You searched for:"José Geraldo Lopes Ramos"
We found (16) results for your search.-
Editorial
Increase in cesarean sections in Brazil – a call to reflection
Rev Bras Ginecol Obstet. 2023;45(3):109-112
Summary
EditorialIncrease in cesarean sections in Brazil – a call to reflection
Rev Bras Ginecol Obstet. 2023;45(3):109-112
Views2Cesarean rates have increased progressively over the decades in all countries, and a high figure of 56% was reached in Brazil, second only to the Dominican Republic (59%) and well above the average of developing countries. This scenario in our country motivated government and private sector initiatives, among which the Projeto Parto Adequado (“Adequate Childbirth […]See more -
Original Article
Expert Recommendations on Monkeypox (MPX) in Pregnancy, Postpartum and Lactating Women
Rev Bras Ginecol Obstet. 2022;44(12):1122-1125
Summary
Original ArticleExpert Recommendations on Monkeypox (MPX) in Pregnancy, Postpartum and Lactating Women
Rev Bras Ginecol Obstet. 2022;44(12):1122-1125
Views0The Monkeypox DiseaseIn 2020, Brazil and the whole world faced the COVID-19 pandemic, which caused a high number of deaths. This disease was particularly severe for pregnant and postpartum women and determined a significant increase in the Maternal Death Ratio (MMR). To face the disease and assist health professionals in the qualification of the best […]See more -
Editorial
Eclampsia in Brazil in the 21st Century
Rev Bras Ginecol Obstet. 2022;44(7):637-639
Summary
EditorialEclampsia in Brazil in the 21st Century
Rev Bras Ginecol Obstet. 2022;44(7):637-639
Views1Recently, Bartal and Sibai wrote about the current concepts of eclampsia in the 21st Century. One of the several interesting points of this article is the comparison of the incidence of eclampsia between developed countries and countries with low socioeconomic status. The eclampsia rate per 10,000 births ranged around 150.6 in Madagascar, 140.1 in Tanzania […]See more -
Original Article
Peripartum Hysterectomies over a Fifteen-year Period
Rev Bras Ginecol Obstet. 2021;43(1):3-8
Summary
Original ArticlePeripartum Hysterectomies over a Fifteen-year Period
Rev Bras Ginecol Obstet. 2021;43(1):3-8
Views3See moreAbstract
Objective
To determine the indications and outcomes of peripartum hysterectomies performed at Hospital de Clínicas de Porto Alegre (a university hospital in Southern Brazil) during the past 15 years, and to analyze the clinical characteristics of the women submitted to this procedure.
Methods
A cross-sectional study of 47 peripartum hysterectomies from 2005 to 2019.
Results
The peripartum hysterectomies performed in our hospital were indicated mainly due to placenta accreta or suspicion thereof (44.7% of the cases), puerperal hemorrhage without placenta accreta (27.7%), and infection (25.5%). Total hysterectomies accounted for 63.8% of the cases, andwefound no differencebetween total versus subtotal hysterectomies in the studied outcomes. Most hysterectomies were performed within 24 hours after delivery, and they were associated with placenta accreta, placenta previa, and older maternal age.
Conclusion
Most (66.0%) patients were admitted to the intensive care unit (ICU). Those who did not need it were significantly older, and had more placenta accreta, placenta previa, or previous Cesarean delivery.
-
Febrasgo Position Statement
Pre-eclampsia/Eclampsia
Rev Bras Ginecol Obstet. 2019;41(5):318-332
Summary
Febrasgo Position StatementPre-eclampsia/Eclampsia
Rev Bras Ginecol Obstet. 2019;41(5):318-332
Views3See moreAbstract
Pre-eclampsia is a multifactorial and multisystemic disease specific to gestation. It is classically diagnosed by the presence of hypertension associated with proteinuria manifested in a previously normotensive pregnant woman after the 20th week of gestation. Pre-eclampsia is also considered in the absence of proteinuria if there is target organ damage. The present review takes a general approach focused on aspects of practical interest in the clinical and obstetric care of these women. Thus, it explores the still unknown etiology, current aspects of pathophysiology and of the diagnosis, the approach to disease prediction, its adverse outcomes and prevention. Management is based on general principles, on nonpharmacological and on pharmacological clinical treatment of severe or nonsevere situations with emphasis on the hypertensive crisis and eclampsia. Obstetric management is based on preeclampsia without or with signs of clinical and/or laboratory deterioration, stratification of gestational age
-
Review Article
Preeclampsia
Rev Bras Ginecol Obstet. 2017;39(9):496-512
Summary
Review ArticlePreeclampsia
Rev Bras Ginecol Obstet. 2017;39(9):496-512
Views8Abstract
The authors review hypertensive disease during pregnancy with an academic and practical view, and using the best evidence available. This disease, which is the most important clinical disease in Brazilian pregnant women, may have its incidence reduced with prevention through the use of calcium and aspirin in pregnant women at risk. Previously, it was a disease that presented with hypertension with proteinuria, but it has now been classified with new clinical parameters besides proteinuria. Morbidity and mortality should be reduced in a continental country such as Brazil using protocols for the early treatment of complications by calculating severe outcomes in preeclampsia. The early treatment of acute hypertension, use of magnesium sulfate and early hospitalization in cases of preeclampsia are concepts to pursue the reduction of our pregnant women’s mortality.
Key-words HELLP syndromeHigh-risk pregnancypreeclampsiapregnancy arterial hypertensionPregnancy complicationsSee more -
Original Article
Early Experience of Robotic Hysterectomy for Treatment of Benign Uterine Disease
Rev Bras Ginecol Obstet. 2016;38(9):450-455
Summary
Original ArticleEarly Experience of Robotic Hysterectomy for Treatment of Benign Uterine Disease
Rev Bras Ginecol Obstet. 2016;38(9):450-455
Views1See moreAbstract
Objectives
To demonstrate the initial experience of robotic hysterectomy to treat benign uterine disease at a university hospital in Brazil.
Methods
A cross-sectional study was conducted to review data from the first twenty patients undergoing robotic hysterectomy at our hospital. The surgeries were performed from November 2013 to August 2014, all of them by the same surgeon. The patients were reviewed for preoperative characteristics, including age, body mass index (BMI), indications for the hysterectomy and previous surgeries. Data of operative times, complications, postoperative pain and length of hospital stay were also collected.
Results
The total operating room time was 252.9 minutes, while the operative time was 180.7 minutes and the console time was 136.6 minutes. Docking time was 4.2 minutes, and the average undocking time was 1.9 minutes. There was a strong correlation between the operative time and the patient’s BMI (r = 0.670 ; p = 0.001). The console time had significant correlation with the uterine weight and the patient’s BMI (r = 0.468; p = 0.037). A learning curve was observed during docking and undocking times.
Conclusion
Despite its high cost, the robotic surgery is gaining more space in gynecological surgery. By the results obtained in our hospital, this surgical proposal proved to be feasible and safe. Our initial experience demonstrated a learning curve in some ways.
Search
Search in:
Tag Cloud
breast (42) breast cancer (42) breast neoplasms (95) Cesarean section (72) endometriosis (66) infertility (56) Maternal mortality (43) menopause (82) obesity (58) postpartum period (40) pregnancy (225) Pregnancy complications (99) Prenatal care (68) prenatal diagnosis (50) Prevalence (41) Quality of life (51) risk factors (94) ultrasonography (79) urinary incontinence (40) women's health (48)