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Revista Brasileira de Ginecologia e Obstetrícia. 2007;29(9):470-477
DOI 10.1590/S0100-72032007000900006
PURPOSE: to assess the prevalence of the risk of post-partum depression in women in the post-natal ward of a hospital in São Paulo city, in the southeastern region of Brazil, and analyze the associated factors, including domestic violence (DV). METHODS: this was a descriptive, cross-sectional study. The participants were 133 women with at least 20 weeks of gestation age, who delivered their babies from August to September 2005 in a tertiary maternity in the city of São Paulo (Brazil). They were interviewed using the Portuguese version of the Abuse Assessment Screen for the diagnosis of violence and filled out a self-evaluation questionnaire for post-partum depression (Edinburgh Postnatal Depression Scale). Variables were presented as absolute and relative frequencies. The chi2 or Fisher exact tests were used to analyze possible associations between the variables of interest and post-partum depression. The value of 5% was considered significant. RESULTS: risk for post-partum depression was detected in 24 women (18%). A total of 38.3% of the participants interviewed had a history of abuse. There was an association between DV after they were 15 years old and risk of depression (p=0.036). The prevalence of abuse in the group of women at risk for post-partum depression was 58.3% and this was significantly higher than the 33.9% observed in the control group. CONCLUSIONS: the probability of presenting depression was high among the post-partum women attended at a tertiary maternity in the southeast of Brazil. The DV after they were 15 years old was significantly associated with risk of post-partum depression.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2007;29(9):470-477
DOI 10.1590/S0100-72032007000900006
PURPOSE: to assess the prevalence of the risk of post-partum depression in women in the post-natal ward of a hospital in São Paulo city, in the southeastern region of Brazil, and analyze the associated factors, including domestic violence (DV). METHODS: this was a descriptive, cross-sectional study. The participants were 133 women with at least 20 weeks of gestation age, who delivered their babies from August to September 2005 in a tertiary maternity in the city of São Paulo (Brazil). They were interviewed using the Portuguese version of the Abuse Assessment Screen for the diagnosis of violence and filled out a self-evaluation questionnaire for post-partum depression (Edinburgh Postnatal Depression Scale). Variables were presented as absolute and relative frequencies. The chi2 or Fisher exact tests were used to analyze possible associations between the variables of interest and post-partum depression. The value of 5% was considered significant. RESULTS: risk for post-partum depression was detected in 24 women (18%). A total of 38.3% of the participants interviewed had a history of abuse. There was an association between DV after they were 15 years old and risk of depression (p=0.036). The prevalence of abuse in the group of women at risk for post-partum depression was 58.3% and this was significantly higher than the 33.9% observed in the control group. CONCLUSIONS: the probability of presenting depression was high among the post-partum women attended at a tertiary maternity in the southeast of Brazil. The DV after they were 15 years old was significantly associated with risk of post-partum depression.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2007;29(4):192-199
DOI 10.1590/S0100-72032007000400005
PURPOSE: to evaluate and compare the knowledge and the opinion of gynecologists and obstetricians regarding termination of pregnancy, in 2003 and 2005. METHODS: a structured and pre-tested questionnaire was sent to all the members of the Brazilian Federation of Gynecologists and Obstetricians (FEBRASGO). They were asked to answer the questions, anonymously, and return the questionnaire in a stamped envelope provided. They were asked about their knowledge of and opinion on Brazilian legislation related to abortion. RESULTS: in both surveys the percentage of doctors who knew under which circumstances abortion was not penalized was over 80%. However, there was a significant reduction in the percentage of doctors who knew that abortion was legal if the woman’s life was at risk. The participants who knew that abortion because of a severe congenital malformation of the fetus was not currently permitted by law increased by a third. The percentage of doctors in favor of allowing abortion increased consistently for the various circumstances presented. The proportion of those who thought that abortion should not be permitted in any circumstances decreased. The percentage of those who judged that the legal consents should not be modified decreased. There was an increase in the proportion of those who considered that abortion should not be considered a crime under any circumstance. CONCLUSIONS: in general, it seems that people have been thinking more about induced abortion during the time elapsed between the two surveys. Nevertheless, there is the need to correctly inform Brazilian gynecologists and obstetricians on the laws and norms that regulate the practice of legal abortion in the country, so as to ensure that women who need one have, in fact, access to this right.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2007;29(4):192-199
DOI 10.1590/S0100-72032007000400005
PURPOSE: to evaluate and compare the knowledge and the opinion of gynecologists and obstetricians regarding termination of pregnancy, in 2003 and 2005. METHODS: a structured and pre-tested questionnaire was sent to all the members of the Brazilian Federation of Gynecologists and Obstetricians (FEBRASGO). They were asked to answer the questions, anonymously, and return the questionnaire in a stamped envelope provided. They were asked about their knowledge of and opinion on Brazilian legislation related to abortion. RESULTS: in both surveys the percentage of doctors who knew under which circumstances abortion was not penalized was over 80%. However, there was a significant reduction in the percentage of doctors who knew that abortion was legal if the woman’s life was at risk. The participants who knew that abortion because of a severe congenital malformation of the fetus was not currently permitted by law increased by a third. The percentage of doctors in favor of allowing abortion increased consistently for the various circumstances presented. The proportion of those who thought that abortion should not be permitted in any circumstances decreased. The percentage of those who judged that the legal consents should not be modified decreased. There was an increase in the proportion of those who considered that abortion should not be considered a crime under any circumstance. CONCLUSIONS: in general, it seems that people have been thinking more about induced abortion during the time elapsed between the two surveys. Nevertheless, there is the need to correctly inform Brazilian gynecologists and obstetricians on the laws and norms that regulate the practice of legal abortion in the country, so as to ensure that women who need one have, in fact, access to this right.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(2):105-108
DOI 10.1590/S0100-72031999000200008
Purpose: to evaluate the effects of acetaminophen on the pregnancy of female albino rats. Methods: forty pregnant rats were separated into four groups. All the animals received daily by gavage 1 ml of acetaminophen solution from the first day (day zero) until the 20th day of pregnancy: group I - only distilled water (control); groups II, III and IV, respectively, 125, 500 and 1,500 mg/kg body weight of acetaminophen dissolved in distilled water. The animals were weighed on days 0, 7, 15 and 20 of pregnancy. Results: our results showed that the rats that received the medication presented a reduction in weight when compared to the control group. The incidence of reabsorption of the embryos was 2.0, 3.5 and 7.0 times higher than in the control, in groups II, III and IV, respectively. Groups GII and GIV showed a clear reduction in the weight of the concepts. In GIV there was a 50% reduction in weight increase of fetuses and placentas when compared to the control, and 15.7% of external malformations were also found. Conclusions: the continuous use of acetaminophen should be avoided at doses higher than 70 mg/kg per during pregnancy.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(2):105-108
DOI 10.1590/S0100-72031999000200008
Purpose: to evaluate the effects of acetaminophen on the pregnancy of female albino rats. Methods: forty pregnant rats were separated into four groups. All the animals received daily by gavage 1 ml of acetaminophen solution from the first day (day zero) until the 20th day of pregnancy: group I - only distilled water (control); groups II, III and IV, respectively, 125, 500 and 1,500 mg/kg body weight of acetaminophen dissolved in distilled water. The animals were weighed on days 0, 7, 15 and 20 of pregnancy. Results: our results showed that the rats that received the medication presented a reduction in weight when compared to the control group. The incidence of reabsorption of the embryos was 2.0, 3.5 and 7.0 times higher than in the control, in groups II, III and IV, respectively. Groups GII and GIV showed a clear reduction in the weight of the concepts. In GIV there was a 50% reduction in weight increase of fetuses and placentas when compared to the control, and 15.7% of external malformations were also found. Conclusions: the continuous use of acetaminophen should be avoided at doses higher than 70 mg/kg per during pregnancy.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2004;26(2):89-96
DOI 10.1590/S0100-72032004000200002
PURPOSE: to evaluate knowledge, opinion and practice of gynecologists/obstetricians regarding induction of abortion. Method: a pretested, structured questionnaire was sent to gynecologists/obstetricians affiliated to FEBRASGO. They were asked to answer and return the questionnaire in a self-addressed, prepaid envelope, without identification of the respondent so as to preserve anonymity. Knowledge about the legal situation of abortion in Brazil, opinion about it and practice if confronted with abortion requests were questioned. RESULTS: approximately 90% of the respondents believed that abortion is legal for pregnancy resulting from rape or in case of risk to a woman's life and for 31.8% in case of severe fetal malformation. In their opinion abortion should be permitted in the case that pregnancy is a risk for a woman's life (79.3%), fetal malformation (77.0%) and after rape (76.6%), added to 9.9% who expressed that abortion should be permitted in all circumstances. Two thirds wrongly thought that a judicial order is required to practice a legal abortion and only 27.4% knew that a written request by the woman is required. Confronted with unwanted pregnancy, 77.6% of female gynecologists/obstetricians and 79.9% of partners of male respondents had an abortion, 40% would help a client and 48.5% a relative in the same situation. CONCLUSION: gynecologists/obstetricians lack knowledge on the legal situation of abortion although their opinion and practice are favorable.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2004;26(2):89-96
DOI 10.1590/S0100-72032004000200002
PURPOSE: to evaluate knowledge, opinion and practice of gynecologists/obstetricians regarding induction of abortion. Method: a pretested, structured questionnaire was sent to gynecologists/obstetricians affiliated to FEBRASGO. They were asked to answer and return the questionnaire in a self-addressed, prepaid envelope, without identification of the respondent so as to preserve anonymity. Knowledge about the legal situation of abortion in Brazil, opinion about it and practice if confronted with abortion requests were questioned. RESULTS: approximately 90% of the respondents believed that abortion is legal for pregnancy resulting from rape or in case of risk to a woman's life and for 31.8% in case of severe fetal malformation. In their opinion abortion should be permitted in the case that pregnancy is a risk for a woman's life (79.3%), fetal malformation (77.0%) and after rape (76.6%), added to 9.9% who expressed that abortion should be permitted in all circumstances. Two thirds wrongly thought that a judicial order is required to practice a legal abortion and only 27.4% knew that a written request by the woman is required. Confronted with unwanted pregnancy, 77.6% of female gynecologists/obstetricians and 79.9% of partners of male respondents had an abortion, 40% would help a client and 48.5% a relative in the same situation. CONCLUSION: gynecologists/obstetricians lack knowledge on the legal situation of abortion although their opinion and practice are favorable.