Revista Brasileira de Ginecologia e Obstetricia最新文献

{"title":"A questão do aborto no Brasil","authors":"Elizabeth Meloni Vieira","doi":"10.1590/S0100-72032010000300001","DOIUrl":"https://doi.org/10.1590/S0100-72032010000300001","url":null,"abstract":"","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2010-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67233804","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":"Perfil epidemiológico e resultados perinatais em pacientes com síndromes hipertensivas na gravidez","authors":"Eugenia Carla Sousa Batista","doi":"10.1590/S0100-72032010000200011","DOIUrl":"https://doi.org/10.1590/S0100-72032010000200011","url":null,"abstract":"obter o perfil epidemiologico e resultados perinatais de pacientes com diagnostico de hipertensao na gravidez. Analisar a hipertensao grave, presente nas patologias pre-eclâmpsia grave, pre-eclâmpsia superposta a hipertensao cronica, sindrome HELLP e eclâmpsia, como fator de risco para complicacoes maternas e neonatais em relacao a sindromes hipertensivas menos graves como pre-eclâmpsia leve, hipertensao cronica e hipertensao gestacional. Sujeitos e metodos: realizou-se estudo transversal na Maternidade-Escola Assis Chateaubriand entre junho de 2007 e agosto de 2008 com 201 pacientes com sindromes hipertensivas na gravidez. Agruparam-se pacientes com sindromes hipertensivas mais graves e seus desfechos perinatais usando o teste do qui-quadrado e seguiu-se analise comparativa de suas caracteristicas socio-demograficas e obstetricas e resultados perinatais com mulheres com sindromes hipertensivas menos graves. Para mensurar a magnitude do risco foi calculado o odds ratio. Resultados: observaram-se 81,6% de pacientes pertencentes ao grupo da hipertensao mais grave, sendo 52,7% de pre-eclâmpsia grave. As pacientes nuliparas representaram 47%, sobrepeso 41% e obesidade 38%. Encontrou-se 44,2% de prematuridade, 37% recem-nascidos com peso abaixo de 2.500g e taxa de 65 obitos por mil nascidos vivos. A analise comparativa das caracteristicas das mulheres e resultados perinatais em sindromes hipertensivas graves em relacao as menos graves nao mostrou associacao significativa pelo odds ratio. Conclusao: o perfil das mulheres com sindromes hipertensivas graves foi similar ao de pacientes com quadros menos graves. Destacaram-se alta incidencia de pre-eclâmpsia grave, sobrepeso e obesidade e altas taxas de prematuridade e de obito neonatal. Nao foi observada diferenca entre o comprometimento neonatal conforme os grupos de sindromes.","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2010-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67233796","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":"Gestação monoamniótica e entrelaçamento de cordão umbilical: relato de caso e revisão de literatura","authors":"Marcelo Luís Nomura, Cleide Mara Mazotti Franzin, Helaine Milanez, E. F. Marussi, João Luiz Pinto e Silva","doi":"10.1590/S0100-72032010000200008","DOIUrl":"https://doi.org/10.1590/S0100-72032010000200008","url":null,"abstract":"Monoamniotic twin pregnancies are very rare, but they are associated with high fetal morbidity and mortality. There is much controversy regarding the follow-up and obstetric procedures towards prenatal diagnosis of intertwined umbilical cords. In this article, we describe a case of monoamniotic pregnancy with diagnosis of intertwined umbilical cords, and we discuss aspects related to the follow-up and obstetric procedures through a brief literature review.","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2010-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67233640","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":"Quality of life, satisfaction with surgery and shoulder-arm morbidity in breast cancer survivors submitted to quadrantectomy or mastectomy with immediate breast reconstruction","authors":"Renata Freitas-Silva","doi":"10.1590/S0100-72032010000200009","DOIUrl":"https://doi.org/10.1590/S0100-72032010000200009","url":null,"abstract":"ObjetivOs: comparar a prevalência de morbidade no ombro e braço, satisfação com a cirurgia e a qualidade de vida (QV) de mulheres submetidas à quadrantectomia às daquelas submetidas à mastectomia radical modificada (MRM) com reconstrução imediata (RI) da mama. MétOdOs: conduziu-se estudo de corte transversal incluindo mulheres com câncer de mama, que haviam se submetido à quadrantectomia ou à MRM+RI com retalho miocutâneo transverso do músculo reto abdominal e que apresentavam pelo menos seis meses de término do tratamento. Foram investigados os movimentos de abdução, flexão, extensão, rotação interna e rotação externa do ombro. A QV foi avaliada através do questionário Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). Foram incluídas 44 mulheres submetidas à quadrantectomia e 26 à MRM+RI. Resultados: a prevalência de linfedema foi de 12% no grupo de MRM+RI e 18% na quadrantectomia (OR:0,51; p=0,66). As mulheres submetidas à quadrantectomia apresentaram maior prevalência de restrição do movimento de rotação interna do ombro (OR:7,23; p=0,03). Não houve diferença nos escores de QV e da satisfação com a cirurgia. Quando as participantes foram questionadas se optariam por outra técnica cirúrgica, 25% no grupo de MRM+RI e 12% no grupo de quadrantectomia referiram que fariam uma escolha diferente (OR:7,4; p=0,09). COnClusões: nossos dados sugerem que o tipo de cirurgia não influenciou a ocorrência de linfedema. A quadrantectomia aumentou a chance de restrição do movimento do ombro. Observou-se ainda que a técnica cirúrgica apresentou impacto semelhante na QV e na satisfação da mulher com a cirurgia.","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2010-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67233651","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 estudo Doppler da função cardíaca fetal e da artéria umbilical na rotura prematura das membranas amnióticas pré-termo","authors":"Ana Lúcia Letti Müller","doi":"10.1590/S0100-72032009001200011","DOIUrl":"https://doi.org/10.1590/S0100-72032009001200011","url":null,"abstract":"","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67234065","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":"Avaliação da proporção de colágeno no tecido uterino antes e após tratamento do leiomioma uterino pela embolização arterial","authors":"C. Bonduki, Gilmar Jorge de Oliveira Júnior, Andresa Bernardo, M. Simões, R. Castro, Mariano Tamura Vieira Gomes, M. J. B. C. Girão","doi":"10.1590/S0100-72032009001200004","DOIUrl":"https://doi.org/10.1590/S0100-72032009001200004","url":null,"abstract":"PURPOSE: to analyze histomorphometric consequences of the uterine arteries embolization (UAE) in the uterine tissue, especially by collagen tissue quantification through uterine biopsy, before and after treatment of uterine leiomyoma. METHODS: 15 patients with symptomatic leyomioma and/or infertility, submitted to UAE, participated in the study according to the study exclusion criteria, after having signed an informed consent. Uterine biopsy was performed in the secretory phase of the menstrual cycle, before and three months after the procedure, to evaluate the collagen. After the histological processing of the material, 3 µ slices were prepared, some of them dyed with hematoxiline-eosin (HE) and others with the specific dye for collagen fibers (Picrosirius red). Then, the slides were examined and interpreted, and the collagen quantified. The amount was calculated as the percent of the area composed by collagen, and the result expressed in mean±standard deviation (SD). Data has then been submitted to statistical analysis by Student's paired t test (p<0.05). RESULTS: the presence of smooth muscle cells was observed in the biopsies performed before the treatment, surrounded by a rich network of collagen fibers, which are part of the tumor, blood vessels and fibroblast nuclei. On the slides of biopsies performed after the treatment, it was observed the presence of widespread coagulation necrosis, vascular thrombosis, calcification and lymphoplasmocitary infiltration areas and clear reduction of the collagen component. The percentage of collagen fibers was higher in the pre-UAE group (84.07±1.41), than in the post-UAE (81.05±1.50) group, with p<0.0001, and 95% confidence interval (CI95%) from 2.080 to 3.827. CONCLUSION: the quantitative and qualitative collagen reduction clearly shows that the proposed treatment is efficient in reducing the tumoral mass, composed mainly by collagen fibers intermingled with neoplasic smooth muscle cells. Nevertheless, complementary studies are needed to investigate the functional and biological consequences of these histological changes.","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67233987","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":"Perceived quality of life of postpartum teenagers","authors":"A. M. Abeche","doi":"10.1590/S0100-72032009001200012","DOIUrl":"https://doi.org/10.1590/S0100-72032009001200012","url":null,"abstract":"","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67234111","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":"Clinical usefulness of inhibin assays in Gynecology and Obstetrics","authors":"F. Reis, C. P. Rezende","doi":"10.1590/S0100-72032009001200008","DOIUrl":"https://doi.org/10.1590/S0100-72032009001200008","url":null,"abstract":"The main source of inhibin B in women is the growing follicle granulosa cells, while inhibin A is mainly produced by the corpus luteum and the placenta. In infertile women submitted to therapies of assisted reproduction, inhibin B has shown to be useful to predict a poor ovulatory response, though it has not yet overcome the performance of other markers. In the pre-natal screening of the Down syndrome, inhibin A has been repeatedly confirmed as useful in the second trimester and has also started to be considered in the first trimester test battery. Besides the two applications above, the dosage of total inhibin may contribute to the identification of cases of autoimmune ovarian insufficiency. Total inhibin may also be an auxiliary marker in the diagnosis of ovarian epithelial tumors, while the amount of inhibin B helps in the diagnosis of granulosa cells tumors. The use of inhibin A may be extended to the evaluation of pregnant women with risk of abortion, with a history of repeated abortion, with increased risk of pre-eclampsia, or even in the first days of follow-up of hydatiform mole post-emptying. All those applications are still under study, but with a real possibility of helping to extend the diagnostic spectrum of inhibin dosage in Gynecology and Obstetrics.","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/S0100-72032009001200008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67234002","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":"Hormonal therapy with estradiol and testosterone implants: bone protection","authors":"R. Britto","doi":"10.1590/S0100-72032009001200009","DOIUrl":"https://doi.org/10.1590/S0100-72032009001200009","url":null,"abstract":"","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67234041","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":"Avaliação do glicocódigo do carcinoma ductal invasivo mamário e sua correlação com dados clínicos e histopatológicos","authors":"M. Rêgo","doi":"10.1590/S0100-72032009001200010","DOIUrl":"https://doi.org/10.1590/S0100-72032009001200010","url":null,"abstract":"","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67234050","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}