk of developing type-2 diabetes mellitus, hypertension, dyslipidemia, endometrial cancer, and […]
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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.
  • Case Report12-17-2021

    Abnormal Uterine Bleeding in Adolescence: When Menarche Reveals other Surprises

    Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(10):789-792

    Abstract

    Case Report

    Abnormal Uterine Bleeding in Adolescence: When Menarche Reveals other Surprises

    Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(10):789-792

    DOI 10.1055/s-0041-1736143

    Views263

    Abstract

    Introduction

    Abnormal uterine bleeding is more frequent in adolescence. Although, most commonly, it has a non-structural etiology, it may be due to any cause described.

    Clinical case

    A 12-year-old adolescent, with no relevant personal history, menarche 1 month before, was observed in the emergency department for severemenstrual bleeding with progressive worsening, and hemodynamic repercussion in need of transfusion support. Physiological ovulatory dysfunction associated with possible previously unknown coagulopathy was considered to be the most likely diagnosis and medical treatment was initiated. Without response, the patient was submitted to sedated observation and uterine aspiration, which ultimately led to the diagnosis of a Burkitt Lymphoma.

    Discussion

    Although structural causes, and particularly malignancy, whether gynecological or not, are a rare cause of abnormal uterine bleeding in this age group, they must be considered, thus enhancing the fastest and most appropriate treatment.

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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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