Telemedicine in Obstetrics: New Era, New Atitudes
(Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - August 27, 2020 Category: OBGYN Source Type: research

Covid-19 in Italy: A Lesson to be Learned
Abstract Cellular angiofibroma (CA)is a rare benign mesenchymal tumor. In women, it occurs mainly in the vulvovaginal region, with vulvar location in 70% of the cases. Its clinical presentation is nonspecific and similar to several other vulvar tumors of different cellular origins. Thus, its histological and immunohistochemical features allow distinction fromother tumors. Cellular angiofibromas have good prognosis, despite some risk of relapse. The authors present the case of a 49-year-old woman with a bulky right vulvar lesion, for which the preoperative diagnosis was a Bartholin cyst, but the histological and immunohisto...
Source: Revista Brasileira de Ginecologia e Obstetricia - July 18, 2020 Category: OBGYN Source Type: research

Cellular Angiofibroma: A Rare Vulvar Tumor Case Report Angiofibroma celular: Um caso raro de tumor vulvar
Abstract Cellular angiofibroma (CA)is a rare benign mesenchymal tumor. In women, it occurs mainly in the vulvovaginal region, with vulvar location in 70% of the cases. Its clinical presentation is nonspecific and similar to several other vulvar tumors of different cellular origins. Thus, its histological and immunohistochemical features allow distinction fromother tumors. Cellular angiofibromas have good prognosis, despite some risk of relapse. The authors present the case of a 49-year-old woman with a bulky right vulvar lesion, for which the preoperative diagnosis was a Bartholin cyst, but the histological and immunohisto...
Source: Revista Brasileira de Ginecologia e Obstetricia - July 18, 2020 Category: OBGYN Source Type: research

Progress in Local Treatment of Breast Cancer: A Narrative Review
Abstract The present paper reports on the local treatment of breast cancer from a historical perspective. A search for articles written in English was made in the Medline and EMBASE databases, and 40 papers were selected. Over the past 10 years, various randomized, controlled clinical trials on the local treatment of breast cancer indicated that patients with the samemolecular subtypemay receive different individualized surgical treatments aimed atoptimizing systemic adjuvant therapy. With a view to retaining the gainsmade in diseasefree and overall survival, surgical techniques have advanced from radical surgery to conser...
Source: Revista Brasileira de Ginecologia e Obstetricia - July 18, 2020 Category: OBGYN Source Type: research

Childbirth, Puerperium and Abortion Care Protocol during the COVID-19 Pandemic
Abstract The new coronavirus (severe acute respiratory syndrome-related coronavirus 2, SARSCoV- 2) is a virus that causes a potentially serious respiratory disease that has spread in several countries, reaching humans in all age groups, including pregnant women. The purpose of this protocol is to provide technical and scientific support to Brazilian obstetricians regarding childbirth, postpartum and abortion care during the pandemic.Resumo O novo coronav írus (severe acute respiratory syndrome-related coronavirus 2, SARS-CoV- 2) é umvírus que causa uma doença respiratória potencialmente grave que se espalhou por vári...
Source: Revista Brasileira de Ginecologia e Obstetricia - July 18, 2020 Category: OBGYN Source Type: research

High-risk Human Papillomavirus Testing for Triage of Women with Previous Cytological Abnormalities from the Vale do Ribeira Region
Conclusion Hybrid capture 2 for hrHPV improves the performance of the detection of ≥ CIN 2, without compromising sensitivity, and provides a greater safety margin to return to the triennial screening of women undergoing follow-up due to previous abnormalities, without underlying ≥ CIN 2.Resumo Objetivo Avaliar o desempenho da captura h íbrida 2 (CH2) para papilomavírus humano de alto risco (HPVar) e repetição do exame citopatológico em mulheres com anormalidades em citologia anterior, para detectar neoplasia intraepitelial cervical grau 2 ou pior ( ≥ NIC 2). M étodos Foi realizado exame citopatológico ...
Source: Revista Brasileira de Ginecologia e Obstetricia - July 18, 2020 Category: OBGYN Source Type: research

The Effectiveness of Psycho-Educational and Cognitive-Behavioral Counseling on Female Sexual Dysfunction
Conclusion The results of the present study indicate that psychoeducational cognitive- behavioral counseling is effective in improving female sexual function. It is recommended to compare the effects of psychoeducational cognitive-behavioral counseling on sexual dysfunctions of couples and with a larger sample size in future research. (Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - July 18, 2020 Category: OBGYN Source Type: research

Results of the Insertion of Hysteroscopic Sterilization Devices in a Brazilian Public Hospital
Conclusion Female sterilization performed by hysteroscopy is a safe, feasible, fast, and well-tolerated procedure. The rates of successful insertions and tubal placements were high. There were few and mild adverse effects during the procedure, and there were no severe complications on the short term.Resumo Objetivo Avaliar a inser ção de dispositivo intratubário de esterilização histeroscópica com relação à viabilidade e à técnica. Métodos Estudo retrospectivo com coleta de dados de prontuários das pacientes submetidas à inserção do dispositivo entre janeiro e setembro de 2016 emumhospital público do ...
Source: Revista Brasileira de Ginecologia e Obstetricia - July 18, 2020 Category: OBGYN Source Type: research

The Role of Health-related Behaviors in Gestational Weight Gain among Women with Overweight and Obesity: A Cross-sectional Analysis
Conclusion Among women with overweight and obesity, stress is the main variable associated with excessive GWG. Inadequate vegetables and beans consumption also showed association with excessive GWG.Resumo Objetivo Avaliar a influ ência de comportamentos relacionados à saúde: ingestão alimentar, atividade física, tempo de sono, tabagismo, estresse, depressão e otimismo no ganho de peso gestacional (GPG) excessivo em mulheres com sobrepeso e obesidade. Métodos Estudo transversal no Hospital da Mulher, Universidade de Campinas, Campinas, SP, Brasil, com 386 mulheres no puerpério mediato, ≥ 19 anos, primeira co...
Source: Revista Brasileira de Ginecologia e Obstetricia - July 18, 2020 Category: OBGYN Source Type: research

Cesarean Section Rate Analysis in a Tertiary Hospital in Portugal According to Robson Ten Group Classification System
Conclusion As expected, Groups 1, 2, 5 and 10 were the greatest contributors to the overall CS rate. An attempt to increase the number of vaginal deliveries in these groups, especially in Groups 2 and 5, might contribute to the reduction of the CS rate.Resumo Objetivo A Classifica ção de Robson é um instrumento reprodutível, clinicamente relevante e prospectivo proposto pela Organização Mundial de Saúde (OMS) para avaliar, monitorar e comparar as taxas de cesarianas.Oobjetivo do presente estudo é analisar a taxa de cesarianas ao longo de 3 anos de acordo com a Classif icação de Robson e identificar os grupos q...
Source: Revista Brasileira de Ginecologia e Obstetricia - July 18, 2020 Category: OBGYN Source Type: research

COVID-19 and Assisted Reproduction: A Point of View on the Brazilian Scenario
(Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - July 18, 2020 Category: OBGYN Source Type: research

The Real Impact of the Coronavirus Disease 2019 (covid-19) on the Pregnancy Outcome
Abstract The COVID-19 outbreak is increasing around the world in the number of cases, deaths, and affected countries. Currently, the knowledge regarding the clinical impact of COVID-19 on maternal, fetal, and placental aspects of pregnancy is minimal. Although the elderly and men were the most affected population, in previous situations, such as the 2009 H1N1 influenza pandemic and the Ebola epidemic, pregnant women were more likely to develop complications than nonpregnant women. There are unanswered questions speci fi c to pregnant women, such as whether pregnant women are more severely affected and whether intrauterine...
Source: Revista Brasileira de Ginecologia e Obstetricia - June 22, 2020 Category: OBGYN Source Type: research

Desmoplastic Small Round Cell Tumor of the Ovary: A Case Report with a New Modality of Treatment and Review of the Literature
Conclusion Although the best therapy for patients with DSRCT has yet to be determined, combining complete surgical resection, adjuvant chemotherapy, and radiotherapy is required to prolong survival and to achieve proper quality of life. (Source: Revista Brasileira de Ginecologia e Obstetricia)
Source: Revista Brasileira de Ginecologia e Obstetricia - June 22, 2020 Category: OBGYN Source Type: research

Aortic Isthmus Doppler Velocimetry in Fetuses with Intrauterine Growth Restriction: A Literature Review
Abstract Intrauterine growth restriction (IUGR) is associated with poor perinatal prognosis and a higher risk of stillbirth, neonatal death, and cerebral palsy. Its detection and the evaluation of its severity by new Doppler velocimetric parameters, such as aortic isthmus (AoI), are of great relevance for obstetrical practice. The AoI is a vascular segment that represents a point of communication between the right and left fetal circulations. It is considered to be a functional arterial shunt that reflects the relationship between the systemic and cerebral impedances, and has recently been proposed as a tool to detect the ...
Source: Revista Brasileira de Ginecologia e Obstetricia - June 22, 2020 Category: OBGYN Source Type: research

Competency-based Training and the Competency Framework in Gynecology and Obstetrics in Brazil
Conclusion The prevalence of adenocarcinoma in situ increased in the past years. There is still a large part of the medical literature that advocates the use of conservative treatment for this disease, even though it is common knowledge that it is a multifocal disease. However, the majority of studies advocate that hysterectomy should remain the preferred treatment for women who have already completed their reproductive purpose.Resumo Objetivo Observar se o resultado proveniente de uma coniza ção realizada após o diagnóstico de adenocarcinoma cervical in situ é compatível com a análise histopatológica da histerect...
Source: Revista Brasileira de Ginecologia e Obstetricia - June 22, 2020 Category: OBGYN Source Type: research