Preeclampsia: New Concepts and Approach of a National Protocol
(Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - June 28, 2019 Category: OBGYN Source Type: research

Laparoscopic Box Training with Four Different Modules in a Tertiary Education and Research Hospital, Ankara, Turkey
We report the case of a young woman with spontaneous heterotopic triplets at 8weeks of gestation, with amisdiagnosis of topic twins and acute appendicitis. The ectopic tubal pregnancy was ruptured and a salpingectomy was performed by laparotomy. The intrauterine pregnancy progressed uneventfully. The two healthy babies were delivery by cesarean section at 36 ± 2 weeks of gestation. Heterotopic triplets with ruptured tubal ectopic pregnancy represent a special diagnostic and therapeutic challenge for the obstetrician. A high rate of clinical suspicion and timely treatment by laparotomy or laparoscopy can preserve the intra...
Source: Revista Brasileira de Ginecologia e Obstetricia - June 19, 2019 Category: OBGYN Source Type: research

Spontaneous Heterotopic Triplet Pregnancy with a Two Viable Intrauterine Embryos and an Ectopic One with Right Tubal Rupture
We report the case of a young woman with spontaneous heterotopic triplets at 8weeks of gestation, with amisdiagnosis of topic twins and acute appendicitis. The ectopic tubal pregnancy was ruptured and a salpingectomy was performed by laparotomy. The intrauterine pregnancy progressed uneventfully. The two healthy babies were delivery by cesarean section at 36 ± 2 weeks of gestation. Heterotopic triplets with ruptured tubal ectopic pregnancy represent a special diagnostic and therapeutic challenge for the obstetrician. A high rate of clinical suspicion and timely treatment by laparotomy or laparoscopy can preserve the intra...
Source: Revista Brasileira de Ginecologia e Obstetricia - June 19, 2019 Category: OBGYN Source Type: research

Brain Metastasis in Papillary Serous Adenocarcinoma of the Endometrium
Conclusion Uterine papillary serous adenocarcinoma of the endometrium has a low propensity to metastasize to the brain. To the best of our knowledge, this is the fifth documented case of uterine papillary serous adenocarcinoma of the endometrium with metastasis to the CNS.Resumo Fundamentos A maioria dos c ânceres de endométrio (75%) é diagnosticada em estágios iniciais (estágios I e II), nos quais o sangramento uterino anormal é o sinalclínico mais frequente. Quando o diagnóstico é realizado no estágio IV, os locais mais comuns de metástase são os pulmões, o fígado e os ossos. A metást ase para o sistema...
Source: Revista Brasileira de Ginecologia e Obstetricia - June 19, 2019 Category: OBGYN Source Type: research

Hormonal Biomarkers for Evaluating the Impact of Fetal Growth Restriction on the Development of Chronic Adult Disease
Abstract The hypothesis of fetal origins to adult diseases proposes that metabolic chronic disorders, including cardiovascular diseases, diabetes, and hypertension originate in the developmental plasticity due to intrauterine insults. These processes involve an adaptative response by the fetus to changes in the environmental signals, which can promote the reset of hormones and of the metabolism to establish a “ thrifty phenotype ” . Metabolic alterations during intrauterine growth restriction can modify the fetal programming. The present nonsystematic review intended to summarize historical and current references that ...
Source: Revista Brasileira de Ginecologia e Obstetricia - June 19, 2019 Category: OBGYN Source Type: research

Correlation of Cervical Cancer Mortality with Fertility, Access to Health Care and Socioeconomic Indicators
Conclusion A decrease in the fertility rate, as expected when the level of development of the regions increases, is related to a decrease in the mortality rate of CC. The results of the present study can help to better monitor the quality assessment of CC programs both among and within countries.Resumo Objetivo O presente estudo teve como objetivo examinar quais indicadores de desenvolvimento est ão correlacionados com as taxas de mortalidade por câncer do colo do útero no Brasil. Métodos Este foi um estudo ecológico que correlacionou as taxas de mortalidade com indicadores como índice de desenvolvimento humano ...
Source: Revista Brasileira de Ginecologia e Obstetricia - June 19, 2019 Category: OBGYN Source Type: research

Health-related Quality of Life in Women with Cervical Cancer
Conclusion Considering the domains of HRQoL of the women treated for cervical cancer, a better score was observed in the domains of physical and social/family wellbeing. For most domains, better scores were found between those with a current occupation, with a longer time after the diagnosis and treatment, and among those who had undergone a hysterectomy.Resumo Objetivo Analisar os fatores associados à qualidade de vida em mulheres com câncer de colo do útero tratadas em um hospital de referência no Rio de Janeiro, RJ, Brasil. Métodos Estudo transversal em mulheres com diagnóstico de câncer do colo do útero e...
Source: Revista Brasileira de Ginecologia e Obstetricia - June 19, 2019 Category: OBGYN Source Type: research

Sexual Function and Quality of Life in a Cohort of Brazilian Users of Two Kind of Intrauterine Contraceptives
Conclusion We did not find significant differences in sexual function; there was a lower score in some domains of QOL among women who used the Cu-IUD. It was not possible to ensure that those differences were related to the contraceptive method.Resumo Objetivo Comparar a fun ção sexual e a qualidade de vida (QV) entre usuárias de contraceptivos intrauterinos (dispositivo intrauterino com cobre [DIU-cobre] ou sistema intrauterino liberador de levonorgestrel [SIU-LNG 52 mg 20 μ g/dia]. M étodos O presente estudo foi parte de um estudo de corte transversal. Mulheres com idades entre 18 e 49 anos, em relacionamento h...
Source: Revista Brasileira de Ginecologia e Obstetricia - June 19, 2019 Category: OBGYN Source Type: research

Maternal and Perinatal Outcomes in Pregnant Women with Cystic Fibrosis
Conclusion Cystic fibrosis patients with severe lung impairment may achieve successful term pregnancies. However, pregnancies of women with CF are frequently complicated by REs, and this population may require hospital admission during the course of the pregnancy. Cystic fibrosis patients should be followed by a specialized team with experience in treating respiratory diseases.Resumo Objetivo Avaliar os desfechos maternos e perinatais de gesta ções em mulheres portadoras de fibrose cística (FC) e disfunção pulmonar grave. Métodos Série de casos visando a avaliação dos desfechos maternos e perinatais em gesta...
Source: Revista Brasileira de Ginecologia e Obstetricia - June 19, 2019 Category: OBGYN Source Type: research

Maternal Weight Variation in Different Intrauterine Environments: An Important Role of Hypertension
Conclusion This evidence supports the need for specific nutritional guidelines for gestational hypertensive disorders, as well as great public attention for overweight women in the fertile age.Resumo Objetivo Diferentes ambientes intrauterinos podem influenciar a varia ção de peso corporal pré-gestacional materno até 6 meses pós-parto. O objetivo do presente estudo foi verificar a associação de fatores sociodemográficos, obstétricos, nutricionais e comportamentais com a variação de peso em mulheres divididas em quatro grupos: hipertensas (HM), diabétic as (DM), tabagistas (SM) e controles (CM). Métodos Am...
Source: Revista Brasileira de Ginecologia e Obstetricia - June 19, 2019 Category: OBGYN Source Type: research

Evaluation of Immunological Parameters in Pregnant Women: Low Levels of B and NK Cells
Conclusion Low-risk pregnant women have ~ 40% less B and NK cells in the peripheral blood, compared with non-pregnant women. These parameters may improve health assistance for mothers and contribute to define reference values for normal pregnancies.Resumo Objetivo Descrever o intervalo de refer ência imunológico e hematológico de gestantes de baixo risco. Métodos Realizou-se uma análise retrospectiva, de um estudo básico e translacional, analisando o perfil hematológico e a imunofenotipagem das células TCD3 + , TCD4 + , TCD8 + , B e natural killer (NK) do sangue periférico de 79 gestantes de baixo risco e de...
Source: Revista Brasileira de Ginecologia e Obstetricia - June 19, 2019 Category: OBGYN Source Type: research

Gestational Trophoblastic Disease in Brazil
(Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - June 19, 2019 Category: OBGYN Source Type: research

Comments on: Modified Pereira Suture as an Effective Option to Treat Postpartum Hemorrhage Due to Uterine Atony
Conclusion Dermatologists, gynecologists, and obstetricians should be aware of this rare entity. Furthermore, if this condition is suspected, a thorough history taking on the menstrual cycle and results of the intradermal progesterone test are mandatory. (Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - May 23, 2019 Category: OBGYN Source Type: research

Autoimmune Progesterone Dermatitis: A Case Report
Conclusion Dermatologists, gynecologists, and obstetricians should be aware of this rare entity. Furthermore, if this condition is suspected, a thorough history taking on the menstrual cycle and results of the intradermal progesterone test are mandatory. (Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - May 23, 2019 Category: OBGYN Source Type: research

Embolization of Ruptured Renal Angiomyolipoma in Puerpera
Abstract Angiomyolipomas (AMLs) are rare benign tumors derived from mesenchymal tissue and composed of varying degrees of adipose tissue, muscle and blood vessels. Renal AMLs (RAMLs) are the result of a sporadic event, and, in most of cases, the diagnosis is usually incidental, but hemorrhage and shock may be present. During pregnancy, the size of AMLs may increase and they may rupture, probably due to the high expression of hormone receptors, and the increase in maternal circulation and abdominal pressure. The authors present a case of a woman with ruptured RAML submitted to urgent endovascular treatment four days after g...
Source: Revista Brasileira de Ginecologia e Obstetricia - May 23, 2019 Category: OBGYN Source Type: research