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10-13-2000
A FEBRASGO e a Integração com o Conselho Federal de Medicina e o Ministério da Saúde
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(6):323-323
Abstract
A FEBRASGO e a Integração com o Conselho Federal de Medicina e o Ministério da Saúde
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(6):323-323
DOI 10.1590/S0100-72032000000600001
Views68A FEBRASGO e a Integração com o Conselho Federal de Medicina e o Ministério da Saúde […]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. -
10-13-2000
Estudo do Tratamento Cirúrgico de 33 Pacientes Portadoras de Prolapso Vaginal Pós-histerectomia
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(4):245-245
Views71This 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 do Tratamento Cirúrgico de 33 Pacientes Portadoras de Prolapso Vaginal Pós-histerectomia
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(4):245-245
DOI 10.1590/S0100-72032000000400015
Views71Estudo do Tratamento Cirúrgico de 33 Pacientes Portadoras de Prolapso Vaginal Pós-histerectomia […]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. -
10-13-2000
Comparação Entre Dois Modelos de Partogramas Aplicados à Assistência Clínica ao Parto de Primigestas
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(4):245-245
Abstract
Comparação Entre Dois Modelos de Partogramas Aplicados à Assistência Clínica ao Parto de Primigestas
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(4):245-245
DOI 10.1590/S0100-72032000000400014
Views64Comparação Entre Dois Modelos de Partogramas Aplicados à Assistência Clínica ao Parto de Primigestas […]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. -
10-13-2000
Avaliação Epidemiológica dos Fatores de Risco Anteparto para Ocorrência de Cesariana no Hospital Universitário Pedro Ernesto no Período de Junho de 1993 a Novembro de 1994
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(4):244-244
Abstract
Avaliação Epidemiológica dos Fatores de Risco Anteparto para Ocorrência de Cesariana no Hospital Universitário Pedro Ernesto no Período de Junho de 1993 a Novembro de 1994
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(4):244-244
DOI 10.1590/S0100-72032000000400012
Views65Avaliação Epidemiológica dos Fatores de Risco Anteparto para Ocorrência de Cesariana no Hospital Universitário Pedro Ernesto no Período de Junho de 1993 a Novembro de 1994. […]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. -
10-13-2000
Prognóstico da Mola Hidatiforme pela Citometria Digital
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(4):244-244
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. -
10-13-2000
Relação da Gravidade da Endoteliose Capilar Glomerular com Formas Clínicas das Doenças Hipertensivas na Gravidez
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(4):243-243
Abstract
Relação da Gravidade da Endoteliose Capilar Glomerular com Formas Clínicas das Doenças Hipertensivas na Gravidez
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(4):243-243
DOI 10.1590/S0100-72032000000400010
Views60Relação da Gravidade da Endoteliose Capilar Glomerular com Formas Clínicas das Doenças Hipertensivas na Gravidez […]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. -
10-13-2000
Avaliação da Densidade Mamográfica em Mulheres na Menopausa, sob Terapia de Reposição Hormonal
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(4):243-243
Abstract
Avaliação da Densidade Mamográfica em Mulheres na Menopausa, sob Terapia de Reposição Hormonal
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(4):243-243
DOI 10.1590/S0100-72032000000400011
Views60Avaliação da Densidade Mamográfica em Mulheres na Menopausa, sob Terapia de Reposição Hormonal […]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 Report10-13-2000
Primary Hyperparathyroidism after Menopause
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(4):239-241
Abstract
Case ReportPrimary Hyperparathyroidism after Menopause
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(4):239-241
DOI 10.1590/S0100-72032000000400009
Views78See moreOsteoporosis is an important disease which can affect millions of patients all over the world, leading to complications, often even to death. Prevention and the early diagnosis may help in the success of treatment but there are diseases which can occur at the same time. Primary hyperparathyroidism is a diagnosis which must be remembered in women after the menopause.
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 Article04-15-2019
Association between Dietary Glycemic Index and Excess Weight in Pregnant Women in the First Trimester of Pregnancy
- Thais Helena de Pontes Ellery,
- Helena Alves de Carvalho Sampaio,
- Antônio Augusto Ferreira Carioca,
- Bruna Yhang da Costa Silva,
- Júlio Augusto Gurgel Alves, [ … ],
- Maria Luísa Pereira de Melo
Abstract
Original ArticleAssociation between Dietary Glycemic Index and Excess Weight in Pregnant Women in the First Trimester of Pregnancy
Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(1):04-10
- Thais Helena de Pontes Ellery,
- Helena Alves de Carvalho Sampaio,
- Antônio Augusto Ferreira Carioca,
- Bruna Yhang da Costa Silva,
- Júlio Augusto Gurgel Alves,
- Fabrício Da Silva Costa,
- Edward Araujo Júnior
,
- Maria Luísa Pereira de Melo
Views210See moreAbstract
Objective
To assess the association between dietary glycemic index (GI) and excess weight in pregnant women in the first trimester of pregnancy.
Methods
A cross-sectional study in a sample of 217 pregnant women was conducted at the maternal-fetal outpatient clinic of the Hospital Geral de Fortaleza, Fortaleza, state of Ceará, Brazil, for routine ultrasound examinations in the period between 11 and 13 weeks + 6 days of gestation.Weight and height were measured and the gestational body mass index (BMI) was calculated. The women were questioned about their usual body weight prior to the gestation, considering the prepregnancy weight. The dietary GI and the glycemic load (GL) of their diets were calculated and split into tertiles. Analysis of variance (ANOVA) or Kruskal-Walls and chi-squared (χ2) statistical tests were employed. A crude logistic regression model and a model adjusted for confounding variables known to influence biological outcomes were constructed. A p-value < 0.05 was considered significant for all tests employed.
Results
The sample group presented a high percentage of prepregnancy and gestational overweight (39.7% and 40.1%, respectively). InthetertilewiththehigherGIvalue, therewasa lower dietary intake of total fibers (p = 0.005) and of soluble fibers (p = 0.008). In the third tertile, the dietary GI was associated with overweight in pregnant women in the first trimester of gestation, both in the crude model and in the model adjusted for age, total energy intake, and saturated fatty acids. However, this association was not observed in relation to the GL.
Conclusion
A high dietary GI was associated with excess weight in women in the first trimester of 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. -
Original Article10-23-2024
Validation of Brazilian Version of the Sexual Desire Inventory 2 (SDI-2)
- Denisse Cartagena-Ramos
,
- Miguel Fuentealba-Torres
,
- Flávio Rebustini
,
- Josilene Alves
,
- Alessandro Scholze
,
[ … ], - Lucila Castanheira Nascimento
Abstract
Original ArticleValidation of Brazilian Version of the Sexual Desire Inventory 2 (SDI-2)
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo78
- Denisse Cartagena-Ramos
,
- Miguel Fuentealba-Torres
,
- Flávio Rebustini
,
- Josilene Alves
,
- Alessandro Scholze
,
- Lúcia Alves da Silva Lara
,
- Ricardo Arcêncio
,
- Lucila Castanheira Nascimento
Views307ABSTRACT
Objective:
To traslate and validate of the Brazilian version of the SDI-2.
Methods:
This was a cross-sectional study. The cultural adaptation considered the stages of initial translation, synthesis of translations, evaluation by a committee of experts from different regions of Brazil, back-translation, and pre-test. The content validity and psychometric proprieties was assessed.
Results:
Ten specialists participated in the cultural adaptation of the SDI-2. The content validity showed a Content Validity Ratio (CVR) ≥ 0.75 (p = 0.05). A total of 674 subjects participated in the field study. The Exploratory Factorial Analysis (EFA) presented factor loads ≥ 0.445, and commonalities ≥ 0.40; and two dimensions represented 77% of the total variance explained. The Confirmatory Factorial Analysis CFA presented X2/df = 4.265; the Root Mean Square Error of Approximation RMSEA = 0.110; the Non-Normed Fit Index NNFI = 0.946; the Comparative Fit Index (CFI) = 0.963; the Goodness of Fit Index GFI = 0.986; and the Adjusted Goodness of Fit Index AGFI = 0.979 for a two-factor model. The coefficient values for the total SDI-2 score were 0.91 for Cronbach’s alpha, 0.91 for McDonald’s Omega, and 0.97 for the Greatest Lower Bound GLB coefficients. The invariance between sexes was 0.01 for the ΔCFI and ΔRMSEA, showing model stability for these two populations.
Conclusion:
The Brazilian version of the SDI-2 is self-report, valid, reliable and invariant across sex.
Key-words cross cultural comparisonLibidoPsychometricsSexual behaviorSexual desiresurveys and questionnairesSee 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. - Denisse Cartagena-Ramos
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Original Article05-01-2016
Molecular Subtypes of Breast Cancer Are Not Associated with the Clinical Under- or Overstaging of Breast Cancer
- Juliana Pinho Espinola,
- Raquel Mary Rodrigues Peres,
- Kátia Piton Serra,
- Sophie Françoise Mauricette Derchain,
- Luis Otávio Sarian
Abstract
Original ArticleMolecular Subtypes of Breast Cancer Are Not Associated with the Clinical Under- or Overstaging of Breast Cancer
Revista Brasileira de Ginecologia e Obstetrícia. 2016;38(5):239-245
- Juliana Pinho Espinola,
- Raquel Mary Rodrigues Peres,
- Kátia Piton Serra,
- Sophie Françoise Mauricette Derchain,
- Luis Otávio Sarian
Views207See moreAbstract
Purpose
to evaluate the agreement between the clinical and pathological stagings of breast cancer based on clinical and molecular features.
Methods
this was a cross-sectional study, in which clinical, epidemiological and pathological data were collected from 226 patients who underwent surgery at the Prof. Dr. José Aristodemo Pinotti Women’s Hospital (CAISM/Unicamp) from January 2008 to September 2010. Patients were staged clinically and pathologically, and were classified as: understaged, when the clinical staging was lower than the pathological staging; correctly staged, when the clinical staging was the same as the pathological one; and overstaged, when the clinical staging was greater than the pathological staging.
Results
understaged patients were younger (52.2 years; p < 0.01) and more symptomatic at diagnosis (p = 0.04) when compared with correctly or overstaged patients. Clinicopathological surrogate subtype, menopausal status, parity, hormone replace therapy and histology were not associated with differences in staging. Women under 57 years of age were clinically understaged mainly due to underestimation of T ( tumor staging) (p < 0.001), as were the premenopausal women (p < 0.01). Patients whose diagnosis was made due to clinical complaints, and not by screening, were clinically understaged due to underestimation of N (lymph nodes staging) (p < 0.001).
Conclusion
the study shows that the clinicopathological surrogate subtype is not associated with differences in staging, while younger women diagnosed because of clinical complaints tend to have their breast tumors understaged during clinical evaluation.
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 Article06-19-2019
Correlation of Cervical Cancer Mortality with Fertility, Access to Health Care and Socioeconomic Indicators
- Diama Bhadra Vale
,
- Catherine Sauvaget,
- Raul Murillo,
- Richard Muwonge,
- Luiz Carlos Zeferino, [ … ],
- Rengaswamy Sankaranarayanan
Abstract
Original ArticleCorrelation of Cervical Cancer Mortality with Fertility, Access to Health Care and Socioeconomic Indicators
Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(4):249-255
- Diama Bhadra Vale
,
- Catherine Sauvaget,
- Raul Murillo,
- Richard Muwonge,
- Luiz Carlos Zeferino,
- Rengaswamy Sankaranarayanan
Views209See moreAbstract
Objective
The present study aimed to examine which development indicators are correlated with cervical cancer (CC) mortality rates in Brazil.
Methods
This was an ecological study that correlatedmortality rates and indicators, such as human development index (HDI), gross domestic product (GDP) per capita, illiteracy rate, fertility rate, screening coverage, proportion of private health insurance use, density of physicians, and density of radiotherapy centers. Themortality rateswere obtained fromthe Brazilian national registry, while the indicators were based on official reports from the Ministry of Health. Univariate and multivariate linear regression was used.
Results
Among the states of Brazil, the average age-specific CC mortality rate from 2008 to 2012 varied from 4.6 to 22.9 per 100,000 women/year. In the univariate analysis, HDI, proportion of private health insurance use, density of physicians, and density of radiotherapy centers were inversely correlated with the mortality rates. Fertility rate was positively correlated with the mortality rates. In the multivariate analysis, only fertility rate was significantly associated with the CC mortality rate (coefficient of correlation: 9.38; 95% confidence interval [CI]: 5.16-13.59).
Conclusion
A decrease in the fertility rate, as expected when the level of development of the regions increases, is related to a decrease in the mortality rate of CC. The results of the present study can help to better monitor the quality assessment of CC programs both among and within countries.
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. - Diama Bhadra Vale
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Review Article08-15-2019
New Approaches to Fetal Growth Restriction: The Time for Metabolomics Has Come
Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(7):454-462
Abstract
Review ArticleNew Approaches to Fetal Growth Restriction: The Time for Metabolomics Has Come
Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(7):454-462
Views213See moreAbstract
Fetal growth restriction (FGR) diagnosis is often made by fetal biometric ultrasound measurements orDoppler evaluation, but most babies are only diagnosed after birth, using the birth weight as a proxy for intrauterine development. The higher risks of neurodevelopmental delay, metabolic syndrome, and cardiovascular illness associated with FGR impose a shift on the focus during pregnancy. New methodological approaches, like metabolomics, can provide novel biomarkers for intrauterine fetal development. Recent evidence on metabolites involved with fetal growth and weight show a consistent role played by lipids (especially fatty acids), amino acids, vitamin D and folic acid. Fetal energy source andmetabolism, structural functions, and nervous system functioning need further evaluations in different populations. In the near future, the establishment of a core set of outcomes for FGR studies may improve the identification of the role of each metabolite in its development. Thus, we will concretely progress with the perspective of a translational capacity of metabolomics for this condition.
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 STATEMENT03-08-2021
Good practices for ultrasound examinations in gynecology and obstetrics during the COVID-19 pandemic
- Fernando Maia Peixoto Filho
,
- Adriana Gualda Garrido
,
- Anselmo Verlangieri Carmo
,
- Eduardo Becker Júnior
,
- Guilherme de Castro Rezende
,
[ … ], - Fabricio da Silva Costa
Abstract
FEBRASGO POSITION STATEMENTGood practices for ultrasound examinations in gynecology and obstetrics during the COVID-19 pandemic
Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(1):74-79
- Fernando Maia Peixoto Filho
,
- Adriana Gualda Garrido
,
- Anselmo Verlangieri Carmo
,
- Eduardo Becker Júnior
,
- Guilherme de Castro Rezende
,
- Heron Werner Junior
,
- Joffre Amin Junior
,
- Jorge Roberto Di Tommaso Leão
,
- Luciano Marcondes Machado Nardozza
,
- Luiz Eduardo Machado
,
- Manoel Alfredo Curvelo Sarno
,
- Patricia El Beitune
,
- Pedro Pires Ferreira Neto
,
- Sergio Kobayashi
,
- Fabricio da Silva Costa
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. - Fernando Maia Peixoto Filho
-
FEBRASGO POSITION STATEMENT07-10-2023
Guidelines on how to monitor gestational weight gain during antenatal care: Number 2 – February 2023
- Fernanda Garanhani de Castro Surita
,
- Renato Teixeira Souza
,
- Thaís Rangel Bousquet Carrilho
,
- Lilian de Paiva Rodrigues Hsu
,
- Rosiane Mattar
,
[ … ], - Gilberto Kac
Abstract
FEBRASGO POSITION STATEMENTGuidelines on how to monitor gestational weight gain during antenatal care: Number 2 – February 2023
Revista Brasileira de Ginecologia e Obstetrícia. 2023;45(2):104-108
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. - Fernanda Garanhani de Castro Surita
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Review Article09-06-2024
Biochemical markers for prediction of the first half pregnancy losses: a review
- Meruyet Kuspanova
,
- Andrey Gaiday
,
- Nurzhamal Dzhardemaliyeva
,
- Maxat Tuganbayev
,
- Maksym Gorobeiko
,
[ … ], - Akylbek Tussupkaliyev
Abstract
Review ArticleBiochemical markers for prediction of the first half pregnancy losses: a review
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo72
- Meruyet Kuspanova
,
- Andrey Gaiday
,
- Nurzhamal Dzhardemaliyeva
,
- Maxat Tuganbayev
,
- Maksym Gorobeiko
,
- Andrii Dinets
,
- Saule Bermagambetova
,
- Zhanna Amirbekova
,
- Gulshat Oraltayeva
,
- Dinara Omertayeva
,
- Akylbek Tussupkaliyev
Views306Abstract
Objective
26% of all pregnancies end in miscarriage, and up to 10% of clinically diagnosed pregnancies, and recurrent pregnancy loss is 5% among couples of childbearing ages. Although there are several known causes of pregnancy loss in the first half, including recurrent pregnancy loss, including parental chromosomal abnormalities, uterine malformations, endocrinological disorders, and immunological abnormalities, about half of the cases of pregnancy loss in its first half remain unexplained.
Methods
The review includes observational controlled studies (case-control or cohort, longitudinal studies, reviews, meta-analyses), which include the study of biochemical factors for predicting pregnancy losses in the first half, in singlet pregnancy. The Newcastle-Ottawa Scale (NOS) was used to assess the research quality.
Results
Finally, 27 studies were included in the review, which has 134904 examined patients. The results of the review include estimates of β-human chorionic gonadotropin, progesterone, pregnancy-associated protein – A, angiogenic vascular factors, estradiol, α-fetoprotein, homocysteine and CA-125 as a predictors or markers of the first half pregnancy losses.
Conclusion
It may be concluded that to date, research data indicate the unavailability of any reliable biochemical marker for predicting pregnancy losses in its first half and require either a combination of them or comparison with clinical evidence. A fairly new model shall be considered for the assessment of α-fetoprotein in vaginal blood, which may have great prospects in predicting spontaneous miscarriages.
Key-words Biochemical markerLaboratory markerMiscarriagemissed abortionpredictionPregnancySpontaneous abortionSee 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. - Meruyet Kuspanova
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Original Article11-01-2018
Obstetric Outcomes among Syrian Refugees: A Comparative Study at a Tertiary Care Maternity Hospital in Turkey
- Sule Ozel,
- Selen Yaman,
- Hatice Kansu-Celik,
- Necati Hancerliogullari,
- Nurgul Balci, [ … ],
- Yaprak Engin-Ustun
Abstract
Original ArticleObstetric Outcomes among Syrian Refugees: A Comparative Study at a Tertiary Care Maternity Hospital in Turkey
Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(11):673-679
- Sule Ozel,
- Selen Yaman,
- Hatice Kansu-Celik,
- Necati Hancerliogullari,
- Nurgul Balci,
- Yaprak Engin-Ustun
Views205See moreAbstract
Objective
The aim of this study was to analyze and compare obstetric and neonatal outcomes between Syrian refugees and ethnic Turkish women.
Methods
Retrospective, observational study. A total of 576 Syrian refugees and 576 ethnic Turkish women were included in this study, which was conducted between January 2015 and December 2015 at a tertiary maternity training hospital in Ankara, Turkey. The demographic characteristics, obstetric and neonatal outcomes were compared. The primary outcomes were pregnancy outcomes and cesarean rates between the groups
Results
The mean age was significantly lower in the refugee group (p< 0.001). Mean gravidity, proportion of adolescent pregnancies, proportion of pregnant women aged 12 to 19 years, and number of pregnancies at < 18 years were significantly higher among the refugee women (p< 0.001). Rates of antenatal follow-up, double testing, triple testing, gestational diabetes mellitus (GDM) screening, and iron replacement therapy were significantly lower in the refugee group (p< 0.001). The primary Cesarean section rate was significantly lower in the refugee group (p= 0.034). Pregnancies in the refugee group were more complicated, with higher rates of preterm delivery (< 37 weeks), preterm premature rupture of membranes (PPROM), and low birth weight (< 2,500 g) when compared with the control group (4.2% versus 0.7%, p< 0.001; 1.6% versus 0.2%, p= 0.011; and 12% versus 5.8%, p< 0.001, respectively). Low education level (odds ratio [OR] = 1.7, 95% confidence interval [CI] = 0.5–0.1), and weight gain during pregnancy (OR = 1.7, 95% CI = 0.5–0.1) were found to be significant indicators for preterm birth/PPROM and low birthweight.
Conclusion
Syrian refugees had increased risks of certain adverse obstetric outcomes, including preterm delivery, PPROM, lower birth weight, and anemia. Several factors may influence these findings; thus, refugee women would benefit from more targeted care during pregnancy and childbirth.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
Editorial09-01-2018
Maternal Mortality in Brazil: Proposals and Strategies for its Reduction
- Rodolfo Carvalho Pacagnella,
- Marcos Nakamura-Pereira,
- Flavia Gomes-Sponholz,
- Regina Amélia Lopes Pessoa de Aguiar,
- Gláucia Virginia de Queiroz Lins Guerra, [ … ],
- Olímpio Barbosa de Moraes Filho
Abstract
EditorialMaternal Mortality in Brazil: Proposals and Strategies for its Reduction
Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(9):501-506
- Rodolfo Carvalho Pacagnella,
- Marcos Nakamura-Pereira,
- Flavia Gomes-Sponholz,
- Regina Amélia Lopes Pessoa de Aguiar,
- Gláucia Virginia de Queiroz Lins Guerra,
- Carmen Simone Grilo Diniz,
- Brenno Belazi Nery de Souza Campos,
- Eliana Martorano Amaral,
- Olímpio Barbosa de Moraes Filho
Views272Maternal mortality is one of the health indicators that most reflect the social conditions of women. The inequities observed in this indicator between high- and low-income countries and among regions in the same country are explained by differences in the provision, in the access, and in the quality of obstetric care and of family planning. […]See 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 Article06-27-2019
Quality of Life among University Students with Premenstrual Syndrome
- Fernanda Figueira Victor,
- Ariani Impieri Souza,
- Cynthia Danúbia Tavares Barreiros,
- João Lucas Nunes de Barros,
- Flavia Anchielle Carvalho da Silva, [ … ],
- Ana Laura Carneiro Gomes Ferreira
Abstract
Original ArticleQuality of Life among University Students with Premenstrual Syndrome
Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(5):312-317
- Fernanda Figueira Victor,
- Ariani Impieri Souza,
- Cynthia Danúbia Tavares Barreiros,
- João Lucas Nunes de Barros,
- Flavia Anchielle Carvalho da Silva,
- Ana Laura Carneiro Gomes Ferreira
Views304Abstract
Objective
To evaluate the quality of life among university students with premenstrual syndrome (PMS).
Methods
The cross-sectional study was conducted at the Faculdade Pernambucana de Saúde, in Recife, Brazil, between August 2016 and July 2017. Sociodemographic, gynecological, and lifestyle variables, and PMS occurrence, were investigated among 642 students. The short form of the World Health Organization Quality of Life (WHOQOL Bref) questionnaire was used to evaluate four domains of the quality of life of the students: physical, mental, social relationships, and environmental. The American College of Obstetricians and Gynecologists’ criteria were used to define PMS.
Results
Of the 642 students, 49.9% had PMS, 23.3% had mild PMS and 26.6% had premenstrual dysphoric disorder (PMDD). Most of the students were between 18 and 24 years old, had regular menstrual cycles, and practiced physical activity. Regarding the physical and mental domains of the WHOQOL-Bref questionnaire, a statisticallysignificant difference was observed between the students who did not have and those who had mild or PMDD (p < 0.001). A difference was also found between the students who did not have PMS and those who had mild PMS in the social relationships (p = 0.001) and environmental domains (p = 0.009).
Conclusion
Mild PMS and PMDD are prevalent among university students on healthrelated courses, and the syndrome can affect the students’ self-assessment of all the domains of quality of life.
Key-words medical studentMenstruation disturbancespremenstrual dysphoric disorderPremenstrual syndromeQuality of lifeSee 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 Article06-01-2016
Selective Episiotomy: Indications, Techinique, and Association with Severe Perineal Lacerations
Revista Brasileira de Ginecologia e Obstetrícia. 2016;38(6):301-307
Abstract
Review ArticleSelective Episiotomy: Indications, Techinique, and Association with Severe Perineal Lacerations
Revista Brasileira de Ginecologia e Obstetrícia. 2016;38(6):301-307
Views237See moreAbstract
Introduction
Episiotomy is a controversial procedure, especially because the discussion that surrounds it has gone beyond the field of scientific debate, being adopted as an indicator of the “humanization of childbirth”. The scientific literature indicates that episiotomy should not be performed routinely, but selectively.
Objectives
To review the literature in order to assess whether the implementation of selective episiotomy protects against severe perineal lacerations, the indications for the procedure, and the best technique to perform it.
Methods
A literature search was performed in PubMed using the terms episiotomy or perineal lacerations, and the filter clinical trial. The articles concerning the risk of severe perineal lacerations with or without episiotomy, perineal protection, or episiotomy techniques were selected.
Results
A total of 141 articles were identified, and 24 of them were included in the review. Out of the 13 studies that evaluated the risk of severe lacerations with and without episiotomy, 5 demonstrated a protective role of selective episiotomy, and 4 showed no significant differences between the groups. Three small studies confirmed the finding that episiotomy should be performed selectively and not routinely, and one study showed that midline episiotomy increased the risk of severe lacerations. The most cited indications were primiparity, fetal weight greater than 4 kg, prolonged second stage, operative delivery, and shoulder dystocia. As for the surgical technique, episiotomies performed with wider angles (> 40°) and earlier in the second stage (before “crowning “) appeared to be more protective.
Conclusions
Selective episiotomy decreases the risk of severe lacerations when compared with the non-performance or the performance of routine episiotomy. The use of a proper surgical technique is fundamental to obtain better results, especially in relation to the angle of incision, the distance from the vaginal introitus, and the correct timing for performing the procedure. Not performing the episiotomy when indicated or not applying the correct technique may increase the risk of severe perineal lacerations.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
Review Article08-01-2017
Physical Activity during Pregnancy: Recommendations and Assessment Tools
Revista Brasileira de Ginecologia e Obstetrícia. 2017;39(8):424-432
Abstract
Review ArticlePhysical Activity during Pregnancy: Recommendations and Assessment Tools
Revista Brasileira de Ginecologia e Obstetrícia. 2017;39(8):424-432
Views275See moreAbstract
The literature that supports and recommends the practice of exercise during pregnancy is extensive.However, although a more complete research on ways to evaluate the physical activity performedby pregnant women has been perfomed, it is found that there is no gold standard and that the articles in the area are inconclusive. Thus, the objective of the present article is to review relevant aspects, such as, technique and applicability of the different methods for the assessment of physical activity during pregnancy to providemore reliable and safe information for health professionals to encourage their pregnant patients to engage in the practice of physical activity. This review concluded that all tools for the analysis of physical activity have limitations. Thus, it is necessary to establish the objectives of evaluation in an appropriate manner, as well as to determine their viability and costeffectiveness for the population under study.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
Original Article02-01-2017
Predictors of cesarean delivery in pregnant women with gestational diabetes mellitus
Revista Brasileira de Ginecologia e Obstetrícia. 2017;39(2):60-65
Abstract
Original ArticlePredictors of cesarean delivery in pregnant women with gestational diabetes mellitus
Revista Brasileira de Ginecologia e Obstetrícia. 2017;39(2):60-65
Views278See moreAbstract
Purpose
The aim of this study was to evaluate which risk factors may lead patients with gestational diabetes mellitus to cesarean delivery.
Methods
This was a retrospective, descriptive study. The subjects of the study were pregnant women with gestational diabetes mellitus attending a public maternity hospital in the south of Brazil. The primary outcomes assessed were based on maternal and fetal characteristics. The data were correlated using an odds ratio (OR) with a 95% confidence interval (95%CI), calculated using multinomial logistic regression.
Results
A total of 392 patients with gestational diabetes mellitus were analyzed, and 57.4% of them had cesarean deliveries. Among the maternal characteristics, the mean age of the patients and the pregestational body mass index were greater when a cesarean delivery was performed (p = 0.029 and p < 0.01 respectively). Gestational age at birth, newborn weight, weight class according to gestational age, and Apgar score were not significant. The analysis of the OR showed that the chance of cesarean delivery was 2.25 times (95%CI = 1.49-2.39) greater if the pregnant woman was obese, 4.6 times (95%CI = 3.017-7.150) greater if she was a primigravida, and 5.2 times (95% CI = 2.702-10.003) greater if she had a previous cesarean delivery. The other parameters analyzed showed no differences.
Conclusion
The factors that led to an increase in the occurrence of cesarean deliveries included history of a prior cesarean section, first pregnancy, and obesity.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
Original Article08-21-2015
Increased oxidative stress markers may be a promising indicator of risk for primary ovarian insufficiency: a cross-sectional case control study
- Aytekin Tokmak,
- Gülçin Yıldırım,
- Esma Sarıkaya,
- Mehmet Çınar,
- Nihal Boğdaycıoğlu, [ … ],
- Nafiye Yılmaz
Abstract
Original ArticleIncreased oxidative stress markers may be a promising indicator of risk for primary ovarian insufficiency: a cross-sectional case control study
Revista Brasileira de Ginecologia e Obstetrícia. 2015;37(9):411-416
DOI 10.1590/SO100-720320150005397
- Aytekin Tokmak,
- Gülçin Yıldırım,
- Esma Sarıkaya,
- Mehmet Çınar,
- Nihal Boğdaycıoğlu,
- Fatma Meriç Yılmaz,
- Nafiye Yılmaz
Views110See morePURPOSE:
The aim of this study was to evaluate serum levels of inducible nitric oxide synthase (INOS), myeloperoxidase (MPO), total antioxidant status (TAS), and total oxidative status (TOS) in women with primary ovarian insufficiency (POI) and to compare them with healthy fertile women. We also examined the possible risk factors associated with POI.
METHODS:
This cross-sectional case control study was conducted in Zekai Tahir Burak Women’s Health Education and Research Hospital. The study population consisted of 44 women with POI (study group) and 36 healthy fertile women (control group). In all patients, serum levels of INOS, MPO, TAS, and TOS were determined. INOS and MPO levels were measured by enzyme-linked immunosorbent assay whereas colorimetric method was used for evaluating TAS and TOS levels. Age, body mass index (BMI), obstetric history, smoking status, family history, comorbidities, sonographic findings, complete blood count values, C-reactive protein and baseline hormone levels were also analyzed. Student’s t-test or Mann-Whitney U test was used to compare continuous variables between the groups; categorical data were evaluated by using Pearson χ2 or Fisher exact test, when appropriate. Binary logistic regression method was used to identify risk factors for POI.
RESULTS:
We found significantly elevated levels of INOS (234.1±749.5 versus133.8±143.0; p=0.005), MPO (3,438.7±1,228.6 versus 2,481.9±1,230.1; p=0.001), and TOS (4.3±1.4 versus 3.6±1.4; p=0.02) in the sera of the study group when compared to the BMI-age matched control group. However, difference in serum levels of TAS were not significant between the 2 groups (1.7±0.2 versus 1.6±0.2; p=0.15). Logistic regression method demonstrated that BMI <25 kg/m2, nulliparity, family history of POI, smoking, and elevated serum levels of INOS, MPO, and TOS were independent risk factors for POI.
CONCLUSION:
We found an increase in INOS, MPO, and TOS in women with POI. These serum markers may be promising in early diagnosis of POI. Further large-scale studies are required to determine whether oxidative stress markers have a role in diagnosing POI.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
Editorial12-01-2015
Maternal mortality and the new objectives of sustainable development (2016-2030)
Revista Brasileira de Ginecologia e Obstetrícia. 2015;37(12):549-551
Abstract
EditorialMaternal mortality and the new objectives of sustainable development (2016-2030)
Revista Brasileira de Ginecologia e Obstetrícia. 2015;37(12):549-551
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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