Página 16 dos resultados de 35620 itens digitais encontrados em 0.027 segundos

Randomized controlled trial of maternal omega-3 long-chain PUFA supplementation during pregnancy and early childhood development of attention, working memory, and inhibitory control

Gould, J.F.; Makrides, M.; Colombo, J.; Smithers, L.G.
Fonte: American Society for Nutrition Publicador: American Society for Nutrition
Tipo: Artigo de Revista Científica
Publicado em //2014 EN
Relevância na Pesquisa
36.45%
BACKGROUND: Docosahexaenoic acid (DHA) accumulates in the hippocampus and frontal lobes of the fetal brain during the last trimester of pregnancy. These areas of the brain contribute to attention and working memory and inhibitory control (WMIC). OBJECTIVE: We evaluated the effect of maternal omega-3 (n-3) long-chain polyunsaturated fatty acid supplementation in pregnancy on child attention and WMIC. DESIGN: A total of 185 term-born children of mothers who were randomly allocated to consume 800 mg DHA/d (treatment) or a placebo (control) from ∼20 wk of gestation until birth were assessed with multiple measures of attention and WMIC at a mean (± SD) of 27 ± 2 mo. Primary outcomes were the average time it took to be distracted when playing with a toy (distractibility) and the accuracy of remembering a new hiding location while inhibiting a learned response to search in the previous location (WMIC). RESULTS: Assessments were completed by 81 children in the treatment group (mean ± SD age: 835 ± 50.4 d) and 77 children in the control group (839 ± 65.6 d). There was no effect of supplementation on primary outcomes [distractibility mean difference: -0.2 s (95% CI: -0.7, 0.4 s); WMIC mean difference: 8.9 mm (95% CI: -10.6, 28.3 mm)]. There was no difference between DHA-supplemented and control groups except that treatment-group children looked away from the toys fewer times than controls when presented with multiple toys competing for attention but less accurately remembered a repeated hiding location. These secondary effects were not consistent with any other outcomes and may have been a result of chance. Cord plasma DHA was not consistently associated with attention and WMIC. CONCLUSION: Maternal DHA supplementation during pregnancy does not enhance attention or WMIC in term-born preschoolers. The DHA for Maternal and Infant Outcomes trial was registered at www.anzctr.org.au as ACTRN1260500056906.; Jacqueline F Gould...

Serum relaxin and pelvic pain of pregnancy

Maclennan, A.; Green, R.; Nicolson, R.; Bath, M.
Fonte: Elsevier Science Publicador: Elsevier Science
Tipo: Artigo de Revista Científica
Publicado em //1986 EN
Relevância na Pesquisa
36.45%
Serum relaxin immunoreactivity was measured by means of a porcine relaxin radioimmunoassay in 35 patients with severe pelvic pain and pelvic joint instability during late pregnancy. Results were compared with a control group of 368 samples obtained throughout pregnancy from normal singleton pregnancies. Most of the relaxin concentrations in the study group were above the 95% confidence limits of the median for the corresponding gestational age in the control group. The difference in relaxin levels between the study and control groups in the third trimester was highly significant. Relaxin levels in patients with pelvic pain were close to normal non-pregnant levels by the third postnatal day. The highest relaxin levels during pregnancy were found in the patients who were the most incapacitated clinically. The results suggest that there may be an association between high serum relaxin levels and pelvic pain and joint laxity during late pregnancy.; Alastair H. Maclennan, Roslyn C. Green, Ruth Nicolson, Margaret Bath

Exposed or not exposed? Exploring exposure classification in studies using administrative data to investigate outcomes following medication use during pregnancy

Grzeskowiak, L.E.; Gilbert, A.L.; Morrison, J.L.
Fonte: Springer Verlag Publicador: Springer Verlag
Tipo: Artigo de Revista Científica
Publicado em //2012 EN
Relevância na Pesquisa
36.45%
PURPOSE: The aim of this systematic review was to examine and compare differences in the way medication exposures are classified in studies using linked administrative data to investigate outcomes following medication use during pregnancy. This was undertaken with a focus on studies investigating specific neonatal outcomes following prenatal exposure to selective serotonin reuptake inhibitors (SSRIs). METHODS: We searched Medline and Embase to identify studies that used linked administrative data to investigate specific neonatal outcomes (congenital malformations, birth weight, gestational age) following prenatal exposure to SSRIs. RESULTS: Key factors such as dose, duration and timing of exposure were inconsistently addressed in the studies identified. In addition, there was a great deal of variability in the way medication exposures were classified and how women who stop taking their medication before or during early pregnancy are handled in analyses. Furthermore, there are issues in assuming how and when women who receive a dispensing for a medication actually take it during pregnancy. This creates a great deal of uncertainty around medication exposure during pregnancy in studies using linked administrative data, potentially resulting in biased risk estimates. CONCLUSIONS: There is a need for greater focus on determining the most effective and accurate way of using linked administrative data to investigate outcomes following medication use during pregnancy in an effort to minimise potential biases.; Luke E. Grzeskowiak...

Malaria in der Schwangerschaft vor und nach nationaler Einführung des Intermittent Preventive Treatment in pregnancy (IPTp) in Gabun; Malaria in pregnancy before and after national implementation of Intermittent Preventive Treatment in pregnancy (IPTp) in Gabon

Schuster, Eva Katharina Andrea
Fonte: Universidade de Tubinga Publicador: Universidade de Tubinga
Tipo: Dissertação
DE_DE
Relevância na Pesquisa
36.45%
Zur Prävention von Malariainfektionen bei schwangeren Frauen und ihren Auswirkungen auf Neugeborene wurde in früheren Jahren im zentralafrikanischen Gabun eine Dauerprophylaxe mit Chloroquin während der Schwangerschaft eingesetzt. Aufgrund steigender Resistenzraten entschloss sich das Land im Jahre 2005, entsprechend aktueller WHO Empfehlungen, zur Einführung des Intermittent Preventive Treatment in pregnancy (IPTp) mit der Substanzkombination Sulfadoxin-Pyrimethamin (SP). Die dieser Arbeit zugrunde liegende Studie untersucht anhand klinisch relevanter Endpunkte – Malariaprävalenz, mütterlicher Hämoglobinwerte, Schwangerschaftsdauer und Geburtsgewicht - die Wirksamkeit dieser Intervention an zwei Studienorten, Lambaréné und Libreville. Im Verlauf zweier Studienperioden, deren eine sich noch auf die Zeit der Chloroquinprophylaxe bezieht, wurden insgesamt 1403 schwangere Frauen kurz vor der Entbindung erfasst. Nach Einführung des nationalen IPTp Programms in Gabun zeigte sich eine zehnfache Reduktion der Malariaprävalenz bei Frauen am Geburtstermin. Die klinischen Endpunkte verbesserten sich dabei insbesondere nach mindestens zweimaliger Einnahme von SP. Weiterhin profitieren Primi- und Secundigravidae wohl mehr als Multigravidae von der Intervention...

Leptin and peroxisome proliferator-activated receptors, impact on normal and disturbed first trimester human pregnancy

Toth, Bettina; Bastug, Mehmet; Scholz, Christoph; Arck, Petra; Schulze, Sandra; Kunze, Sussane; Friese, Klaus; Jeschke, Udo
Fonte: Murcia : F. Hernández Publicador: Murcia : F. Hernández
Tipo: Artigo de Revista Científica Formato: application/pdf
ENG
Relevância na Pesquisa
36.45%
Recent in vitro and in vivo studies emphasize the impact of leptin, peroxisome proliferator-activated receptors (PPAR) and PPAR coactivators (retinoic X receptor a (RXR), amplified in breast cancer-3 gene (AIB3)) on placental and fetal development. Therefore, the frequency and distribution pattern of PPAR, RXR, AIB3 and leptin expression in normal human first trimester pregnancy, miscarriage and hydatidiform mole was investigated by immunohistochemistry and double immunofluorescence staining. Enhanced expression of PPARß/d, RXR and AIB3 was identified in miscarried placentas. With regard to hydatidiform mole, increased expression of PPARg and PPARß/d was observed, whereas RXR was significantly down-regulated. Leptin expression was lowest in miscarriage and highest in mole pregnancies. In contrast to trophoblast tissue, expression of leptin in glandular epithelial cells of the decidua was increased in miscarriage. PPAR and leptin expressing cells at the feto-maternal interface were identified as extravillous trophoblast (EVT) by double immunofluorescence and CK7 staining. In summary, significantly reduced leptin expression was accompanied by enhanced PPARß/d, RXR and AIB3 expression in miscarried placentas. However, in mole pregnancy...

Acute appendicitis in pregnancy: literature review

Franca Neto,Antônio Henriques de; Amorim,Melania Maria Ramos do; Nóbrega,Bianca Maria Souza Virgolino
Fonte: Associação Médica Brasileira Publicador: Associação Médica Brasileira
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/2015 EN
Relevância na Pesquisa
36.45%
Introduction: suspected appendicitis is the most common indication for surgery in non-obstetric conditions during pregnancy and occurs in about one in 500 to one in 635 pregnancies per year. This occurs more often in the second trimester of pregnancy. Acute appendicitis is the most common general surgical problem encountered during pregnancy. Methods: a literature review on research of scientific articles, under the terms “acute appendicitis” and “pregnancy”, in PubMed, Lilacs/SciELO, Scopus, Cochrane Library and Uptodate databases. Results: the clinical manifestations of appendicitis are similar to non-pregnant women, however, without a classic presentation, which often occurs, diagnosis is difficult and must be supported by imaging. Discussion: clinical diagnosis should be strongly suspected in pregnant women with classic findings such as abdominal pain that migrates to the right lower quadrant. The main purpose of imaging is to reduce delays in surgical intervention due to diagnostic uncertainty. A secondary objective is to reduce, but not eliminate, the negative appendectomy rate. Differential diagnosis of suspected acute appendicitis usually includes pathologies considered in non-pregnant people. Conclusion: the imaging study of choice is ultrasound...

Diagnosis of foetal alcohol syndrome and alcohol use in pregnancy: A survey of paediatricians' knowledge, attitudes and practice

Elliott, E.; Payne, J.; Haan, E.; Bower, C.
Fonte: Blackwell Publishing Asia Publicador: Blackwell Publishing Asia
Tipo: Artigo de Revista Científica
Publicado em //2006 EN
Relevância na Pesquisa
36.45%
AIM: To measure paediatricians' knowledge, attitudes and practices regarding foetal alcohol syndrome (FAS) and alcohol use during pregnancy. METHODS: Postal survey of paediatricians in Western Australia in 2004. Of 179 eligible paediatricians, 132 (73.7%) responded (90 consultant paediatricians and 42 paediatric trainees). RESULTS: Of the 132 respondents, 18.9% identified all four essential diagnostic features for FAS. Only 49.2% had previously diagnosed FAS (range 1-30 cases) but 91.7% had seen children diagnosed by others; 76.5% had suspected but not diagnosed FAS; 12.1% had been convinced of but not recorded the diagnosis; and 31.8% had referred children for diagnostic confirmation. Although 79.6% agreed early diagnosis might be advantageous, 69.6% said diagnosis might be stigmatising and 36.4% thought parents might resist referral for assessment and treatment. Although 78.2% agreed avoiding binge drinking may reduce FAS, only 43.9% believed women should abstain from using alcohol in pregnancy. Only 4.5% felt very prepared to deal with a patient with FAS: most wanted educational materials for themselves (69.7%) and child carers (71.2%). Only 23.3% routinely ask about alcohol use when taking a pregnancy history and 4.2% routinely provide information on the consequences of alcohol use. Only 11.4% had read the current Australian national health guideline regarding alcohol consumption in pregnancy and 9.1% provided advice consistent with the guideline. CONCLUSION: Paediatricians identified the need for educational materials about FAS and alcohol use in pregnancy for themselves and their clients. Lack of knowledge about FAS diagnosis and management will limit opportunities for diagnosis...

The effect of maternal omega-3 (n-3) LCPUFA supplementation during pregnancy on early childhood cognitive and visual development: a systematic review and meta-analysis of randomized controlled trials

Gould, J.; Smithers, L.; Makrides, M.
Fonte: Amer Soc Clinical Nutrition Publicador: Amer Soc Clinical Nutrition
Tipo: Artigo de Revista Científica
Publicado em //2013 EN
Relevância na Pesquisa
36.45%
BACKGROUND: Maternal fish consumption during pregnancy has been positively associated with cognitive and visual abilities in the offspring, leading to the hypothesis that maternal omega-3 (n-3) long-chain PUFA (LCPUFA) supplementation improves children's neurologic and visual development. OBJECTIVE: The objective was to evaluate the effect of maternal omega-3 LCPUFA supplementation in pregnancy on neurologic and visual development in the offspring. DESIGN: Five electronic databases were searched. Human randomized controlled trials that supplemented the maternal diet with omega-3 LCPUFAs during pregnancy, or pregnancy and lactation, and that assessed either neurologic or visual development of the offspring were included. Trial quality was assessed, and the results of eligible trials were compared in meta-analyses. RESULTS: Eleven RCTs involving 5272 participants were included in the review. Most trials had methodologic limitations. No differences in standardized psychometric test scores for cognitive, language, or motor development were observed between the LCPUFA-supplemented and control groups, except for cognitive scores in 2-5-y-old children, in whom supplementation resulted in higher Developmental Standard Scores (mean difference: 3.92; 95% CI: 0.77...

Acupuncture to treat nausea and vomiting in early pregnancy: A randomized controlled trial

Smith, C.; Crowther, C.; Beilby, J.
Fonte: Blackwell Science Inc Publicador: Blackwell Science Inc
Tipo: Artigo de Revista Científica
Publicado em //2002 EN
Relevância na Pesquisa
36.45%
Background: Nausea and vomiting in early pregnancy are troublesome symptoms for some women. We undertook a single blind randomized controlled trial to determine whether acupuncture reduced nausea, dry retching, and vomiting, and improved the health status of women in pregnancy. Methods: The trial was undertaken at a maternity teaching hospital in Adelaide, Australia, where 593 women less than 14 weeks' pregnant with symptoms of nausea or vomiting were randomized into 4 groups: traditional acupuncture, pericardium 6 (p6) acupuncture, sham acupuncture, or no acupuncture (control). Treatment was administered weekly for 4 weeks. The primary outcomes were nausea, dry retching, vomiting, and health status. Comparisons were made between groups over 4 consecutive weeks. Results: Women receiving traditional acupuncture reported less nausea (p < 0.01) throughout the trial and less dry retching (p < 0.01) from the second week compared with women in the no acupuncture control group. Women who received p6 acupuncture (p < 0.05) reported less nausea from the second week of the trial, and less dry retching (p < 0.001) from the third week compared with women in the no acupuncture control group. Women in the sham acupuncture group (p < 0.01) reported less nausea and dry retching (p < 0.001) from the third week compared with women in the no acupuncture group. No differences in vomiting were found among the groups at any time. Conclusion: Acupuncture is an effective treatment for women who experience nausea and dry retching in early pregnancy. A time-related placebo effect was found for some women; Caroline Smith...

Cervical pessaries for prevention of preterm birth in women with a multiple pregnancy (ProTWIN): a multicentre, open-label randomised controlled trial

Liem, S.; Schuit, E.; Hegeman, M.; Bais, J.; de Boer, K.; Bloemenkamp, K.; Brons, J.; Duvekot, H.; Nij Bijvanck, B.; Franssen, M.; Gaugler, I.; de Graaf, I.; Oudijk, M.; Papatsonis, D.; Pernet, P.; Porath, M.; Scheepers, L.; Sikkema, M.; Sporken, J.; Viss
Fonte: Lancet Publicador: Lancet
Tipo: Artigo de Revista Científica
Publicado em //2013 EN
Relevância na Pesquisa
36.45%
Background: In women with a multiple pregnancy, spontaneous preterm delivery is the leading cause of perinatal morbidity and mortality. Interventions to reduce preterm birth in these women have not been successful. We assessed whether a cervical pessary could effectively prevent poor perinatal outcomes. Methods: We undertook a multicentre, open-label randomised controlled trial in 40 hospitals in the Netherlands. We randomly assigned women with a multiple pregnancy between 12 and 20 weeks' gestation (1:1) to pessary or control groups, using a web-based application with a computer-generated list with random block sizes of two to four, stratified by hospital. Participants and investigators were aware of group allocation. For women in the pessary group, a midwife or obstetrician inserted a cervical pessary between 16 and 20 weeks' gestation. Women in the control group did not receive the pessary, but otherwise received similar obstetrical care to those in the pessary group. The primary outcome was a composite of poor perinatal outcome: stillbirth, periventricular leucomalacia, severe respiratory distress syndrome, bronchopulmonary dysplasia, intraventricular haemorrhage, necrotising enterocolitis, proven sepsis, and neonatal death. Analyses were by modified intention to treat. This trial is registered in the Dutch trial registry...

Screening for use of alcohol, tobacco and cannabis in pregnancy using self-report tools

Hotham, E.; White, J.; Ali, R.; Robinson, J.
Fonte: Cambridge University Press Publicador: Cambridge University Press
Tipo: Artigo de Revista Científica
Publicado em //2012 EN
Relevância na Pesquisa
36.45%
The World Health Organization has identified substance use in the top 20 risk factors for ill health. Risks in pregnancy are compounded, with risk to the woman's health, to pregnancy progression and on both the foetus and the newborn. Intrauterine exposure can result in negative influences on offspring development, sometimes into adulthood. With effectively two patients, there is a clear need for antenatal screening. Biomarker reliability is limited and research efforts have been directed to self-report tools, often attempting to address potential lack of veracity if women feel guilty about substance use and worried about possible stigmatization. Tools, which assume the behaviour, are likely to elicit more honest responses; querying pre-pregnancy use would likely have the same effect. Although veracity is heightened if substance use questions are embedded within health and social functioning questionnaires, such tools may be too lengthy clinically. It has been proposed that screening only for alcohol and tobacco, with focus on the month pre-pregnancy, could enable identification of all other substances. Alternatively, the Revised Fagerstrom Questionnaire could be used initially, tobacco being highly indicative of substance use generally. The ASSIST V.3.0 is readily administered and covers all substances...

Antenatal day care units versus hospital admission for women with complicated pregnancy

Dowswell, T.; Middleton, P.; Weeks, A.
Fonte: Update Software Ltd Publicador: Update Software Ltd
Tipo: Artigo de Revista Científica
Publicado em //2009 EN
Relevância na Pesquisa
36.45%
BACKGROUND: Antenatal day care units have been widely used as an alternative to inpatient care for women with pregnancy complications including mild and moderate hypertension, and preterm prelabour rupture of the membranes. OBJECTIVES: The objective of this review is to compare day care units with routine care or hospital admission for women with pregnancy complications in terms of maternal and perinatal outcomes, length of hospital stay, acceptability, and costs to women and health services providers. SEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (February 2009). SELECTION CRITERIA: Randomised controlled trials comparing day care with inpatient or routine care for women with complicated pregnancy. DATA COLLECTION AND ANALYSIS: Two review authors independently carried out data extraction and assessed studies for risk of bias. MAIN RESULTS: Three trials with a total of 504 women were included. For most outcomes it was not possible to pool results from trials in meta-analyses as outcomes were measured in different ways.Compared with women in the ward/routine care group, women attending day care units were less likely to be admitted to hospital overnight (risk ratio 0.46, 95% confidence interval 0.34 to 0.62). The average length of antenatal admission was shorter for women attending for day care...

Adherence to the Australian dietary guidelines during pregnancy: evidence from a national study

Malek, L.; Umberger, W.; Makrides, M.; Zhou, S.J.
Fonte: Cambridge University Press Publicador: Cambridge University Press
Tipo: Artigo de Revista Científica
Publicado em //2015 EN
Relevância na Pesquisa
36.45%
OBJECTIVE: To assess dietary intake of pregnant women against the Australian Dietary Guidelines with respect to the Five Food Group recommendations and determine predictors of adherence to the recommendations. DESIGN: Cross-sectional web-based survey. Data were analysed using descriptive statistics and logistic regression. SETTING: Pregnant women living in Australia. A national sample was recruited using an online panel provider and a South Australian sample was recruited through the antenatal clinic of a large public maternity hospital. SUBJECTS: A total of 857 pregnant women. RESULTS: Fifty-six per cent, 29 % and less than 10 % of women met the recommendations for the fruit, dairy and other core food groups, respectively. None of the women met the recommendations for all Five Food Groups. Women who were born overseas and who were less physically active pre-pregnancy were less likely to adhere to the fruit and dairy recommendations. Women who smoked during pregnancy, were overweight pre-pregnancy and had lower household incomes were also less likely to meet the fruit recommendations; and women living in metropolitan areas were less likely to meet the vegetable recommendations. Sixty-one per cent believed their diet during this pregnancy was healthy. CONCLUSIONS: The majority of pregnant women in Australia perceive their diets to be healthy yet they do not consume the recommended daily servings from the Five Food Groups. Intervention strategies are warranted...

Dietary advice in pregnancy for preventing gestational diabetes mellitus (Protocol)

Tieu, J.; Crowther, C.; Middleton, P.
Fonte: Update Software Ltd Publicador: Update Software Ltd
Tipo: Artigo de Revista Científica
Publicado em //2008 EN
Relevância na Pesquisa
36.45%
Diabetes mellitus is associated with abnormal glucose metabolism, with raised blood sugar and sugar in the urine. When this arises in pregnancy and disappears after birth, it is called 'gestational diabetes mellitus' or GDM. Between 1% and 14% of women develop GDM in pregnancy, with some women more at risk than others, and the severity can vary too. Risk factors for gestational glucose intolerance include being of a particular ethnicity, previous GDM, family history of type II diabetes mellitus and being older. Often there are no symptoms, or the symptoms can include tiredness, excessive thirst, passing a lot of urine and blurred vision. GDM can also cause significant problems such as a very large baby, an increased risk of the shoulder getting stuck during birth and injury to the mother during birth. There is also an increased chance of having an induced birth and caesarean birth. Babies can also often be born too early and have less chance of surviving, have problems with breathing and jaundice. In addition, there can be long-term effects such as increasing the risk of diabetes for mother and child later in life. Diet may play a significant part in the control of diabetes, with wholegrain carbohydrates and low glycaemic index diets (LGI) being helpful. LGI diets aim to slow down the digestion of food...

Anaemia of pregnancy, perinatal outcomes and children's developmental vulnerability: a whole-of-population study

Smithers, L.G.; Gialamas, A.; Scheil, W.; Brinkman, S.; Lynch, J.W.
Fonte: Wiley Publicador: Wiley
Tipo: Artigo de Revista Científica
Publicado em //2014 EN
Relevância na Pesquisa
36.45%
BACKGROUND: There is limited longitudinal data from high-income countries on the sequelae of anaemia during pregnancy. The aim of this study is to examine whether anaemia of pregnancy is associated with adverse perinatal outcomes and with children's developmental vulnerability. METHODS: We conducted a population-based study to link routinely collected government administrative data that involved all live births in the state of South Australia 1999-2005 (n = 124 061) and a subset for whom developmental data were collected during a national census of children attending their first year of school in 2009 (n = 13 654). Perinatal outcomes were recorded by midwives using a validated, standardised form. Development was recorded by schoolteachers using the Australian Early Development Index (AEDI). Children in the lowest 10% of AEDI scores are indicative of developmental vulnerability. RESULTS: There were 8764/124 061 (7.1%) cases of anaemia. After adjustment for a range of potentially confounding factors, anaemia of pregnancy was associated with a higher risk of fetal distress [incident rate ratio (IRR) 1.20 [95% CI 1.13, 1.27]] and preterm birth <37 weeks gestation (IRR 1.23 [1.15, 1.31]), slightly higher birthweight [14 g (2...

Pregnancy diagnosis, fetal quantification and gender estimation by ultra-sonography in ewes; Diagnóstico de gestação, quantificação e sexagem fetal por ultra-sonografia em ovelhas

DIAS, Lilian Mara Kirsch; SOUZA, José Camisão de; ASSIS, Roberta de Moura; RAYMUNDO, Camila de Moraes
Fonte: Editora da Universidade Federal de Lavras Publicador: Editora da Universidade Federal de Lavras
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
36.45%
The objective of this experiment was to evaluate the accuracy of gestation, fetal sexing and quantification diagnoses in ewes. Pregnancy and fetal quantification were diagnosed in 105 ewes at 35 days of pregnancy. For the fetal gender diagnosis sexing diagnose 55 ewes between 49 and 59 days of pregnancy were used. All exams were recorded on DVD for posterior analysis. After birth, lamb sex was recorded to determine fetal sexing precision. Data were analyzed by chisquare (χ2) or Fisher's test, with a significance of 0.05. One hundred percent of pregnancy ultrasound diagnoses were correct. As for the fetal quantification diagnoses, there was an error of 12%. It was possible to diagnose the fetal sex in 87% of the 69 examined fetuses, and 90% of these were estimated correctly. The real-time ultrasound diagnoses were not different from the recorded DVD image diagnoses. Therefore, pregnancy diagnosis accuracy may reach 100%, differing from fetal gender estimation and quantification, which are dependent upon other variables such as fetal gender and examiner experience.; O objetivo deste experimento foi avaliar a acurácia do diagnóstico de gestação, quantificação e sexagem fetal em ovelhas. Foram realizados o diagnóstico de gestação e a quantificação fetal em 105 ovelhas aos 35 dias de gestação. Para o diagnóstico da sexagem fetal foram utilizadas 55 ovelhas com período de gestação entre 49 e 59 dias. As imagens de todos os exames foram gravadas em DVD para permitir posterior análise. Após o nascimento dos cordeiros...

Assoalho pélvico e sintomas urinários na gestação e após o parto; Pelvic floor and urinary symptoms in pregnancy and after childbirth

Claudia Pignatti Frederice
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 17/08/2010 PT
Relevância na Pesquisa
36.45%
Objetivo: Avaliar a associação da função muscular do assoalho pélvico (AP) com a presença de sintomas urinários no terceiro trimestre gestacional de nulíparas e em primíparas 60 dias pós-parto. Sujeitos e método: Este é um estudo de coorte prospectivo, com análises tipo corte transversal para a gestação e para o puerpério, apresentadas nesta dissertação. Gestantes entre 30-34 semanas gestacionais de feto único, entre 18-35 anos, que faziam prénatal no CAISM-UNICAMP ou em Unidades Básicas de Saúde de Campinas, foram selecionadas. Gestantes que evoluíram para parto vaginal com episiotomia e cesariana após trabalho de parto foram avaliadas dois meses após o parto. Nos dois momentos estudados, foi registrada a medida da contração do AP por meio de eletromiografia de superfície - EMGs (tônus de base - TB, contração voluntária máxima - CVM e contração sustentada média - CSM), e por graduação de força muscular (graus 0-5). Avaliou-se a presença de sintomas urinários de noctúria, urgência e aumento de frequência urinária diurna (sintomas de Bexiga Hiperativa - BH), enurese, e incontinências de esforço e de urgência por meio de entrevista, na gestação e no pós-parto. Excluíram-se as mulheres com: dificuldade de compreensão...

Vivências emocionais de mulheres obesas com variação adequada de peso durante a gestação : um estudo clínico-qualitativo = Emotional experiences of obese women with adequate weight variation during pregnancy : a clinical qualitative study; Emotional experiences of obese women with adequate weight variation during pregnancy : a clinical qualitative study

Débora Bicudo de Faria Schützer
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 20/08/2014 PT
Relevância na Pesquisa
36.45%
Objetivo: Compreender as vivências emocionais relatadas por gestantes obesas que tiveram variação adequada de peso durante o acompanhamento pré-natal no Ambulatório de Pré-Natal Especializado do CAISM/UNICAMP. Métodos: Para contextualização e compreensão do objeto de estudo, realizou-se uma revisão sistemática de literatura em bases de dados. Foram acessadas bases de dados e contempladas publicações entre janeiro/2003 até junho/2013, que abordavam diretamente aspectos psicológicos na intervenção ou vivência da gestante obesa. Foram incluídos 08 artigos nessa revisão, 03 de metodologia qualitativa e 05 de metodologia quantitativa. Para a pesquisa de campo foi utilizado o desenho clínico-qualitativo. A amostra de sujeitos foi intencional e concluída pelo critério de saturação de informações com 13 mulheres Utilizou-se a técnica de entrevista semidirigida de questões abertas. A técnica de tratamento de dados incluiu: transcrição na íntegra das entrevistas, releituras flutuantes para desvelar núcleos de sentidos das falas das entrevistadas, categorização em tópicos para discussão e análise qualitativa de conteúdo. Cuidados éticos foram tomados seguindo as normas preconizadas pelo Conselho Nacional de Saúde. Resultados: A revisão sistemática indica que aspectos emocionais como depressão...

Is adolescent pregnancy a risk factor for low birth weight?

Guimarães,Alzira Maria D'avila Nery; Bettiol,Heloísa; Souza,Luiz De; Gurgel,Ricardo Q; Almeida,Maria Luiza Dória; Ribeiro,Eleonora Ramos De Oliveira; GoldaniV,Marcelo Z; Barbieri,Marco Antônio
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/02/2013 EN
Relevância na Pesquisa
36.45%
OBJECTIVE: The objective of this study was to evaluate whether adolescent pregnancy is a risk factor for low birth weight (LBW) babies. METHODS: This was a cross-sectional study of mothers and their newborns from a birth cohort in Aracaju, Northeastern Brazil. Data were collected consecutively from March to July 2005. Information collected included socioeconomic, biological and reproductive aspects of the mothers, using a standardized questionnaire. The impact of early pregnancy on birth weight was evaluated by multiple logistic regression. RESULTS: We studied 4,746 pairs of mothers and their babies. Of these, 20.6% were adolescents (< 20 years of age). Adolescent mothers had worse socioeconomic and reproductive conditions and perinatal outcomes when compared to other age groups. Having no prenatal care and smoking during pregnancy were the risk factors associated with low birth weight. Adolescent pregnancy, when linked to marital status "without partner", was associated with an increased proportion of low birth weight babies. CONCLUSIONS: Adolescence was a risk factor for LBW only for mothers without partners. Smoking during pregnancy and lack of prenatal care were considered to be independent risk factors for LBW.

Características socio-demográficas de pacientes inclinadas a abortar, frente a pacientes no inclinadas a abortar. Pacientes de un centro de crisis de embarazo; Socio-demographic Characteristics of Pregnant Abortion-minded Clients versus Pregnant Non-abortion-minded Clients at a Pregnancy Crisis Center; Características sócio-demográficas de pacientes grávidas com mentalidade abortiva versus pacientes grávidas com mentalidade não abortiva

Cote, Betsy Liliana; NFP Doctors Inc; Bejarano, Daniel; NFP Doctors Inc; Koob, Vivian; Elizabeth’s New Life Center; Paton, Sara; Wright State University
Fonte: Universidad de la Sabana Publicador: Universidad de la Sabana
Tipo: Artigo de Revista Científica
SPA
Relevância na Pesquisa
36.45%
Propósito: el propósito de este estudio es comparar las características sociodemográfi cas de mujeres embarazadas con inclinación a abortar con los de mujeres embarazadas sin inclinación a abortar que han consultado un centro de crisis de embarazo en el condado de Montgomery, Ohio. Las conclusiones serán utilizadas para ayudar a desarrollar programas de salud pública para la prevención de embarazos no deseados y así disminuir el número de abortos. Método: para este estudio se utilizó una muestra de 581 registros recogidos en una base de datos de un centro de crisis de embarazo en el condado de Montgomery. Los criterios de inclusión fueron prueba positiva de embarazo y cuyas intenciones se evaluaron como con inclinación al aborto ó sin inclinación aborto. Características socio-demográficas, como edad, estado civil, ingresos familiares, educación, preferencia religiosa, raza, número de embarazos anteriores, número de nacimientos vivos anteriores, número de abortos anteriores, número de parejas sexuales y la edad de su primera experiencia sexual fueron comparadas con sus intenciones frente al embarazo. Resultados: en este estudio, las mujeres que estaban más inclinadas hacia el aborto eran solteras (valor p = 0...