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Original Article07-11-2000
Correlation between the Assessment of Fetal Well-being, Umbilical Artery pH at Birth and the Neonatal Results in High-risk Pregnancies
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(8):503-510
Abstract
Original ArticleCorrelation between the Assessment of Fetal Well-being, Umbilical Artery pH at Birth and the Neonatal Results in High-risk Pregnancies
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(8):503-510
DOI 10.1590/S0100-72032000000800006
Views119See morePurpose: to analyze the relationship between the values of pH at birth, fetal surveillance examinatios and neonatal results. Methods: one thousand, three hundred and forty-six high-risk pregnancies were evaluated at the Fetal Surveillance Unit. The assessment of fetal well-being included cardiotocography, fetal biophysical profile and amniotic fluid index. After birth, the perinatal results (gestational age at birth, birth weight, Apgar scores at 1st and 5th minutes, umbilical cord pH at birth) were collected. To study the results, the patients were divided into four groups: G1 (pH <7.05), G2 (pH between 7.05 and 7.14), G3 (pH between 7.15 and 7.19) and G4 (pH > or = 7.20). Results: the abnormal patterns of cardiotocography were associated with pH at birth inferior to 7.20 (p = 0.001). Abnormal results of the fetal biophysical profile (<=4) were related to decrease in pH values at birth (p<0.001). The adverse neonatal outcomes were associated with acidosis at birth, and they were selected to be analyzed by the logistic regression model, showing that the odds ratio of each adverse neonatal outcome increases significantly when the values of pH at birth decrease. Conclusions: significant correlation was found between the values of pH at birth and adverse neonatal results, providing the possibility to estimate the risk of neonatal complications according to the pH values at birth.
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 Article07-11-2000
Dilatation and Curettage in the Evaluation of Abnormal Uterine Bleeding: Histopathologic Findings and the Cost/Benefit Relation
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(8):495-502
Abstract
Original ArticleDilatation and Curettage in the Evaluation of Abnormal Uterine Bleeding: Histopathologic Findings and the Cost/Benefit Relation
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(8):495-502
DOI 10.1590/S0100-72032000000800005
Views103See morePurpose: to critically evaluate the histopathologic findings and the cost/benefit relation of dilatation and uterine curettage (D&C) in the evaluation of the abnormal uterine bleeding (AUB). Method: retrospective analysis of the histopathological findings in 542 D&C performed for AUB in the Department of Gynecology of the Faculdade de Ciências Médicas da Universidade do Estado do Rio de Janeiro (FCM-UERJ), between January 1984 and January 1994. The patients were divided into two groups: Group 1 – patients <=50 years (385 D&C) and Group 2 -- patients >50 years (157 D&C). Cases of urgency curettage were excluded from the study. All the curettages were accomplished under narcosis. The mean hospitalization lenght was three days. A histopa-thological finding of proliferative, secretory, atrophic or iatrogenic type endometrium was considered a negative pathological result. The term iatrogenic refers to the endometrium under possible influence of hormonal medication. When the histopathological finding evidenced some lesion, this was considered a positive pathological result. Results: in Group 1 there was a negative pathological result in 50.2% of the cases, positive pathological result in 39.7% of the cases, and insufficient material for diagnosis (IMD) in 10.1% of the cases. Endometrial polyp and submucosal leiomyoma were found in only 5.5% and 4.4%, respectively. Cancer was an uncommon observation in that group, endometrial adenocarcinoma (EAC) (five cases) being found in only 1.3% of the cases, in a relation of 77 D&C to one EAC. In Group 2, a negative pathological result was observed in 38.3% of the cases, positive pathological result in 38.1% of the cases and IMD in 23.6% of the cases. Endometrial polyp and submucosal leiomyoma were found only in 5.1% and 0.6%, respectively. Malignant lesions were found in 12% of the cases EAC being 9.5% (15 cases), showing a relation of one EAC to 10 D&C. Conclusions: according to the current knowledge on the etiology of AUB, this study showed that traditional diagnostic D&C has low accuracy in the evaluation of AUB and a cost/benefit relation incompatible with current medicine. Therefore, it should not be the examination of first choice. Considering, however, that EAC was found in one of each 10 D&C in women >50 years with a complaint of uterine bleeding, D&C can be indicated with more liberality in that group, if hysteroscopy with directed biopsy is not available. Nowadays, D&C does not play such a significant a role in the diagnosis of AUB as it did some years ago. However, the procedure is still indicated in some situations and it cannot be abandoned, and its indication should obey restricted criteria.
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 Article07-11-2000
Morphological and Morphometric Aspects of the Uterine Cervix in Oophorectomized Rats after Copaíba Oil Application
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(8):489-493
Abstract
Original ArticleMorphological and Morphometric Aspects of the Uterine Cervix in Oophorectomized Rats after Copaíba Oil Application
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(8):489-493
DOI 10.1590/S0100-72032000000800004
Views117See morePurpose: to study the effect of copaíba oil on the uterine cervix of oophorectomized rats. Method: 120 female adults were used, divided into four groups: control, water, corn oil and copaíba oil. All animals were submitted to bilateral oophorectomy, and kept in cages for twenty days before applying the substances. These substances were applied by vaginal route at a dose of 0.3 ml, once a day until the predetermined day of sacrifice (7, 14 e 21 days). Results: the animals from the copaíba oil group showed on all days of the study exuberant, keratinous stratified squamous epithelium with about 10 epithelial cell layers and the chorion with conjunctive tissue, fibroblasts, collagen fibers, blood vessels and some leukocytes. Conclusions: The copaíba oil used in this experimental model promoted a thickening of the epithelium, which was keratinous stratified squamous, and epithelium increase was progressive along the 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 Article07-11-2000
Test-retest Reliability in Application of the Blatt and Kupperman Menopausal Index
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(8):481-487
Abstract
Original ArticleTest-retest Reliability in Application of the Blatt and Kupperman Menopausal Index
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(8):481-487
DOI 10.1590/S0100-72032000000800003
Views78See morePurpose: based on the knowledge that the reliability of an instrument is essential for a correct interpretation of the results of research, the purpose of the present study is to evaluate the reliability of one of the menopausal indexes more often used in clinical practice and research, the Blatt and Kupperman Menopausal Index (BKMI). Methods: the population consisted of 60 climacteric patients attended at the Gynecology Outpatient Clinic of the Lauro Wanderley University Hospital of the Federal University of Paraíba in João Pessoa city. The reliability coefficient was analyzed by the test-retest method, whose application was done on two different occasions with an interval of four weeks, without administration of medicines. Results: the variation of the score observed with the application of BKMI at the first measurement was 2 to 41, with a median of 18 and mean of 18.8 (± 10.76), while at the second measurement, the menopausal index was 20.2 (± 10.51), median 19, and values ranging from 2 to 39. Despite these results, a Speaman (r s) coefficient of 0.68 (p = 0.001), which is a coefficient of only moderate intensity, was observed. Conclusions: the test-retest reliability in the application of the BKMI shows that, although this instrument presented a statistically moderate reliability, the intensity observed does not represent a reliable measurement. Considering that a correlational study is only a type of screening of the quality of a measurement method, we concluded that other studies must be performed with the purpose of evaluating the reliability and the validity of the BKMI. It is possible that the attribuition of different values to the items of BKMI and the inclusion of symptoms directly related to the estrogenic defficiency, like symptoms of vaginal atrophy, would make the instrument more reliable.
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 Article07-11-2000
Bone Mineral Density in Postmenopausal Women with and without Previous Hysterectomy with Bilateral Ovarian Conservation
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(8):475-479
Abstract
Original ArticleBone Mineral Density in Postmenopausal Women with and without Previous Hysterectomy with Bilateral Ovarian Conservation
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(8):475-479
DOI 10.1590/S0100-72032000000800002
Views58See morePurpose: to evaluate the bone mineral density of postmenopausal women with previous hysterectomy and with bilateral ovarian conservation compared to a group of nonhysterectomized naturally menopausal women. Methods: this is a cross-sectional study of bone densitometry (Lunar DPX) in 30 menopausal women hysterectomized when in the premenopause compared with 102 naturally postmenopausal women. Results: the mean age, body mass index, color of the skin, smoking habits, educational level, menarche, parity and previous tubal ligation were similar in the studied groups. Bone mineral density average and the T-score of the three femural sites analyzed by the Bonferroni test did not show significant differences. The bone mineral density average and the T-score of the lumbar spine were analyzed by the Student t test and did not show statistical differences. Conclusion: these findings suggest that premenopausal hysterectomy with bilateral ovarian conservation does not cause an additional reduction in bone mineral content when evaluated in the postmenopause.
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. -
Resumos de Teses07-10-2000
Estudo Comparativo entre a Histopatologia e a Reação em Cadeia da Polimerase para o Diagnóstico do Papiloma Vírus Humano em Lesões do Colo Uterino de Mulheres Infectadas pelo Vírus da Imunodeficiência Humana
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(9):597-597
Abstract
Resumos de TesesEstudo Comparativo entre a Histopatologia e a Reação em Cadeia da Polimerase para o Diagnóstico do Papiloma Vírus Humano em Lesões do Colo Uterino de Mulheres Infectadas pelo Vírus da Imunodeficiência Humana
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(9):597-597
DOI 10.1590/S0100-72032000000900011
Views49Estudo Comparativo entre a Histopatologia e a Reação em Cadeia da Polimerase para o Diagnóstico do Papiloma Vírus Humano em Lesões do Colo Uterino de Mulheres Infectadas pelo Vírus da Imunodeficiência Humana […]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. -
Resumos de Teses07-10-2000
Valor da Avaliação Propedêutica Objetiva e Subjetiva no Diagnóstico da Incontinência Urinária Feminina: Correlação com a Força Muscular do Assoalho Pélvico
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(9):597-597
Abstract
Resumos de TesesValor da Avaliação Propedêutica Objetiva e Subjetiva no Diagnóstico da Incontinência Urinária Feminina: Correlação com a Força Muscular do Assoalho Pélvico
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(9):597-597
DOI 10.1590/S0100-72032000000900010
Views56Valor da Avaliação Propedêutica Objetiva e Subjetiva no Diagnóstico da Incontinência Urinária Feminina. Correlação com a Força Muscular do Assoalho Pélvico […]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 Report07-10-2000
Mastitis due to Paracoccidioidomycosis: a Case Report
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(9):593-596
Abstract
Case ReportMastitis due to Paracoccidioidomycosis: a Case Report
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(9):593-596
DOI 10.1590/S0100-72032000000900009
Views65See moreParacoccidioidomycosis is an important systemic endemic mycosis in Latin America. This infection is usually acquired via inhalation of mycelial particles. Most infected subjects develop an asymptomatic infection, which is associated with various host-related factors such as sex, age, genetic, as well as characteristics of the infecting agent, mainly its virulence. It is a systemic pathology. A case of mastitis due to paracoccidioidomycosis is presented with the objective to demonstrate that elderly patients with a breast abscess should be submitted to biopsy.
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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