Articles - Revista Brasileira de Ginecologia e Obstetrícia

Original Article10-17-2000

Underreporting of maternal mortality in Campinas from 1992 to 1994
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(1):27-32

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Abstract
Original Article
Underreporting of maternal mortality in Campinas from 1992 to 1994
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(1):27-32
DOI 10.1590/S0100-72032000000100005
Mary Angela Parpinelli,
Aníbal Faúndes,
José Guilherme Cecatti,
Fernanda Garanhani de Castro Surita,
Belmiro Gonçalves Pereira,
Renato Passini Júnior,
Eliana Amaral
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Purpose: to identify and quantify the underreporting of maternal mortality, from death certificates (DC) in Campinas, São Paulo, from 1992 to 1994. Methods: a total of 216 DC whose causes of death were maternal (declared and/or presumed) were selected among the 1032 DC of 10 to 49-year-old women. A complementary investigation was performed on hospital records, at the death verifying units, and in households. Results: eight additional maternal deaths were identified among the 204 DC with presumed maternal death. This corresponded to an underreporting rate of 40% or to a correction factor of 1.67 for the official MMR. The first cause of underreporting was abortion (71.5% or 05/07) and indirect maternal deaths represented the second cause (66.6% or 02/03). Conclusions: the death certificate cannot be considered the only source to identify maternal death. Complementary investigation of the presumable causes of maternal death should be performed. Legislation, social and religious factors might influence the underreporting of abortion as the cause of maternal death.

Key-words Abortion Maternal mortality Reproductive health
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Original Article10-17-2000

Gestational and delivery complications as perinatal risk factors
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(1):19-26

Views104

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Abstract
Original Article
Gestational and delivery complications as perinatal risk factors
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(1):19-26
DOI 10.1590/S0100-72032000000100004
Alfredo de Almeida Cunha,
Aldo Franklin Ferreira Reis,
Thales Pontes Luz,
Tania Zdenka Guillén de Torres
Views104
Purpose: to evaluate gestational and delivery complications as risk factors for perinatal death. Methodology – Patients: the cases (perinatal deaths) were identified among a total of 3,031 deliveries from the maternity of the Rio de Janeiro State Military Police. Methods: the study design was a nested case-control one. Cases (n = 82) were perinatal deaths with a minimum gestational age of 28 weeks or a weight of 1,000 g. Controls (n = 246) were live babies for the first week of life. The analysis was made in three steps: univariate, stratified and multivariate (logistic regression). Results: the gestational complications showed an odds ratio of 4.21 and the delivery complications, 5.26. The newborn weight showed an OR = 0.999 per gram over 1,000 g weight. The gestational age showed an OR = 0.729 per week of gestation over 28 weeks. Conclusions: the gestational complications and the delivery complications were important risk factors for perinatal death. The gestational age and the weight of the newborn were important protective factors.

Key-words Fetal weight Perinatal mortality labor Pregnancy complications
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10-13-2000

Avaliação da Mobilidade do Colo Vesical com Ultra-Sonografia Via Vaginal em Mulheres com Perda de Urina aos Esforços
- Edson O’Dwyer Júnior
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(6):387-387

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Abstract
Avaliação da Mobilidade do Colo Vesical com Ultra-Sonografia Via Vaginal em Mulheres com Perda de Urina aos Esforços
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(6):387-387
DOI 10.1590/S0100-72032000000600014
Edson O’Dwyer Júnior
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Avaliação da Mobilidade do Colo Vesical com Ultra-Sonografia Via Vaginal em Mulheres com Perda de Urina aos Esforços […]
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10-13-2000

Estudo da associação entre parâmetros anatomopatológicos de prognóstico e a dopplerfluxometria no câncer de mama
- Henrique Moraes Salvador Silva
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(6):387-388

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Abstract
Estudo da associação entre parâmetros anatomopatológicos de prognóstico e a dopplerfluxometria no câncer de mama
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(6):387-388
DOI 10.1590/S0100-72032000000600015
Henrique Moraes Salvador Silva
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Estudo da associação entre parâmetros anatomopatológicos de prognóstico e a dopplerfluxometria no câncer de mama […]
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10-13-2000

Análise crítica comparativa dos achados ultra-sonográficos, vídeo histeroscópicos e histológicos no diagnóstico das patologias endometriais
- Nilton José Leite
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(6):386-386

Views51

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
Análise crítica comparativa dos achados ultra-sonográficos, vídeo histeroscópicos e histológicos no diagnóstico das patologias endometriais
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(6):386-386
DOI 10.1590/S0100-72032000000600012
Nilton José Leite
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Análise crítica comparativa dos achados ultra-sonográficos, vídeo histeroscópicos e histológicos no diagnóstico das patologias endometriais […]
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10-13-2000

Análise comparativa dos aspectos clínicos, laparoscópicos e histopatológicos da endometriose pélvica
- André Luís Fontana
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(6):386-387

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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
Análise comparativa dos aspectos clínicos, laparoscópicos e histopatológicos da endometriose pélvica
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(6):386-387
DOI 10.1590/S0100-72032000000600013
André Luís Fontana
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Análise comparativa dos aspectos clínicos, laparoscópicos e histopatológicos da endometriose pélvica. […]
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10-13-2000

Quimioterapia neoadjuvante para o tratamento de portadoras do câncer de colo uterino (EC II e III): avaliação clínica, laboratorial, imunológica, psicológica e ultra-somográfica, comparada ao índice de resposta
- Ceres Nunes de Resende
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(6):385-385

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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
Quimioterapia neoadjuvante para o tratamento de portadoras do câncer de colo uterino (EC II e III): avaliação clínica, laboratorial, imunológica, psicológica e ultra-somográfica, comparada ao índice de resposta
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(6):385-385
DOI 10.1590/S0100-72032000000600011
Ceres Nunes de Resende
Views55
Quimioterapia neoadjuvante para o tratamento de portadoras do câncer de colo uterino (EC II e III): avaliação clínica, laboratorial, imunológica, psicológica e ultra-somográfica, comparada ao índice de resposta […]
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10-13-2000

Avaliação de fatores de risco para o desenvolvimento de complicações perinatais na presença de cardiopatia materna
- Clóvis Antônio Bacha
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(6):385-385

Views65

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
Avaliação de fatores de risco para o desenvolvimento de complicações perinatais na presença de cardiopatia materna
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(6):385-385
DOI 10.1590/S0100-72032000000600010
Clóvis Antônio Bacha
Views65
Avaliação de fatores de risco para o desenvolvimento de complicações perinatais na presença de cardiopatia materna […]
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Case Report04-01-2016

Prenatal Diagnosis of Lissencephaly Type 2 using Three-dimensional Ultrasound and Fetal MRI: Case Report and Review of the Literature
Revista Brasileira de Ginecologia e Obstetrícia. 2016;38(4):201-206

Views210

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
Case Report
Prenatal Diagnosis of Lissencephaly Type 2 using Three-dimensional Ultrasound and Fetal MRI: Case Report and Review of the Literature
Revista Brasileira de Ginecologia e Obstetrícia. 2016;38(4):201-206
DOI 10.1055/s-0036-1582126
Gabriele Tonni,
Pierpaolo Pattacini,
Maria Paola Bonasoni,
Edward Araujo Júnior
Views210
Abstract

Lissencephaly is a genetic heterogeneous autosomal recessive disorder characterized by the classical triad: brain malformations, eye anomalies, and congenital muscular dystrophy. Prenatal diagnosis is feasible by demonstrating abnormal development of sulci and gyri. Magnetic resonance imaging (MRI) may enhance detection of developmental cortical disorders as well as ocular anomalies. We describe a case of early diagnosis of lissencephaly type 2 detected at the time of routine second trimester scan by three-dimensional ultrasound and fetal MRI. Gross pathology confirmed the accuracy of the prenatal diagnosis while histology showed the typical feature of cobblestone cortex. As the disease is associated with poor perinatal prognosis, early and accurate prenatal diagnosis is important for genetic counseling and antenatal care.

Key-words cobblestone cortex Genetic counseling lissencephaly Magnetic resonance Imaging Pathology prenatal diagnosis three-dimensional ultrasound
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Short Communication12-01-2017

Nutritional Counseling Promotes Changes in the Dietary Habits of Overweight and Obese Adolescents with Polycystic Ovary Syndrome
Revista Brasileira de Ginecologia e Obstetrícia. 2017;39(12):692-696

Views208

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
Short Communication
Nutritional Counseling Promotes Changes in the Dietary Habits of Overweight and Obese Adolescents with Polycystic Ovary Syndrome
Revista Brasileira de Ginecologia e Obstetrícia. 2017;39(12):692-696
DOI 10.1055/s-0037-1607458
Adriana Lúcia Carolo,
Maria Célia Mendes,
Ana Carolina Japur de Sá Rosa e Silva,
Carolina Sales Vieira,
Marcos Felipe Silva de Sá,
Rui Alberto Ferriani,
Rosana Maria dos Reis
Views208
Abstract

Objective

To evaluate the effects of nutritional counseling on the dietary habits and anthropometric parameters of overweight and obese adolescentswith polycystic ovary syndrome (PCOS).

Methods

This was a prospective, longitudinal and auto-controlled study. Thirty adolescents aged 13-19 years-old, diagnosed with PCOS received nutritional counseling and were followed-up for 6 months. After the follow-up period, the results were evaluated through body weight, body mass index (BMI) and waist circumference (WC).

Results

Sixty-percent of the adolescents adhered to the nutritional counseling and, of these, 50% lost weight. Adolescents who lost weight changed their dietary habits by adopting hypocaloric diets and eating more meals per day, as per nutritional counseling. The waist circumference (WC) decreased significantly, although the body weight decreased non-significantly after adoption of a hypocaloric diet.

Conclusion

Although there was no significant weight loss, there was a considerable reduction in theWCassociated with hypocaloric diets and with eating a greater number of meals per day.

Key-words Adolescents nutritional guidance Obesity Polycystic ovary syndrome weight loss
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Original Article04-15-2019

The Influence of Light Exposure in Ambiance during Pregnancy inMaternal and Fetal Outcomes: An Experimental Study
Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(1):24-30

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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 Article
The Influence of Light Exposure in Ambiance during Pregnancy inMaternal and Fetal Outcomes: An Experimental Study
Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(1):24-30
DOI 10.1055/s-0038-1675610
Vitor Coca Sarri,
Beatriz Maria Ferrari,
Larissa Fernandes Magalhães,
Paula Almeida Rodrigues,
Almir Coelho Rezende,
Marisa Afonso Andrade Brunherotti
Views208
Abstract

Objective

The aim of this study is to evaluate whether exposure to different environmental lighting conditions affects the reproductive parameters of pregnant mice and the development of their offspring.

Methods

Fifteen pregnant albino mice were divided into three groups: light/dark, light, and dark. The animalswere euthanized on day 18 of pregnancy following the Brazilian Good Practice Guide for Euthanasia of Animals.Maternal and fetal specimens weremeasured and collected for histological evaluation. Analysis of variance (ANOVA) test was used for comparison of the groups considering p ≤ 0.05 to be statistically significant.

Results

There was no significant difference in the maternal variables between the three groups. Regarding fetal variables, significant differences were observed in the anthropometric measures between the groups exposed to different environmental lighting conditions, with the highest mean values in the light group. The histological evaluation showed the same structural pattern of the placenta in all groups, which was within the normal range. However, evaluation of the uterus revealed a discrete to moderate number of endometrial glands in the light/dark and light groups, which were poorly developed in most animals. In the fetuses, pulmonary analysis revealed morphological features consistent with the transition from the canalicular to the saccular phase in all groups.

Conclusion

Exposure to different environmental lighting conditions had no influence on the reproductive parameters of female mice, while the offspring of mothers exposed to light for 24 hours exhibited better morphometric features.

Key-words Circadian rhythm Embryonic and fetal development light Pregnancy
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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

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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
FEBRASGO POSITION STATEMENT
Fertility preservation in women with endometriosis Number 10 – October 2021
Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(10):796-801
DOI 10.1055/s-0041-1739234
Márcia Mendonça Carneiro ,
João Sabino Lahorgue da Cunha Filho ,
Carlos Alberto Petta ,
Carlos Augusto Pires Costa Lino ,
Corival Lisboa Alves de Castro ,
Eduardo Schor ,
João Nogueira Neto ,
Marco Aurélio Pinho de Oliveira ,
Marcos Tcherniakovsky ,
Maurício Simões Abrão ,
Omero Benedicto Poli Neto ,
Ricardo de Almeida Quintairos ,
Sidney Pearce ,
Helizabet Salomão Abdalla ,
Julio Cesar Rosa e Silva
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Key points […]
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Original Article01-24-2021

Overview of the Effect of Complementary Medicine on Treating or Mitigating the Risk of Endometriosis
- Firoozeh Mirzaee ,
- Atefeh Ahmadi
Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(12):919-925

Views194

This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Original Article
Overview of the Effect of Complementary Medicine on Treating or Mitigating the Risk of Endometriosis
Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(12):919-925
DOI 10.1055/s-0041-1735156
Firoozeh Mirzaee ,
Atefeh Ahmadi
Views194
Abstract

Objective

Endometriosis is a hormone-dependent chronic inflammatory disease with symptoms such as pelvic pain, which affect the physical, emotional, and social health of women in reproductive age. The current overview article aims to explore the effect of complementary medicine on the treatment or in mitigating the risk of endometriosis.

Methods

This is an overview article done in Iran. Two separate researchers systematically searched 3 databases (Medline, Scopus, and Cochrane Central Register Trials) until September 2020. The methodological quality of each study was assessed using the assessment of multiple systematic reviews (AMSTAR) tool.

Results

The results of two reviews suggested that physical activity, tobacco smoking, diet, coffee and caffeine intake had no effect on mitigating the risk of endometriosis or improving its treatment, but acupuncture successfully reduced pain and related marker (serum CA-125) levels.

Conclusion

As endometriosis is an annoying disease with many complications and is hard to diagnose and treat, related studies in complementary medicine can help patients with endometriosis. Based on the relevant literature review, among the complementary medicine available for the treatment or to mitigate the risk of endometriosis, only acupuncture seems to alleviate the pain of endometriosis.

Key-words complementary medicine Endometriosis overview
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Original Article07-07-2022

Increment of Maternal Mortality Among Admissions for Childbirth in Low-risk Pregnant Women in Brazil: Effect of COVID-19 Pandemic?
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(8):740-745

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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 Article
Increment of Maternal Mortality Among Admissions for Childbirth in Low-risk Pregnant Women in Brazil: Effect of COVID-19 Pandemic?
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(8):740-745
DOI 10.1055/s-0042-1751059
Bruna Depieri Michels ,
Daniela Ferreira D’Agostini Marin ,
Betine Pinto Moehlecke Iser
Views205
Abstract

Objective

To assess the possible impact of the COVID-19 pandemic on maternal mortality among admissions for childbirth in 2020 in relation of the last 10 years.

Methods

An ecological study with pregnant women who underwent hospital births at the Brazilian unified public health service (SUS, in the Portuguese acronym) in Brazil from 2010 to 2020. The mortality among admissions for childbirth was obtained based on the number of admissions for childbirth with reported death as outcome divided by the total number of admissions. The underlying gestational risk and route of delivery were considered based on the national surveillance system. The average mortality for the period between 2010 and 2019 (baseline) was compared with the rate of deaths in 2020 (1^st pandemic year); the rate ratio was interpreted as the risk of death in 2020 in relation to the average of the previous period (RR), with 95% confidence intervals (CIs).

Results

In 2020, the 1^st year of the COVID-19 pandemic, 1,821,775 pregnant women were hospitalized for childbirth and 651 deaths were reported, which represents 8.7% of the total hospitalizations and 11.3% of maternal deaths between 2010 and 2020. There was an increase in maternal mortality after births in 2020 compared with the average for the period between 2010 and 2019, specially in low-risk pregnancies, both in vaginal (RR = 1.60; 95%CI:1.39–1.85) and cesarean births (RR = 1.18; 95%CI:1.04–1.34).

Conclusion

Maternal mortality among admissions for childbirth according to SUS data increased in 2020 compared with the average between 2010 and 2019, with an increment of 40% in low-risk pregnancies. The increase was of 18% after cesarean section and of 60% after vaginal delivery.

Key-words COVID-19 health impact assessment maternal Mortality Postpartum period
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Original Article02-17-2022

Quality of Life of Pregnant Women with Systemic Lupus Erythematosus
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(5):475-482

Views205

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Abstract
Original Article
Quality of Life of Pregnant Women with Systemic Lupus Erythematosus
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(5):475-482
DOI 10.1055/s-0042-1743092
Larissa Rodrigues ,
Maria Laura Costa ,
Francisco Carlos Specian ,
Maria Margarida Fialho Sim-Sim ,
Fernanda Garanhani Surita
Views205
Abstract

Objective

To assess the quality of life (QoL) of pregnant women with systemic lupus erythematosus (SLE) treated at a high-risk prenatal outpatient clinic during the third trimester of gestation.

Methods

An observational descriptive study was performed in a high-risk prenatal outpatient clinic. Women in the third trimester of pregnancy and undergoing antenatal care between July 2017 and July 2019 answered the abbreviated World Health Organization Quality of Life (WHOQOL-BREF) questionnaire, consisting of 26 questions divided into 4 domains (physical, psychological, social and environmental).

Results

We interviewed 50 pregnant women with a mean gestational age of 30 weeks (standard deviation [SD]: 10 weeks) who were diagnosed with SLE. The average age of the participants was 30 years (SD: 14.85), and the average time since the diagnosis of SLE was of 9.06 years (SD: 6.8 years). Most participants had a partner, did not plan their pregnancy (76%), and did not use contraception prior to pregnancy (80%). The score of each domain ranges from 0 (the worst score) to 100 (the best score). The means ± SDs of the scores of the participants on each domain were: physical – 52.21 ± 18.44); psychological – 64.17 ± 18.56); social – 66.33 ± 27.09); and environmental – 64.56 (18.53). The means ± SDs of the general QoL, and health-related QoL items were of 70.50 ± 24.06 and 70.00 ± 30.72 respectively.

Conclusion

The physical domain presented the lowest scores compared with the other three domains. Pregnant women with SLE had high overall QoL scores, and their health-related QoL scores were also relatively high.

Key-words Pregnancy Quality of life Systemic lupus erythematosus
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Systematic Review12-01-2017

Is Pethidine Safe during Labor? Systematic Review
Revista Brasileira de Ginecologia e Obstetrícia. 2017;39(12):686-691

Views174

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Abstract
Systematic Review
Is Pethidine Safe during Labor? Systematic Review
Revista Brasileira de Ginecologia e Obstetrícia. 2017;39(12):686-691
DOI 10.1055/s-0037-1604065
Rogevando Rodrigues Nunes,
Paulo Giordano Baima Colares,
Juliana Pinto Montenegro
Views174
Abstract

Purpose

To verify if pethidine is safe for the conceptus when used during labor.

Methods

Systematic review in the Capes Periodicals/PubMed and MEDLINE/Virtual Health Library (BVS, in the Portuguese acronym) databases.

Results

A total of 17 studies published from January 1st, 2000, to September 2nd, 2016, with a total of 1,688 participants involved were included in the present review. There was no record of conceptus vitality decrease associated with low doses of pethidine being administered to mothers during labor.

Conclusions

Intramuscular (IM) or intravenous (IV) pethidine at low doses, of up to 50 mg, is safe to administer during labor.

Key-words Labor pethidine safety
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ISSUE

Underreporting of maternal mortality in Campinas from 1992 to 1994

Gestational and delivery complications as perinatal risk factors

Avaliação da Mobilidade do Colo Vesical com Ultra-Sonografia Via Vaginal em Mulheres com Perda de Urina aos Esforços

Estudo da associação entre parâmetros anatomopatológicos de prognóstico e a dopplerfluxometria no câncer de mama

Análise crítica comparativa dos achados ultra-sonográficos, vídeo histeroscópicos e histológicos no diagnóstico das patologias endometriais

Análise comparativa dos aspectos clínicos, laparoscópicos e histopatológicos da endometriose pélvica

Quimioterapia neoadjuvante para o tratamento de portadoras do câncer de colo uterino (EC II e III): avaliação clínica, laboratorial, imunológica, psicológica e ultra-somográfica, comparada ao índice de resposta

Avaliação de fatores de risco para o desenvolvimento de complicações perinatais na presença de cardiopatia materna

Prenatal Diagnosis of Lissencephaly Type 2 using Three-dimensional Ultrasound and Fetal MRI: Case Report and Review of the Literature

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Nutritional Counseling Promotes Changes in the Dietary Habits of Overweight and Obese Adolescents with Polycystic Ovary Syndrome

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The Influence of Light Exposure in Ambiance during Pregnancy inMaternal and Fetal Outcomes: An Experimental Study

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Fertility preservation in women with endometriosis Number 10 – October 2021

Overview of the Effect of Complementary Medicine on Treating or Mitigating the Risk of Endometriosis

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Increment of Maternal Mortality Among Admissions for Childbirth in Low-risk Pregnant Women in Brazil: Effect of COVID-19 Pandemic?

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Quality of Life of Pregnant Women with Systemic Lupus Erythematosus

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Is Pethidine Safe during Labor? Systematic Review

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