Obstetrics and Gynecology

  • STUDY OF PLACENTAS OF HYPERTENSIVE MOTHERS ASSISTED IN TWO PUBLIC MATERNITIES OF RECIFE-PE

    Objective: Perform the histomorphometric study of the following regions: areas of perivillous fibrin deposition; thickness of the endothelial layer of the vessels; analysis of Tenney-Parker changes. Analyze the Placental Index (IP). Results: It was seen that the weight of the placentas increased according to the weight of the newborn, however, when the variable PI was analyzed as being decisive for the development of a risk-free pregnancy, it was found that this parameter was not significant between the groups studied. (p

  • PROFILE OF PREGNANT WOMEN COLONIZED BY GROUP B Streptococcus SERVED BY THE UNIQUE HEALTH SYSTEM IN A LABORATORY OF MEDIANEIRA / PARANÁ

    Objective: The objective of this study was to determine the prevalence of pregnant colonization by group B Streptococcus (GBS) and to verify whether socioeconomic and demographic conditions are risk factors for colonization by this bacterium. Method: This cross-sectional study included the collection of sociodemographic data through a questionnaire and authorization to access the result of the cultivation of vaginal swabs for the investigation of GBS of 50 women treated at the Unified Health System (SUS) in a laboratory in the municipality of Medianeira, PR, between august and september 2020. Results: The population studied showed a 14% prevalence of colonization by GBS, within national and world standards. Among the factors analyzed, the only significant and protective association was living with fewer people in the same house, up to two people, reducing the risk of developing a positive culture for GBS by more than 5 times (5.54) when compared to pregnant women who live with more than 3 people in the same residence (p

  • PREGNANCY IN ADOLESCENCE AND HEALTH EDUCATION FOR THE EXERCISE OF RESPONSIBLE SEXUALITY: AN INTEGRATIVE REVIEW

    Objective: This review aims to investigate the scientific production aboute the health education in adolescence for the responsible sexual practice. Methods: This is an integrative review, using scientific articles indexed in the Virtual Health Library (VHL). We searched for articles in the databases LILACS, SCIELO and BDENF and the following descriptors were used: Pregnancy in Adolescence; Nurse; Health Education. In the search, 20 articles were found, of which, only 14 met the objective of the study. Inclusion criteria: full text available, original article, publication between 2014 and 2019 available in Portuguese and included in the proposed theme. Results: Adolescent pregnancy is considered a relevant public health problem, due the high prevalence across the country. The profile of pregnant adolescents is between 12 and 19 years, most of them single, low education, mixed race, housewives. The literature shows that early pregnancy impairs the female emancipation, results the school dropout, early entry into the labor market, disqualification, violence, decreased opportunities and also being associated with the spread of IST’s. Due to this situation and the future repercussions, unplanned pregnancy among adolescents requires holistic approaches to promote health and prevention measures. Conclusion: The nurse is essential in the development of preventive and educational skills with adolescents, establishing a strategy aimed at preventing teenage pregnancy, creating groups with purposes in the promotion of health and prevention of IST’s/early pregnancy, with the objective of making young people aware of the importance of active participation in health education actions.

  • HPV-NEGATIVE VULVAR SQUAMOUS CELL CARCINOMA IN A 21-YEAR-OLD PATIENT

    Vulvar Squamous Cell Carcinoma usually occurs among women in their 60s or 70s. There are a limited number of reports of vulvar cancer cases younger than 30 years. These patients have usually risk factors such as human papillomavirus (HPV) infection. In this report, the authors present a rare case of invasive vulvar squamous cell carcinoma in a 21-year-old patient without HPV infection. Surgical treatment was performed, followed by adjuvant radiation therapy.

  • RELATION BETWEEN PREGNANT WOMEN AND THE BRAZILIAN UNIFIED HEALTH SYSTEM (SUS): SCREENING AND DIAGNOSIS OF GDM

    The existence of a complex health system is capable of providing the necessary care for the mother and mother, but the levels of complexity of this treatment vary according to the need and severity of the situation in which the pregnant woman is ebcibtra. From this perspective, this chapter will address the relationship between pregnant women and the Brazilian Unified Health System, as well as the care and diagnosis of Gestational Diabetes Mellitus.

  • Gestational Diabetes Mellitus: highlights about biochemical agents that subscribe its physiopathological mechanism during gestational trimesters

    Gestational Diabetes Mellitus (GDM) is a common complication in which hyperglycemia goes by physiological state, beneficial to the embryo, to metabolic condition that causes damage to both mother and child. Placental hormones, insulin resistance, visceral fat tissue, dyslipidemia, and other biochemical agentes, subscribe the physiopathological mechanisms that lead to GDM. Nowadays, there are mRNAs, proteins, and even vitamins being associated with GDM risk and its pathophysiology. These new pathways usher a new horizon to discover and describe other important parts of metabolism that play a key role to GDM. With a larger picture of pregnant women metabolism prior and after GDM, better predictors and efficient treatment can be managed.

  • Gestational diabetes: diagnosis, care, and influence on fetus

    Gestational diabetes mellitus (GDM) is characterized by the WHO as a condition of hyperglycemia detected for the first time during pregnancy, with blood glucose levels that do not meet the diagnostic criteria for DM. There are some hormones produced by the placenta and increased by pregnancy, such as placental lactogen, cortisol, and prolactin. In which, they can reduce the performance of insulin at its receptors and, consequently, increase insulin production in healthy pregnant women. Prenatal care is essential to prevent complications for women and children. Thus, an individualized diet should be indicated, exercise during pregnancy, and delivery should be monitored. If the recommendations do not normalize the condition of GDM, spontaneous abortions, the formation of excess amniotic fluid, congenital malformations, restricted fetal growth, and even the death of the mother and fetus may occur.

  • Clinical Symptoms and Manifestations of Gestational Diabetes

    Although there is medical care focused on obstetric and neonatal care, Gestational Diabetes Mellitus (MDG) is still considered one of the main gestational complications, due to numerous metabolic, hematological and anatomical risks for pregnant women, fetuses and newborns. In this chapter, the symptoms and clinical manifestations of pregnant women diagnosed with MDG and their offspring during and after pregnancy will be addressed, presenting the probable sequelae, in addition to the pathogenesis of the main clinical complications.

  • Treatment of Gestational Diabetes Mellitus and postpartum care

    Treatment for Gestational Diabetes Mellitus comprises a series of Clinical-therapeutic protocols, which are necessary for proper attention to the patient with this pathology. In this sense, this chapter will address treatment care and postpartum care for Gestational Diabetes Mellitus, taking into account pharmacotherapeutic protocols and adverse effects of non-recommended treatments.

  • Morphofunctional changes of the placenta in pregnant women with GDM

    Morphofunctional changes of the placenta during the gestational period may be influenced by the pathological condition of Gestational Diabetes Mellitus. From this perspective, this chapter will address this theme as a way to evaluate the placental differences caused by this pathology.