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Original Article04-12-1998
Diabetes and pregnancy: clinical and perinatal features
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(4):193-198
Abstract
Original ArticleDiabetes and pregnancy: clinical and perinatal features
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(4):193-198
DOI 10.1590/S0100-72031998000400004
Views81See moreThe patients who do not adjust to the metabolic changes of pregnancy and those with previous alterations in carbohydrate metabolism show a significant increase in perinatal morbidity and mortality. In order to contribute to a better prenatal management of diabetic patients, the authors reviewed 60 cases of diabetes during pregnancy, assisted at the Department of Obstetrics and Gynecology, Faculty of Medicine of Ribeirão Preto, University of São Paulo. The sample was divided into two groups: one with prenatal care according to the Department protocol, and referred to this center for pregnancy resolution, and the other without appropriate prenatal care. In the group with prenatal care according to the Department protocol the complications observed were related to prematurity. The group without appropriate care showed 3 cases of congenital malformations, 3 cases of prematurity, 1 case of severe neonatal hypoglycemia, 1 case of macrossomia, 1 case of intrauterine growth retardation and 1 neonatal death. Comparing the groups, it became clear that the appropriate prenatal care is essential for the diabetic pregnant patient, but also that a reference center, such as this Obstetrical and Gynecological Department, must be fully integrated with the regional health centers, in order to offer assistance before and during gestation to the diabetic patients.
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 Article04-12-1998
Acute appendicitis in the gravidic-puerperal cycle: a study of 13 cases
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(4):187-192
Abstract
Original ArticleAcute appendicitis in the gravidic-puerperal cycle: a study of 13 cases
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(4):187-192
DOI 10.1590/S0100-72031998000400003
Views97See moreThe present study describes 13 cases of appendicitis in the gravidic-puerperal cycle, at the Maternidade Escola Januário Cicco, from Jan/89 to Dec/96. The cases were assisted by a team of obstetricians and surgeons. Eleven patients were pregnant (4 in the 1st trimester, 6 in the 2nd and 1 in the 3rd) and 2 were in the puerperal period. The incidence was 1/3.422; the age ranged from 18 to 30 years and the majority was nulliparous. The most frequent symptom was abdominal pain (intense or moderate). The appendix was perforated in 6 cases, 2 of them with abdominal wall abscess and 1 patient had an abortion. Pregnancy presented no complications in 9 cases, and delivery occurred at term. The authors observed that appendix perforations occurred more frequently in cases whose symptoms had begun earlier. The authors found that the earlier the diagnosis, the better the prognosis.
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 Article04-12-1998
Social, demographic and medical care factors associated with maternal death
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(4):181-185
Abstract
Original ArticleSocial, demographic and medical care factors associated with maternal death
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(4):181-185
DOI 10.1590/S0100-72031998000400002
Views71See moreWith the purpose of identifying the social, demographic, pregnancy-related and medical care factors associated with maternal death, this study evaluated all deaths of women aged 10 to 49 years occurring in Recife, Pernambuco, Brazil, during 1992 and 1993. The data were obtained reviewing 1,013 death certificates, with 42 cases of identified maternal deaths. The data of these deaths were complemented with information from medical records, autopsies and also interviews with physicians from the hospitals where the death took place, and with the dead women’s relatives. Almost two thirds (62%) of maternal deaths occurred among women aged 20 to 29 years and more than half of them were single. There was a higher number of deaths among caesarean deliveries than among vaginal ones. The majority of deaths occurred within the first three days of hospitalization and approximately 90% of hospital charges were sponsored by the National Health System (SUS).
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. -
04-12-1998
As Comissões Nacionais Especializadas
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(4):179-179
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. -
04-11-1998
Influência da tibolona e do exercício físico aeróbio sobre a antropometria e o perfil lipídico na menopausa
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(6):362-362
Abstract
Influência da tibolona e do exercício físico aeróbio sobre a antropometria e o perfil lipídico na menopausa
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(6):362-362
DOI 10.1590/S0100-72031998000600012
Views88Influência da Tibolona e do Exercício Físico Aeróbio sobre a Antropometria e o Perfil Lipídico na Menopausa[…]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. -
04-11-1998
Quimioterapia primáriaem câncer de mama localmente avançado: estudo comparativo entre dois esquemas terapêuticos com intensificação de doses
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(6):361-362
Abstract
Quimioterapia primáriaem câncer de mama localmente avançado: estudo comparativo entre dois esquemas terapêuticos com intensificação de doses
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(6):361-362
DOI 10.1590/S0100-72031998000600011
Views57Quimioterapia Primáriaem Câncer de Mama Localmente Avançado. Estudo Comparativo entre Dois Esquemas Terapêuticos com Intensificação de Doses […]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. -
04-11-1998
Correlação entre as concentrações plasmáticas e foliculares de IGF-I
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(6):361-361
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. -
Case Report04-11-1998
A bilateral fallopian tube pregnancy: a case report
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(6):357-360
Abstract
Case ReportA bilateral fallopian tube pregnancy: a case report
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(6):357-360
DOI 10.1590/S0100-72031998000600009
Views122See moreBilateral ectopic pregnancy is the most unusual twin gestation considering that less than 250 cases have been reported in the literature. Our case fulfills the diagnostic criterion determined by Norris9 which requires demonstration of chorionic villi in each fallopian tube. We report the case of a 36-year-old multiparous woman who had an hemorrhagic acute abdomen. A laparotomy performed under general anesthesia revealed hemoperitoneum of 1.8 liters and both swelled tubes with laceration of their walls, besides two embryos with 2,7 and 3,0 cm in length free in the intra-abdominal blood. A literature review on bilateral ectopic pregnancy is presented.
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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