- Ectopic Pregnancy Diagnosis and Management
- Maternal and fetal healthcare
- Maternal and Perinatal Health Interventions
- Global Maternal and Child Health
- Maternal and Neonatal Healthcare
- Pregnancy and preeclampsia studies
- Mosquito-borne diseases and control
- Respiratory viral infections research
- Prenatal Screening and Diagnostics
- HIV/AIDS Research and Interventions
- Gestational Diabetes Research and Management
- Assisted Reproductive Technology and Twin Pregnancy
- Viral Infections and Vectors
- Birth, Development, and Health
- Neonatal Respiratory Health Research
- HIV-related health complications and treatments
- Gestational Trophoblastic Disease Studies
- Neonatal and fetal brain pathology
- Breastfeeding Practices and Influences
- Science and Education Research
- COVID-19 Impact on Reproduction
- Ultrasound in Clinical Applications
- Blood groups and transfusion
- Bariatric Surgery and Outcomes
- Parvovirus B19 Infection Studies
Clinics Hospital of Ribeirão Preto
2019-2024
Universidade de São Paulo
2008-2024
University of London
2020-2024
St George’s University Hospitals NHS Foundation Trust
2020-2024
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
2014-2024
National Institute for Health Research
2024
University of Birmingham
2024
Leeds Teaching Hospitals NHS Trust
2023
Hospital de Clínicas
2021-2023
Universidade de Ribeirão Preto
2008-2023
The International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) is a scientific organization that encourages sound clinical practice high-quality teaching research related to diagnostic imaging women's healthcare. ISUOG Clinical Standards Committee (CSC) has remit develop Practice Guidelines Consensus Statements as educational recommendations provide healthcare practitioners with consensus-based approach, from experts, for imaging. They are intended reflect what considered by be...
Maternal death rates are rising again in many countries, yet this alarming fact has gone largely unacknowledged the medical and lay press. In 2020, one woman died every 2 min from preventable causes related to pregnancy.1WHOTrends maternal mortality 2000 2020: estimates by WHO, UNICEF, UNFPA, World Bank Group UNDESA/Population Division.https://www.who.int/publications/i/item/9789240068759Date: Feb 23, 2023Date accessed: March 25, 2023Google Scholar This statistic represents approximately 800...
Placenta accreta spectrum (PAS) can be associated massive intra- and post-operative hemorrhage which when not controlled lead to maternal death. Important advances have occurred in understanding the pathophysiology therapeutic options for this condition. The prevalence of PAS at birth is direct association with cesarean delivery (CD) rate corresponding population increasing worldwide. Limited health infrastructure low- middle-income countries increases morbidity mortality patients birth. In...
Knowledge regarding the risks associated with Zika virus (ZIKV) infections in pregnancy has relied on individual studies relatively small sample sizes and variable risk estimates of adverse outcomes, or surveillance routinely collected data. Using data from Brazilian Cohorts Consortium, this study aims, to estimate outcomes among offspring women RT-PCR-confirmed ZIKV infection during explore heterogeneity between studies.We performed an participant meta-analysis 1548 pregnant 13 studies,...
A cesarean scar pregnancy is an iatrogenic consequence of a previous delivery. The gestational sac implants into niche created by the incision delivery, and this carries substantial risk for major maternal complications. aim study was to report, analyze, compare effectiveness safety different treatments options pregnancies managed in first trimester through registry.
OBJETIVOS: avaliar a evolução da adequação do processo de atendimento às gestantes usuárias Sistema Único Saúde (SUS) e consolidar metodologia para monitoramento assistência pré-natal. MÉTODOS: estudo séries temporais múltiplas, com auditoria em cartões que realizaram pré-natal município Sudeste brasileiro (Juiz Fora, Minas Gerais) nos semestres iniciais 2002 2004 (370 1.200 cartões, respectivamente) utilizaram o SUS no ao parto termo (p < 0,05). Obedeceu-se uma sequência três níveis...
ABSTRACT Objectives Maternal mortality related to placenta accreta spectrum (PAS) disorders remains substantial when diagnosed unexpectedly at delivery. The aim of this study was evaluate the effectiveness a routine contingent ultrasound screening program for PAS. Methods This retrospective data obtained between 2009 and 2019, involving two groups: cohort unselected women attending mid‐trimester assessment diagnostic consisting referred PAS service with suspected diagnosis In cohort,...
Abstract Introduction Bariatric surgery is recognized as the most effective long-term treatment for clinically severe obesity, leading to sustained weight loss. Among common bariatric procedures, laparoscopic Roux-en-Y gastric bypass (RYGB) frequently performed and known its significant loss results ability reduce obesity-related comorbidities in many patients. However, 10% 40% of patients may experience insufficient (IWL) or regain (WR), along with persistence recurrence after 5 7 years,...
Abstract Introduction Laparoscopic Roux-En-Y gastric bypass (LRYGB) is one of the most performed procedures for morbid obesity. Morbidity and mortality associated with bariatric surgery are considered low. Nevertheless, post-operative haemorrhage frequent early complication after LRYGB. Methods We conducted a retrospective cohort study regarding all patients submitted to LRYBG between 2019 2023 at our centre. Postoperative was defined as clinically significant evidence bleeding in...
Objective To define the prevalence of adverse outcomes maternal infection in a large cohort ZIKV‐infected Brazilian women and their infants. Design Prospective population‐based study. Setting Ribeirão Preto's region's private public health facilities. Population Symptomatic mothers Methods Prenatal/early neonatal data were obtained for all mother–child pairs. A subgroup infants had cranial ultrasonography, eye fundoscopy, hearing neurological examinations Bayley III screening tests within 3...
Objective To examine maternal characteristics associated with adverse pregnancy outcomes among women infected HIV . Design Prospective cohort study. Setting Multiple sites in L atin A merica and the C aribbean. Population Women enrolled P erinatal (2002–2007) ongitudinal S tudy merican ountries ( LILAC ; 2008–2012) studies of E unice K ennedy hriver N ational I nstitute hild H ealth uman D evelopment NICHD ) nternational ite nitiative NISDI ). Methods Frequencies assessed pregnancies. Risk...
We report 2 fatal cases of congenital Zika virus (ZIKV) infection. Brain anomalies, including atrophy the cerebral cortex and brainstem, cerebellar aplasia were observed. The spinal cord showed architectural distortion, severe neuronal loss, microcalcifications. ZIKV proteins flavivirus-like particles detected in cytoplasm neurons, samples positive for RNA.
Hypertensive disorders of pregnancy (HDP) are associated with significant myocardial dysfunction on echocardiography. The impact hemodynamic changes related to volume redistribution following delivery function in women HDP has not been evaluated systematically. aim this study was compare echocardiographic findings immediately before and after HDP.This a prospective longitudinal including 30 diagnosis who underwent two consecutive transthoracic (TTE) examinations, the early postpartum period....
According to the World Health Organization, approximately 295,000 women died in 2017 during antenatal and postpartum period. The vast majority (94%) of these cases occurred low- middle-income countries, with an estimate 810 daily deaths from preventable causes.[1] Obstetric hemorrhage is leading cause maternal mortality worldwide and, among its key etiologies, placenta accreta spectrum (PAS) disorders have been increasing prevalence concurrently global rise proportion Cesarean deliveries...
Women who are in the pregnancy-puerperal cycle or lactating have been deliberately excluded from participating COVID-19 vaccine clinical trials that aimed to evaluate either efficacy of vaccines inducing formation neutralizing antibodies investigational products' safety profile. The exclusion pregnant and women such studies certainly inequitably denies these access vaccines, since products become increasingly available nonpregnant people even those high-income settings. In this opinion...