Você pesquisou por y - Revista Brasileira de Ginecologia e Obstetrícia
You searched for:"Amelia Cirone Esposito Papa"
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Rev Bras Ginecol Obstet. 1999;21(6):341-345
DOI 10.1590/S0100-72031999000600007
Objectives: to analyze the medical and legal aspects in order to contribute to the study and standardization of this obstetrical surgery in Brazil. Methods: our study was based on 11 cases of cesarean section performed in the imminence of maternal death or just after death. These cases were attended at UNIFESP - EPM from 1988 to 1998. Results: there were 7 live births, five of them with a gestational age over 26 weeks. Most deaths occurred within the first 48 hours after admission. The predominant age range was the third decade. Conclusions: although postmortem cesarean section is indicated to save the fetus, it is rarely performed. The conditions for its indication involve knowledge of the technique as well as of the ethical and legal principles.
Summary
Rev Bras Ginecol Obstet. 1999;21(6):341-345
DOI 10.1590/S0100-72031999000600007
Objectives: to analyze the medical and legal aspects in order to contribute to the study and standardization of this obstetrical surgery in Brazil. Methods: our study was based on 11 cases of cesarean section performed in the imminence of maternal death or just after death. These cases were attended at UNIFESP - EPM from 1988 to 1998. Results: there were 7 live births, five of them with a gestational age over 26 weeks. Most deaths occurred within the first 48 hours after admission. The predominant age range was the third decade. Conclusions: although postmortem cesarean section is indicated to save the fetus, it is rarely performed. The conditions for its indication involve knowledge of the technique as well as of the ethical and legal principles.
Summary
Rev Bras Ginecol Obstet. 2003;25(10):731-738
DOI 10.1590/S0100-72032003001000006
PURPOSE: to evaluate, in pregnant adolescents, the incidence of iron deficiency, using the following blood tests: hemoglobin, ferritin, serum iron, transferrin saturation rate and serum transferrin receptor, and their relationships. METHODS: a total of 56 adolescents were included at the first prenatal evaluation between the 12th and the 20th week of gestation. The normal values for each test were: above 11 mg/dL for hemoglobin, 12 µg/dL for ferritin, 50 mg/L for serum iron, 16% for transferrin saturation rate and below 28.1 nmol/L for serum transferrin receptor. Each result was evaluated using percentages and the McNemar test was used to compare the results. RESULTS: incidence of anemia using the hemoglobin concentration test was 21.4%. All pregnant women presented mild anemia. In the present study, 21.4% of the patients had iron deficiency with a ferritin concentration <12 mug/dL. Serum iron concentration was reduced in 3.6% of the adolescents and transferrin saturation rate in 26.8% of the sample. The value obtained by the transferrin receptor test was unclear, due to the lack of international standardization regarding measure unit. Comparing the hemoglobin concentration test to the other iron deficiency tests, it was found that the latter do not show a better evaluation than the hemoglobin concentration test in patients with hypoferremia. CONCLUSIONS: the hemoglobin concentration test in patients with mild anemia was effective to identify iron deficiency.
Summary
Rev Bras Ginecol Obstet. 2003;25(10):731-738
DOI 10.1590/S0100-72032003001000006
PURPOSE: to evaluate, in pregnant adolescents, the incidence of iron deficiency, using the following blood tests: hemoglobin, ferritin, serum iron, transferrin saturation rate and serum transferrin receptor, and their relationships. METHODS: a total of 56 adolescents were included at the first prenatal evaluation between the 12th and the 20th week of gestation. The normal values for each test were: above 11 mg/dL for hemoglobin, 12 µg/dL for ferritin, 50 mg/L for serum iron, 16% for transferrin saturation rate and below 28.1 nmol/L for serum transferrin receptor. Each result was evaluated using percentages and the McNemar test was used to compare the results. RESULTS: incidence of anemia using the hemoglobin concentration test was 21.4%. All pregnant women presented mild anemia. In the present study, 21.4% of the patients had iron deficiency with a ferritin concentration <12 mug/dL. Serum iron concentration was reduced in 3.6% of the adolescents and transferrin saturation rate in 26.8% of the sample. The value obtained by the transferrin receptor test was unclear, due to the lack of international standardization regarding measure unit. Comparing the hemoglobin concentration test to the other iron deficiency tests, it was found that the latter do not show a better evaluation than the hemoglobin concentration test in patients with hypoferremia. CONCLUSIONS: the hemoglobin concentration test in patients with mild anemia was effective to identify iron deficiency.