Do Thyroid Diseases during Pregnancy and Lactation Affect the Nutritional Composition of Human Milk?
Conclusion: It is extremely important that these women have continuous nutritional follow-up to minimize the impact of these morbidities on the nutritional composition of human milk.Resumo Objetivo: Identificar se os efeitos da doen ça da tireoide durante a gestação e lactação afetam a composição nutricional do leite humano. Métodos: Revisão sistemática da literatura científica por meio das bases de dados Medical Literature Analysis and Retrieval System Online/MedLine a fim de avaliar a associação das doenças da tireoide na gestação e na lactação com a composição nutricional do leite humano. Não houv...
Source: Revista Brasileira de Ginecologia e Obstetricia - December 21, 2020 Category: OBGYN Source Type: research

Conscientious Objection to Legal Abortion in Minas Gerais State
Conclusion: The assistance system is not prepared for comprehensive care for victims of sexual violence, especially in terms of legal abortions, with conscientious objection being the main obstacle. A functional referral and counter-referral system is needed to alleviate such a serious and evident problem. It is hoped that the research results will promote dialogues in the state that favor appropriate actions on legal abortion, and respect the medical professional, in case of conscientious objection.Resumo Objetivo: O objetivo do estudo foi verificar a exist ência da objeção de consciência na atenção integral da saÃ...
Source: Revista Brasileira de Ginecologia e Obstetricia - December 21, 2020 Category: OBGYN Source Type: research

Simulation-based Training for Pelvic and Breast Physical Examination: Effect on the Anxiety and Self-confidence of Medical Students
Conclusion: The use of SBT in teaching students to perform pelvic and breast examinations resulted in reduced anxiety and increased self-confidence in a group of medical students of both genders, with high levels of satisfact ion in relation to the training.Resumo Objetivo: Avaliar os fatores relacionados à ansiedade e ao efeito do treinamento baseado em simulação (TBS) na ansiedade, autoconfiança e satisfação do estudante em relação ao aprendizado do exame pélvico e de mamas. Métodos: Estudo longitudinal com alunos do quarto ano de medicina da Universidade José do Rosário Vellano, utili zando questionário a...
Source: Revista Brasileira de Ginecologia e Obstetricia - December 21, 2020 Category: OBGYN Source Type: research

Sexual Practices During Adolescence
The objectives of the present cross-sectional study of adolescents enrolled in state schools in the city of Ribeir ão Preto, state of São Paulo, Brazil, were to determine the average age at the first sexual intercourse (sexarche), the average number of sexual partners, and the frequency of contraceptive and condom use. Information on the age at sexarche, number of sexual partners, use of different contraceptiv e methods, and use of condoms were obtained using a semistructured questionnaire. Quantitative variables are expressed as means and standard deviations (SDs), and qualitative variables as absolute and relative freq...
Source: Revista Brasileira de Ginecologia e Obstetricia - December 21, 2020 Category: OBGYN Source Type: research

Urinary Incontinence and Overactive Bladder Symptoms in Women with Breast Cancer Being Treated with Oral Hormone Therapy
Conclusion: The present study showed a high prevalence of urinary symptoms, such as urinary incontinence and OAB, associated with low/medium adherence and older age in women with BC being treated with oral hormone therapy. Health professionals should be alert to these symptoms since it could influence life quality and adherence to treatment.Resumo Objetivo: O objetivo do presente estudo foi observar a frequ ência e a gravidade dos sintomas urinários em mulheres com câncer de mama em uso de terapia hormonal oral, associando estes com a adesão ao tratamento. Métodos: As pacientes foram entrevistadas uma única vez, en...
Source: Revista Brasileira de Ginecologia e Obstetricia - December 21, 2020 Category: OBGYN Source Type: research

Active Versus Expectant Management for Preterm Premature Rupture of Membranes at 34-36 Weeks of Gestation and the Associated Adverse Perinatal Outcomes
Conclusion: There was no association between active versus expectant management in pregnant women with PPROM between 34 and 36 + 6 weeks of gestation and adverse perinatal outcomes.Resumo Objetivo: Comparar o tipo de manejo (ativo versus expectante) para ruptura prematura de membranas (PPROM, na sigla em ingl ês) entre 34 e 36 semanas e 6 dias de gestação e os resultados perinatais adversos relacionados, em 2 hospitais terciários do sudeste brasileiro. Métodos: No presente estudo de coorte retrospectivo, os dados foram obtidos através da revisão dos prontuários de gestantes internadas em dois ce ntros terciários...
Source: Revista Brasileira de Ginecologia e Obstetricia - December 21, 2020 Category: OBGYN Source Type: research

Is Vaginal Breech Delivery Still a Safe Option?
Conclusion: The present study showed that breech vaginal delivery at term compared with cephalic presentation was not associated with significant differences in neonatal and maternal morbidity. It also suggests that breech vaginal delivery remains a safe option under strict selection criteria and in the presence of an experienced obstetrician.Resumo Objetivo: Avaliar se existem diferen ças nos desfechos perinatal e materno entre os partos pélvicos vaginais e eutócicos. Métodos: Realizou-se um estudo retrospectivo, caso controle, entre janeiro de 2015 e dezembro de 2017 em um hospital terciário em Portugal. Foram inc...
Source: Revista Brasileira de Ginecologia e Obstetricia - December 21, 2020 Category: OBGYN Source Type: research

New Benefits of Hydroxychloroquine in Pregnant Women with Systemic Lupus Erythematosus: A Retrospective Study in a Tertiary Centre
Conclusion: Hydroxychloroquine enhanced better neonatal outcomes and reduced adverse pregnancy outcomes and antenatal complications such as hypertension and diabetes. (Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - December 21, 2020 Category: OBGYN Source Type: research

Evaluation of Angiogenic Factors (PlGF and sFlt-1) in Pre-eclampsia Diagnosis
Conclusion: No studied laboratory test proved to be fairly accurate for the diagnosis of pre-eclampsia, except for the protein/creatinine ratio. The evidence is insufficient to recommend biomarkers sFlt-1 and PlGF to be used for the diagnosis of pre-eclampsia.Resumo Objetivo: Pesquisas recentes sustentam a hip ótese de que um desequilíbrio entre fatores angiogênicos desempenhe um papel fundamental na patogênese da pré-eclâmpsia e seja responsável pelas manifestações clínicas da doença. O objetivo do presente estudo foi avaliar a sensibilidade, a especificidade e o nível de melhor acurácia do Fator semelhante ...
Source: Revista Brasileira de Ginecologia e Obstetricia - December 21, 2020 Category: OBGYN Source Type: research

Hypertensive Disorders: Prevalence, Perinatal Outcomes and Cesarean Section Rates in Pregnant Women Hospitalized for Delivery
Conclusion: Hypertensive disorders are associated with higher rates of cesarean deliveries and higher risk of preterm infants, low birthweight infants and a higher risk of fetal deaths.Resumo Objetivo: Avaliar a preval ência dos distúrbios hipertensivos, resultados perinatais (recém-nascidos pré-termo, recém-nascidos de baixo peso, índice de Apgar< 7 no 5 ° minuto e óbitos fetais) e as taxas de cesarianas nas gestantes internadas para assistência ao parto na Maternidade Hilda Brandão da Santa Casa de Belo Horizonte, Belo Horizonte, MG, Brasil, no período de 1° de março de 2008 a 28 de fevereiro de 2018. M...
Source: Revista Brasileira de Ginecologia e Obstetricia - December 21, 2020 Category: OBGYN Source Type: research

The Role of Medicine in Protecting the Vulnerable: between Sexual Violence and Conscientious Objection
(Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - December 21, 2020 Category: OBGYN Source Type: research

Outpatient care for pregnant and puerperal women during the COVID-19 pandemic
Conclusion Zika infection presents unspecific placental findings, similar to other infections in the toxoplasmosis, other agents, rubella, cytomegalovirus, and herpes (TORCH)group. Characterizing and standardizing placental findings after zika virus infection is key to understanding the mechanisms of congenital diseases.Resumo Objetivo O objetivo desta revis ão é apresentar uma avaliação sistemática dos achados relacionados à infecção por zika vírus (ZIKV) na placenta humana. Fontes de dados As bases de dados EMBASE, PUBMED, e SCIELO foram pesquisadas, até junho de 2019, sem qualquer restrição de língua. ...
Source: Revista Brasileira de Ginecologia e Obstetricia - October 23, 2020 Category: OBGYN Source Type: research

Why Is Preeclampsia still an Important Cause of Maternal Mortality Worldwide?
Conclusion Zika infection presents unspecific placental findings, similar to other infections in the toxoplasmosis, other agents, rubella, cytomegalovirus, and herpes (TORCH)group. Characterizing and standardizing placental findings after zika virus infection is key to understanding the mechanisms of congenital diseases.Resumo Objetivo O objetivo desta revis ão é apresentar uma avaliação sistemática dos achados relacionados à infecção por zika vírus (ZIKV) na placenta humana. Fontes de dados As bases de dados EMBASE, PUBMED, e SCIELO foram pesquisadas, até junho de 2019, sem qualquer restrição de língua. ...
Source: Revista Brasileira de Ginecologia e Obstetricia - October 23, 2020 Category: OBGYN Source Type: research

Characterization of Placental Infection by Zika Virus in Humans: A Review of the Literature
Conclusion Zika infection presents unspecific placental findings, similar to other infections in the toxoplasmosis, other agents, rubella, cytomegalovirus, and herpes (TORCH)group. Characterizing and standardizing placental findings after zika virus infection is key to understanding the mechanisms of congenital diseases.Resumo Objetivo O objetivo desta revis ão é apresentar uma avaliação sistemática dos achados relacionados à infecção por zika vírus (ZIKV) na placenta humana. Fontes de dados As bases de dados EMBASE, PUBMED, e SCIELO foram pesquisadas, até junho de 2019, sem qualquer restrição de língua. ...
Source: Revista Brasileira de Ginecologia e Obstetricia - October 23, 2020 Category: OBGYN Source Type: research

Practical Recommendations for the Management of Benign Adnexal Masses
Conclusions Adnexal masses are extremely common. The application of diagnosis algorithms is mandatory to exclude malignancy. A great number of cases can bemanaged with surveillance. Surgery, when necessary, should be performed with adequate techniques. However, even in the hands of experienced surgeons, there is a significant decrease in ovarian reserves, especially in cases of endometriomas. There is an evident necessity of studies that focus on the long-term impact on fertility.Resumo Objetivo Realizar uma revis ão abrangente para fornecer recomendações práticas sobre o diagnóstico e tratamento demassas anexiais ...
Source: Revista Brasileira de Ginecologia e Obstetricia - October 23, 2020 Category: OBGYN Source Type: research