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A Revista Brasileira de Ginecologia e Obstetrícia (RBGO), publicação de divulgação científica da Federação das Sociedades de Ginecologia e Obstetrícia (FEBRASGO), é dirigida a ginecologistas, obstetras e profissionais de áreas afins, com o objetivo de publicar resultados de pesquisa sobre temas relevantes no campo da Ginecologia, Obstetrícia e áreas correlatas.
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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
- Aytaj Jafarzade
,
- Veli Mi̇hmanli
,
- And Yavuz
,
- Murat Akbaş
,
- Gürcan Türkyilmaz
,
[ … ], - Muhittin Tamer Mungan
13/02/2025
Resumo
Original ArticleAnemia levels in the preconception period and the first trimester of pregnancy: a national, multicentric and cross-sectional study
Revista Brasileira de Ginecologia e Obstetrícia. 2025;47:-e-rbgo1001
13/02/2025DOI 10.61622/rbgo/2025rbgo10001
- Aytaj Jafarzade
,
- Veli Mi̇hmanli
,
- And Yavuz
,
- Murat Akbaş
,
- Gürcan Türkyilmaz
,
- Esra Nur Özkan
,
- Murat İbrahim Toplu
,
- Yücel Kaya
,
- Damla Yasemin Yenli̇k Kaya
,
- Mustafa Yildiz
,
- Ali Emre Ati̇k
,
- Elif İlgazi̇ Kiliç
,
- Burcu Özata
,
- Sehtap Nazlı Kiliç Çeti̇n
,
- Berk Bulut
,
- Halide Gül Okuducu Aydin
,
- Lale Aslanova
,
- Çağdaş Nurettin Emekli̇oğlu
,
- Melike Eren
,
- Elif Uçar
,
- Kaan Eray Uzun
,
- Osman Ufuk Eki̇z
,
- Muhittin Tamer Mungan
Visualizações98Abstract
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.
Palavras-chave: Anemia, iron-deficiencypreconception carePregnancy complications, hematologicPregnancy trimester, firstVer maisVisualizações98This 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. Resumo
Original ArticleAnemia levels in the preconception period and the first trimester of pregnancy: a national, multicentric and cross-sectional study
Revista Brasileira de Ginecologia e Obstetrícia. 2025;47:-e-rbgo1001
13/02/2025DOI 10.61622/rbgo/2025rbgo10001
- Aytaj Jafarzade
,
- Veli Mi̇hmanli
,
- And Yavuz
,
- Murat Akbaş
,
- Gürcan Türkyilmaz
,
- Esra Nur Özkan
,
- Murat İbrahim Toplu
,
- Yücel Kaya
,
- Damla Yasemin Yenli̇k Kaya
,
- Mustafa Yildiz
,
- Ali Emre Ati̇k
,
- Elif İlgazi̇ Kiliç
,
- Burcu Özata
,
- Sehtap Nazlı Kiliç Çeti̇n
,
- Berk Bulut
,
- Halide Gül Okuducu Aydin
,
- Lale Aslanova
,
- Çağdaş Nurettin Emekli̇oğlu
,
- Melike Eren
,
- Elif Uçar
,
- Kaan Eray Uzun
,
- Osman Ufuk Eki̇z
,
- Muhittin Tamer Mungan
Visualizações98Abstract
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.
Palavras-chave: Anemia, iron-deficiencypreconception carePregnancy complications, hematologicPregnancy trimester, firstVer maisThis 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. - Aytaj Jafarzade
-
FEBRASGO POSITION STATEMENT
Menopause in gynecologic cancer survivors: evidence for decision-making
- Agnaldo Lopes da Silva Filho
,
- Mariana Seabra Leite Praça
,
- Rívia Mara Lamaita
,
- Eduardo Batista Cândido
,
- Lucia Helena Simões da Costa Paiva
,
[ … ], - Maria Celeste Osório Wender
06/02/2025
Resumo
FEBRASGO POSITION STATEMENTMenopause in gynecologic cancer survivors: evidence for decision-making
Revista Brasileira de Ginecologia e Obstetrícia. 2025;47:e-FPS1
06/02/2025- Agnaldo Lopes da Silva Filho
,
- Mariana Seabra Leite Praça
,
- Rívia Mara Lamaita
,
- Eduardo Batista Cândido
,
- Lucia Helena Simões da Costa Paiva
,
- José Maria Soares Júnior
,
- Renato Moretti Marques
,
- Maria Celeste Osório Wender
Visualizações131Ver maisKey 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.
Visualizações131This 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. Resumo
FEBRASGO POSITION STATEMENTMenopause in gynecologic cancer survivors: evidence for decision-making
Revista Brasileira de Ginecologia e Obstetrícia. 2025;47:e-FPS1
06/02/2025- Agnaldo Lopes da Silva Filho
,
- Mariana Seabra Leite Praça
,
- Rívia Mara Lamaita
,
- Eduardo Batista Cândido
,
- Lucia Helena Simões da Costa Paiva
,
- José Maria Soares Júnior
,
- Renato Moretti Marques
,
- Maria Celeste Osório Wender
Visualizações131Ver maisKey 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.
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. - Agnaldo Lopes da Silva Filho
-
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. 2025;47:e-rbgo102
23/01/2025
Resumo
Original ArticleA 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. 2025;47:e-rbgo102
23/01/2025Visualizações169Ver maisAbstract
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
Visualizações169This 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. Resumo
Original ArticleA 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. 2025;47:e-rbgo102
23/01/2025Visualizações169Ver maisAbstract
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
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
Therapeutic resources used by physiotherapists for the relief of labor pain: a cross-sectional study
- Alessandra de Campos Gonçalves
,
- Giovana Garçoni Poli
,
- Clara Maria de Araujo Silva
,
- Ana Carolina Sartorato Beleza
,
- Richard Eloin Liebano
23/01/2025
Resumo
Original ArticleTherapeutic resources used by physiotherapists for the relief of labor pain: a cross-sectional study
Revista Brasileira de Ginecologia e Obstetrícia. 2025;47:e-rbgo99
23/01/2025- Alessandra de Campos Gonçalves
,
- Giovana Garçoni Poli
,
- Clara Maria de Araujo Silva
,
- Ana Carolina Sartorato Beleza
,
- Richard Eloin Liebano
Visualizações154Abstract
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.
Palavras-chave: childbirthlabor painLabor, obstetricNon-pharmacological resourcespain managementParturiationPhysical therapistsPregnancysurveys and questionnairesVer maisVisualizações154This 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. Resumo
Original ArticleTherapeutic resources used by physiotherapists for the relief of labor pain: a cross-sectional study
Revista Brasileira de Ginecologia e Obstetrícia. 2025;47:e-rbgo99
23/01/2025- Alessandra de Campos Gonçalves
,
- Giovana Garçoni Poli
,
- Clara Maria de Araujo Silva
,
- Ana Carolina Sartorato Beleza
,
- Richard Eloin Liebano
Visualizações154Abstract
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.
Palavras-chave: childbirthlabor painLabor, obstetricNon-pharmacological resourcespain managementParturiationPhysical therapistsPregnancysurveys and questionnairesVer maisThis 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. - Alessandra de Campos Gonçalves
-
Original Article
Maternal erythrocytosis as a risk factor for small for gestational age at term in high altitude
- Wilfredo Villamonte-Calanche
,
- Marco Antonio Salazar-Zegarra
,
- Cleto De-la-Torre-Dueñas
,
- Alexandra Villamonte-Jerí
,
- Adaí Vera-Luza
,
[ … ], - Nuria Huanca-Huirse
23/01/2025
Resumo
Original ArticleMaternal erythrocytosis as a risk factor for small for gestational age at term in high altitude
Revista Brasileira de Ginecologia e Obstetrícia. 2025;47:e-rbgo98
23/01/2025- Wilfredo Villamonte-Calanche
,
- Marco Antonio Salazar-Zegarra
,
- Cleto De-la-Torre-Dueñas
,
- Alexandra Villamonte-Jerí
,
- Adaí Vera-Luza
,
- Milagros Hilari Bustinza-Apaza
,
- Nuria Huanca-Huirse
Visualizações160Abstract
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.
Palavras-chave: AltitudeFetal growth retardationGestational agehemoglobinHypoxiaMorbidityNeonatal mortalityPolycythemiaPregnancyPregnant womenRisk factorssmall for gestational ageVer maisVisualizações160This 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. Resumo
Original ArticleMaternal erythrocytosis as a risk factor for small for gestational age at term in high altitude
Revista Brasileira de Ginecologia e Obstetrícia. 2025;47:e-rbgo98
23/01/2025- Wilfredo Villamonte-Calanche
,
- Marco Antonio Salazar-Zegarra
,
- Cleto De-la-Torre-Dueñas
,
- Alexandra Villamonte-Jerí
,
- Adaí Vera-Luza
,
- Milagros Hilari Bustinza-Apaza
,
- Nuria Huanca-Huirse
Visualizações160Abstract
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.
Palavras-chave: AltitudeFetal growth retardationGestational agehemoglobinHypoxiaMorbidityNeonatal mortalityPolycythemiaPregnancyPregnant womenRisk factorssmall for gestational ageVer maisThis 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. - Wilfredo Villamonte-Calanche
-
Original Article
Comparison of serum ischemia modified albumin levels between preeclamptic and healthy pregnant women
- Dinç Zuhal
,
- Çakar Erbil
,
- Kumru Pınar
,
- Erel Özcan
,
- Neşelioğlu Salim
,
[ … ], - Boz Gizem
23/01/2025
Resumo
Original ArticleComparison of serum ischemia modified albumin levels between preeclamptic and healthy pregnant women
Revista Brasileira de Ginecologia e Obstetrícia. 2025;47:e-rbgo97
23/01/2025Visualizações190Ver maisAbstract
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.
Visualizações190This 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. Resumo
Original ArticleComparison of serum ischemia modified albumin levels between preeclamptic and healthy pregnant women
Revista Brasileira de Ginecologia e Obstetrícia. 2025;47:e-rbgo97
23/01/2025Visualizações190Ver maisAbstract
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.
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. - Dinç Zuhal
-
Nominata 2024
Nominata 2024
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:eRBGO20242024
31/12/2024
Resumo
Nominata 2024Nominata 2024
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:eRBGO20242024
31/12/2024DOI 10.61622/rbgo/2024nominata02024
Visualizações64We 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 […]Ver maisVisualizações64This 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. Resumo
Nominata 2024Nominata 2024
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:eRBGO20242024
31/12/2024DOI 10.61622/rbgo/2024nominata02024
Visualizações64We 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 […]Ver maisThis 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. 2024;46:e-rbgo96
04/12/2024
Resumo
Letter to the EditorComment 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. 2024;46:e-rbgo96
04/12/2024Visualizações120Dear 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 […]Ver maisVisualizações120This 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. Resumo
Letter to the EditorComment 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. 2024;46:e-rbgo96
04/12/2024Visualizações120Dear 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 […]Ver maisThis 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 STATEMENT
Hyperprolactinemia in women: diagnostic approach
- Andrea Glezer
,
- Heraldo Mendes Garmes
,
- Leandro Kasuki
,
- Manoel Martins
,
- Paula Condé Lamparelli Elias
,
[ … ], - Andrea Prestes Nácul
25/04/2024
Resumo
FEBRASGO POSITION STATEMENTHyperprolactinemia in women: diagnostic approach
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-FPS04
25/04/2024Visualizações1010This 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. Resumo
FEBRASGO POSITION STATEMENTHyperprolactinemia in women: diagnostic approach
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-FPS04
25/04/2024This 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. - Andrea Glezer
-
FEBRASGO POSITION STATEMENT
Hyperprolactinemia in women: treatment
- Cristina Laguna Benetti-Pinto
,
- Andrea Prestes Nácul
,
- Ana Carolina Japur Rosa e Silva
,
- Gustavo Arantes Rosa Maciel
,
- Vania dos Santos Nunes Nogueira
,
[ … ], - Andrea Glezer
25/04/2024
Resumo
FEBRASGO POSITION STATEMENTHyperprolactinemia in women: treatment
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-FPS05
25/04/2024Visualizações994This 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. Resumo
FEBRASGO POSITION STATEMENTHyperprolactinemia in women: treatment
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-FPS05
25/04/2024This 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. - Cristina Laguna Benetti-Pinto
-
Letter to the Editor
Letter to Editor: In response to existence of SARS-CoV-2 in the peritoneal fluid
- Gustavo Romero-Velez
,
- Guillermo Ponce de Leon-Ballesteros
,
- Juan Barajas-Gamboa
,
- Jerry Dang
,
- Andrew Strong
,
[ … ], - Mathew Kroh
09/04/2024
Resumo
Letter to the EditorLetter to Editor: In response to existence of SARS-CoV-2 in the peritoneal fluid
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo24
09/04/2024Visualizações800This 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. Resumo
Letter to the EditorLetter to Editor: In response to existence of SARS-CoV-2 in the peritoneal fluid
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo24
09/04/2024This 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. - Gustavo Romero-Velez
-
FEBRASGO POSITION STATEMENT
Use of hormones and risk of venous thromboembolism
- Venina Isabel Poço Viana Leme de Barros
,
- André Luiz Malavasi Longo de Oliveira
,
- Denis Jose do Nascimento
,
- Eduardo Zlotnik
,
- Marcelo Melzer Teruchkin
,
[ … ], - Paulo Francisco Ramos Margarido
02/04/2024
Resumo
FEBRASGO POSITION STATEMENTUse of hormones and risk of venous thromboembolism
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-FPS02
02/04/2024- Venina Isabel Poço Viana Leme de Barros
,
- André Luiz Malavasi Longo de Oliveira
,
- Denis Jose do Nascimento
,
- Eduardo Zlotnik
,
- Marcelo Melzer Teruchkin
,
- Marcos Arêas Marques
,
- Paulo Francisco Ramos Margarido
Visualizações583Ver maisKey points
•The risk of venous thromboembolism (VTE) is not increased in women using long-acting reversible contraceptive methods (LARCs) with progestogens.
•Oral contraceptives with levonorgestrel or norgestimate confer half the risk of VTE compared to oral contraceptives containing desogestrel, gestodene or drospirenone.
•Progestogen-only pills do not confer an increased risk of VTE.
•Women using transdermal contraceptive patches and combined oral contraceptives (COCs) are at an approximately eight times greater risk of VTE than non-users of hormonal contraceptives (HCs), corresponding to 9.7 events per 10,000 women/years.
•Vaginal rings increase the risk of VTE by 6.5 times compared to not using HC, corresponding to 7.8 events per 10,000 women/years.
•Several studies have demonstrated an increased risk of VTE in transgender individuals receiving hormone therapy (HT).
•Hormone therapy during menopause increases the risk of VTE by approximately two times, and this risk is increased by obesity, thrombophilia, age over 60 years, surgery and immobilization.
•The route of estrogen administration, the dosage and type of progestogen associated with estrogen may affect the risk of VTE in the climacteric.
•Combined estrogen-progesterone therapy increases the risk of VTE compared to estrogen monotherapy.
•Postmenopausal HT increases the risk of thrombosis at atypical sites.
Visualizações583This 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. Resumo
FEBRASGO POSITION STATEMENTUse of hormones and risk of venous thromboembolism
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-FPS02
02/04/2024- Venina Isabel Poço Viana Leme de Barros
,
- André Luiz Malavasi Longo de Oliveira
,
- Denis Jose do Nascimento
,
- Eduardo Zlotnik
,
- Marcelo Melzer Teruchkin
,
- Marcos Arêas Marques
,
- Paulo Francisco Ramos Margarido
Visualizações583Ver maisKey points
•The risk of venous thromboembolism (VTE) is not increased in women using long-acting reversible contraceptive methods (LARCs) with progestogens.
•Oral contraceptives with levonorgestrel or norgestimate confer half the risk of VTE compared to oral contraceptives containing desogestrel, gestodene or drospirenone.
•Progestogen-only pills do not confer an increased risk of VTE.
•Women using transdermal contraceptive patches and combined oral contraceptives (COCs) are at an approximately eight times greater risk of VTE than non-users of hormonal contraceptives (HCs), corresponding to 9.7 events per 10,000 women/years.
•Vaginal rings increase the risk of VTE by 6.5 times compared to not using HC, corresponding to 7.8 events per 10,000 women/years.
•Several studies have demonstrated an increased risk of VTE in transgender individuals receiving hormone therapy (HT).
•Hormone therapy during menopause increases the risk of VTE by approximately two times, and this risk is increased by obesity, thrombophilia, age over 60 years, surgery and immobilization.
•The route of estrogen administration, the dosage and type of progestogen associated with estrogen may affect the risk of VTE in the climacteric.
•Combined estrogen-progesterone therapy increases the risk of VTE compared to estrogen monotherapy.
•Postmenopausal HT increases the risk of thrombosis at atypical sites.
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. - Venina Isabel Poço Viana Leme de Barros
-
FEBRASGO POSITION STATEMENT
Vulvovaginitis in pregnant women
- Geraldo Duarte
,
- Iara Moreno Linhares
,
- Regis Kreitchmann
,
- Andréa da Rocha Tristão
,
- Evelyn Traina
,
[ … ], - Joelma Queiroz Andrade
02/04/2024
Resumo
FEBRASGO POSITION STATEMENTVulvovaginitis in pregnant women
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-FPS03
02/04/2024- Geraldo Duarte
,
- Iara Moreno Linhares
,
- Regis Kreitchmann
,
- Andréa da Rocha Tristão
,
- Evelyn Traina
,
- Ivete Canti
,
- Marcos Takimura
,
- Joelma Queiroz Andrade
Visualizações545Ver maisKey points
• The balanced vaginal microbiome is the main factor defending the vaginal environment against infections. Lactobacilli play a key role in this regard, maintaining the vaginal pH within the normal range (3.8 to 4.5).
•Hormonal and immune adaptations resulting from pregnancy influence changes in the vaginal microbiome during pregnancy.
•An altered vaginal microbiome predisposes to human immunodeficiency virus (HIV) infection.
•Bacterial vaginosis is the main clinical expression of an imbalanced vaginal microbiome.
•Vulvovaginal candidiasis depends more on the host’s conditions than on the etiological agent.
•Trichomonas vaginalis is a protozoan transmitted during sexual intercourse.
•The use of probiotics is not approved for use in pregnant women.
Visualizações545This 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. Resumo
FEBRASGO POSITION STATEMENTVulvovaginitis in pregnant women
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-FPS03
02/04/2024- Geraldo Duarte
,
- Iara Moreno Linhares
,
- Regis Kreitchmann
,
- Andréa da Rocha Tristão
,
- Evelyn Traina
,
- Ivete Canti
,
- Marcos Takimura
,
- Joelma Queiroz Andrade
Visualizações545Ver maisKey points
• The balanced vaginal microbiome is the main factor defending the vaginal environment against infections. Lactobacilli play a key role in this regard, maintaining the vaginal pH within the normal range (3.8 to 4.5).
•Hormonal and immune adaptations resulting from pregnancy influence changes in the vaginal microbiome during pregnancy.
•An altered vaginal microbiome predisposes to human immunodeficiency virus (HIV) infection.
•Bacterial vaginosis is the main clinical expression of an imbalanced vaginal microbiome.
•Vulvovaginal candidiasis depends more on the host’s conditions than on the etiological agent.
•Trichomonas vaginalis is a protozoan transmitted during sexual intercourse.
•The use of probiotics is not approved for use in pregnant women.
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. - Geraldo Duarte
-
Original Article
Assessment of sexual and body esteem in postpartum women with or without perineal laceration: a cross-sectional study with cultural translation and validation of the Vaginal Changes Sexual and Body Esteem Scale
- Renata Stefânia Olah de Souza
,
- Adriana Gomes Luz
,
- Ruth Zielinski
,
- Luis Otavio Zanatta Sarian
,
- Cassia Raquel Teatin Juliato
,
[ … ], - Luiz Gustavo Oliveira Brito
09/04/2024
Resumo
Original ArticleAssessment of sexual and body esteem in postpartum women with or without perineal laceration: a cross-sectional study with cultural translation and validation of the Vaginal Changes Sexual and Body Esteem Scale
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo35
09/04/2024- Renata Stefânia Olah de Souza
,
- Adriana Gomes Luz
,
- Ruth Zielinski
,
- Luis Otavio Zanatta Sarian
,
- Cassia Raquel Teatin Juliato
,
- Lucia Alves da Silva Lara
,
- Luiz Gustavo Oliveira Brito
Visualizações448Ver maisObjective:
We aimed to translate and determine cultural validity of the Vaginal Changes Sexual and Body Esteem Scale (VSBE) for Brazilian Portuguese language in postpartum women who underwent vaginal delivery with or without perineal laceration and cesarean section.
Methods:
A cross-sectional study conducted virtually, with online data collection through a survey with 234 postpartum women of 975 that were invited. Clinical, sociodemographic, and psychometric variables from the VSBE questionnaire were analyzed (content validity index, internal consistency, test-retest reliability, construct/structural and discriminant validity). Multivariate analysis was performed to explore associated factors with the presence of perineal laceration.
Results:
One-hundred fifty-eight women experienced vaginal delivery, of which 24.79% had an intact perineum, 33.33% had perineal laceration, and 9.4% underwent episiotomy; and 76 participants had cesarean sections. Women with perineal laceration were older, presented dyspareunia and previous surgeries than women without perineal laceration (p<0.05). For VSBE, a high internal consistency (Cronbach's α > 0.7) was observed, but it did not correlate with Body Attractiveness Questionnaire and Female Sexual Function Index; however, it correlated with the presence of women sutured for perineal laceration. Moreover, VSBE presented good structural validity with two loading factors after exploratory factor analysis. VSBE also demonstrated discriminant validity between the presence or absence of perineal laceration. The presence of urinary incontinence (UI) (OR=2.716[1.015-4.667];p=0.046) and a higher VSBE total score (OR=1.056[1.037-1.075];p<0.001) were the only factors associated with perineal laceration.
Conclusion:
Vaginal Changes Sexual and Body Esteem Scale demonstrated appropriate translation and good internal consistency, discriminant/construct validity and reliability. Vaginal Changes Sexual and Body Esteem Scale total score and presence of UI were associated with women that underwent perineal laceration.
Visualizações448This 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. Resumo
Original ArticleAssessment of sexual and body esteem in postpartum women with or without perineal laceration: a cross-sectional study with cultural translation and validation of the Vaginal Changes Sexual and Body Esteem Scale
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo35
09/04/2024- Renata Stefânia Olah de Souza
,
- Adriana Gomes Luz
,
- Ruth Zielinski
,
- Luis Otavio Zanatta Sarian
,
- Cassia Raquel Teatin Juliato
,
- Lucia Alves da Silva Lara
,
- Luiz Gustavo Oliveira Brito
Visualizações448Ver maisObjective:
We aimed to translate and determine cultural validity of the Vaginal Changes Sexual and Body Esteem Scale (VSBE) for Brazilian Portuguese language in postpartum women who underwent vaginal delivery with or without perineal laceration and cesarean section.
Methods:
A cross-sectional study conducted virtually, with online data collection through a survey with 234 postpartum women of 975 that were invited. Clinical, sociodemographic, and psychometric variables from the VSBE questionnaire were analyzed (content validity index, internal consistency, test-retest reliability, construct/structural and discriminant validity). Multivariate analysis was performed to explore associated factors with the presence of perineal laceration.
Results:
One-hundred fifty-eight women experienced vaginal delivery, of which 24.79% had an intact perineum, 33.33% had perineal laceration, and 9.4% underwent episiotomy; and 76 participants had cesarean sections. Women with perineal laceration were older, presented dyspareunia and previous surgeries than women without perineal laceration (p<0.05). For VSBE, a high internal consistency (Cronbach's α > 0.7) was observed, but it did not correlate with Body Attractiveness Questionnaire and Female Sexual Function Index; however, it correlated with the presence of women sutured for perineal laceration. Moreover, VSBE presented good structural validity with two loading factors after exploratory factor analysis. VSBE also demonstrated discriminant validity between the presence or absence of perineal laceration. The presence of urinary incontinence (UI) (OR=2.716[1.015-4.667];p=0.046) and a higher VSBE total score (OR=1.056[1.037-1.075];p<0.001) were the only factors associated with perineal laceration.
Conclusion:
Vaginal Changes Sexual and Body Esteem Scale demonstrated appropriate translation and good internal consistency, discriminant/construct validity and reliability. Vaginal Changes Sexual and Body Esteem Scale total score and presence of UI were associated with women that underwent perineal laceration.
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. - Renata Stefânia Olah de Souza
-
Original Article
Fertility preservation in female cancer patients in Brazil: perceptions and attitudes of infertility specialists
- Renata Lack Ranniger
,
- Rívia Mara Lamaita
,
- Bárbara Flecha D’Abreu
,
- Mariana Rodrigues Tolentino
,
- Eduardo Batista Cândido
,
[ … ], - Agnaldo Lopes Silva-Filho
09/04/2024
Resumo
Original ArticleFertility preservation in female cancer patients in Brazil: perceptions and attitudes of infertility specialists
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo25
09/04/2024- Renata Lack Ranniger
,
- Rívia Mara Lamaita
,
- Bárbara Flecha D’Abreu
,
- Mariana Rodrigues Tolentino
,
- Eduardo Batista Cândido
,
- Warne Pedro Andrade
,
- Angélica Nogueira-Rodrigues
,
- Agnaldo Lopes Silva-Filho
Visualizações418Objective:
Fertility preservation is a priority in oncology for female cancer patients. However, there is a lack of communication between infertility specialists and oncologists. This study aimed to evaluate infertility specialists’ perceptions and experiences regarding fertility preservation.
Methods:
Conduct an online survey to profile infertility specialists. Participants were infertility affiliated with the Brazilian Federation of Gynecology and Obstetrics Associations (FEBRASGO). The specialists received an online survey, which response rate were 30.9%, most of whom were in southern and southeastern. The survey consisted on 14 questions about the infertility specialists’ location, techniques in clinical practice, treatment successful rate, patients idea, etc.
Results:
The average experience in human reproduction were 15.5 ± 10.2 years (mean ± standard deviation, range 1-40). Among reproductive-aged female cancer patients recommended for fertility preservation, 60.3 ± 28.8% (range 10-100%) underwent preservation procedures. Main barriers were cost (41%), oncologists’ knowledge or acceptance (35%) and accessibility (9%). Most infertility specialists (58%) considered 40 years the limit for fertility preservation. Leukemia, lymphoma, breast and ovarian cancers were prioritized for fertility preservation, while lung, thyroid, gastric, and brain cancers were less relevant.
Conclusion:
This is the first Brazilian study about infertility specialists’ perceptions on oncology patients access to fertility preservation. These patients primarily receive treatment in the public health system, while infertility specialists mainly work in the private healthcare. This healthcare mode is currently fragmented, but integrating these experts is enhancing patient access to fertility preservation. Studies on this topic are still warranted.
Palavras-chave: attitudesFertilityFertility preservationgynecologistshealth knowledgeNeoplasmsOncologistsOocyte retrievalpracticeReproductionsurveys and questionnairesVer maisVisualizações418This 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. Resumo
Original ArticleFertility preservation in female cancer patients in Brazil: perceptions and attitudes of infertility specialists
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo25
09/04/2024- Renata Lack Ranniger
,
- Rívia Mara Lamaita
,
- Bárbara Flecha D’Abreu
,
- Mariana Rodrigues Tolentino
,
- Eduardo Batista Cândido
,
- Warne Pedro Andrade
,
- Angélica Nogueira-Rodrigues
,
- Agnaldo Lopes Silva-Filho
Visualizações418Objective:
Fertility preservation is a priority in oncology for female cancer patients. However, there is a lack of communication between infertility specialists and oncologists. This study aimed to evaluate infertility specialists’ perceptions and experiences regarding fertility preservation.
Methods:
Conduct an online survey to profile infertility specialists. Participants were infertility affiliated with the Brazilian Federation of Gynecology and Obstetrics Associations (FEBRASGO). The specialists received an online survey, which response rate were 30.9%, most of whom were in southern and southeastern. The survey consisted on 14 questions about the infertility specialists’ location, techniques in clinical practice, treatment successful rate, patients idea, etc.
Results:
The average experience in human reproduction were 15.5 ± 10.2 years (mean ± standard deviation, range 1-40). Among reproductive-aged female cancer patients recommended for fertility preservation, 60.3 ± 28.8% (range 10-100%) underwent preservation procedures. Main barriers were cost (41%), oncologists’ knowledge or acceptance (35%) and accessibility (9%). Most infertility specialists (58%) considered 40 years the limit for fertility preservation. Leukemia, lymphoma, breast and ovarian cancers were prioritized for fertility preservation, while lung, thyroid, gastric, and brain cancers were less relevant.
Conclusion:
This is the first Brazilian study about infertility specialists’ perceptions on oncology patients access to fertility preservation. These patients primarily receive treatment in the public health system, while infertility specialists mainly work in the private healthcare. This healthcare mode is currently fragmented, but integrating these experts is enhancing patient access to fertility preservation. Studies on this topic are still warranted.
Palavras-chave: attitudesFertilityFertility preservationgynecologistshealth knowledgeNeoplasmsOncologistsOocyte retrievalpracticeReproductionsurveys and questionnairesVer maisThis 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. - Renata Lack Ranniger
-
Original Article
Screening and prevention of preterm birth: how is it done in clinical practice?
- Roberta Bulsing dos Santos
,
- Janete Vettorazzi
,
- Marcos Wengrover Rosa
,
- Ellen Machado Arlindo
,
- Edimárlei Gonsales Valério
09/04/2024
Resumo
Original ArticleScreening and prevention of preterm birth: how is it done in clinical practice?
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo32
09/04/2024- Roberta Bulsing dos Santos
,
- Janete Vettorazzi
,
- Marcos Wengrover Rosa
,
- Ellen Machado Arlindo
,
- Edimárlei Gonsales Valério
Visualizações400Abstract
Objective:
To ascertain how screening for preterm birth is performed among obstetricians working in public and private practice in a middle-income country.
Methods:
Cross-sectional study of 265 obstetrician-gynecologists employed at public and private facilities. An online questionnaire was administered, with items designed to collect data on prematurity screening and prevention practices.
Results:
The mean age of respondents was 44.5 years; 78.5% were female, and 97.7% had completed a medical residency program. Universal screening (i.e., by ultrasound measurement of cervical length) was carried out by only 11.3% of respondents in public practice; 43% request transvaginal ultrasound if the manual exam is abnormal, and 74.6% request it in pregnant women with risk factors for preterm birth. Conversely, 60.7% of respondents in private practice performed universal screening. This difference in screening practices between public and private practice was highly significant (p < 0.001). Nearly all respondents (90.6%) reported prescribing vaginal progesterone for short cervix.
Conclusion:
In the setting of this study, universal ultrasound screening to prevent preterm birth was used by just over half of doctors in private practice. In public facilities, screening was even less common. Use of vaginal progesterone in cervical shortening was highly prevalent. There is an unmet need for formal protocols for screening and prevention of preterm birth in middle-income settings.
Palavras-chave: attitudes, practiceCervical length measurementgynecologistshealth knowledgeInfant, prematureobstetriciansPreterm birthPreventionScreeningsurveys and questionnairesVer maisVisualizações400This 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. Resumo
Original ArticleScreening and prevention of preterm birth: how is it done in clinical practice?
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo32
09/04/2024- Roberta Bulsing dos Santos
,
- Janete Vettorazzi
,
- Marcos Wengrover Rosa
,
- Ellen Machado Arlindo
,
- Edimárlei Gonsales Valério
Visualizações400Abstract
Objective:
To ascertain how screening for preterm birth is performed among obstetricians working in public and private practice in a middle-income country.
Methods:
Cross-sectional study of 265 obstetrician-gynecologists employed at public and private facilities. An online questionnaire was administered, with items designed to collect data on prematurity screening and prevention practices.
Results:
The mean age of respondents was 44.5 years; 78.5% were female, and 97.7% had completed a medical residency program. Universal screening (i.e., by ultrasound measurement of cervical length) was carried out by only 11.3% of respondents in public practice; 43% request transvaginal ultrasound if the manual exam is abnormal, and 74.6% request it in pregnant women with risk factors for preterm birth. Conversely, 60.7% of respondents in private practice performed universal screening. This difference in screening practices between public and private practice was highly significant (p < 0.001). Nearly all respondents (90.6%) reported prescribing vaginal progesterone for short cervix.
Conclusion:
In the setting of this study, universal ultrasound screening to prevent preterm birth was used by just over half of doctors in private practice. In public facilities, screening was even less common. Use of vaginal progesterone in cervical shortening was highly prevalent. There is an unmet need for formal protocols for screening and prevention of preterm birth in middle-income settings.
Palavras-chave: attitudes, practiceCervical length measurementgynecologistshealth knowledgeInfant, prematureobstetriciansPreterm birthPreventionScreeningsurveys and questionnairesVer maisThis 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. - Roberta Bulsing dos Santos
-
Review Article
Aleitamento materno e seus benefícios para a saúde da mulher
Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(6):354-359
01/06/2018
Resumo
Review ArticleAleitamento materno e seus benefícios para a saúde da mulher
Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(6):354-359
01/06/2018Visualizações150Ver maisResumo
A oferta do seio materno às crianças éumdireito inquestionável dasmães e de seus filhos, e todos os esforços devem ser feitos no sentido de promover, acompanhar e manter o aleitamento materno exclusivo até os 6 meses e complementado até que a criança complete 2 anos de idade. A literatura apresenta incontáveis publicações acerca das qualidades do leite materno, seus benefícios e repercussões para a saúde, estimulando a prática do aleitamento materno e embasando campanhas. Porém, mesmo sendo de conhecimento geral que a amamentação é uma importante etapa no processo reprodutivo da mulher e que sua prática oferece benefícios para mãe e filho, a grande maioria das informaçõesdestacamosbenefíciosque o leitematernooferece às crianças, esquecendo-se de mencionar todas as repercussões que o aleitamento materno traz para a saúde da mãe. Assim, o objetivo deste artigo édestacar os inúmeros benefícios que o aleitamentomaterno proporciona à saúde física e emocional da lactante. Para tanto, os autores consultaram artigos publicados nas bases de dados PubMed, Biblioteca Virtual de Saúde e Web of Science utilizando as palavras-chave aleitamentomaterno, leitematerno, lactação e saúdematerna.
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Visualizações150PlumX Metrics- Citations
- Citation Indexes: 148
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- Usage
- Full Text Views: 10153
- Abstract Views: 807
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- Readers: 722
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- News Mentions: 2
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. Resumo
Review ArticleAleitamento materno e seus benefícios para a saúde da mulher
Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(6):354-359
01/06/2018Visualizações150Ver maisResumo
A oferta do seio materno às crianças éumdireito inquestionável dasmães e de seus filhos, e todos os esforços devem ser feitos no sentido de promover, acompanhar e manter o aleitamento materno exclusivo até os 6 meses e complementado até que a criança complete 2 anos de idade. A literatura apresenta incontáveis publicações acerca das qualidades do leite materno, seus benefícios e repercussões para a saúde, estimulando a prática do aleitamento materno e embasando campanhas. Porém, mesmo sendo de conhecimento geral que a amamentação é uma importante etapa no processo reprodutivo da mulher e que sua prática oferece benefícios para mãe e filho, a grande maioria das informaçõesdestacamosbenefíciosque o leitematernooferece às crianças, esquecendo-se de mencionar todas as repercussões que o aleitamento materno traz para a saúde da mãe. Assim, o objetivo deste artigo édestacar os inúmeros benefícios que o aleitamentomaterno proporciona à saúde física e emocional da lactante. Para tanto, os autores consultaram artigos publicados nas bases de dados PubMed, Biblioteca Virtual de Saúde e Web of Science utilizando as palavras-chave aleitamentomaterno, leitematerno, lactação e saúdematerna.
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Review Article
Pré-eclâmpsia
Revista Brasileira de Ginecologia e Obstetrícia. 2017;39(9):496-512
01/09/2017
Resumo
Review ArticlePré-eclâmpsia
Revista Brasileira de Ginecologia e Obstetrícia. 2017;39(9):496-512
01/09/2017Visualizações172Resumo
Os autores revisam a doença hipertensiva na gestação com uma visão acadêmica e prática, utilizando as melhores evidências disponíveis. A doença clínica mais importante na gestante brasileira pode ter sua incidência diminuída com a prevenção por meio do uso de cálcio e aspirina em gestantes de risco. Antes uma doença que apresentava hipertensão arterial com proteinúria, agora vem sendo classificada com novos parâmetros clínicos além da proteinúria. A morbidade e mortalidade devem ser diminuídas, em um país continental como o Brasil, utilizando-se protocolos para o tratamento precoce de suas complicações mediante o cálculo de desfechos graves em pré-eclâmpsia. O tratamento precoce da hipertensão arterial, o uso do sulfato de magnésio e a internação precoce em casos de pré-eclâmpsia são conceitos para perseguirmos a diminuição da mortalidade de nossas gestantes.
Palavras-chave: Complicações na gravidezGestação de alto riscohipertensão arterial na gestaçãoPré-eclâmpsiaSíndrome HELLPVer maisPlumX Metrics- Citations
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Visualizações172PlumX Metrics- Citations
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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. Resumo
Review ArticlePré-eclâmpsia
Revista Brasileira de Ginecologia e Obstetrícia. 2017;39(9):496-512
01/09/2017Visualizações172Resumo
Os autores revisam a doença hipertensiva na gestação com uma visão acadêmica e prática, utilizando as melhores evidências disponíveis. A doença clínica mais importante na gestante brasileira pode ter sua incidência diminuída com a prevenção por meio do uso de cálcio e aspirina em gestantes de risco. Antes uma doença que apresentava hipertensão arterial com proteinúria, agora vem sendo classificada com novos parâmetros clínicos além da proteinúria. A morbidade e mortalidade devem ser diminuídas, em um país continental como o Brasil, utilizando-se protocolos para o tratamento precoce de suas complicações mediante o cálculo de desfechos graves em pré-eclâmpsia. O tratamento precoce da hipertensão arterial, o uso do sulfato de magnésio e a internação precoce em casos de pré-eclâmpsia são conceitos para perseguirmos a diminuição da mortalidade de nossas gestantes.
Palavras-chave: Complicações na gravidezGestação de alto riscohipertensão arterial na gestaçãoPré-eclâmpsiaSíndrome HELLPVer maisPlumX Metrics- Citations
- Citation Indexes: 134
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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. -
Review Article
Dismenorreia primária: Avaliação e tratamento
Revista Brasileira de Ginecologia e Obstetrícia. 2020;42(8):501-507
25/09/2020
Resumo
Review ArticleDismenorreia primária: Avaliação e tratamento
Revista Brasileira de Ginecologia e Obstetrícia. 2020;42(8):501-507
25/09/2020Visualizações167Ver maisResumo
Dismenorreia primária é definida como dormenstrual na ausência de patologia pélvica. Caracteriza-se pelo excesso de produção de prostaglandinas pelo endométrio que provocam hipercontractilidade uterina, resultando em isquemia e hipoxia do músculo uterino e, subsequentemente, dor. É a patologia ginecológica mais comum em mulheres em idade fértil e uma das causas mais frequentes de dor pélvica; contudo, é subdiagnosticada, subtratada, e até desvalorizada pelas próprias mulheres, que a aceitam como parte do ciclo menstrual. A dismenorreia tem grandes implicações na qualidade de vida, como limitação das atividades diárias e estresse psicológico, sendo uma das principais causas de absentismo escolar e laboral. O seu diagnóstico é essencialmente clínico, baseando-se na história clínica e num exame físico sem alterações. É importante excluir causas secundárias de dismenorreia. O tratamento pode ter diferentes abordagens (farmacológica, não farmacológica e cirúrgica), sendo que a primeira linha de tratamento consiste na utilização de anti-inflamatórios não esteroides (AINEs) e, em casos de mulheres que desejem contracepção, no uso de anticoncepcionais hormonais. Tratamentos alternativos, como a utilização de calor tópico, modificação do estilo de vida, estimulação elétrica nervosa transcutânea, suplementos alimentares, acupuntura e acupressão, podem ser uma opção nos casos de contraindicação da utilização dos tratamentos convencionais. O tratamento cirúrgico apenas se encontra indicado em casos raros de mulheres com dismenorreia grave e refratária aos tratamentos.
Visualizações167This 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. Resumo
Review ArticleDismenorreia primária: Avaliação e tratamento
Revista Brasileira de Ginecologia e Obstetrícia. 2020;42(8):501-507
25/09/2020Visualizações167Ver maisResumo
Dismenorreia primária é definida como dormenstrual na ausência de patologia pélvica. Caracteriza-se pelo excesso de produção de prostaglandinas pelo endométrio que provocam hipercontractilidade uterina, resultando em isquemia e hipoxia do músculo uterino e, subsequentemente, dor. É a patologia ginecológica mais comum em mulheres em idade fértil e uma das causas mais frequentes de dor pélvica; contudo, é subdiagnosticada, subtratada, e até desvalorizada pelas próprias mulheres, que a aceitam como parte do ciclo menstrual. A dismenorreia tem grandes implicações na qualidade de vida, como limitação das atividades diárias e estresse psicológico, sendo uma das principais causas de absentismo escolar e laboral. O seu diagnóstico é essencialmente clínico, baseando-se na história clínica e num exame físico sem alterações. É importante excluir causas secundárias de dismenorreia. O tratamento pode ter diferentes abordagens (farmacológica, não farmacológica e cirúrgica), sendo que a primeira linha de tratamento consiste na utilização de anti-inflamatórios não esteroides (AINEs) e, em casos de mulheres que desejem contracepção, no uso de anticoncepcionais hormonais. Tratamentos alternativos, como a utilização de calor tópico, modificação do estilo de vida, estimulação elétrica nervosa transcutânea, suplementos alimentares, acupuntura e acupressão, podem ser uma opção nos casos de contraindicação da utilização dos tratamentos convencionais. O tratamento cirúrgico apenas se encontra indicado em casos raros de mulheres com dismenorreia grave e refratária aos tratamentos.
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 Article
Gestação múltipla: epidemiologia e associação com morbidade materna e perinatal
Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(9):554-562
01/09/2018
Resumo
Review ArticleGestação múltipla: epidemiologia e associação com morbidade materna e perinatal
Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(9):554-562
01/09/2018Visualizações139Ver maisResumo
A gestação gemelar é responsável por 2 a 4% do total de nascimentos, com uma prevalência variando de 0,9 a 2,4% no Brasil. Ela é associada a piores resultados maternos e perinatais. Muitas condições, como amorbidade materna grave (condições potencialmente ameaçadoras da vida e near-miss materno) e near-miss neonatal ainda não foram investigadas de forma apropriada na literatura. A dificuldade na determinação de condições associadas com a gestação gemelar provavelmente reside em sua ocorrência relativamente baixa e na necessidade de estudos populacionais maiores. O uso da população total e de bancos de dados de grandes estudosmulticêntricos podem então fornecer resultados sem precedentes. Considerando que esta é uma condição rara, ela émais facilmente avaliada usando estatísticas vitais de registros eletrônicos de
Visualizações139This 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. Resumo
Review ArticleGestação múltipla: epidemiologia e associação com morbidade materna e perinatal
Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(9):554-562
01/09/2018Visualizações139Ver maisResumo
A gestação gemelar é responsável por 2 a 4% do total de nascimentos, com uma prevalência variando de 0,9 a 2,4% no Brasil. Ela é associada a piores resultados maternos e perinatais. Muitas condições, como amorbidade materna grave (condições potencialmente ameaçadoras da vida e near-miss materno) e near-miss neonatal ainda não foram investigadas de forma apropriada na literatura. A dificuldade na determinação de condições associadas com a gestação gemelar provavelmente reside em sua ocorrência relativamente baixa e na necessidade de estudos populacionais maiores. O uso da população total e de bancos de dados de grandes estudosmulticêntricos podem então fornecer resultados sem precedentes. Considerando que esta é uma condição rara, ela émais facilmente avaliada usando estatísticas vitais de registros eletrônicos de
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 Article
Doppler das artérias uterinas no rastreamento para pré-eclâmpsia e restrição do crescimento fetal
- Marianna Amaral Pedroso,
- Kirsten Rebecca Palmer,
- Ryan James Hodges,
- Fabricio da Silva Costa,
- Daniel Lorber Rolnik
01/05/2018
Resumo
Review ArticleDoppler das artérias uterinas no rastreamento para pré-eclâmpsia e restrição do crescimento fetal
Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(5):287-293
01/05/2018- Marianna Amaral Pedroso,
- Kirsten Rebecca Palmer,
- Ryan James Hodges,
- Fabricio da Silva Costa,
- Daniel Lorber Rolnik
Visualizações107Ver maisResumo
Objetivo
Realizar revisão da literatura científica acerca do uso do Doppler das artérias uterinas, de forma isolada ou em combinação com outros marcadores, no rastreamento para pré-eclâmpsia (PE) e restrição do crescimento fetal (RCF) na população geral. A revisão incluiu estudos de coorte e ensaios clínicos randomizados recentemente publicados.
Métodos
Realizou-se uma pesquisa da literatura nas bases de dados Medline, PubMed, MeSH e ScienceDirect. Diferentes combinações dos termos “preeclampsia,” “screening,” “prediction,” “Doppler,” “Doppler velocimetry,” “fetal growth restriction,” “small for gestational age” e “uterine artery” foram utilizadas. Artigos eminglês, (excluindo-se artigos de revisão) em que o Doppler das artérias uterinas é reportado como ferramenta no rastreamento para PE e RCF foram incluídos.
Resultados
Trinta artigos foram incluídos. Como teste preditivo isolado, o Doppler das artérias uterinas tem sensibilidade inferior a 50% na detecção de casos de PE e inferior a 40% para identificação de gestações afetadas por RCF. Modelos matemáticos preditivos baseados em equações de regressão logística que permitem o cálculo de risco individual, por sua vez, são mais promissores, permitindo a detecção de 75% dos casos de PE pré-termo, e 55% das gestações que resultarão emparto de recém-nascidos pequenos para a idade gestacional.
Conclusão
O uso do Doppler das artérias uterinas tem baixa acurácia na identificação de gestações afetadas por PE e RCF. No entanto, seu uso combinado com outros marcadores é mais promissor, apresentando maior acurácia para detecção de PE do que para RCF.
Visualizações107This 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. Resumo
Review ArticleDoppler das artérias uterinas no rastreamento para pré-eclâmpsia e restrição do crescimento fetal
Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(5):287-293
01/05/2018- Marianna Amaral Pedroso,
- Kirsten Rebecca Palmer,
- Ryan James Hodges,
- Fabricio da Silva Costa,
- Daniel Lorber Rolnik
Visualizações107Ver maisResumo
Objetivo
Realizar revisão da literatura científica acerca do uso do Doppler das artérias uterinas, de forma isolada ou em combinação com outros marcadores, no rastreamento para pré-eclâmpsia (PE) e restrição do crescimento fetal (RCF) na população geral. A revisão incluiu estudos de coorte e ensaios clínicos randomizados recentemente publicados.
Métodos
Realizou-se uma pesquisa da literatura nas bases de dados Medline, PubMed, MeSH e ScienceDirect. Diferentes combinações dos termos “preeclampsia,” “screening,” “prediction,” “Doppler,” “Doppler velocimetry,” “fetal growth restriction,” “small for gestational age” e “uterine artery” foram utilizadas. Artigos eminglês, (excluindo-se artigos de revisão) em que o Doppler das artérias uterinas é reportado como ferramenta no rastreamento para PE e RCF foram incluídos.
Resultados
Trinta artigos foram incluídos. Como teste preditivo isolado, o Doppler das artérias uterinas tem sensibilidade inferior a 50% na detecção de casos de PE e inferior a 40% para identificação de gestações afetadas por RCF. Modelos matemáticos preditivos baseados em equações de regressão logística que permitem o cálculo de risco individual, por sua vez, são mais promissores, permitindo a detecção de 75% dos casos de PE pré-termo, e 55% das gestações que resultarão emparto de recém-nascidos pequenos para a idade gestacional.
Conclusão
O uso do Doppler das artérias uterinas tem baixa acurácia na identificação de gestações afetadas por PE e RCF. No entanto, seu uso combinado com outros marcadores é mais promissor, apresentando maior acurácia para detecção de PE do que para RCF.
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 Article
Tratamento conservador da incontinência urinária: revisão sistemática e metanálise de ensaios clínicos randomizados
- Rafael Mendes Moroni,
- Pedro Sergio Magnani,
- Jorge Milhem Haddad,
- Rodrigo de Aquino Castro,
- Luiz Gustavo Oliveira Brito
01/02/2016
Resumo
Review ArticleTratamento conservador da incontinência urinária: revisão sistemática e metanálise de ensaios clínicos randomizados
Revista Brasileira de Ginecologia e Obstetrícia. 2016;38(2):97-111
01/02/2016- Rafael Mendes Moroni,
- Pedro Sergio Magnani,
- Jorge Milhem Haddad,
- Rodrigo de Aquino Castro,
- Luiz Gustavo Oliveira Brito
Visualizações90Ver maisRealizamos uma revisão sistemática e metanálise de estudos controlados e randomizados que avaliaram o tratamento conservador da incontinência urinária de esforço (IUE). Foram encontrados 1058 resultados depois das buscas iniciais, dos quais 37 trabalhos foram elegíveis de acordo com os critérios de inclusão. Para os desfechos primários, o treinamento muscular do assoalho pélvico (TMAP) foi mais eficaz do que nenhum tratamento em melhorar as escalas de qualidade de vida de incontinência (DM =[1]1,24 DPs; IC95% =[1]1,77 a [1]0,71 DPs), mas o efeito nos pad tests foi impreciso. A combinação do biofeedback com o TMAP teve um efeito incerto na qualidade de vida (DM=[1]4,4 pontos; IC95% =[1]16,69 a 7,89 pontos), mas melhores resultados no pad test, embora com heterogeneidade elevada (DM = 0,9g; IC95% = 0,71 a 1,10g); o grupo com TMAP não foi menos eficaz do que o tratamento individual, e o TMAP domiciliar não foi pior do que o TMAP supervisionado. Tanto a estimulação elétrica intravaginal (EEI) quanto a superficial (EES) foram melhores do que nenhum tratamento para a qualidade de vida e o pad test. Os cones vaginais apresentaram resultados mistos. A associação do EEI com o TMAP pode melhorar a eficácia deste último para a qualidade de vida e o pad test, mas os resultados dos estudos individuais não foram consistentes. Então, existe evidência para o uso do TMAP no tratamento da IUE, com e sem biofeedback.
Visualizações90This 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. Resumo
Review ArticleTratamento conservador da incontinência urinária: revisão sistemática e metanálise de ensaios clínicos randomizados
Revista Brasileira de Ginecologia e Obstetrícia. 2016;38(2):97-111
01/02/2016- Rafael Mendes Moroni,
- Pedro Sergio Magnani,
- Jorge Milhem Haddad,
- Rodrigo de Aquino Castro,
- Luiz Gustavo Oliveira Brito
Visualizações90Ver maisRealizamos uma revisão sistemática e metanálise de estudos controlados e randomizados que avaliaram o tratamento conservador da incontinência urinária de esforço (IUE). Foram encontrados 1058 resultados depois das buscas iniciais, dos quais 37 trabalhos foram elegíveis de acordo com os critérios de inclusão. Para os desfechos primários, o treinamento muscular do assoalho pélvico (TMAP) foi mais eficaz do que nenhum tratamento em melhorar as escalas de qualidade de vida de incontinência (DM =[1]1,24 DPs; IC95% =[1]1,77 a [1]0,71 DPs), mas o efeito nos pad tests foi impreciso. A combinação do biofeedback com o TMAP teve um efeito incerto na qualidade de vida (DM=[1]4,4 pontos; IC95% =[1]16,69 a 7,89 pontos), mas melhores resultados no pad test, embora com heterogeneidade elevada (DM = 0,9g; IC95% = 0,71 a 1,10g); o grupo com TMAP não foi menos eficaz do que o tratamento individual, e o TMAP domiciliar não foi pior do que o TMAP supervisionado. Tanto a estimulação elétrica intravaginal (EEI) quanto a superficial (EES) foram melhores do que nenhum tratamento para a qualidade de vida e o pad test. Os cones vaginais apresentaram resultados mistos. A associação do EEI com o TMAP pode melhorar a eficácia deste último para a qualidade de vida e o pad test, mas os resultados dos estudos individuais não foram consistentes. Então, existe evidência para o uso do TMAP no tratamento da IUE, com e sem biofeedback.
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 Article
Será que as mulheres têm conhecimento adequado sobre as disfunções do assoalho pélvico? Uma revisão sistemática
- Júlia Ferreira Fante,
- Thais Daniel Silva,
- Elaine Cristine Lemes Mateus-Vasconcelos,
- Cristine Homsi Jorge Ferreira,
- Luiz Gustavo Oliveira Brito
16/09/2019
Resumo
Review ArticleSerá que as mulheres têm conhecimento adequado sobre as disfunções do assoalho pélvico? Uma revisão sistemática
Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(8):508-519
16/09/2019- Júlia Ferreira Fante,
- Thais Daniel Silva,
- Elaine Cristine Lemes Mateus-Vasconcelos,
- Cristine Homsi Jorge Ferreira,
- Luiz Gustavo Oliveira Brito
Visualizações88Ver maisResumo
Objetivos
Nós investigamos se as mulheres possuem adequado nível de conhecimento sobre as principais disfunções do assoalho pélvico (incontinência urinária – IU, incontinência fecal – IF, e prolapso de órgãos pélvicos – POP).
Fontes de dados
Uma revisão sistemática foi realizada nas bases de dados MEDLINE, PEDro, CENTRAL e Cochrane com publicações até abril de 2018. Seleção dos estudos Foram triados 3.125 estudos. A metanálise não foi possível devido a heterogeneidade dos desfechos analisados e a diversidade de instrumentos para aferir o conhecimento. A qualidade dos artigos incluídos na análise foi avaliada pela escala de Newcastle-Ottawa (NOS) adaptada para estudos transversais.
Extração de dados
Dois autores fizeram a extração em uma planilha previamente testada.
Síntese de dados
Dezenove estudos foram incluídos, totalizando 11.512 mulheres. A NOS apresentou um score de 6 (total = 10) na maioria dos estudos (n = 11). Para a avaliação do conhecimento do assoalho pélvico, questionários validados e testados de forma piloto foram empregados. Alguns estudos foram estratificados segundo raça, idade, ou minorias. Encontrou-se baixo a moderado nível de conhecimento e/ou percepção sobre as disfunções do assoalho pélvico. O mais usado foi o prolapse and incontinence knowledge questionnaire (PIKQ) (n = 5). A IU foi a disfunção pélvica mais investigada, e os fatores de risco mais importantes associados com a falta de conhecimento foram: etnicidade afro-americana (n = 3), nível baixo educacional (n = 5), baixo acesso a informação (n = 5), e status socioeconômico (n = 3).
Conclusão
A maioria das mulheres leigas tem uma lacuna de conhecimento sobre as disfunções do assoalho pélvico, baixo conhecimento sobre opções de tratamento e sobre os fatores de risco para essas disfunções.
Visualizações88This 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. Resumo
Review ArticleSerá que as mulheres têm conhecimento adequado sobre as disfunções do assoalho pélvico? Uma revisão sistemática
Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(8):508-519
16/09/2019- Júlia Ferreira Fante,
- Thais Daniel Silva,
- Elaine Cristine Lemes Mateus-Vasconcelos,
- Cristine Homsi Jorge Ferreira,
- Luiz Gustavo Oliveira Brito
Visualizações88Ver maisResumo
Objetivos
Nós investigamos se as mulheres possuem adequado nível de conhecimento sobre as principais disfunções do assoalho pélvico (incontinência urinária – IU, incontinência fecal – IF, e prolapso de órgãos pélvicos – POP).
Fontes de dados
Uma revisão sistemática foi realizada nas bases de dados MEDLINE, PEDro, CENTRAL e Cochrane com publicações até abril de 2018. Seleção dos estudos Foram triados 3.125 estudos. A metanálise não foi possível devido a heterogeneidade dos desfechos analisados e a diversidade de instrumentos para aferir o conhecimento. A qualidade dos artigos incluídos na análise foi avaliada pela escala de Newcastle-Ottawa (NOS) adaptada para estudos transversais.
Extração de dados
Dois autores fizeram a extração em uma planilha previamente testada.
Síntese de dados
Dezenove estudos foram incluídos, totalizando 11.512 mulheres. A NOS apresentou um score de 6 (total = 10) na maioria dos estudos (n = 11). Para a avaliação do conhecimento do assoalho pélvico, questionários validados e testados de forma piloto foram empregados. Alguns estudos foram estratificados segundo raça, idade, ou minorias. Encontrou-se baixo a moderado nível de conhecimento e/ou percepção sobre as disfunções do assoalho pélvico. O mais usado foi o prolapse and incontinence knowledge questionnaire (PIKQ) (n = 5). A IU foi a disfunção pélvica mais investigada, e os fatores de risco mais importantes associados com a falta de conhecimento foram: etnicidade afro-americana (n = 3), nível baixo educacional (n = 5), baixo acesso a informação (n = 5), e status socioeconômico (n = 3).
Conclusão
A maioria das mulheres leigas tem uma lacuna de conhecimento sobre as disfunções do assoalho pélvico, baixo conhecimento sobre opções de tratamento e sobre os fatores de risco para essas disfunções.
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 Article
Covid-19 e gravidez: Uma visão geral
- Pedro Castro
,
- Ana Paula Matos
,
- Heron Werner
,
- Flávia Paiva Lopes
,
- Gabriele Tonni
,
[ … ], - Edward Araujo Júnior
26/08/2020
Resumo
Review ArticleCovid-19 e gravidez: Uma visão geral
Revista Brasileira de Ginecologia e Obstetrícia. 2020;42(7):420-426
26/08/2020- Pedro Castro
,
- Ana Paula Matos
,
- Heron Werner
,
- Flávia Paiva Lopes
,
- Gabriele Tonni
,
- Edward Araujo Júnior
Visualizações66Ver maisResumo
Desde que a Organização Mundial da Saúde (OMS) declarou a infecção por coronavírus (COVID-19) uma emergência de saúde pública de interesse internacional emjaneiro de 2020, houve muitas preocupações sobre mulheres grávidas e os possíveis efeitos dessa emergência com resultados catastróficos em muitos países. As informações sobre COVID-19 e gravidez são escassas e se espalham por algumas séries de casos, com não mais do que 50 casos no total. A presente revisão fornece uma breve análise da COVID- 19, gravidez na era COVID-19 e os efeitos da COVID-19 na gravidez.
Visualizações66This 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. Resumo
Review ArticleCovid-19 e gravidez: Uma visão geral
Revista Brasileira de Ginecologia e Obstetrícia. 2020;42(7):420-426
26/08/2020- Pedro Castro
,
- Ana Paula Matos
,
- Heron Werner
,
- Flávia Paiva Lopes
,
- Gabriele Tonni
,
- Edward Araujo Júnior
Visualizações66Ver maisResumo
Desde que a Organização Mundial da Saúde (OMS) declarou a infecção por coronavírus (COVID-19) uma emergência de saúde pública de interesse internacional emjaneiro de 2020, houve muitas preocupações sobre mulheres grávidas e os possíveis efeitos dessa emergência com resultados catastróficos em muitos países. As informações sobre COVID-19 e gravidez são escassas e se espalham por algumas séries de casos, com não mais do que 50 casos no total. A presente revisão fornece uma breve análise da COVID- 19, gravidez na era COVID-19 e os efeitos da COVID-19 na gravidez.
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. - Pedro Castro
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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