Ultrasound Evaluation of the Cervix to Predict Failed Labor Induction
Conclusion Although TVS is useful for screening for induction failure, this tool should not be used as an indication for cesarean section.Resumo Objetivo Nem sempre a indu ção do parto termina emparto vaginal, expondo tanto a mãe quanto o feto aos riscos inerentes ao procedimento de indução, ou a uma possível cesárea. A ultrassonografia transvaginal (UTV) semostrou interessante instrumento na predição da prematuridade e, neste estudo, utilizamos este instrume nto na situação inversa: indução do parto no pós-datismo. Métodos Avaliamos variáveis ultrassonográficas do colo uterino (comprimento, presença...
Source: Revista Brasileira de Ginecologia e Obstetricia - September 17, 2019 Category: OBGYN Source Type: research

Putting Knowledge into Practice-The Challenge of Acquiring Healthy Habits during Pregnancy Colocando conhecimento em prática - O desafio de adquirir hábitos saudáveis durante a gravidez
Conclusion Despite understanding the need for HH during pregnancy, women still need encouragement to practice PE during pregnancy, as well as more information about GWG.Resumo Objetivo O objetivo deste estudo foi investigar os conhecimentos sobre ganho de peso gestacional (GPG), nutri ção, e exercício físico (EF) em gestantes e o quanto elas os colocam em prática. Métodos Estudo transversal realizado no Hospital da Mulher, CAISM, Unicamp, com 61 gestantes acima das 26 semanas gestacionais. Questionários sobre conhecimento de hábitos saudáveis (HS) durante a gestação, dados sociodemográficos, e antecedente...
Source: Revista Brasileira de Ginecologia e Obstetricia - September 17, 2019 Category: OBGYN Source Type: research

The Algorhytm: FRAX Brazil
(Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - September 17, 2019 Category: OBGYN Source Type: research

Pelvic Actinomycosis Mimicking Pelvic Malignancy
We report a case of pelvic actinomycosis mimicking ovarian malignancy diagnosed postoperatively. Preoperative diagnosis is possible if there is a high index of suspicion, obviating extensive surgery and preserving fertility, since long term antibiotic treatment can be completely effective. Pelvic actinomycosis should be included in the differential diagnosis of women presenting a pelvic mass, especially if there is intrauterine device use history.Resumo A coloniza ção assintomática do aparelho genital feminino por Actinomyces spp não é infrequente, sobretudo em utilizadoras de dispositivo intra-uterino. A actinomicose...
Source: Revista Brasileira de Ginecologia e Obstetricia - August 15, 2019 Category: OBGYN Source Type: research

New Approaches to Fetal Growth Restriction: The Time for Metabolomics Has Come
Abstract Fetal growth restriction (FGR) diagnosis is often made by fetal biometric ultrasound measurements orDoppler evaluation, but most babies are only diagnosed after birth, using the birth weight as a proxy for intrauterine development. The higher risks of neurodevelopmental delay, metabolic syndrome, and cardiovascular illness associated with FGR impose a shift on the focus during pregnancy. New methodological approaches, like metabolomics, can provide novel biomarkers for intrauterine fetal development. Recent evidence on metabolites involved with fetal growth and weight show a consistent role played by lipids (espec...
Source: Revista Brasileira de Ginecologia e Obstetricia - August 15, 2019 Category: OBGYN Source Type: research

Is the Expression of the Components of the Carotid Matrix of Rats Influenced by Estrogen, Progestin and Tibolone?
Conclusion Estradiol alone or associated with MPA and TIB treatment can increase mRNA HSPE expression of the walls of the carotid arteries in ovariectomized rats.Resumo Objetivo Analisar os efeitos do estrog ênio isolado ou em combinação com progestogênios e tibolona (TIB) na expressão das metaloproteinases 2 e 9 da matriz extracelular (MMP-2 e MMP-9), da perlecan e da heparanase (HPSE) das paredes vasculares das artérias carótidas. Métodos Trinta ratas Wistar ovariectomizadas com 250 dias de idade foram tratadas oralmente por 5 semanas com: a) 1 mg/kg de benzoato de estradiol (EB); b) EB + 0,2 mg/kg de acetat...
Source: Revista Brasileira de Ginecologia e Obstetricia - August 15, 2019 Category: OBGYN Source Type: research

Ovarian Sertoli-Leydig Cell Tumors: Epidemiological, Clinical and Prognostic Factors
Conclusion Abdominal pain was the most frequent presentation. There was no ultrasonographic pattern. All of the SLCTs were at stage IA, and most of them were moderately differentiated. Relapses did not occur, but one death related to the surgical staging occurred.Resumo Objetivo Descrever uma s érie de casos de tumores de células de Sertoli-Leydig (TCSLs) ovarianos. Métodos Revisão retrospectiva de 12 casos de TCSL tratados no Hospital de Câncer de Barretos entre outubro de 2009 e agosto de 2017. Resultados A mediana de idade foi 31 anos (15-71 anos). Um total de 9 pacientes (75,0 %) apresentaram sintomas: 8 (6...
Source: Revista Brasileira de Ginecologia e Obstetricia - August 15, 2019 Category: OBGYN Source Type: research

Validation of the Six-item Female Sexual Function Index in Middle-Aged Brazilian Women
Conclusion The FSFI-6 was translated and adapted to the Brazilian culture and is a consistent and reliable tool for female sexual dysfunction screening in Brazilianmiddleaged women.Resumo Objetivo Validar o Índice de Função Sexual Feminina - 6 itens (FSFI-6, na sigla em inglês) para mulheres brasileiras de meia-idade. Métodos Estudo transversal observacional que incluiu 737 (pré-menopausa n = 117, perimenopausa n = 249, pós-menopausa n = 371) mulheres brasileiras sexualmente ativas, entre 40 e 55 anos, sem métodos contraceptivos hormonais. A versão brasileira do FSFI-6 foi desenvolvida através da tradução...
Source: Revista Brasileira de Ginecologia e Obstetricia - August 15, 2019 Category: OBGYN Source Type: research

Assessment of Polymorphismof the VDR Gene and Serum Vitamin D Values in Gestational Diabetes Mellitus
Conclusion There was no association between the FokI polymorphism and the development of GDM, nor was t here any change in serum vitamin D levels in patients with GDM.Resumo Objetivo Avaliar a rela ção entre o polimorfismo do gene receptor da vitamina D (VDR) (FokI [rs10735810]) e a concentração sérica de vitamina D no diabetes mellitus gestacional (DMG). Métodos Estudo prospectivo tipo caso-controle que recrutou gestantes saudáveis (grupo controle) (n = 78) e com DMG (grupo DMG) (n = 79), sem outras comorbidades. Foram coletadas amostras de sangue periférico no 3° trimestre da gestação, e todas as gestant...
Source: Revista Brasileira de Ginecologia e Obstetricia - August 15, 2019 Category: OBGYN Source Type: research

Pregnancy Among Women with Kidney Transplantation: A 20-Years Single-Center Registry
Conclusion Pregnancy after kidney transplantation is a rare event. Pre-eclampsia and prematurity were frequent complications, and cesarean section rates were very high. A specialized antenatal and postpartum care with a multiprofessional approach and continuous monitoring of graft function are essential for the early diagnosis of complications and improved outcomes.Resumo Objetivo Avaliar os resultados maternos e perinatais de gesta ções em mulheres transplantadas renais em um centro terciário no Brasil. Métodos Coorte retrospectiva de gestações entre mulheres transplantadas renais na Universidade Estadual de Ca...
Source: Revista Brasileira de Ginecologia e Obstetricia - August 15, 2019 Category: OBGYN Source Type: research

HPV Vaccines: Separating Myths from Reality
(Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - August 15, 2019 Category: OBGYN Source Type: research

A Case of Chronic and Relapsing Paget Disease of the Vulva
Abstract Extramammary Paget disease is a rare neoplastic condition that more commonly affects postmenopausal Caucasian women. Although the vulvar area is the most frequently affected location, it corresponds solely to 1 to 2% of all vulvar malignancies. A 72-year-old female patient was observed in our outpatient clinic with a 2-year history of an erythematous and pruritic plaque on the vulva. Histopathology and immunohistochemistry studies were compatible with extramammary Paget disease of the vulva. Associated neoplastic conditions were excluded. Due to multiple relapses, the patient was submitted to three surgical interv...
Source: Revista Brasileira de Ginecologia e Obstetricia - July 23, 2019 Category: OBGYN Source Type: research

Endometrial Tuberculosis: Hysteroscopic Findings of a Clinical Case
Abstract Endometrial tuberculosis is a rare diagnosis in the postmenopausal period, and it can mimic a carcinoma. The present article describes the case of a 54-year-old female patient with weight loss, abdominal pain, and ascites. An ultrasonography showed endometrial thickening, and a video hysteroscopy revealed a uterine cavity with formations with cotton aspect covering the entire endometrial surface and the tubal ostia. An anatomopathological evaluation diagnosed endometrial tuberculosis. The treatment was with a standardized therapeutic scheme (ethambutol, isoniazid, pyrazinamide and rifampicin), and the patient evol...
Source: Revista Brasileira de Ginecologia e Obstetricia - July 23, 2019 Category: OBGYN Source Type: research

The Impact on Ovarian Reserve of Different Hemostasis Methods in Laparoscopic Cystectomy: A Systematic Review and Meta-analysis
Conclusion We recommend suture for hemostasis during laparoscopic cystectomy.Resumo Objetivo O objetivo desta revis ão foi comparar o impacto dos diferentes métodos hemostáticos na reserva ovariana durante a ooforoplastia laparoscópica. Fontes de Dados Os estudos foram identificados através da pesquisa de bases de dados eletrônicas (MEDLINE, Embase, Cochrane, LILACS) e listas de referência de artigos. S eleção dos estudos Selecionamos ensaios clínicos que avaliaram a influência das técnicas hemostáticas na reserva ovariana em pacientes com cistos ovarianos com aspecto ultrassonográfico benigno submetid...
Source: Revista Brasileira de Ginecologia e Obstetricia - July 23, 2019 Category: OBGYN Source Type: research

Interest In and Practices Related to Gynecologic Oncology among Members of the Brazilian Federation of Associations of Gynecology and Obstetrics
Conclusion The role of OB-GYNs and of OB-GYNs ONCO appears to be complementary. Obstetricians and gynecologists actmore often in screening and prevention and in low-complexity surgical procedures, whereas OB-GYNs ONCO are more involved in highly complex cases. Strategies to raise standards in cancer training and to encourage the recognition of gynecologic oncology as a subspecialty should be adopted in Brazil.Resumo Objetivo Opresente estudotemcomo objetivo obter informa ções demográficas básicas, o nível de interesse e de treinamento em ginecologia oncológica entre obstetras e ginecologistas (OB-GYNs) brasileiros...
Source: Revista Brasileira de Ginecologia e Obstetricia - July 23, 2019 Category: OBGYN Source Type: research