Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia最新文献_第8页

Women's experiences with the post-placental intrauterine device: a qualitative study. 妇女使用胎盘植入后宫内节育器的经验：一项定性研究。

Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia Pub Date : 2024-05-27 eCollection Date: 2024-01-01 DOI: 10.61622/rbgo/2024rbgo45

Ana Beatriz Venturin, Debora Bicudo Faria-Schützer, Odette Del Risco Sánchez, Larissa Rodrigues, Thuany Bento Herculano, Fernanda Garanhani Surita

{"title":"Women's experiences with the post-placental intrauterine device: a qualitative study.","authors":"Ana Beatriz Venturin, Debora Bicudo Faria-Schützer, Odette Del Risco Sánchez, Larissa Rodrigues, Thuany Bento Herculano, Fernanda Garanhani Surita","doi":"10.61622/rbgo/2024rbgo45","DOIUrl":"https://doi.org/10.61622/rbgo/2024rbgo45","url":null,"abstract":"Objective: To explore women's experiences with postpartum intrauterine device (PPIUD) insertion and the decision-making process in the postpartum period.Methods: A qualitative design was employed with face-to-face interviews using a semi-structured script of open questions. The sample was intentionally selected using the concept of theoretical information saturation.Results: Interviews were conducted (1) in the immediate postpartum period, and (2) in the postpartum appointment. 25 women (N = 25) over 18 years old who had a birth followed by PPIUD insertion were interviewed between October 2021 and June 2022. Three categories were constructed: (1) Choice process, (2) Relationship with the health team at the time of birth and the postpartum period, and (3) To know or not to know about contraception, that is the question.Conclusion: Professionals' communication management, popular knowledge, advantages of the PPIUD and the moment PPIUD is offered play a fundamental role in the construction of knowledge about the IUD. Choice process did not end in the insertion.","PeriodicalId":74699,"journal":{"name":"Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia","volume":"46 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11460429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395836","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}

引用次数: 0

The top hat procedure does not impact the management of women treated by LEEP in cervical cancer screening. 在宫颈癌筛查中，顶帽手术不会影响对接受 LEEP 治疗的妇女的管理。

Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia Pub Date : 2024-05-27 eCollection Date: 2024-01-01 DOI: 10.61622/rbgo/2024rbgo44

Juliana Yoko Yoneda, Aline Evangelista Santiago, Julio Cesar Teixeira, Helymar Costa Machado, Sophie Derchain, Milena Yonamine, Diama Bhadra Vale

{"title":"The top hat procedure does not impact the management of women treated by LEEP in cervical cancer screening.","authors":"Juliana Yoko Yoneda, Aline Evangelista Santiago, Julio Cesar Teixeira, Helymar Costa Machado, Sophie Derchain, Milena Yonamine, Diama Bhadra Vale","doi":"10.61622/rbgo/2024rbgo44","DOIUrl":"https://doi.org/10.61622/rbgo/2024rbgo44","url":null,"abstract":"Objective: To describe Top-hat results and their association with margin status and disease relapse in a referral facility in Brazil.Methods: A retrospective study of 440 women submitted to LEEP to treat HSIL, in which 80 cases were complemented immediately by the top hat procedure (Top-hat Group - TH). TH Group was compared to women not submitted to Top-hat (NTH). The sample by convenience included all women that underwent LEEP from January 2017 to July 2020. The main outcome was the histological result. Other variables were margins, age, transformation zone (TZ), depth, and relapse. The analysis used the Chi-square test and logistic regression.Results: The TH Group was predominantly 40 and older (NTH 23.1% vs. TH 65.0%, p<0.001). No difference was found in having CIN2/CIN3 as the final diagnosis (NTH 17.0% vs. TH 21.3%, p=0.362), or in the prevalence of relapse (NTH 12.0% vs. TH 9.0%, p=0.482). Of the 80 patients submitted to top hat, the histological result was CIN2/CIN3 in eight. A negative top hat result was related to a negative endocervical margin of 83.3%. A CIN2/CIN3 Top-hat result was related to CIN2/CIN3 margin in 62.5% (p=0.009). The chance of obtaining a top hat negative result was 22.4 times higher (2.4-211.0) when the endocervical margin was negative and 14.5 times higher (1.5-140.7) when the ectocervical margin was negative.Conclusion: The top hat procedure did not alter the final diagnosis of LEEP. No impact on relapse was observed. The procedure should be avoided in women of reproductive age.","PeriodicalId":74699,"journal":{"name":"Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia","volume":"46 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11460418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395833","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}

引用次数: 0

Tubal ectopic pregnancy: comparative management between pre and Covid-19 pandemic periods. 输卵管异位妊娠：Covid-19 大流行前和 Covid-19 大流行期间的管理比较。

Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia Pub Date : 2024-05-27 eCollection Date: 2024-01-01 DOI: 10.61622/rbgo/2024rbgo64

Lumi Tomishige Chaves, Rafael Maia, Alberto Borges Peixoto, Edward Araujo, Júlio Elito

{"title":"Tubal ectopic pregnancy: comparative management between pre and Covid-19 pandemic periods.","authors":"Lumi Tomishige Chaves, Rafael Maia, Alberto Borges Peixoto, Edward Araujo, Júlio Elito","doi":"10.61622/rbgo/2024rbgo64","DOIUrl":"https://doi.org/10.61622/rbgo/2024rbgo64","url":null,"abstract":"Objective: To evaluate whether there were differences in the presentation of patients with tubal ectopic pregnancy (EP) during the first year of the COVID-19 pandemic.Methods: We performed a retrospective cohort study of all cases of tubal EP between March 2019 and March 2020 (pre-pandemic) and between March 2020 and March 2021 (pandemic). We compared between these two groups the risk factors, clinical characteristics, laboratory data, sonographic aspects, treatment applied and complications.Results: We had 150 EP diagnoses during the two years studied, of which 135 were tubal EP. Of these, 65 were included in the pre-pandemic and 70 in the pandemic period. The prevalence of lower abdominal pain was significantly higher in the pandemic compared to the pre-pandemic period (91.4% vs. 78.1%, p=0.031). There was no significant difference in shock index, initial beta-hCG level, hemoglobin level at diagnosis, days of menstrual delay, aspect of the adnexal mass, amount of free fluid on ultrasound, and intact or ruptured presentation between the groups. Expectant management was significantly higher during the pandemic period (40.0% vs. 18.5%, p=0.008), surgical management was lower during the pandemic period (47.1% vs. 67.7%, p=0.023), and number of days hospitalized was lower in the pandemic period (1.3 vs. 2.0 days, p=0.003).Conclusion: We did not observe a significant difference in patient history, laboratory and ultrasound characteristics. Abdominal pain was more common during the pandemic period. Regarding treatment, we observed a significant increase in expectant and a decrease in surgical cases during the pandemic period.","PeriodicalId":74699,"journal":{"name":"Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia","volume":"46 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11460413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395835","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}

引用次数: 0

Artificial intelligence in gynecology and obstetrics: from the enthusiasm of use in practice to the challenges of implementation. 人工智能在妇产科中的应用：从实际应用的热情到实施的挑战。

Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia Pub Date : 2024-05-27 eCollection Date: 2024-01-01 DOI: 10.61622/rbgo/2024rbgo41

Yago Tavares Pinheiro, Richardson Augusto Rosendo da Silva

引用次数: 0

Respiratory syncytial virus: impact of the disease and preventive strategies in pregnant women and older adults: Number 6 - 2024. 呼吸道合胞病毒：该疾病对孕妇和老年人的影响及预防策略：第 6 - 2024 期。

Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia Pub Date : 2024-05-27 eCollection Date: 2024-01-01 DOI: 10.61622/rbgo/2024FPS06

Cecília Maria Roteli-Martins, Isabela de Assis Martins Ballalai, Renato de Ávila Kfouri, Susana Cristina Aidé Viviani Fialho

引用次数: 0

How can we reduce maternal mortality due to preeclampsia? The 4P rule. 如何降低子痫前期导致的孕产妇死亡率？4P 规则

Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia Pub Date : 2024-05-27 eCollection Date: 2024-01-01 DOI: 10.61622/rbgo/2024rbgo43

Henri Augusto Korkes, Ricardo Carvalho Cavalli, Leandro Gustavo De Oliveira, José Geraldo Lopes Ramos, Sérgio Hofmeister de Almeida Martins Costa, Francisco Lázaro Pereira de Sousa, Edson Vieira da Cunha, Maria Rita de Souza Mesquita, Mário Dias Corrêa, Ana Cristina Pinheiro Fernandes Araújo, Alberto Carlos Moreno Zaconeta, Carlos Henrique Esteves Freire, Carlos Eduardo Poli de Figueiredo, Edilberto Alves Pereira da Rocha, Nelson Sass, José Carlos Peraçoli, Maria Laura Costa

{"title":"How can we reduce maternal mortality due to preeclampsia? The 4P rule.","authors":"Henri Augusto Korkes, Ricardo Carvalho Cavalli, Leandro Gustavo De Oliveira, José Geraldo Lopes Ramos, Sérgio Hofmeister de Almeida Martins Costa, Francisco Lázaro Pereira de Sousa, Edson Vieira da Cunha, Maria Rita de Souza Mesquita, Mário Dias Corrêa, Ana Cristina Pinheiro Fernandes Araújo, Alberto Carlos Moreno Zaconeta, Carlos Henrique Esteves Freire, Carlos Eduardo Poli de Figueiredo, Edilberto Alves Pereira da Rocha, Nelson Sass, José Carlos Peraçoli, Maria Laura Costa","doi":"10.61622/rbgo/2024rbgo43","DOIUrl":"https://doi.org/10.61622/rbgo/2024rbgo43","url":null,"abstract":"In low and middle-income countries such as Brazil, most maternal deaths are related to hypertensive complications. Preeclampsia is the leading cause of maternal mortality and morbidity. Significant proportion is associated with the following factors: lack of identification of high-risk women, lack of adequate prevention, difficulty in maintaining a high-risk prenatal follow-up, delayed diagnosis, insecurity and low use of magnesium sulphate, delayed pregnancy interruption and lack of postpartum follow-up of these high-risk cases. Four major actions are proposed to minimize this alarming clinical picture and reduce the mortality rates due to preeclampsia, called the \"4 P Rule\" (Adequate Prevention - Vigilant Prenatal Care - Timely Delivery (Parturition) - Safe Postpartum). From this simple \"rule\" we can open a range of important processes and reminders that may help in the guidance of preeclampsia management.","PeriodicalId":74699,"journal":{"name":"Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia","volume":"46 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11460433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395820","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}

引用次数: 0

Prevalence of syphilis and associated factors among pregnant women in Brazil: systematic review and meta-analysis. 巴西孕妇梅毒患病率及相关因素：系统回顾与荟萃分析。

Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia Pub Date : 2024-05-27 eCollection Date: 2024-01-01 DOI: 10.61622/rbgo/2024rbgo28

Iana Mundim de Oliveira, Regilane Cordeiro Dos Santos, Renan Alves Silva, Rosane Ribeiro Figueiredo Alves, Bruno César Teodoro Martins, Leonardo Ribeiro Soares

{"title":"Prevalence of syphilis and associated factors among pregnant women in Brazil: systematic review and meta-analysis.","authors":"Iana Mundim de Oliveira, Regilane Cordeiro Dos Santos, Renan Alves Silva, Rosane Ribeiro Figueiredo Alves, Bruno César Teodoro Martins, Leonardo Ribeiro Soares","doi":"10.61622/rbgo/2024rbgo28","DOIUrl":"10.61622/rbgo/2024rbgo28","url":null,"abstract":"Objective: This systematic review accompanied by a meta-analysis aimed to estimate the prevalence of syphilis in pregnant women in Brazil and describe its associated factors.Methods: Following the establishment the search strategies and the registration of the review protocol in PROSPERO, we conducted a search for relevant articles in the Pubmed, LILACS, Science Direct, SciELO and Web of Science databases. Our inclusion criteria were cross-sectional studies published between 2005 and 2023, with no language restrictions. The combined prevalence of syphilis infection was estimated using the random effects model in the R Software with a 95% confidence interval (95% CI) and p < 0.01 as statistically significant.Results: A total of 24 articles were recruited, which together investigated 221,884 women. The combined prevalence of syphilis in pregnant women in Brazil was 1.79% (95% CI: 1.24-2.57%), and the main factors associated with its occurrence were black and brown skin color, low education and factors related to the partner.Conclusion: There was a high prevalence of syphilis in pregnancy in Brazil, mainly associated with socioeconomic factors.","PeriodicalId":74699,"journal":{"name":"Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia","volume":"46 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11460426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142397003","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}

引用次数: 0

Hyperprolactinemia in women: treatment. 女性高催乳素血症：治疗。

Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia Pub Date : 2024-04-25 eCollection Date: 2024-01-01 DOI: 10.61622/rbgo/2024FPS05

Cristina Laguna Benetti-Pinto, Andrea Prestes Nácul, Ana Carolina Japur Rosa E Silva, Gustavo Arantes Rosa Maciel, Vania Dos Santos Nunes Nogueira, Paula Condé Lamparelli Elias, Manoel Martins, Leandro Kasuki, Heraldo Mendes Garmes, Andrea Glezer

引用次数: 0

Hyperprolactinemia in women: diagnostic approach. 女性高催乳素血症：诊断方法。

Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia Pub Date : 2024-04-25 eCollection Date: 2024-01-01 DOI: 10.61622/rbgo/2024FPS04

Andrea Glezer, Heraldo Mendes Garmes, Leandro Kasuki, Manoel Martins, Paula Condé Lamparelli Elias, Vania Dos Santos Nunes Nogueira, Ana Carolina Japur de Sá Rosa-E-Silva, Gustavo Arantes Rosa Maciel, Cristina Laguna Benetti-Pinto, Andrea Prestes Nácul

引用次数: 0

Bacteriological characteristics of primary breast abscesses in patients from the community in the era of microbial resistance. 微生物耐药性时代社区患者原发性乳腺脓肿的细菌学特征。

Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia Pub Date : 2024-04-09 eCollection Date: 2024-01-01 DOI: 10.61622/rbgo/2024rbgo34

Vicente Sperb Antonello, Jessica Dallé, Mirela Foresti Jimenez, Patrícia Tramontini, Andrei Gustavo Reginatto

{"title":"Bacteriological characteristics of primary breast abscesses in patients from the community in the era of microbial resistance.","authors":"Vicente Sperb Antonello, Jessica Dallé, Mirela Foresti Jimenez, Patrícia Tramontini, Andrei Gustavo Reginatto","doi":"10.61622/rbgo/2024rbgo34","DOIUrl":"10.61622/rbgo/2024rbgo34","url":null,"abstract":"Objective: The aim of this study is to evaluate the etiological profile and antimicrobial resistance in breast abscess cultures from patients from the community, treated at a public hospital located in Porto Alegre, Brazil.Methods: This is an retrospective cross-sectional study that evaluated the medical records of patients with bacterial isolates in breast abscess secretion cultures and their antibiograms, from January 2010 to August 2022.Results: Based on 129 positive cultures from women from the community diagnosed with breast abscesses and treated at Fêmina Hospital, 99 (76.7%) of the patients had positive cultures for Staphylococcus sp, 91 (92%) of which were cases of Staphylococcus aureus. Regarding the resistance profile of S. aureus, 32% of the strains were resistant to clindamycin, 26% to oxacillin and 5% to trimethoprim-sulfamethoxazole. The antimicrobials vancomycin, linezolid and tigecycline did not show resistance for S. aureus.Conclusion: Staphylococcus aureus was the most common pathogen found in the breast abscess isolates during the study period. Oxacillin remains a good option for hospitalized patients. The use of sulfamethoxazole plus trimethoprim should be considered as a good option for use at home, due to its low bacterial resistance, effectiveness and low cost.","PeriodicalId":74699,"journal":{"name":"Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia","volume":"46 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11075427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141066551","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}

引用次数: 0