Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia最新文献

{"title":"Pre-pregnancy body mass index classification and weight gain according to new brazilian protocols and their association with gestational diabetes mellitus.","authors":"Lucas Almeida das Chagas, Luiz Gonzaga Ribeiro Silva, Rosângela Maria Lopes de Sousa, Ana Vitória Almeida das Chagas da Silva, Rosy Ane de Jesus Pereira Araújo Barros, Flávio Américo Barroso, Bianca de Almeida Pititto, Edward Araujo Júnior, Rosiane Mattar","doi":"10.61622/rbgo/2026rbgo102","DOIUrl":"10.61622/rbgo/2026rbgo102","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated the association between gestational weight gain based on the new weight gain curve adopted by the Brazilian Ministry of Health for pregnant women and the risk of developing Gestational Diabetes Mellitus (GDM).</p><p><strong>Methods: </strong>Cross-sectional study was conducted with 104 pregnant women-52 with GDM and 52 without-matched for age, self-reported skin color, pre-existing hypertension, and family history of type 2 diabetes. Statistical analyses were performed using SPSS version 19.0. Categorical variables were analyzed using the Chi-square or Fisher's exact test, and continuous variables with the Student's t-test or Mann-Whitney U test. Two multivariate logistic regression models were applied: one using BMI and GWG as continuous variables and another using their categorical classifications. Odds ratios (OR) were calculated as exp(b), and models were adjusted for age, skin color, income, education, and family history of diabetes. A p-value < 0.05 was considered significant.</p><p><strong>Results: </strong>Women with GDM reported less physical activity before (26.9% vs. 46.2% p = 0.042) and during pregnancy (17.3% vs. 40.4% p = 0.009). Regarding pre-gestational nutritional status, women with GDM showed a higher prevalence of overweight (53.9% vs. 30.8%), while obesity was more frequent among women without GDM (40.4% vs. 26.9%), although these differences were not statistically significant (p = 0.059). Women with GDM had lower median gestational weight gain (4.5 kg vs. 8.0 kg, p < 0.001) and a higher proportion exceeded the recommended values (84.6% vs. 40.4%). Excessive GWG was significantly associated with GDM: each additional kilogram gained increased the odds of developing GDM by 28% (aOR 1.28; 95% CI: 1.12-1.47, p < 0.001).</p><p><strong>Conclusions: </strong>Excessive gestational weight gain was significantly associated with GDM, underscoring the importance of monitoring maternal weight gain to prevent complications.</p>","PeriodicalId":74699,"journal":{"name":"Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia","volume":"48 ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12975108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147438259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adequacy of gestational weight gain according to the brazilian charts: a comparison with the Institute of Medicine recommendations.","authors":"Mariana Campos de Moraes, Luciana da Cunha Bernardes Argenta, Sanmira Lopes Fagherazzi, Gabriella Pinto Belfort, Beatriz Magalhães Blois Dos Santos, Laura Lima Camelo, Letícia Barbosa Gabriel da Silva, Claudia Saunders","doi":"10.61622/rbgo/2026rbgo99","DOIUrl":"https://doi.org/10.61622/rbgo/2026rbgo99","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the adequacy of gestational weight gain (GWG) and associated factors, according to the Brazilian GWG charts, and compare with the Institute of Medicine (IOM) recommendations.</p><p><strong>Methods: </strong>This was a cross-sectional study. Sociodemographic, clinical, and obstetric data were collected from interviews and medical records. The sample was divided into three groups according to the Brazilian charts: insufficient GWG, adequate GWG, and excessive GWG. The chi-square and Kruskal-Wallis tests were used to compare frequencies and medians, respectively, and Dunn's test was used to verify differences between groups, assuming statistical significance of p<0.05.</p><p><strong>Results: </strong>Seven hundred and twenty-five women with low-and high-risk pregnancies were evaluated. Using the Brazilian charts, the prevalence of insufficient, adequate, and excessive GWG was 25.8%, 21.1%, and 53.1%, respectively. Compared with the classifications given using the IOM method, there was a lower prevalence of insufficient and adequate GWG and a higher prevalence of excessive GWG. The sensitivity and specificity of the Brazilian charts versus the IOM recommendations were 100% and 76.6%, respectively, for excessive GWG and 72.3% and 20%, respectively, for insufficient GWG. The modifiable factors related to GWG were pregestational BMI (p=0.001) and number of consultations with a nutritionist (p=0.008).</p><p><strong>Conclusion: </strong>Studies evaluating the Brazilian GWG charts are scarce. The Brazilian charts indicated a higher prevalence of excessive GWG than the IOM recommendations. The sensitivity and specificity of the Brazilian charts were better for excessive GWG than for insufficient GWG, using the IOM recommendations as the standard.</p>","PeriodicalId":74699,"journal":{"name":"Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia","volume":"48 ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12975114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147438141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fetal Aberrant Subclavian Artery (ARSA): flow dynamics and its impact on fetal development assessed by doppler ultrasonography.","authors":"Melih Bestel, Elif Ucar, Salim Sezer","doi":"10.61622/rbgo/2026rbgo5","DOIUrl":"https://doi.org/10.61622/rbgo/2026rbgo5","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the hemodynamic characteristics of fetuses with isolated Aberran Right Subclavian Artery (ARSA) and compare them with a control group of normal fetuses using Doppler ultrasonography.</p><p><strong>Methods: </strong>A total of 93 fetuses were included in this prospective case-control study. Forty fetuses with isolated ARSA and 53 control fetuses with normal right subclavian arteries were analyzed. Doppler ultrasonographic parameters (Peak Systolic Velocity (PS), Pulsatility Index (PI), Resistive Index (RI), Time-Averaged Maximum Velocity (TAMAX), Heart Rate (HR)) were assessed and compared between the two groups.</p><p><strong>Results: </strong>No significant differences were found in the Doppler parameters (PS, PI, RI, TAMAX, HR) between the ARSA and control groups. Furthermore, there was no correlation between gestational age, fetal weight, and Doppler parameters in either group.</p><p><strong>Conclusion: </strong>The study supports the hypothesis that isolated ARSA is a benign anatomical variant without significant hemodynamic impact on fetal development. ARSA cases without associated cardiac or chromosomal anomalies do not appear to affect fetal growth.</p>","PeriodicalId":74699,"journal":{"name":"Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia","volume":"48 ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12975109/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147438195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nominata 2025.","authors":"","doi":"10.61622/rbgo/2025nominata02025","DOIUrl":"https://doi.org/10.61622/rbgo/2025nominata02025","url":null,"abstract":"","PeriodicalId":74699,"journal":{"name":"Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia","volume":"47 ","pages":"eRBGO20252025"},"PeriodicalIF":1.4,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12998271/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147488959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnosis and management of mirror syndrome: a case series with emphasis on the potential role of the sFLT-1/PlGF ratio in clinical practice.","authors":"Gabrielle Soares Behenck, Fernanda Curtois, Patrícia El Beitune, Mirela Foresti Jimenez, Janete Vettorazzi, Marcelo Brandão da Silva, Betania Muller, Lucas Teixeira, Carolina Longo, Gustavo Yano Callado, Edward Araujo Júnior, Talita Micheletti","doi":"10.61622/rbgo/2026rbgo6","DOIUrl":"10.61622/rbgo/2026rbgo6","url":null,"abstract":"<p><strong>Objective: </strong>To characterize the maternal clinical, ultrasound, and laboratory parameters, maternal and perinatal outcomes of mirror syndrome, and to discuss the role of sFlt-1/PlGF biomarkers in diagnosis and management.</p><p><strong>Methods: </strong>We conducted a case series including all cases of mirror syndrome diagnosed at a tertiary reference center in Brazil. Clinical, laboratory, ultrasound, and biomarker data were collected, along with maternal and perinatal outcomes.</p><p><strong>Results: </strong>Nine cases of mirror syndrome were identified, with a mean gestational age at diagnosis of 27+6 weeks. The most frequent maternal findings were lower limb edema (n=7), hypertension (n=8), and proteinuria (n=8). Ultrasound demonstrated fetal hydrops (n=7), polyhydramnios (n=6), and placentomegaly (n=7). Laboratory abnormalities included abnormal proteinuria/creatinuria ratio in 5/8 women tested, elevated 24-hour proteinuria in all 5, anemia in 7, thrombocytopenia in 3, and elevated creatinine in 1. The sFlt-1/PlGF ratio was measured in 5 women; 4 had abnormal results, with 3 above 85, all of whom developed maternal complications or fetal death. Resolution occurred after a mean of 3.4±3.6 days, due to fetal death (n=3), delivery (n=5), or fetal surgery (n=1). In one monochorionic twin pregnancy complicated by twin-anemia-polycythemia sequence, biomarker normalization after intrauterine death of the hydropic twin allowed safe prolongation of the pregnancy and term delivery of the co-twin.</p><p><strong>Conclusion: </strong>Mirror syndrome should be suspected in pregnancies presenting with preeclampsia-like features in the setting of fetal hydrops or polyhydramnios. The sFlt-1/PlGF ratio may assist in differentiating mirror syndrome from preeclampsia and in identifying women at risk for adverse outcomes.</p>","PeriodicalId":74699,"journal":{"name":"Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia","volume":"48 ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12975112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147438235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Doppler signal analysis of the tricuspid valve in healthy fetuses during the first trimester: a cohort study.","authors":"Gustavo Fonseca de Albuquerque Souza, Cínthia Freire Carvalho, Adricia Cristine Souza Alves, Laura Mendes Rodrigues, Renato Barros Moraes, Alex Sandro Rolland Souza","doi":"10.61622/rbgo/2026rbgo101","DOIUrl":"https://doi.org/10.61622/rbgo/2026rbgo101","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to characterize tricuspid valve sound signals in healthy fetuses during the first trimester of pregnancy using Doppler ultrasound and computational analysis.</p><p><strong>Methods: </strong>A cohort of pregnant women at 11-14 weeks of normal-risk gestation was assessed at the <i>Instituto de Medicina Integral Prof. Fernando Figueira</i> (IMIP) between December 2019 and May 2020. Eligible participants were over 18 years old with no pregnancy complications. Doppler recordings of the fetal tricuspid valve were obtained, and linear (wave duration) and non-linear analyses were performed, including approximate entropy (ApEn), Lempel-Ziv complexity (LZC), and detrended fluctuation analysis (DFA). Follow-up in the second trimester with a fetal medicine team and postnatal follow-up with physical examination by an experienced neonatology team confirmed normal cardiac results.</p><p><strong>Results: </strong>Early diastolic (E) wave presented a mean duration of 70.89±9.26 ms, with ApEn 0.25±0.15, LZC 0.77±0.15, and DFA 0.73. Atrial contraction (A) wave had 79.77±7.56 ms, ApEn 0.25±0.15, LZC 0.77±0.19, and DFA 0.52. Systole showed 225.95±15.88 ms, ApEn 0.15±0.17, LZC 0.78±0.15, and DFA 0.75. Diastole had 150.66±13.99 ms, ApEn 0.18±0.11, LZC 0.83±0.22, and DFA 0.66. The full cardiac cycle lasted 376.61±16.40 ms, with ApEn 0.18±0.11, LZC 0.83±0.22, and DFA 0.81. The diastole/cardiac cycle ratio was 0.4±0.3, with ApEn 0.22±0.12, LZC 0.72±0.15, and DFA 0.62.</p><p><strong>Conclusion: </strong>This study offers a detailed characterization of tricuspid valve wave segments in healthy fetuses during early gestation. The integration of linear and non-linear analyses may enhance our understanding of fetal cardiac physiology. Further research is needed to evaluate whether these parameters can assist in the early detection of congenital heart diseases. We highlight the potential of these parameters for early screening of congenital heart disease and chromosomal abnormalities, while emphasizing the need for further studies to confirm their diagnostic value.</p>","PeriodicalId":74699,"journal":{"name":"Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia","volume":"48 ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12975111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147438216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vaginal pixel CO2 laser versus topical use of promestriene for genitourinary syndrome of menopause.","authors":"Kátia Beckhauser, Marina Gules Bernardi, Edison Capp, Lúcia Maria Kliemann, Maria Celeste Osório Wender","doi":"10.61622/rbgo/2026rbgo13","DOIUrl":"https://doi.org/10.61622/rbgo/2026rbgo13","url":null,"abstract":"<p><strong>Objective: </strong>To compare the effectiveness of pixel CO₂ laser and vaginal promestriene in treating genitourinary syndrome of menopause (GSM).</p><p><strong>Methods: </strong>A quasi-randomized controlled trial was conducted with 48 patients. CO₂ Laser Group (24 patients) received 3 sessions of vaginal pixel CO₂ laser, and promestriene group (24 patients) used vaginal promestriene daily for 14 days, then twice weekly for 3 months and 3 weeks. Patients were evaluated before and after treatment using a visual analog scale (VAS), FSFI-6, ICIQ-SF, Vaginal Health Index (VHI), and vaginal wall biopsy.</p><p><strong>Results: </strong>Of the 48 patients, 22 in CO₂ Laser Group and 21 in promestriene group completed the study. Both groups showed significant symptom reduction by VAS, with improvements in desire, lubrication, and total FSFI-6 scores. CO₂ Laser Group had greater improvements in lubrication, orgasm, and satisfaction (p<0.001). Urinary incontinence improved in both groups (p<0.01). VHI scores increased significantly in both groups (p<0.001). Biopsies revealed improvements in collagen, glycogen, vascularity, epithelial thickness, and reduced neutrophil count (p<0.01).</p><p><strong>Conclusion: </strong>CO₂ laser appears to be a viable non-hormonal alternative for treating GSM, particularly for women unable or unwilling to use hormonal therapies.</p>","PeriodicalId":74699,"journal":{"name":"Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia","volume":"48 ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12975113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147438280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From invisibility to care: A FEBRASGO call to action on violence against women.","authors":"Agnaldo Lopes da Silva, Lia Cruz Vaz da Costa Damasio, Maria Auxiliadora Budib, Marcelo Luís Steiner, Roseli Mieko Yamamoto Nomura, Alberto Trapani, Olímpio Barbosa de Moraes, Sérgio Podgaec, Hilka Flavia Barra do Espírito Santo Alves Pereira, Marcos Felipe Silva de Sá, Maria Celeste Osório Wender","doi":"10.61622/rbgo/2026rbgoedt1","DOIUrl":"https://doi.org/10.61622/rbgo/2026rbgoedt1","url":null,"abstract":"","PeriodicalId":74699,"journal":{"name":"Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia","volume":"48 ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12975107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147438149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment of ovarian endometriosis: Number 1 - 2026.","authors":"Marcos Tcherniakovsky, Márcia Mendonça Carneiro, João Sabino Lahorgue da Cunha, Carlos Alberto Petta, Carlos Augusto Pires Costa Lino, Corival Lisboa Alves de Castro, Eduardo Schor, João Nogueira, Marco Aurélio Pinho de Oliveira, Maurício Simões Abrão, Omero Benedicto Poli, Ricardo de Almeida Quintairos, Sidney Pearce, Helizabet Salomão Abdalla, Sergio Podgaec, Julio Cesar Rosa E Silva","doi":"10.61622/rbgo/2026FPS1","DOIUrl":"https://doi.org/10.61622/rbgo/2026FPS1","url":null,"abstract":"","PeriodicalId":74699,"journal":{"name":"Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia","volume":"48 ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12975110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147438292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Uses of tranexamic acid and the risk of thrombosis in women: Number 11 - 2025.","authors":"Venina Isabel Poço Viana Leme de Barros, Edimárlei Gonsales Valério, Marcelo Melzer Teruchkin","doi":"10.61622/rbgo/2025FPS11","DOIUrl":"10.61622/rbgo/2025FPS11","url":null,"abstract":"","PeriodicalId":74699,"journal":{"name":"Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia","volume":"47 ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12713468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145806634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}