Revista Brasileira de Ginecologia e Obstetricia最新文献_第4页

Lesões cervicais intraepiteliais de alto grau: avaliação dos fatores determinantes de evolução desfavorável após conização 高级别宫颈上皮内病变:锥化后不良进展的决定因素评估

IF 1.2

Revista Brasileira de Ginecologia e Obstetricia Pub Date : 2011-11-01 DOI: 10.1590/S0100-72032011001100003

F. Fonseca, Flávio Daniel Saavedra Tomasich, J. Jung

{"title":"Lesões cervicais intraepiteliais de alto grau: avaliação dos fatores determinantes de evolução desfavorável após conização","authors":"F. Fonseca, Flávio Daniel Saavedra Tomasich, J. Jung","doi":"10.1590/S0100-72032011001100003","DOIUrl":"https://doi.org/10.1590/S0100-72032011001100003","url":null,"abstract":"PURPOSE: To evaluate the ability of various factors related to the conization process in cytological/histological cervical intraepithelial neoplasias (CIN), after therapeutic conization. METHODS: A retrospective review was conducted of patients who had undergone conization due to CIN 2 and 3, from January 1999 to January 2006. They were divided into two groups: case group (residual disease or recurrence) and control group (without residual disease or recurrence), during 18 months of follow up. Univariate and multivariate analysis were used to define the predictive factors of disease recurrence. The c2 test or Fisher exact test was used for statistical analysis, with the level of significance set at p£0.05. RESULTS: Forty-eight patients showed recurrence/progression of CIN (case group) and 65 showed no recurrence/progression of disease (control group). Age and parity were similar in the two groups, as determined by calculation of the mean and standard deviation. There was no difference in smoking habits or in the use of contraceptive methods. The recurrence rate was 14.6%. Only conization positive margins were predictors of recurrence/progression (p<0.001). The conization techinique, the surgeon, CIN grade, gland involvement, and size of the uterine volume removed were not related to the evolution of disease after surgery. CONCLUSION: The recurrence of CIN 2 and 3 was related to positive margins in the product of conization.","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67235097","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}

引用次数: 10

Sobrepeso e obesidade pré-gestacionais: prevalência e desfechos associados à gestação 妊娠前超重和肥胖:与妊娠相关的患病率和结果

IF 1.2

Revista Brasileira de Ginecologia e Obstetricia Pub Date : 2011-11-01 DOI: 10.1590/S0100-72032011001100005

Gisele Seabra, P. Padilha, J. Queiroz, C. Saunders

{"title":"Sobrepeso e obesidade pré-gestacionais: prevalência e desfechos associados à gestação","authors":"Gisele Seabra, P. Padilha, J. Queiroz, C. Saunders","doi":"10.1590/S0100-72032011001100005","DOIUrl":"https://doi.org/10.1590/S0100-72032011001100005","url":null,"abstract":"OBJETIVO: Descrever o resultado obstetrico de mulheres com sobrepeso/obesidade atendidas no servico de pre-natal de uma maternidade publica no Rio de Janeiro. METODOS: Estudo do tipo descritivo transversal, tendo sido incluidas 433 puerperas (³20 anos, sem enfermidades cronicas) e seus respectivos recem-nascidos atendidos em maternidade publica do Rio de Janeiro. As informacoes foram coletadas em prontuarios e por meio de entrevistas. As caracteristicas maternas e dos recem-nascidos avaliadas foram agrupadas em maternas (habitos sociais, antropometricas, da assistencia pre-natal, clinicas e obstetricas) e dos recem-nascidos (condicoes ao nascer). A avaliacao da razao de chance entre as categorias de estado nutricional os desfechos gestacionais se deu por meio da odds ratio (OR), com intervalos de confianca (IC) de 95%. RESULTADOS: A prevalencia de sobrepeso/obesidade nesta casuistica foi de 24,5% (n=106). Observou-se uma associacao entre ganho de peso inadequado e a frequencia de sobrepeso/obesidade (OR 2,7; IC95% 1,5-4,9; p<0,05). As mulheres com sobrepeso/obesidade apresentaram maior risco para pre-eclâmpsia (OR 3,3; IC95% 1,1-9,9; p=0,03). Quanto as condicoes ao nascimento, verificou-se peso medio ao nascer de 3291,3 g (±455,2), sendo as taxas de baixo peso de 4,7% (n=5) e macrossomia de 2,8% (n=3). CONCLUSOES: Observou-se uma prevalencia alarmante de inadequacao do estado nutricional pre e gestacional, que pode associar-se ao maior risco de morbimortalidade perinatal. Com isso, sugere-se a necessidade de monitoramento nutricional dessas gestantes.","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67234695","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}

引用次数: 34

Physiotherapy assessment in the health of early and late postmenopause women 早期和晚期绝经后妇女健康的物理治疗评估

IF 1.2

Revista Brasileira de Ginecologia e Obstetricia Pub Date : 2011-10-01 DOI: 10.1590/S0100-72032011001000009

C. Calio

引用次数: 0

Avaliação da qualidade da assistência ao parto normal 正常分娩护理质量评价

IF 1.2

Revista Brasileira de Ginecologia e Obstetricia Pub Date : 2011-10-01 DOI: 10.1590/S0100-72032011001000005

Margareth Rocha Peixoto Giglio, E. França, J. Lamounier

{"title":"Avaliação da qualidade da assistência ao parto normal","authors":"Margareth Rocha Peixoto Giglio, E. França, J. Lamounier","doi":"10.1590/S0100-72032011001000005","DOIUrl":"https://doi.org/10.1590/S0100-72032011001000005","url":null,"abstract":"PURPOSE: To evaluate the quality of health care assistance during childbirth in the hospitals of Goiânia, in Brazil. METHODS: Thirteen hospitals were appraised from April to December 2007, and a random sample of 404 normal births was studied. Data were obtained from interviews with mothers after delivery and by consulting their medical records. The quality of assistance at birth was evaluated by using the Bologna score and by comparing the procedures used in those hospitals to standard recommended practices. RESULTS: The Bologna score presented an average value of 1.04 (95%CI=0.9-1.1). The elective caesarian rate was 30%, the emergency caesarian rate was 10%, and the rate of induced childbirth was 1.6% The percentage of childbirths attended by health care professionals was 100%, but pediatricians in the delivery room were present only in 30% of the time. During labor, half of the women had no evaluation of the uterine dynamics and 29% had no auscultation fetal monitoring. The partogram was used for only 28.5% of the women, whereas the use of oxytocin was 45.8%. CONCLUSIONS: The results indicate a poor quality of childbirth care with low values of the Bologna score, high elective and emergency caesarians rates, a high number of unnecessary and potentially harmful interventions, and an insufficient frequency of beneficial interventions.","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2011-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67234925","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}

引用次数: 31

Topography of the uretrovesical junction and proximal urethra in late pospartum continent primiparous after vaginal delivery and cesarean section intrapartum 阴道分娩和剖宫产后晚期大陆初产妇膀胱后结及近端尿道的地形特征

IF 1.2

Revista Brasileira de Ginecologia e Obstetricia Pub Date : 2011-09-01 DOI: 10.1590/S0100-72032011000900009

C. Santos

引用次数: 0

Preservação da fertilidade: a importância de oferecer esta possibilidade às pacientes com doenças neoplásicas 保存生育能力:为肿瘤疾病患者提供这种可能性的重要性

IF 1.2

Revista Brasileira de Ginecologia e Obstetricia Pub Date : 2011-09-01 DOI: 10.1590/S0100-72032011000900001

F. P. Ferreira, J. S. Júnior, E. Motta

引用次数: 2

Fatores associados ao uso de suplemento de ácido fólico durante a gestação 与怀孕期间补充叶酸有关的因素

IF 1.2

Revista Brasileira de Ginecologia e Obstetricia Pub Date : 2011-09-01 DOI: 10.1590/S0100-72032011000900005

Lorena Barbosa, Davianne de Queiroz Ribeiro, F. Faria, L. N. Nobre, A. C. Lessa

引用次数: 8

Titrated oral suspension compared with vaginal misoprostol for labor induction: a randomized controlled trial 滴定口服混悬液与阴道米索前列醇用于引产的比较:一项随机对照试验

IF 1.2

Revista Brasileira de Ginecologia e Obstetricia Pub Date : 2011-09-01 DOI: 10.1590/S0100-72032011000900010

A. Souza

引用次数: 1

Características epidemiológicas e nutricionais de gestantes vivendo com o HIV 艾滋病毒感染孕妇的流行病学和营养特征

IF 1.2

Revista Brasileira de Ginecologia e Obstetricia Pub Date : 2011-08-01 DOI: 10.1590/S0100-72032011000800004

T. Brandão, Kátia Silveira da Silva, Enilce Fonseca de Oliveira Sally, Marcos Augusto Bastos Dias, Claudia Silva, Vânia Matos Fonseca

{"title":"Características epidemiológicas e nutricionais de gestantes vivendo com o HIV","authors":"T. Brandão, Kátia Silveira da Silva, Enilce Fonseca de Oliveira Sally, Marcos Augusto Bastos Dias, Claudia Silva, Vânia Matos Fonseca","doi":"10.1590/S0100-72032011000800004","DOIUrl":"https://doi.org/10.1590/S0100-72032011000800004","url":null,"abstract":"PURPOSE:To describe the epidemiological profile and nutritional status of pregnant women infected with human \u0000immunodeficiency virus (HIV) and its effect on the nutritional status of these women during pregnancy. METHODS:A \u0000retrospective cohort study was conducted on 121 pregnant women with HIV infection, single fetus pregnancies, who \u0000received prenatal care and delivered at a referral unit for HIV-infected pregnant women during the period from 1997 \u0000to 2007. Outcomes of the study were the initial and final nutritional status as measured by body mass index, weight \u0000gain, anemia (hemoglobin <11 g/dL) and low birth weight. Bivariate analysis investigated the association of these \u0000outcomes with socio-demographic, clinical-care and dietary characteristics. We estimated the relative risks (RR) with \u000095% confidence intervals (CI).RESULTS:At the beginning of pregnancy, 11.0% of the women were underweight, \u0000and in late pregnancy, the prevalence was 29.3%. Low educational level, urinary infection and worm infestation were \u0000associated with low gestational weight in late pregnancy. The percentage of insufficient weight gain was 47.5%, with \u0000well-nourished pregnant women (RR=3.3 95%CI 1.3–8.1) and women with no companion (RR=1.5 95%CI 1.1–2.2) \u0000having a higher risk for this outcome. The prevalences of overweight at the beginning and at the end of pregnancy \u0000were 26.8 and 29.4, respectively. There was a significant prevalence of anemia (61.0%). CONCLUSIONS: The high \u0000percentage of negative nutritional outcomes identified at this referral service with multidisciplinary care for pregnant \u0000women living with HIV reveals the need to establish more effective strategies to deal with the complex context of HIV.","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67234819","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}

引用次数: 5

Importância da experimentação animal em ginecologia e obstetrícia 动物实验在妇产科中的重要性

IF 1.2

Revista Brasileira de Ginecologia e Obstetricia Pub Date : 2011-07-01 DOI: 10.1590/S0100-72032011000700001

R. Simões, Luiz Kulay Júnior, E. Baracat

引用次数: 2