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  • Original Article

    Anemia levels in the preconception period and the first trimester of pregnancy: a national, multicentric and cross-sectional study

    Revista Brasileira de Ginecologia e Obstetrícia. 13/02/2025;47:-e-rbgo1001

    Resumo

    Original Article

    Anemia levels in the preconception period and the first trimester of pregnancy: a national, multicentric and cross-sectional study

    Revista Brasileira de Ginecologia e Obstetrícia. 13/02/2025;47:-e-rbgo1001

    DOI 10.61622/rbgo/2025rbgo10001

    Visualizações42

    Abstract

    Objective

    The study aimed to determine the level of anemia in pregnant women in the first trimester and in the preconception period by conducting nationwide research.

    Methods

    The study was designed as retrospective, cross-sectional, and multicenter research. A total of 17 centers from 13 provinces were included in the study. The study was conducted with the participation of two groups of patients who applied to the obstetrics polyclinic between 1 January 2023 and 1 July 2023, who were in the first trimester of pregnancy and who were in the preconception period planning pregnancy.

    Results

    In total 4,265 women were included in the study. Of these women, 3,884 (91%) were in the first trimester of their pregnancy and 381 (9%) were in the preconception period. Anemia was detected in 24.1% (n=1030) of the patients. Of these patients, 20.6% (n=877) were pregnant women in the first trimester and 3.6% (n=153) were in the preconception period. A statistically significant and positive relationship was found between anemia and meat consumption frequency, educational status, and socioeconomic status of the patients (p=0.000, p=0.000, p=0.000). In addition, a statistically significant and negative correlation was determined between anemia and the number of pregnancies and the parity number (p=0.001, p=0.000) in both groups.

    Conclusion

    Anemia is a public health problem. Anemia has been determined to be an important problem both in the preconception period and early periods of pregnancy. It is necessary to revise the programs and interventions to reduce the prevalence of anemia and redesign them in line with current conditions.

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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.
    Anemia levels in the preconception period and the first trimester of pregnancy: a national, multicentric and cross-sectional study
  • FEBRASGO POSITION STATEMENT

    Menopause in gynecologic cancer survivors: evidence for decision-making

    Revista Brasileira de Ginecologia e Obstetrícia. 06/02/2025;47:e-FPS1

    Resumo

    FEBRASGO POSITION STATEMENT

    Menopause in gynecologic cancer survivors: evidence for decision-making

    Revista Brasileira de Ginecologia e Obstetrícia. 06/02/2025;47:e-FPS1

    DOI 10.61622/rbgo/2025FPS1

    Visualizações72

    Key points

    • Although advances in the treatment of gynecological cancer have improved survival rates, they may also increase the effects of induced menopause, especially in young women.

    • Cancer treatments such as oophorectomy, gonadotoxic chemotherapy, and pelvic radiotherapy can induce menopause.

    • Gonadotoxic chemotherapy, especially alkylating-containing regimens, often damages ovarian function and may result in permanent menopause.

    • Pelvic radiotherapy usually results in permanent loss of ovarian function unless ovarian transposition is performed.

    • Diagnosing menopause after cancer is challenging, and common diagnostic criteria such as 12 months or more of amenorrhea and elevated follicle-stimulating hormone (FSH) levels are not entirely reliable, since ovarian function may return years after treatment.

    • A multidisciplinary approach to post-cancer menopause is essential and should include an appropriate line of care, since hormone replacement therapy after treatment of gynecologic malignancy is controversial.

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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.
    Menopause in gynecologic cancer survivors: evidence for decision-making
  • Original Article

    A comparison of the efficacy of the effect of online versus face-to-face group counseling based on positive-approach on sexual intimacy of women after benign abdominal hysterectomy: a clinical trial

    Revista Brasileira de Ginecologia e Obstetrícia. 23/01/2025;47:e-rbgo102

    Resumo

    Original Article

    A comparison of the efficacy of the effect of online versus face-to-face group counseling based on positive-approach on sexual intimacy of women after benign abdominal hysterectomy: a clinical trial

    Revista Brasileira de Ginecologia e Obstetrícia. 23/01/2025;47:e-rbgo102

    DOI 10.61622/rbgo/2024rbgo102

    Visualizações121

    Abstract

    Objective

    The study investigates the influence of positive-approach counseling through both online and face-to-face group therapy on the sexual intimacy of women after benign complete abdominal hysterectomy, addressing challenges such as the loss of femininity and other psychosexual complications that disrupt the couple’s relationship post-surgery.

    Methods

    This is a parallel clinical trial, conducted in 2023 in Yazd, Iran; with sixty-six participants post- benign complete abdominal hysterectomy were randomly assigned to online and face-to-face counseling groups. Each group had eight 90-minute sessions, and data were collected using demographic and intimacy scale (IS) questionnaires at baseline, eighth week, and twelfth week follow-up. Statistical analysis used SPSS version 23 (P < 0.05).

    Results

    In the Online Group, the mean sexual intimacy score significantly increased from 72.42 ± 9.05 to 87.06 ± 7.98 at eight weeks and 90.30 ± 8.23 at twelve weeks (P < 0.001). In the Face-to-Face Group, the mean score increased from 70.21 ± 6.75 to 81.24 ± 5.55 at eight weeks and 85.03 ± 5.40 at twelve weeks (P < 0.001). Online counseling proved more effective than face-to-face counseling in enhancing sexual intimacy (P = 0.043).

    Conclusion

    Online and face-to-face counseling based on the positive approach improved sexual intimacy in women with a history of benign hysterectomy. Moreover, it seems that online counseling was more effective, so it is recommended that this method be employed in follow-up sessions after hysterectomy. Iranian Registry of Clinical Trials – IRCT20230209057373N1

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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.
    A comparison of the efficacy of the effect of online versus face-to-face group counseling based on positive-approach on sexual intimacy of women after benign abdominal hysterectomy: a clinical trial
  • Original Article

    Therapeutic resources used by physiotherapists for the relief of labor pain: a cross-sectional study

    Revista Brasileira de Ginecologia e Obstetrícia. 23/01/2025;47:e-rbgo99

    Resumo

    Original Article

    Therapeutic resources used by physiotherapists for the relief of labor pain: a cross-sectional study

    Revista Brasileira de Ginecologia e Obstetrícia. 23/01/2025;47:e-rbgo99

    DOI 10.61622/rbgo/2024rbgo99

    Visualizações112

    Abstract

    Objective

    The aim of the study was to identify non-pharmacological therapeutic resources used by physiotherapists for pain relief during labor and childbirth.

    Methods

    This is a cross-sectional study conducted from January to March 2021, followed the STROBE guidelines. It included Brazilian physiotherapists with a minimum of two years in obstetric care experience. Data were collected using a 33-item online questionnaire, which covered sociodemographic details and the utilization of non-pharmacological resources. Descriptive analysis was used to determine participant characteristics. Associations between sociodemographic variables, specialist titles, participation in scientific events, and methods for pain relief methods during childbirth were assessed using chi-square or Fisher’s exact tests. Data were analyzed using SPSS version 23.0, with a significance level set at 5% (p < 0.05).

    Results

    A total of 114 Brazilian physiotherapists participated in this study. Participants chose to utilize non-pharmacological therapies and resources that are within the scope of physiotherapists’ practice for labor pain. Kinesiotherapy with the use of devices was the most employed technique for pain relief during the birthing process.

    Conclusion

    The study highlights the prevalent use of non-pharmacological therapeutic resources, particularly kinesiotherapy with devices, among Brazilian physiotherapists for labor pain relief.

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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 Article

    Maternal erythrocytosis as a risk factor for small for gestational age at term in high altitude

    Revista Brasileira de Ginecologia e Obstetrícia. 23/01/2025;47:e-rbgo98

    Resumo

    Original Article

    Maternal erythrocytosis as a risk factor for small for gestational age at term in high altitude

    Revista Brasileira de Ginecologia e Obstetrícia. 23/01/2025;47:e-rbgo98

    DOI 10.61622/rbgo/2024rbgo98

    Visualizações116

    Abstract

    Objective

    To determine if maternal erythrocytosis is a risk factor for small-for-gestational age at term at 3,400-m altitude in pregnant women without intercurrent disease.

    Methods

    Analytical study of retrospective cohorts at Cusco, a city at 3,400-m altitude. Our participants were 224 and 483 pregnant women with and without exposure to maternal erythrocytosis, respectively. A logistic regression with the goodness of fit to the proposed model was also performed with the Hosmer and Lemeshow test, evaluating the small-for-gestational-age results with or without exposure to hemoglobin >14.5 g/dl.

    Results

    The incidence of small-for-gestational-age was 6.9% for this entire cohort. The maternal erythrocytosis during gestation without any maternal morbidity at 3,400-m altitude has an ORa=0.691 (p=0.271) for small-for-gestational-age at term. Inadequate prenatal control has an ORa=2.115 (p=0.016) for small-for-gestational-age compared to adequate prenatal control.

    Conclusion

    Maternal erythrocytosis in pregnant women without any morbidity is not a risk factor for small-for-gestational-age at 3,400 m-altitude.

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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 Article

    Comparison of serum ischemia modified albumin levels between preeclamptic and healthy pregnant women

    Revista Brasileira de Ginecologia e Obstetrícia. 23/01/2025;47:e-rbgo97

    Resumo

    Original Article

    Comparison of serum ischemia modified albumin levels between preeclamptic and healthy pregnant women

    Revista Brasileira de Ginecologia e Obstetrícia. 23/01/2025;47:e-rbgo97

    DOI 10.61622/rbgo/2024rbgo97

    Visualizações136

    Abstract

    Objective

    Our aims to compare level of serum ischemia modified albümin(IMA) between healthy and preeclamptic pregnancies and to evaluate the relationship of IMA with preeclampsia, preeclampsia severity and perinatal outcomes.

    Methods

    Our study is a prospective case-control study. A total of 134 pregnant women (66 preeclamptic and 68 healthy pregnant) between 18-45 years of age and between 24- 41 gestational weeks participated. Serum IMA levels were measured by the Albumin Cobalt Binding (ACB) test.

    Results

    The mean IMA values were found to be significantly higher in the preeclampsia group compared to the control group (p<0,001). Patients were divided into 3 groups; severe preeclampsia(n=29), non-severe preeclampsia(n=37) and healthy pregnant(n=68). Statistically significant difference was not found between severe preeclampsia and non-severe preeclampsia (p=0.505). The performance of IMA values in predicting the development of preeclampsia among all participants was evaluated with Receiver Operating Characteristic (ROC) analysis. According to the ROC analysis, the best cut-off value at which the maximum area under the curve (AUC) was obtained was found when IMA>0.98(AUC: 0.690 95% Confidence Interval (CI): 0.600-0.781 p<0.001). When IMA threshold value of >0.98 was taken to predict preeclampsia; the sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) were calculated as 65.15%, 64.71%, 64.18%, and 65.67%, respectively.

    Conclusion

    IMA level may be a useful new marker in recognizing and predicting preeclampsia. However, despite the power of recognizing the disease, serum IMA levels do not give an idea about the severity of the disease. More comprehensive studies are needed in order to use IMA levels in the diagnosis of preeclampsia.

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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.
  • Nominata 2024

    Nominata 2024

    Revista Brasileira de Ginecologia e Obstetrícia. 31/12/2024;46:eRBGO20242024

    Resumo

    Nominata 2024

    Nominata 2024

    Revista Brasileira de Ginecologia e Obstetrícia. 31/12/2024;46:eRBGO20242024

    DOI 10.61622/rbgo/2024nominata02024

    Visualizações16
    We wish to thank everyone who contributed to the edition of the Revista Brasileira de Ginecologia e Obstetrícia – RBGO volume 46, year 2024, especially the authors and reviewers whose work and opinions were essential to maintain the scientific and methodological rigor of the published articles.A. Seval Ozgu-Erdinc, University of Health Sciences, Ankara Eğitim ve […]
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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 Editor

    Comment on: Effect of combined training on body image, body composition and functional capacity in patients with breast cancer: controlled clinical trial

    Revista Brasileira de Ginecologia e Obstetrícia. 04/12/2024;46:e-rbgo96

    Resumo

    Letter to the Editor

    Comment on: Effect of combined training on body image, body composition and functional capacity in patients with breast cancer: controlled clinical trial

    Revista Brasileira de Ginecologia e Obstetrícia. 04/12/2024;46:e-rbgo96

    DOI 10.61622/rbgo/2024rbgo96

    Visualizações79
    Dear Editor,I am writing to express my appreciation for the recent article titled “Effect of Combined Training on Body Image, Body Composition, and Functional Capacity in Patients with Breast Cancer: Controlled Clinical Trial,” published online on June 20, 2023. The study provides crucial insights into the benefits of combined training for breast cancer patients, highlighting […]
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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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Objetivos e Visão

A Revista Brasileira de Ginecologia e Obstetrícia (RBGO) tem como objetivo publicar pesquisas básicas e clínicas em ginecologia, obstetrícia e outras especialidades  afins e ser referência para apoiar e promover a educação profissional de residentes, pesquisadores e professores universitários. Como VISÃO, a RBGO pretende se tornar uma referência reconhecida internacionalmente entre os principais periódicos mundiais em Ginecologia e Obstetrícia

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