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https://www.readbyqxmd.com/read/29768579/-cost-effectiveness-analysis-of-spontaneous-vaginal-delivery-and-elective-cesarean-for-normal-risk-pregnant-women-in-the-brazilian-unified-national-health-system
#1
Aline Piovezan Entringer, Márcia Pinto, Marcos Augusto Bastos Dias, Maria Auxiliadora de Souza Mendes Gomes
The purpose of this study was to conduct a cost-effectiveness analysis of spontaneous vaginal delivery and elective cesarean (with no clinical indication) for normal risk pregnant women, from the perspective of the Brazilian Unified National Health System. An analytical decision model was developed and included the choice of delivery mode and clinical consequences for mothers and newborns, from admission for delivery to hospital discharge. The reference population consisted of normal risk pregnant women with singleton, at-term gestations in cephalic position, subdivided into primiparas and multiparas with prior uterine scar...
May 10, 2018: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/29741155/the-hidden-burden-of-plasmodium-vivax-malaria-in-pregnancy-in-the-amazon-an-observational-study-in-northwestern-brazil
#2
Anaclara Pincelli, Paulo A R Neves, Barbara H Lourenço, Rodrigo M Corder, Maíra B Malta, Juliana Sampaio-Silva, Rodrigo M de Souza, Marly A Cardoso, Marcia C Castro, Marcelo U Ferreira, For The Mina Brazil Working Group
We measured the prevalence of malaria in pregnancy and estimated its impact on birth weight and length and maternal hemoglobin in 1,180 women from Juruá Valley, the main malaria hotspot in Brazil. Antenatal malaria episodes, 74.6% of them due to Plasmodium vivax , were microscopically diagnosed in 8.0% of the women and were associated with an average reduction in birth weight z -scores of 0.35 (95% confidence interval [CI] = 0.14-0.57) and in birth length z -scores of 0.31 (95% CI = 0.08-0.54), compared with malaria-free pregnancies...
May 7, 2018: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/29732948/late-umbilical-cord-clamping-does-not-increase-rates-of-jaundice-and-the-need-for-phototherapy-in-pregnancies-at-normal-risk
#3
Ocília Maria Costa Carvalho, Matheus Costa Carvalho Augusto, Maxsuênia Queiroz Medeiros, Hesly Martins Pereira Lima, Antonio Brazil Viana Junior, Edward Araujo Júnior, Francisco Herlânio Costa Carvalho
OBJECTIVE: To verify the relationship between the time of clamping of the umbilical cord and the development of neonatal jaundice, the dosage of bilirubin and the need for phototherapy. METHODS: Cross-sectional, retrospective study with 398 parturients at normal risk (single term gestation, no complications during gestation or delivery, birth weight between 2500 and 4499 g). The population was divided into three groups regarding the time of cord clamping: less than 1 minute (117, 29...
May 6, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29698814/ocular-abnormalities-in-congenital-zika-syndrome-are-the-ophthalmoscopic-findings-the-top-of-the-iceberg
#4
REVIEW
João Rafael de Oliveira Dias, Camila V Ventura, Bruno de Paula Freitas, Juliana Prazeres, Liana O Ventura, Vasco Bravo-Filho, Tomas Aleman, Albert Icksang Ko, Andréa Zin, Rubens Belfort, Mauricio Maia
Zika virus (ZIKV) is an arbovirus mainly transmitted to humans by mosquitoes from Aedes genus. Other ways of transmission include the perinatal and sexual routes, blood transfusion, and laboratory exposure. Although the first human cases were registered in 1952 in African countries, outbreaks were only reported since 2007, when entire Pacific islands were affected. In March 2015, the first cases of ZIKV acute infection were notified in Brazil and, to date, 48 countries and territories in the Americas have confirmed local mosquito-borne transmission of ZIKV...
April 23, 2018: Progress in Retinal and Eye Research
https://www.readbyqxmd.com/read/29669596/misoprostol-administered-sublingually-at-a-dose-of-12-5-%C3%AE-g-versus-vaginally-at-a-dose-of-25-%C3%AE-g-for-the-induction-of-full-term-labor-a-randomized-controlled-trial-protocol
#5
Daniele Sofia Moraes Barros Gattás, José Roberto da Silva Junior, Alex Sandro Rolland Souza, Francisco Edson Feitosa, Melania Maria Ramos de Amorim
BACKGROUND: Various methods are currently used for the induction of labor. Nevertheless, the most effective method with the fewest side effects remains to be established. Misoprostol, administered vaginally, has been routinely used for this purpose; however, other forms of administration are being proposed, including the use of sublingual tablets. No studies have yet compared the effectiveness and safety of 12.5-μg misoprostol administered sublingually compared to a 25-μg vaginal dose of the drug for the induction of labor...
April 18, 2018: Reproductive Health
https://www.readbyqxmd.com/read/29609192/the-burden-of-indirect-causes-of-maternal-morbidity-and-mortality-in-the-process-of-obstetric-transition-a-cross-sectional-multicenter-study
#6
Jessica Fernandes Cirelli, Fernanda Garanhani Surita, Maria Laura Costa, Mary Angela Parpinelli, Samira Maerrawi Haddad, José Guilherme Cecatti
OBJECTIVE:  The aim of this study is to evaluate the burden of indirect causes of maternal morbidity/mortality in Brazil. METHODS:  Secondary analysis of a multicenter cross-sectional study conducted in 27 referral obstetric units within the Brazilian Network for Surveillance of Severe Maternal Morbidity. RESULTS:  A total of 82,388 women were surveilled: 9,555 women with severe maternal morbidity were included, and 942 (9.9%) of them had indirect causes of morbidity/mortality...
March 2018: Revista Brasileira de Ginecologia e Obstetrícia
https://www.readbyqxmd.com/read/29587802/disrespect-and-abuse-of-women-during-the-process-of-childbirth-in-the-2015-pelotas-birth-cohort
#7
Marilia Arndt Mesenburg, Cesar Gomes Victora, Suzzane Jacob Serruya, Rodolfo Ponce de León, Andrea Homsi Damaso, Marlos Rodrigues Domingues, Mariangela Freitas da Silveira
BACKGROUND: The disrespect and abuse of women during the process of childbirth is an emergent and global problem and only few studies have investigated this worrying issue. The objective of the present study was to describe the prevalence of disrespect and abuse of women during childbirth in Pelotas City, Brazil, and to investigate the factors involved. METHODS: This was a cross-sectional population-based study of women delivering members of the 2015 Pelotas birth cohort...
March 27, 2018: Reproductive Health
https://www.readbyqxmd.com/read/29572831/the-impact-of-proteinuria-on-maternal-and-perinatal-outcomes-among-women-with-pre-eclampsia
#8
Jose P Guida, Mary A Parpinelli, Fernanda G Surita, Maria L Costa
OBJECTIVE: To assess the impact of proteinuria on pregnancy outcomes among women with pre-eclampsia. METHODS: The present retrospective cohort study included patients with pre-eclampsia who delivered at a referral maternity hospital in Brazil between January 1, 2009, and December 31, 2013. Patients were stratified into three groups based on 24-hour urinary protein excretion during pregnancy: mild (0.3-<2.0 g), severe (2.0-<5.0 g), and massive (≥5.0 g). RESULTS: There were 293 patients included in the study; 88, 129, and 76 had mild, severe, and massive proteinuria, respectively...
March 23, 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29562870/sleep-eeg-of-microcephaly-in-zika-outbreak
#9
Paulo Afonso Medeiros Kanda, Aline de Almeida Xavier Aguiar, Jose Lucivan Miranda, Alexandre Loverde Falcao, Claudia Suenia Andrade, Luigi Neves Dos Santos Reis, Ellen White R Bacelar Almeida, Yanes Brum Bello, Arthur Monfredinho, Rafael Guimaraes Kanda
Microcephaly (MC), previously considered rare, is now a health emergency of international concern because of the devastating Zika virus pandemic outbreak of 2015. The authors describe the electroencephalogram (EEG) findings in sleep EEG of epileptic children who were born with microcephaly in areas of Brazil with active Zika virus transmission between 2014 and 2017. The authors reviewed EEGs from 23 children. Nine were females (39.2%), and the age distribution varied from 4 to 48 months. MC was associated with mother positive serology to toxoplasmosis (toxo), rubella (rub), herpes, and dengue (1 case); toxo (1 case); chikungunya virus (CHIKV) (1 case); syphilis (1 case); and Zika virus (ZIKV) (10 cases)...
2018: Neurodiagnostic Journal
https://www.readbyqxmd.com/read/29526344/perinatal-case-fatality-rate-related-to-congenital-zika-syndrome-in-brazil-a-cross-sectional-study
#10
Nilson N Mendes Neto, Jessika Thais da Silva Maia, Marcelo Rodrigues Zacarkim, Igor Queiroz, Angelle Desiree Labeaud, David M Aronoff
No abstract text is available yet for this article.
April 2018: Pediatric Neurology
https://www.readbyqxmd.com/read/29422204/the-world-health-organization-fetal-growth-charts-concept-findings-interpretation-and-application
#11
REVIEW
Torvid Kiserud, Alexandra Benachi, Kurt Hecher, Rogelio González Perez, José Carvalho, Gilda Piaggio, Lawrence D Platt
Ultrasound biometry is an important clinical tool for the identification, monitoring, and management of fetal growth restriction and development of macrosomia. This is even truer in populations in which perinatal morbidity and mortality rates are high, which is a reason that much effort is put onto making the technique available everywhere, including low-income societies. Until recently, however, commonly used reference ranges were based on single populations largely from industrialized countries. Thus, the World Health Organization prioritized the establishment of fetal growth charts for international use...
February 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29412430/neonatal-sepsis-mortality-in-a-municipality-in-southern-brazil-2000-to-2013
#12
Jakeline Barbara Alves, Flávia Lopes Gabani, Rosângela Aparecida Pimenta Ferrari, Mauren Teresa Grubisich Mendes Tacla, Arnildo Linck Júnior
OBJECTIVE: To describe the neonatal mortality coefficient attributed to sepsis and other causes, and to report the maternal, neonatal and death characteristics of newborn infants that died in the city of Londrina, Paraná, in Southern Brazil. METHODS: This is a cross-sectional study with a time series analysis. Neonatal deaths that contained neonatal sepsis records in any field of the death certificate between the years 2000 and 2013 were studied. The years were grouped into biennia, and cause specific neonatal mortality coefficient was calculated, according to the International Classification of Diseases, 10th revision...
January 15, 2018: Revista Paulista de Pediatria: Orgão Oficial da Sociedade de Pediatria de São Paulo
https://www.readbyqxmd.com/read/29412326/-hospitalizations-due-to-complications-of-pregnancy-and-maternal-and-perinatal-outcomes-in-a-cohort-of-pregnant-women-in-the-brazilian-unified-national-health-system-in-s%C3%A3-o-paulo-brazil
#13
Barbara Laisa Alves Moura, Gizelton Pereira Alencar, Zilda Pereira da Silva, Marcia Furquim de Almeida
Maternal morbidity, fetal mortality, and neonatal mortality are important indicators of maternal and child health. The study aimed to describe maternal and perinatal outcomes (low birth weight, prematurity, fetal and neonatal deaths, postpartum hospitalizations, and readmission of newborns) in a cohort of pregnant women whose deliveries were covered by the Brazilian Unified National Health System (SUS) in the city of São Paulo, Brazil, in the second semester of 2012. We obtained a retrospective cohort of 55,404 pregnant women with deterministic and probabilistic linkage of data from the Hospital Information System of the SUS (SIH/SUS), Information System on Live Births (SINASC), Mortality Information System (SIM), and National Registry of Health Establishments (CNES) databases...
February 5, 2018: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/29342495/improving-perinatology-residents-skills-in-breaking-bad-news-a-randomized-intervention-study
#14
Maria Silvia Vellutini Setubal, Maria Ângela Reis Goes Monteiro Antonio, Eliana Martorano Amaral, John Boulet
OBJECTIVE:  Breaking bad news (BBN) is particularly difficult in perinatology. Previous research has shown that BBN skills can be learned and improved when taught and practiced. This project evaluated whether a structured training session would enhance perinatology residents' skills in BBN. METHODS:  This was a randomized controlled intervention study with year 1 to 4 Perinatology residents from a medical school in Brazil, during the 2014/15 school year. A total of 61 out of 100 (61%) eligible residents volunteered to a structured training program involving communicating a perinatal loss to a simulated patient (SP) portraying the mother followed by the SP's immediate feedback, both video recorded...
January 17, 2018: Revista Brasileira de Ginecologia e Obstetrícia
https://www.readbyqxmd.com/read/29318332/-zika-virus-infection-and-the-nervous-system
#15
REVIEW
I W Husstedt, M Maschke, C Eggers, E Neuen-Jacob, G Arendt
Zika virus is an arbovirus from the family of flaviviruses, which is transmitted by the mosquito Aedes aegyptii and also by the Asian mosquito Aedes albopticus. The largest observed Zika virus epidemic is currently taking place in North and South America, in the Caribbean, southern USA and Southeast Asia. In most cases the infection is an unspecific, acute, febrile disease. Neurological manifestations consist mainly of microcephaly in newborns and Guillain-Barré syndrome but other rare manifestations have also become known in the meantime, such as meningoencephalitis and myelitis...
February 2018: Der Nervenarzt
https://www.readbyqxmd.com/read/29298358/women-s-reproductive-health-knowledge-attitudes-and-practices-in-relation-to-the-zika-virus-outbreak-in-northeast-brazil
#16
Ana Luiza Vilela Borges, Caroline Moreau, Anne Burke, Osmara Alves Dos Santos, Christiane Borges Chofakian
OBJECTIVES: To assess knowledge, pregnancy attitudes and contraceptive practices in relation to the Zika virus outbreak in Brazil. METHODS: We interviewed 526 women 18 to 49 years old in primary health services in a Northeastern capital of Brazil, in 2016. They provided information about their knowledge of Zika transmission and health consequences, their receipt of counseling related to sexual and perinatal transmission of Zika, their pregnancy intentions and reassessment of contraceptive options in the context of the Zika virus outbreak...
2018: PloS One
https://www.readbyqxmd.com/read/29284716/burden-of-early-term-birth-on-adverse-infant-outcomes-a-population-based-cohort-study-in-brazil
#17
Maria do Carmo Leal, Ana Paula Esteves-Pereira, Marcos Nakamura-Pereira, Rosa Maria Soares Madeira Domingues, Marcos Augusto Bastos Dias, Maria Elisabeth Moreira, Mariza Theme-Filha, Silvana Granado Nogueira da Gama
OBJECTIVES: To estimate the national rate of early-term live births in Brazil and to evaluate the effect of birth at 37 and 38 weeks' gestation, as compared with 39 and 40 weeks' gestation on infant outcomes according to precursors of birth and the existence of maternal/fetal medical conditions. DESIGN: National perinatal population-based cohort study. SETTING: 266 maternity services located in the five Brazilian macroregions. PARTICIPANTS: 18 652 singleton live newborns from 37 0/7 to 40 6/7 weeks of gestation...
December 27, 2017: BMJ Open
https://www.readbyqxmd.com/read/29211204/pragmatic-criteria-of-the-definition-of-neonatal-near-miss-a-comparative-study
#18
COMPARATIVE STUDY
Pauline Lorena Kale, Maria Helena Prado de Mello Jorge, Ruy Laurenti, Sandra Costa Fonseca, Kátia Silveira da Silva
OBJECTIVE: The objective of this study was to test the validity of the pragmatic criteria of the definitions of neonatal near miss, extending them throughout the infant period, and to estimate the indicators of perinatal care in public maternity hospitals. METHODS: A cohort of live births from six maternity hospitals in the municipalities of São Paulo, Niterói, and Rio de Janeiro, Brazil, was carried out in 2011. We carried out interviews and checked prenatal cards and medical records...
December 4, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/29211175/sociodemographic-perinatal-and-behavioral-factors-associated-to-types-of-milk-consumed-by-children-under-in-six-months-birth-coort
#19
Carolina Abreu de Carvalho, Poliana Cristina de Almeida Fonsêca, Luciana Neri Nobre, Mariane Alves Silva, Milene Cristine Pessoa, Andréia Queiroz Ribeiro, Silvia Eloiza Priore, Sylvia do Carmo Castro Franceschini
This study evaluated factors associated with the consumption of breast milk (BM), infant formula (IF) and cow milk (CM) in children. This was a cohort study with 256 children followed-up at the 1st, 4th and 6th month of age in Viçosa (MG), Brazil. With respect to CM and IF, consumption was recorded regardless of BM intake. Regarding BM, only exclusive or predominant consumption was considered. From the 1st to the 6th month, an increase was recorded in the number of children who did not consume BM exclusively or predominantly (31...
November 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/29190037/routine-antibiotic-prophylaxis-after-normal-vaginal-birth-for-reducing-maternal-infectious-morbidity
#20
REVIEW
Mercedes Bonet, Erika Ota, Chioma E Chibueze, Olufemi T Oladapo
BACKGROUND: Infectious morbidities contribute to considerable maternal and perinatal morbidity and mortality, including women at no apparent increased risk of infection. To reduce the incidence of infections, antibiotics are often administered to women after uncomplicated childbirth, particularly in settings where women are at higher risk of puerperal infectious morbidities. OBJECTIVES: To assess whether routine administration of prophylactic antibiotics to women after normal (uncomplicated) vaginal birth, compared with placebo or no antibiotic prophylaxis, reduces postpartum maternal infectious morbidities and improves outcomes...
November 13, 2017: Cochrane Database of Systematic Reviews
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