INTRODUCTION: The beneficial effects of a restrictive policy episiotomy for vaginal deliveries have been demonstrated. However, the ideal rate is not known and some studies describe rates less than 5%. aim this study was to outcomes protocol no within large project humanization childbirth care. METHODS: A cohort including 400 women who had in school maternity northeastern Brazil. During second stage labor, maneuvers such as directed pushing, fundal pressure, Valsalva maneuver were avoided....

Abstract Background: Magnesium sulfate is the ideal drug for prevention and treatment of eclampsia. Nevertheless, best regimen protection against eclampsia with minimal side effects remains to be established. This study aimed compare serum magnesium levels during intravenous infusion at 1 gram/hour versus 2 grams/hour as a maintenance dose prevent in pregnant postpartum women severe preeclampsia. Methods: A randomized, triple-blind clinical trial was conducted, comparing 62 preeclampsia, 31...

Acute pulmonary edema (PE) affects 0.08% to 1.5% of women during pregnancy and in the postpartum. At Instituto de Medicina Integral Prof. Fernando Figueira (IMIP), acute PE accounts for admissions obstetric intensive care unit (ICU) occurs 9.3% patients admitted with near miss criteria. This study was conducted describe clinical/epidemiological profile IMIP's ICU. A case series 50 an ICU northeastern Brazil between August 2012 March 2015. Frequency distribution measures central...

Vitamin A is essential for mother and child; however, vitamin deficiency (VAD) remains a public health issue in various countries, affecting around 19 million pregnant women. In Brazil, the scarcity inconsistency of data have prevented prevalence epidemiological status VAD from being established. This study aimed to analyze nutritional women receiving prenatal care at reference center northeastern Brazil. cross-sectional was conducted with sample 676 Serum retinol measured by...

Changes during the puerperium are still unclear, particularly in women with hypertension. The choice of antihypertensives, both to control very high blood pressure episodes and keep stable, also requires further elucidation. Currently, there no clear data guide decision for postpartum antihypertensives. Captopril plays an important role treatment may be used postpartum. Clonidine has been as alternative pregnant or contraindications captopril, satisfactory effect. objective present study was...

Laparoscopic cystectomy is currently considered the gold standard for treatment of ovarian endometrioma, resulting in an improvement symptoms, a lower recurrence rate, and higher pregnancy rate among infertile patients. However, this not free from risk, since it associated with reduction reserve. There still controversy literature regarding whether cause reserve due to damage caused by coagulation energy during hemostasis or procedure itself irrespective hemostatic method used. The aim study...

To map the distribution of sites most affected by endometriosis in patients with unilateral ovarian endometriomas.A descriptive case series 84 endometriomas undergoing laparoscopy for treatment endometriosis. evaluate lesions, peritoneal compartments were divided into 5 zones: zone 1/the anterior compartment, including uterine serosa, vesicouterine fold, round ligament, and bladder; 2/the lateral left right ovary, fossa, tubes, mesosalpinx, uterosacral ligaments, parametrium, ureter; 3/the...

INTRODUCTION: The objective of this study was comparative use magnesium sulfate for 12 compared with 24 hours in postpartum women stable severe preeclampsia. METHODS: An open, randomized clinical trial conducted 120 preeclampsia; 60 were allocated to receive and hours. analysis by intention treat the intervention not masked. RESULTS: Abbreviated therapy (12 hours) associated less exposure drug, outcomes similar both groups. No cases eclampsia found there no need reinitiate treatment after...

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Abstract Background The behavior of arterial blood pressure in postpartum women with hypertension and pregnancy the best treatment for very high this period still need evidence. Cochrane systematic review assessing prevention found only two trials (120 patients) comparing hydralazine nifedipine labetalol severe did not find enough evidence to know how treat after birth. Although studies have demonstrated effectiveness captopril, side effects were reported. Because these findings, new classes...

Objective: Although managing arterial hypertension during pregnancy has been widely discussed, few studies have dealt with the postpartum period. Consequently, treatment of in generally relies on specialist opinion and guidelines supported by a low level evidence. We aim to evaluate blood pressure control immediate hypertensive women who had used methyldopa pregnancy, comparing continuation that drug switching it for captopril. Design method: A single-blind, randomized clinical trial...

Objetivo: Identificar os desfechos maternos e fetais / neonatais decorrentes a deficiência de vitamina D materna (DVD). Métodos: Revisão integrativa artigos publicados nos últimos 14 anos nas bases dados SciELO Brasil, PubMed. Descritores utilizados: Deficiência D, Gravidez, Vitamina D. Norteada pela pergunta: pode acarretar desfavoráveis à mãe ao concepto ou insuficiência para o feto recém-nascido? Critérios seleção dos artigos: em gestantes, fetos recém-nascidos presença pré-eclâmpsia,...

Objetivo: Estimar a prevalência da sífilis em gestantes e caracterizar os casos positivos um Centro de Atenção à Mulher Hospital referência para o Nordeste do Brasil. Métodos: Trata-se estudo com caracterização uma série casos, acoplado coorte. A amostra correspondeu às testes rápidos no pré-natal entre setembro/2017 março/2018. Os dados foram analisados Stata 12.1 descritos através tabelas distribuição frequências. Resultados: na gestação foi 8,8% (68/774) acordo triagem primária baseada...

INTRODUCTION: The choice of antihypertensives, both to control very high blood pressure episodes and keep stable, in postpartum women is controversial requires further elucidation. OBJECTIVE: To evaluate the effectiveness safety clonidine compared with captopril for treating severe hypertension. METHODS: A randomized, drug-controlled, triple-blind clinical trial evaluating 90 receiving 25 mg oral or 0.1 treatment Student's t test, Pearson χ2 Fisher's exact test were used statistical...

Abstract Objective To describe the obstetric outcomes of patients with multiple sclerosis (MS) and impact pregnancy postpartum period on progression disease. Methods A case series study performed between December 2019 February 2020, reporting pregnancies occurred 1996 2019. The subjects included were women MS undergoing follow-up at an referral center in Northeastern Brazil, who had least one after onset symptoms, or their first relapse year delivery. Results In total, 26 38 analyzed – 32...