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Revista Brasileira de Ginecologia e Obstetrícia

Mariana Vitor Peppe, Juliana Stefanello, Bruna Fregonesi Infante, Mauricio Tsuguio Kobayashi, Claudia de Oliveira Baraldi, Luiz Gustavo Oliveira Brito
OBJECTIVE:  Perineal trauma is a negative outcome during labor, and until now it is unclear if the maternal position during the second stage of labor may influence the risk of acquiring severe perineal trauma. We have aimed to determine the prevalence of perineal trauma and its risk factors in a low-risk maternity with a high incidence of upright position during the second stage of labor. METHODS:  A retrospective cohort study of 264 singleton pregnancies during labor was performed at a low-risk pregnancy maternity during a 6-month period...
July 17, 2018: Revista Brasileira de Ginecologia e Obstetrícia
Laila Pinheiro Abi Abib, Renato Augusto Moreira de Sá, Fernando Maia Peixoto-Filho
OBJECTIVE:  The main objective of this study was to examine the diagnostic performance of the first-trimester combined test for aneuploidies in unselected pregnancies from Rio de Janeiro and compare it with the examples available in the literature. METHODS:  We investigated 3,639 patients submitted to aneuploidy screening from February 2009 to September 2015. The examination is composed of the Fetal Medicine Foundation risk evaluation based on nuchal translucency evaluation, mother's age, presence of risk factors, presence of the nasal bone and Doppler of the ductus venous in addition to biochemical analysis of pregnancy-associated plasma protein A (PAPP-A) and beta-human chorionic gonadotropin (β-hCG) markers...
July 16, 2018: Revista Brasileira de Ginecologia e Obstetrícia
Giselle Fachetti-Machado, Rosane Ribeiro Figueiredo-Alves, Marise Amaral Rebouças Moreira
OBJECTIVE:  To estimate the cytological and colposcopic performances for the diagnosis of cervical neoplasias. METHODS:  Cross-sectional retrospective study with data from patients' charts. The participants underwent colposcopy, guided biopsies, and excision when needed. The cytological and colposcopic categorization followed the Bethesda System and the international colposcopic terminologies. The cytology and colposcopy performances were evaluated by sensitivity (SE), specificity (SP), positive predictive value (PPV), and negative predictive value (NPV) analyses with 95% confidence interval (95% CI)...
July 11, 2018: Revista Brasileira de Ginecologia e Obstetrícia
Gregório Pinheiro Soares, Allan Andresson Lima Pereira, Mariana Silva Vilas Boas, Victor Van Vaisberg, Maria Cristina Figueroa Magalhães, Rudinei Diogo Marques Linck, Max Senna Mano
OBJECTIVE:  Metastases are rare in early breast cancer (EBC), and international guidelines recommend against routine systemic staging for asymptomatic patients. However, imaging exams remain widely employed in the clinical practice. The aim of the present study is to evaluate the value of imaging for systemic staging in EBC. METHODS:  A retrospective analysis of newly-diagnosed breast cancer (BC) patients was performed. Clinical data including BC subtype, stage, presence of symptoms at diagnosis and instrumental procedures performed for staging were recorded...
July 10, 2018: Revista Brasileira de Ginecologia e Obstetrícia
Carlos Manuel Ortiz-Mendoza, Norma Alicia Acosta Sánchez, Arturo Catarino Dircio
There are rare benign diseases that can mimic malignant breast neoplasms in the clinical exam and in mammography. We evaluated the contribution of an accessible procedure to most clinicians, the fine-needle aspiration cytology, to identify a rare mimicker of malignant breast neoplasms. A type 2 diabetic 85-year-old female presented with a 6-month history of a left breast lump. The physical exam and mammography were compatible with breast cancer. Nevertheless, after fine-needle aspiration cytology, the diagnosis was plasma cell mastitis...
July 9, 2018: Revista Brasileira de Ginecologia e Obstetrícia
Vivian Maria Ribeiro Mota, Luciano Pamplona de Góes Cavalcanti, Alanna Dos Santos Delfino, Thayse Elaine Costa Figueiredo Lopes, André Luiz Santos Pessoa, Erlane Marques Ribeiro
The emergency in international public health caused by the Zika virus gave rise to the discussion about abortion in cases of congenital Zika virus syndrome (CZS). Therefore, we propose to carry out a bibliographic review on abortion in these cases. Five databases were searched using the following terms: abortion , miscarriage , and zika , with the interposition of the Boolean operator "AND." In the selected literature, we found references to the lack of information concerning the risks and severity of CZS, to the great psychological distress suffered by pregnant women, and to the risk of unsafe abortions as a justification for abortion in cases of CZS...
June 29, 2018: Revista Brasileira de Ginecologia e Obstetrícia
Fernando Bray-Beraldo, Ana Maria Gomes Pereira, Cláudia Gazzo, Marcelo Protásio Santos, Reginaldo Guedes Coelho Lopes
OBJECTIVE:  To outline the demographic and clinical characteristics of patients with deep intestinal endometriosis submitted to surgical treatment at a tertiary referral center with a multidisciplinary team, and correlate those characteristics with the surgical procedures performed and operative complications. METHODS:  A prospective cohort from February 2012 to November 2016 of 32 women with deep intestinal endometriosis operations. The variables analyzed were: age; obesity; preoperative symptoms (dysmenorrhea, dyspareunia, acyclic pain, dyschezia, infertility, urinary symptoms, constipation and intestinal bleeding); previous surgery for endometriosis; Enzian classification; size of the intestinal lesion; and surgical complications...
June 27, 2018: Revista Brasileira de Ginecologia e Obstetrícia
Luiza Tizziotti Cottas, Maria de Fátima Borges, Lívia Prata Santos Oliveira, Ana Luísa Mantovani Resende, Meire Soares Ataíde, Elisabete Aparecida Mantovani Rodrigues Resende
Polyglandular autoimmune syndrome type II (PGA-II) is a rare immunoendocrinopathy syndrome characterized by the occurrence of autoimmune Addison disease along with diabetes mellitus type 1 and/or autoimmune thyroid disease. Here, we report the case of a 23-year-old female with PGA-II who was followed up at the dermatology and endocrinology clinics of the Universidade Federal do Triângulo Mineiro, located in the state of Minas Gerais, Brazil. First, the patient presented diffuse skin hyperpigmentation, vitiligo; and in sequence, due to vomiting, appetite and weight loss, hypoglycemia, amenorrhea, and galactorrhea, the patient was then diagnosed with PGA-II...
June 27, 2018: Revista Brasileira de Ginecologia e Obstetrícia
Gláucya Raquel Souza da Fonsêca Dutra, Laio da Costa Dutra, Gabriela Karine Souza da Fonsêca, Mauro Bezerra do Nascimento Júnior, Eudes Euler de Souza Lucena
OBJECTIVE:  Evaluate the influence of prenatal care on the occurrence of gestational hypertension. METHODS:  The Web of Science, Scopus, Pubmed, Cochrane and ClinicalTrials electronic databases were searched for articles published between January 1st , 2012 and December 31st , 2016. No language restrictions were imposed. The following keywords were used: prenatal care, medical assistance, prenatal education, pregnancy-induced hypertension. The preferred reporting items for systematic reviews and meta-analyses (PRISMA) checklist was employed...
June 20, 2018: Revista Brasileira de Ginecologia e Obstetrícia
Julio Cesar Teixeira, Carlos Afonso Maestri, Helymar da Costa Machado, Luiz Carlos Zeferino, Newton Sérgio de Carvalho
OBJECTIVE:  The aim of this study was to assess the time trends and pattern of cervical cancer diagnosed in the period from 2001 to 2012 by means of an opportunistic screening program from two developed regions in Brazil. METHODS:  An observational study analyzing 3,364 cancer records ( n  = 1,646 from Campinas and n  = 1,718 from Curitiba region) available in hospital-based cancer registries was done. An additional 1,836 records of CIN3/AIS from the region of Campinas was analyzed...
June 20, 2018: Revista Brasileira de Ginecologia e Obstetrícia
Vânia Stiepanowez de Oliveira Rocha, Solange da Silva Malfacini, Alex Moreira Gomes, Cláudia Ramos Marques da Rocha
OBJECTIVE:  To discuss the implementation and contributions of the External Quality Monitoring in the city of Rio de Janeiro and to analyze the performance of the main providers of cervical cytopathology in this city from September 2013 to March 2017, here referred to as "Alpha laboratory" and "Beta laboratory." METHODS:  Observational, cross-sectional, retrospective study using information from the Cervical Cancer Control Information System (SISCOLO, in the Portuguese acronym), municipal coordination module, External Quality Monitoring report...
June 20, 2018: Revista Brasileira de Ginecologia e Obstetrícia
Pedro Brandão, Marília Freixo, Elisa Soares, Catarina Estevinho, Ana Sofia Portela Carvalho, Anabela Melo
Parvovirus B19 has tropism for red line blood cells, causing immune hydrops during pregnancy. A positive anti-Kell Coombs reaction usually happens during pregnancy when there is production of antibodies that target Kell antigens, but cross reactions to other antigens may occur. A 24-year-old Gypsy primigravida, 0 Rhesus positive, presented with persistent isolated hyperthermia for 2 weeks and a positive indirect Coombs test result with anti-Kell antibodies at routine tests. She had a 19-week live fetus. The blood tests revealed bicytopenia with iron deficiency anemia, leucopoenia with neutropenia, and elevated C-reactive protein...
June 20, 2018: Revista Brasileira de Ginecologia e Obstetrícia
Karina Tamy Kasawara, Daiane S M Paulino, Roberta Bgeginski, Chistine L Cleghorn, Michelle F Mottola, Fernanda Garanhani Surita
OBJECTIVE:  To translate and culturally adapt the short-form Food Frequency Questionnaire (SFFFQ) for pregnant women, which contains 24 questions, into Brazilian Portuguese. METHODS:  Description of the process of translation and cultural adaptation of the SFFFQ into Brazilian Portuguese. The present study followed the recommendation of the International Society for Pharmacoeconomics and Outcomes Research for translation and cultural adaptation with the following steps: 1) preparation; 2) first translation; 3) reconciliation; 4) back translation; 5) revision of back translation; 6) harmonization; 7) cognitive debriefing; 8) revision of debriefing results; 9) syntax and orthographic revision; and 10) final report...
May 18, 2018: Revista Brasileira de Ginecologia e Obstetrícia
Mariano Tamura Vieira Gomes, Beatriz Taliberti da Costa Porto, Jose Pedro Parise Filho, Ana Luiz Vasconcelos, Bruna Fernanda Bottura, Renato Moretti Marques
OBJECTIVE:  To analyze the perioperative results and safety of performing gynecological surgeries using robot-assisted laparoscopy during implementation of the technique in a community hospital over a 6-year period. METHODS:  This was a retrospective observational study in which the medical records of 274 patients who underwent robotic surgery from September 2008 to December 2014 were analyzed. We evaluated age, body mass index (BMI), diagnosis, procedures performed, American Society of Anesthesiologists (ASA) classification, the presence of a proctor (experienced surgeon with at least 20 robotic cases), operative time, transfusion rate, perioperative complications, conversion rate, length of stay, referral to the intensive care unit (ICU), and mortality...
May 18, 2018: Revista Brasileira de Ginecologia e Obstetrícia
Ana Sofia Pais, Ana Luísa Fialho Amaral de Areia, Sofia Margarida Perienes Franco, Etelvina Morais Ferreira Fonseca, José Paulo Achando Silva Moura
Mirror syndrome is an unusual pathological condition in which maternal edema in pregnancy is seen in association with severe fetal and/or placental hydrops. The disease can be life-threatening for both the mother and the fetus. The pathogenesis is poorly understood, and may be confused with preeclampsia, even though distinguishing features can be identified. We report a rare case of mirror syndrome with maternal pulmonary edema associated with fetal hydrops due to Patau syndrome.
May 16, 2018: Revista Brasileira de Ginecologia e Obstetrícia
Janine Medeiros da Silva, Emily Ramos Calife, João Victor de Sousa Cabral, Hildemárzio Pinheiro Falcão de Andrade, Ana Katherine Gonçalves
Hemangioma is a benign neoplasm that may affect the vulva, and it can cause functional or emotional disability. This article reports the case of a 52-year-old female patient with a history of a genital ulcer for the past 3 years and who had undergone various treatments with creams and ointments. The patient was biopsied and diagnosed with vulvar hemangioma and was subsequently submitted to surgical excision of the lesion. We emphasize the importance of following the steps of the differential diagnosis and proceeding with a surgical approach only if necessary...
June 2018: Revista Brasileira de Ginecologia e Obstetrícia
Luiz Antonio Del Ciampo, Ieda Regina Lopes Del Ciampo
The offer of the maternal breast to the baby is an unquestionable right of mothers and their children, and all efforts should be made to promote, follow and maintain exclusive breastfeeding for up to 6 months and supplement it until the child completes 2 years of age. Many publications are available in the literature about the qualities of breast milk, its benefits and health repercussions, stimulating the practice of breastfeeding and supporting campaigns for its implementation. However, although it is widely known that breastfeeding is an important step in the reproductive process of women and its practice offers benefits to both mother and child, most of the available information highlights the benefits of breast milk for children, while mention of the effects of breastfeeding on the health of the mother is usually neglected...
June 2018: Revista Brasileira de Ginecologia e Obstetrícia
Cibele Vieira Cunha Rudge, Iracema de Mattos Paranhos Calderon, Ana Paula Machado de Almeida, Fernanda Piculo, Marilza Vieira Cunha Rudge, Angélica Mércia Pascon Barbosa
OBJECTIVE:  To establish the Pregnancy Sexual Response Inventory (PSRI) scores for each domain before and during pregnancy, and to publish the Brazilian Portuguese version of the PSRI. METHODS:  Pregnant women were recruited during antenatal care; the PSRI was administered to 244 women prenatally at Faculdade de Medicina de Botucatu, at Universidade do Estado de São Paulo (UNESP, in the Portuguese acronym). The PSRI scores were estimated based on the Kings Health Questionnaire (KHQ) and the Medical Outcomes Study 36-item short form survey (SF-36)...
June 2018: Revista Brasileira de Ginecologia e Obstetrícia
Marcos Felipe Silva de Sá
No abstract text is available yet for this article.
June 2018: Revista Brasileira de Ginecologia e Obstetrícia
Valery G Volkov, Nina N Granatovich, Elena V Survillo, Leontina V Pichugina, Zarina S Achilgova
OBJECTIVE:  To study the structure of maternal mortality caused by abortion in the Tula region. METHODS:  The medical records of deceased pregnant women, childbirth, and postpartum from January 01, 2001, to December 31, 2015, were analyzed. RESULTS:  Overall, 204,095 abortion cases were recorded in the Tula region for over 15 years. The frequency of abortion was reduced 4-fold, with 18,200 in 2001 to 4,538 in 2015. The rate of abortions per 1,000 women (age 15-44 years) for 15 years decreased by 40...
June 2018: Revista Brasileira de Ginecologia e Obstetrícia
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