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Revista Brasileira de Ginecologia e Obstetrícia. 2014;36(7):290-295
DOI 10.1590/SO100-720320140004892
To identify the major causes of maternal death in the State of Pará, Brazil.
A descriptive, observational and retrospective study was conducted using data from the Mortality Information System (SIM) of the State Department of Public Health of Pará. SIM information was obtained using the TabWin 3.2 software and recorded in a research protocol developed by the investigators. The sample included 383 maternal deaths of 10-49-year-old women, which occurred from 2006 to 2010. Data were analyzed using non-parametric tests (χ2 and G-tests). The BioStat(r) 5.0 software was used for statistical analysis and Microsoft(r) Excel 2007 for the preparation of database and tables.
The Maternal Mortality Ratio was 51.9 and did not decrease significantly during the period. Most deaths occurred during the postpartum period (up to 42 days) (51.7%), and some diagnostic confirmation was used. Direct obstetric causes were dominant (90.6%), mainly hypertension (34.6%), with emphasis on eclampsia (70%), and hemorrhage (22.2%). All of these maternal deaths were avoidable (100%).
Maternal death in Pará is characterized by occurring during the puerperium (up to 42 days), due mainly to direct obstetric causes, such as hypertension, with emphasis on eclampsia, and hemorrhage. This evidences the need for complete attention with good quality for pregnant women, from prenatal care to puerperium, in the state of Pará.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(8):489-493
DOI 10.1590/S0100-72032000000800004
Purpose: to study the effect of copaíba oil on the uterine cervix of oophorectomized rats. Method: 120 female adults were used, divided into four groups: control, water, corn oil and copaíba oil. All animals were submitted to bilateral oophorectomy, and kept in cages for twenty days before applying the substances. These substances were applied by vaginal route at a dose of 0.3 ml, once a day until the predetermined day of sacrifice (7, 14 e 21 days). Results: the animals from the copaíba oil group showed on all days of the study exuberant, keratinous stratified squamous epithelium with about 10 epithelial cell layers and the chorion with conjunctive tissue, fibroblasts, collagen fibers, blood vessels and some leukocytes. Conclusions: The copaíba oil used in this experimental model promoted a thickening of the epithelium, which was keratinous stratified squamous, and epithelium increase was progressive along the study.