Revista Brasileira de Ginecologia e Obstetricia最新文献

{"title":"Função sexual de mulheres com infertilidade","authors":"Priscilla Bianchini Salomão","doi":"10.11606/D.17.2017.TDE-10012017-101301","DOIUrl":"https://doi.org/10.11606/D.17.2017.TDE-10012017-101301","url":null,"abstract":"","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2016-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64799233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Determinants of maternal near miss in an obstetric intensive care unit].","authors":"Maria Aparecida Cardoso De Souza, Tházio Henrique Soares Cardoso De Souza, A. K. Gonçalves","doi":"10.1590/SO100-720320150005286","DOIUrl":"https://doi.org/10.1590/SO100-720320150005286","url":null,"abstract":"PURPOSE\u0000To evaluate the risk factors for morbidity and mortality in an obstetric intensive care unit at a university hospital.\u0000\u0000\u0000METHODS\u0000Observational cross-sectional study with 492 pregnant/puerperal women. Patients were admitted to the obstetric intensive care unit over a period of one year, being informed about the proposals of the study and a questionnaire was applied. The analysis was performed using Microsoft Excel 2013 and GraphPad Prism 6. To evaluate risk factors, χ2 tests were used.\u0000\u0000\u0000RESULTS\u0000The main risk factors to near miss were: non-white race (OR=2.5; PR=2.3); marital status (married women) (OR=7.9; PR=7.1), schooling (primary) (OR=3.1; PR=2.8), being from the countryside (OR=4.6; PR=4.0), low income (OR=70; PR=5.5), gestational hypertensive disorders (OR=16.3; PR=13.2), receiving prenatal care (OR=5.0; PR=4.254) and C-section before labor (OR=39.2; PR=31.2).\u0000\u0000\u0000CONCLUSIONS\u0000The prevalence of near miss was associated with socioeconomic/clinical factors and care issues, revealing the importance of interventions to improve these indicators. Additionally, we suggest a better curriculum insertion of this subject in the discipline of the medical course due to the importance of avoiding the near miss using adequate medical education. The importance of correct prenatal care is emphasized in order to identify potential risks, to provide nutritional support to pregnant women, to treat potential diseases and to establish a maternal immunization program, as well as providing better care regarding the clinical features of the patients, in order to reduce obstetrical and neonatal risk.","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2015-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/SO100-720320150005286","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67337592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Limitations and controversies in determining the predictive value of oocyte and embryo morphology criteria].","authors":"R. Figueira, T. Aoki, E. Borges Júnior","doi":"10.1590/SO100-720320150005330","DOIUrl":"https://doi.org/10.1590/SO100-720320150005330","url":null,"abstract":"In order to increase the success rate of in vitro fertilization cycles, several studies have focused on the identification of the embryo with higher implantation potential. Despite recent advances in the reproductive medicine, based on the OMICs technology, routinely applicable methodologies are still needed. Thus, in most fertilization centers embryo selection for transfer is still based on morphological parameters evaluated under light microscopy. Several morphological parameters may be evaluated, ranging from the pronuclear to blastocyst stage. In general, despite the day of transfer, some criteria are suggested to present a predictive value for embryo viability when analyzed independently or combined. However, the subjectivity of morphological evaluation, as well as the wide diversity of embryo classification systems used by different fertilization centers shows contrasting results, making the implementation of a consensus regarding different morphological criteria and their predictive value a difficult task. The optimization of embryo selection represents a large potential to increase treatment success rates, allowing the transfer of a reduced number of embryos and minimizing the risks of multiple pregnancy.","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2015-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/SO100-720320150005330","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67337603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efeito do exercício físico sobre os parâmetros hemodinâmicos","authors":"Camila Pigatto, Caroline Mombaque dos Santos, W. Santos, Walter Santos Neme, L. Portela, Edson Nunes de Moraes, F.M.P. Gallarreta","doi":"10.1590/SO100-720320140005229","DOIUrl":"https://doi.org/10.1590/SO100-720320140005229","url":null,"abstract":"","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2014-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67337481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Expressão proteica do gene HOXA10 e dos receptores de estrogênio e progesterona no epitélio, estroma e tecido muscular liso perilesional de endometriose do reto-sigmoide","authors":"A. Zanatta, P. C. Serafini","doi":"10.1590/SO100-72032014T0002","DOIUrl":"https://doi.org/10.1590/SO100-72032014T0002","url":null,"abstract":"INTRODUCAO: A patogenese da endometriose profunda (EPF) e incerta. O fator de transcricao homeoboxA10 (HOXA10) regula a conferencia de identidade tecidual de utero ao ducto paramesonefrico indiferenciado. HOXA10 e expresso em endometriose ovariana, peritoneal, pulmonar e reto-vaginal, relacionando-o a patogenese da endometriose. Estradiol e progesterona ativam a transcricao do gene HOXA10. Nesse estudo, avaliamos a expressao proteica de HOXA10, das isoformas α (ER-α) e β (ER-β) dos receptores de estrogenio, e do receptor de progesterona AB (PR-AB) e sua isoforma B (PR-B) na lesao (LES) e no tecido muscular liso perilesional (TMLP) de endometriose de reto-sigmoide (ERS), durante as fases proliferativa e secretora do ciclo.METODOS: Amostras de LES e TMLP de ERS de 18 pacientes (9 operadas em cada fase) foram agrupadas em blocos de microarranjos de tecidos (tissue microarray). Apos preparacao imunoistoquimica, avaliamos as amostras por microscopia otica (MO) e por um softwareespecifico, a analise morfometrica (AM).RESULTADOS: HOXA10 foi expresso no estroma de LES de ERS durante a fase secretora. ER-α e ER-β foram expressos em glândulas e estroma de LES e TMLP de ERS durante ambas as fases do ciclo. PR-AB e PR-B foram expressos em glândulas e estroma de LES de ERS durante ambas as fases do ciclo. A expressao de HOXA10 correlacionou-se diretamente com PR-AB e PR-B na ERS. Nao houve correlacao entre ER-α e ER-β com HOXA10, PR-AB ou PR-B em nenhuma fase do ciclo ou local de expressao de ERS.CONCLUSOES: HOXA10 e expresso em ERS, fora do seu eixo espacial de expressao. HOXA10 pode ser necessario para conferir a identidade \"de novo\" na EPF, incluindo ERS, favorecendo a hipotese da origem embrionaria da doenca. A progesterona pode ativar o gene HOXA10 e regular esta acao, possivelmente mediada por PR-B. A acao mitogena do estradiol na ERS e mediada por ER-α e ER-β.","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2014-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/SO100-72032014T0002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67337539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Causas de morte materna no Estado do Pará, Brasil","authors":"N. Botelho, Italo Fernando Mendonça Mota Silva, J. Tavares, Lorena Oliveira Lima","doi":"10.1590/SO100-720320140004892","DOIUrl":"https://doi.org/10.1590/SO100-720320140004892","url":null,"abstract":"PURPOSE: To identify the major causes of maternal death in the State of Para, Brazil. METHODS: A descriptive, observational and retrospective study was conducted using data from the Mortality Information System (SIM) of the State Department of Public Health of Para. 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. RESULTS: 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%). CONCLUSION: Maternal death in Para 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 Para.","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/SO100-720320140004892","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67337429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of body mass index, body fat percentage and age at menarche on aerobic capacity (VO2 max) of elementary school female students","authors":"T. Capel, M. Vaisberg, M. Araujo, R. Paiva, Juliana M. B. Santos, Z. Bella","doi":"10.1590/S0100-72032014000200007","DOIUrl":"https://doi.org/10.1590/S0100-72032014000200007","url":null,"abstract":"PURPOSE To identify and relate body fat percentage (skin fold measures), body mass index (BMI) and age at menarcheto aerobic capacity using the indirect VO₂ maximum value (VO₂ max) of girls in the second cycle of primary school. METHODS A total of 197 girls aged 13.0 ± 1.2 years on average, students from two public schools in the city of Atibaia in Sao Paulo, were evaluated. Anthropometric evaluation of skin folds was performed using the Slaughter protocol for teenage girls, and BMI (kg/m²) was based on \"Z score\" (graphic of percentile) according to WHO recommendations. The Leger protocol was used to determine VO₂ max. Pearson linear regression and the Student t-test were used for statistical analysis. RESULTS 22.3% of the girls were overweight and 3.5% were obese according to the classification proposed by the WHO; 140 (71.1%) girls reported menarche. The average age at menarche was 12.0 ± 1.0 years and was significantly higher in the group with normal BMI (12.2 ± 0.9 years) than in the overweight or obese groups (11.6 ± 1.0 years). The average indirect VO₂ max value was 39.6 ± 3.7 mL/kg/min, ranging from 30.3 to 50.5 mL/kg/min. The advance of chronological age and early age at menarche were positively correlated with lower VO₂ max values. CONCLUSIONS This study showed that 25.8% of the girls had aBMI value above WHO recommendations. Girls with higher BMI and higher body fat percentage had lower VO₂ max. The earlier age at menarche and the advance of chronological age were the most important factors for the reduction of aerobic capacity. The ageat menarche was higher in girls with adequate BMI compared tooverweight or obese girls.","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2014-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/S0100-72032014000200007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67235189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sintomas depressivos em mulheres com dor pélvica crônica","authors":"Rosângela Nunes da Luz, Flávia Melo Rodrigues, Vanessa da Silva Carvalho Vila, José Miguel de Deus, K. P. Lima","doi":"10.1590/S0100-72032014000200006","DOIUrl":"https://doi.org/10.1590/S0100-72032014000200006","url":null,"abstract":"PURPOSE: To investigate the presence of depressive symptoms in women with chronic pelvic pain. METHODS: This descriptive cross-sectional study was performed with women aged 18 years or older, diagnosed with chronic pelvic pain, with no pregnancy history in the previous year, and with no cancer history. The sample was established by calculating the representative sample, estimated as 50 women. All women were undergoing treatment at a gynecology outpatient clinic, referred by the primary health care network of the Brazilian national health system. Data collection was performed from October2009 to May 2010. The women's sociodemographic, economic and clinical characteristics were analyzed. Pain intensity was evaluated using a visual analogue scale. The depressive symptoms were investigated using Beck's Depression Inventory. Statistical analysis was performed using position measures (mean, median), dispersion (standard deviation) and the χ2 test. Values of p≤ .05 were considered statistically significant. RESULTS: The participants' mean age was 41.6±9.4 years. The following features predominated: secondary education level; pardo (brown) skin color; Catholic religion; and living with a steady partner. Most (98%) were economically active and worked with general domestic services. Regarding the participants' subjective perception of pain, 52% reported experiencing intense pain, while 48% reported experiencing moderate pain. Most women (52%) had been living with pain for five years or less, and 30%, for over 11 years. The mean BDI score was 17.4 (±9.4). It was observed that 58% of the women presented mild, moderate and severe depressive symptoms according to the BDI. The most frequent depressive symptoms were fatigability, loss of libido, irritability, difficulty to work, somatic preoccupations, crying, dissatisfaction, sadness, and insomnia. CONCLUSION: Depressive symptoms were frequent among these women suffering with chronic pelvic pain.","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2014-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/S0100-72032014000200006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67235145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Creast cancer in man: analysis of epidemiological, clinical and therapeutic aspects in brazilian formal service","authors":"R. Bonfim","doi":"10.1590/S0100-72032013001100009","DOIUrl":"https://doi.org/10.1590/S0100-72032013001100009","url":null,"abstract":"Dissertacao de Mestrado apresentada ao Programa de Pos-Graduacao em Saude Materno – Infantil, Universidade Federal do Maranhao e Instituto Maranhense de Oncologia Aldenora Bello – IMOAB, em 26 de fevereiro de 2013. Introducao: O câncer de mama em homem e uma doenca rara, representando cerca de 1% entre os tumores malignos que comprometem o homem, cuja incidencia aumenta com a idade. A proporcao e de que a cada 150 mulheres diagnosticadas com câncer de mama haja um caso no genero masculino. Objetivos: Descrever os aspectos epidemiologicos, clinicos e terapeuticos do câncer de mama no homem em servico habilitado. Metodos: A metodologia consistiu em revisao de prontuarios, pesquisa fundamentada em dados retrospectivos coletados nos arquivos do Instituto Maranhense de Oncologia Aldenora Bello (IMOAB) em Sao Luis, Maranhao no periodo de 2000 a 2011. Os dados foram submetidos a analise descritiva. Resultados: Foram encontrados 16 casos de câncer de mama masculino. A faixa etaria predominante foi 61–75 anos. Quanto as caracteristicas sociais, predominou pacientes casados, analfabetos, lavradores e a procedencia do interior do Maranhao (62,5%). A localizacao preferencial foi na regiao retroareolar de ambas as mamas, medindo entre 1,5–17 cm de diâmetro. O tipo histologico predominante foi carcinoma ductal infiltrante (75,0%). O grau histologico moderado (62,5%) foi o mais frequente. A maioria dos pacientes (56,2%) encontrava-se em estadiamentos iniciais. Quanto ao tratamento evidenciou-se que 81,2% foram submetidos ao tratamento cirurgico por mastectomia radical e subsequente radioterapia, quimioterapia e hormonioterapia. Conclusoes: A analise dos aspectos epidemiologicos, clinicos e terapeuticos favoreceu a compreensao do comportamento desta enfermidade em homens, no periodo estudado. Pesquisas sobre esta doenca em homens contribuirao para a compreensao do comportamento biologico, melhorando o prognostico nestes pacientes. Male breast cancer Epidemiology Clinic Staging Diagnosis Therapy Maranhao","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2013-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67235129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"O impacto no resultado perinatal do acompanhamento pré-natal de gestantes com hipertensão arterial em centro de referência","authors":"Luciano Antonio Marcolino","doi":"10.1590/S0100-72032013000700009","DOIUrl":"https://doi.org/10.1590/S0100-72032013000700009","url":null,"abstract":"","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67235525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}