A5041703109- Maternal and Perinatal Health Interventions
- COVID-19 Impact on Reproduction
- Global Maternal and Child Health
- Reproductive Health and Contraception
- Maternal and Neonatal Healthcare
- Maternal Mental Health During Pregnancy and Postpartum
- Pregnancy and preeclampsia studies
- Pregnancy-related medical research
- Preterm Birth and Chorioamnionitis
- Birth, Development, and Health
- Maternal and fetal healthcare
- Gestational Diabetes Research and Management
- COVID-19 and healthcare impacts
- Reproductive Health and Technologies
- Child Nutrition and Water Access
- Resilience and Mental Health
- Child Abuse and Trauma
- Health disparities and outcomes
- Education and Digital Technologies
- Gestational Trophoblastic Disease Studies
- Global Health and Surgery
- Consumer Attitudes and Food Labeling
- Demographic Trends and Gender Preferences
- Opioid Use Disorder Treatment
- Inflammation biomarkers and pathways
Faculdade de Medicina de Jundiaí
2012-2025
Universidade Estadual de Campinas (UNICAMP)
2015-2024
Abstract The objective of this study is to determine the incidence, socio-demographic and clinical risk factors for preeclampsia associated maternal perinatal adverse outcomes. This a nested case-control derived from multicentre cohort Preterm SAMBA, in five different centres Brazil, with nulliparous healthy pregnant women. Clinical data were prospectively collected, assessed comparatively between PE cases controls using ratio (RR) (95% CI) plus multivariate analysis. Complete available...
OBJECTIVE: To test the effectiveness of cervical pessary in addition to vaginal progesterone for prevention preterm birth women with midpregnancy short cervixes. METHODS: We performed a multicenter, open-label, randomized controlled trial 17 perinatal centers. Asymptomatic singleton or twin pregnancies and lengths 30 mm less, measured at 18 0/7–22 6/7 weeks gestation, were plus (pessary group) only (progesterone-only (200 mg/day). Treatments used from randomization 36 gestation delivery. The...
Abstract Preterm birth is the major contributor for neonatal and under-five years mortality rates also accounts a short- long-term adverse consequences up to adulthood. Perinatal outcomes may vary according lots of factors as preterm subtype, late prematurity, which account vast majority cases, country population characteristics. An under-recognition perinatal its associated might have underpowered strategies provide adequate care prevent occurrence. We aim estimate frequency maternal in...
Although maternal nutrition has an impact on fetal development and gestational outcome, tracking in outpatient practice is still complex involves proper technical capacitation this area. Nevertheless, the association between nutritional variables may broaden ability to predict occurrence of disorders prevention management. We aimed identify factors that could indicate probability adverse outcomes mid-pregnancy. From a cohort 1165 nulliparous pregnant women without any previous disease,...
In Brazil, although the assessment of maternal nutritional status is recommended using body mass index (BMI), this only possible in settings adequately prepared. Midupper arm circumference (MUAC) another biological variable identified as a tool for rapid that correlated with BMI. Therefore, we aim to surrogate BMI by MUAC cut-offs screening starting at midpregnancy.Analysis multicentre cohort study entitled 'Preterm SAMBA' an approach validation diagnostic test.Outpatient prenatal care...
Abstract Brazil presented a very high number of maternal deaths and evident delays in healthcare. We aimed at evaluating the characteristics SARS-CoV-2 infection associated outcomes obstetric population. conducted prospective cohort study 15 Brazilian centers including symptomatic pregnant or postpartum women with suspected COVID-19 from Feb/2020 to Feb/2021. Women were followed until end pregnancy. analyzed pregnancy confirmed SARS, determining unadjusted risk ratios. In total, 729...
Pregnant and postpartum women infected by COVID-19 are at increased risk of adverse outcomes, including negative effects on their mental health. Brazilian maternal mortality rate due to is 2.5 times higher than overall rates. This study aimed understand how pregnant/postpartum experienced the suspicion/investigation or confirmed infection in different cities, pandemic's consequences families, needs improve health services during public emergencies.
Abstract Background Preterm birth is the leading cause of mortality and disability in newborn infants. Having a short cervix increases risk preterm birth, which can be accessed by transvaginal ultrasound scan during second trimester. In women with cervix, vaginal progesterone pessary both reduce this risk, more established than cervical pessary. The aim study to compare use alone versus association plus prevent cervix. Methods This pragmatic open-label randomized controlled trial that will...
The objective of this study was to determine incidence and risk factors associated with spontaneous preterm birth (sPTB). It a prospective multicentre cohort performed in five Brazilian referral maternity hospitals enrolling nulliparous women at 19-21 weeks. Comprehensive maternal data collected during three visits were addressed as potentially for sPTB. Bivariate multivariate analysis estimated ratios. main outcomes measures before 37 weeks due labour or premature rupture membranes...
The aim of this study was to evaluate the clinical, epidemiological and laboratory aspects SARS-CoV-2 infection during pregnancy postpartum in 16 maternity hospitals.A prospective multicentre study, with five axes. First, prevalence among women admitted for childbirth will be described a cross-sectional study. Second, maternal perinatal outcomes assessed cohort including pregnant or suspected COVID-19. Third, positive COVID-19 cases sampling variety biological material. Histopathological...
Abstract Background Resilience reflects coping with pregnancy-specific stress, including physiological adaptations of the maternal organism or factors arising from socioeconomic context, such as low income, domestic violence, drug and alcohol use, lack a support network other vulnerability characteristics. is dynamic characteristic that should be comparatively evaluated within specific context; its association perceived stress social during pregnancy still not fully understood. This study...
COVID-19 pandemic posed major challenges in obstetric health care services. Preparedness, development, and implementation of new protocols were part the needed response. This study aims to describe strategies implemented perspectives managers on face 16 different maternity hospitals that comprise a multicenter Brazil, called REBRACO (Brazilian network during pregnancy).Mixed-method study, with quantitative qualitative approaches. Quantitative data infrastructure units, maternal perinatal...
To evaluate the impact of race (Black versus non-Black) on maternal and perinatal outcomes pregnant women with COVID-19 in Brazil. This is a subanalysis REBRACO, Brazilian multicenter cohort study designed to women. From February 2020 until 2021, 15 maternity hospitals Brazil collected data respiratory symptoms. We selected all positive test for COVID-19; then, we divided them into two groups: Black non-Black Finally, compared, between groups, sociodemographic, maternal, outcomes. obtained...
Abstract Assessment of human nutrition is a complex process, in pregnant women identify dietary patterns through mean nutrient consumption can be an opportunity to better educate on how improve their overall health eating. This exploratory study aimed posteriori cohort nulliparous women. The principal component analysis (PCA) technique was performed, with Varimax orthogonal rotation data extracted from the 24-h recall, applied at 20 weeks gestation. We analysed 1.145 recalls, identifying...
Abstract Objective To investigate the characteristics of women who had preterm birth (PTB) and related outcomes according to ethnicity. Methods A secondary analysis a multicenter cross-sectional study conducted in Brazil. Women PTB were classified by self-report as white non-white. Clinical, pregnancy, maternal data collected through postpartum interviews reviews medical charts. The sociodemographic, obstetric clinical women, well mode delivery neonatal among different ethnic groups compared...
Nutrition indicators for malnutrition can be screened by many signs such as stunting, underweight or obesity, muscle wasting, and low caloric nutrients intake. Those deficiencies are also associated with socioeconomic status. Anthropometry assess nutritional status maternal weight measurements during pregnancy. However, most studies have focused primarily on identifying changes in Body Mass Index (BMI), their effects neonatal measures at present time. Whereas head circumference (HC) has been...
O aborto medicamentoso ou farmacológico tem demonstrado ser um meio eficaz para a interrupção da gravidez. Entretanto, o treinamento de provedores no uso do misoprostol sido limitado. presente artigo como objetivo identificar grau conhecimento dos médicos residentes em Ginecologia e Obstetrícia sobre medicamentoso. Realizou-se estudo transversal multicêntrico com regularmente inscritos programa residência vinte hospitais ensino. Foi utilizado questionário autorresposta. As respostas corretas...
The scientific collaboration in networks may be developed among countries, academic institutions and peer researchers. Once established, they contribute for knowledge dissemination a strong structure research health. Several advantages are attributed to working networks: the inclusion of higher number subjects studies; generation stronger evidence with representativeness population (secondary generalization external validity); likelihood articles derived from these studies accepted high...
Abstract Background Short cervical length measured during the second trimester of pregnancy is an important risk factor for spontaneous preterm birth (sPTB). The aim this study to identify association between mid-pregnancy (CL) and gestational age at in asymptomatic singleton pregnant women. Methods This a prospective cohort involving women who participated screening phase Brazilian multicenter randomized controlled trial (P5 trial) July 2015 March 2019. Transvaginal ultrasound measure CL...