You searched for:"Nelson Sass"
We found (19) results for your search.-
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
Clinical Experience Over 15 Years with the B-Lynch Compression Suture Technique in the Management of Postpartum Hemorrhage
Rev Bras Ginecol Obstet. 2021;43(9):655-661
Summary
Original ArticleClinical Experience Over 15 Years with the B-Lynch Compression Suture Technique in the Management of Postpartum Hemorrhage
Rev Bras Ginecol Obstet. 2021;43(9):655-661
Views2See moreAbstract
Objective
To describe the clinical experience with the B-Lynch technique in the management of postpartum hemorrhage as well as the factors related to the indication of the technique and to present the success rates of the application of the B-Lynch technique.
Methods
Observational, retrospective, cross-sectional, and analytical study. Patient data was obtained through the study of medical records. The study population comprised of patients who underwent hemostatic suture using the B-Lynch technique, including 104 patients within the period from January 1, 2005, to December 31, 2019.
Results
Of the total of 104 patients, 82.7% did not present any complications. Blood transfusion and intensive care unit admission were the most prevalent complications, with 13.5% and 15.4%, respectively. Only 1% of the patients had puerperal and surgical site infections. The factors most related to the application of the technique were the presence of previous cesarean section (30.8%), use of oxytocin (16.3%), and pre-eclampsia (11.6%). Puerperal hysterectomy was performed in 4.8% of the patients due to failure of the method.
Conclusion
The clinical experience with the B-Lynch technique was satisfactory since it presented few complications, with excellent results in hemorrhagic control. Previous cesarean section, the use of oxytocin, and preeclampsia stood out as factors related to the indication of the application of the technique, and the success rate in controlling postpartum hemorrhage was 95.2%.
-
Clinical Consensus Recommendation
Pre-eclampsia: Universal Screening or Universal Prevention for Low andMiddle-Income Settings?
Rev Bras Ginecol Obstet. 2021;43(1):61-65
Summary
Clinical Consensus RecommendationPre-eclampsia: Universal Screening or Universal Prevention for Low andMiddle-Income Settings?
Rev Bras Ginecol Obstet. 2021;43(1):61-65
Views3See moreAbstract
Pre-eclampsia (PE) is a severe disorder that affects up to 8% of all pregnancies and represents an important cause of maternal and perinatal morbidity and mortality. The screening of the disease is a subject of studies, but the complexity and uncertainties regarding its etiology make this objective a difficult task. In addition, the costs related to screening protocols, the heterogeneity of the most affected populations and the lack of highly effective prevention methods reduce the potential of current available algorithms for screening. Thus, the National Specialized Commission of Hypertension in Pregnancy of the Brazilian Association of Gynecology and Obstetrics Federation (Febrasgo, in the Portuguese acronym) (NSC Hypertension in Pregnancy of the Febrasgo) considers that there are no screening algorithms to be implemented in the country to date and advocates that Aspirin and calcium should be widely used.
-
Case Report
Coronavirus 2019, Thrombocytopenia and HELLP Syndrome: Association or Coincidence?
Rev Bras Ginecol Obstet. 2020;42(10):669-671
Summary
Case ReportCoronavirus 2019, Thrombocytopenia and HELLP Syndrome: Association or Coincidence?
Rev Bras Ginecol Obstet. 2020;42(10):669-671
Views5See moreAbstract
The present report describes the case of a 31-year-old primigravida, with dichorionic twins at 31 weeks. She presented with history of myalgia, jaundice, and abdominal discomfort. No flu-like symptoms as fever or cough. She was not aware of exposure to COVID-19. Normal blood pressure and O2 saturation. Laboratory tests showed platelet count of 218,000 mm3, alanine aminotransferase (ALT) 558 IU and serum creatinine 2.3 mg/dl. Doppler ultrasound in one twin was compatible with brain sparing. Partial hemolysis, elevated liver enzymes, low platelet count (HELLP) syndrome was the hypothesis, and a cesarean section was performed. On day 2, the white-cell count reached 33,730, with decreased consciousness and mild respiratory distress. Tomography revealed both lungs with ground-glass opacities. Swab for COVID-19 polymerase chain reaction (PCR) was positive. Thrombocytopenia in patients with COVID-19 appears to be multifactorial, similar to what occurs in preeclampsia and HELLP syndrome. We assume that the synergism of these pathophysiological mechanisms could accelerate the compromise of maternal conditions and could be a warning to the obstetric practice.
-
Letter to the Editor
Why Is Preeclampsia still an Important Cause of Maternal Mortality Worldwide?
Rev Bras Ginecol Obstet. 2020;42(9):586-587
Summary
Letter to the EditorWhy Is Preeclampsia still an Important Cause of Maternal Mortality Worldwide?
Rev Bras Ginecol Obstet. 2020;42(9):586-587
Views1According to the World Health Organization, ∼ 810 women died per day from preventable causes related to pregnancy in 2017. Most of these deaths occurred in low/lower middle-income countries and in low-resource settings. The maternal mortality rate worldwide is still high, even though it dropped by 38% between 2000 and 2017. As highlighted in the […]See more -
Original Article
Trends Associated with Stillbirth in a Maternity Hospital School in the North Zone of São Paulo: A Cross-Sectional Study
Rev Bras Ginecol Obstet. 2019;41(10):597-606
Summary
Original ArticleTrends Associated with Stillbirth in a Maternity Hospital School in the North Zone of São Paulo: A Cross-Sectional Study
Rev Bras Ginecol Obstet. 2019;41(10):597-606
Views6See moreAbstract
Objective
To evaluate conditions associated with stillbirth (SB), and possible trends related with it, in a maternity hospital school in the North zone of São Paulo.
Methods
An observational, cross-sectional study conducted at the Hospital Maternidade- escola de Vila Nova Cachoeirinha with 1,139 SBs in the period of 2003 to 2017. Cases of intermediate SB (ISB) (weight between 500 and 999 g) and late SB (LSB) (weight ≥ 1,000 g) were compared. We evaluated clinical data, laboratory tests, and fetal and placental studies. Data were stored in Windows Excel (Microsoft Corp., Redmond, WA, USA) worksheets, according to which graphs and tables were constructed. We used the statistical software SPSS for Windows version 18.0 (SPSS In., Chicago, IL, USA), estimating the prevalence ratio (PR) and odds ratio (OR), considering the 95% confidence interval (95% CI).
Results
The general SB rate was 11.9%, and the in-hospital SB rate was 2.8%. Pregnant women younger than 16 years of age were more likely to have ISB (OR 0.32, 0.15- 0.76), while patients older than 40 years old had a higher chance of LSB (PR 0.85, 0.72- 0.99). A total of 25.7% of the general population did not have prenatal care, and 77.1% of the cases presented fetal death at admission. The cases of ISB had a statistically significant association with home birth (OR 0.61, 0.46-0.80). Cesarean section was performed in 16.1% of the subjects, and misoprostol was the most used method for induction. Necropsy and placental study of the fetuses were performed, respectively, in 94.2% and 97.3% of the cases. Associated causes were not identified in 22.1% of the cases, and the main causes identified were amniotic sac infections (27.9%), fetal malformations (12.5%), placental abruption (11.2%), hypertensive syndromes (8.5%), and maternal syphilis (3.9%), the latter with an increasing trend.
Conclusion
Among the factors associated to SB were: hypertensive syndromes, amniotic sac infections, fetal malformations, placental abruption and syphilis. There was a growing trend in the number of cases of syphilis, which translates an alert. Diagnostic limitations justify indeterminate causes.
-
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
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)