Abstract Objective The purpose of the present study was to analyze the influence of chorionicity in the biometric parameters crown-rump length (CRL), birthweight (BW), crown-rump length discordancy (CRLD) and birthweight discordancy (BWD), determine the correlation between these latter two in cases of intertwin discordancy, and to analyze the influence of chronicity in the presence of these discordancies with c...
Overview and aims: Placenta Accreta Spectrum disorders are the leading cause of emergency hysterectomy in developed countries and are associated with high maternal morbidity and mortality (60% and 7%, respectively). The objective of our study was to review cases of PAS disorders occurring in the last 8 years (2010-2017) in a tertiary care centre, evaluating the forms of treatment chosen and the maternal and fet...
Abstract Objective The present study aims to understand to what extent obesity is related to adversematernal, obstetrical, and neonatal outcomes in a Portuguese obstetrical population. Methods A retrospective case-control study was conducted at the Department of Obstetrics of a differentiated perinatal care facility. The study compared 1,183 obese pregnant womenwith 5,399 normal or underweight pregnantwomen for...
Caesarian section (C-section) is a worrisome issue due to its increasing incidence and associated risks, especially in low risk pregnancies. Maternal age has an increasing tendency in modern societies and appears to be contributing to the rise in the Csection rates - due to co-morbidities, "high risk labeling" or an intrinsic biological cause related to aging. Our aim is to evaluate the association between mate...
Overview and aims: Kidney transplantation has brought a new hope to women with end stage renal disease (ESRD) who wish to become pregnant, as it can improve the reproductive function and restore fertility. A successful pregnancy after kidney transplant is possible, at expenses of high rates of maternal and fetal morbidity. The objective of the study is to investigate the impact of renal transplantation in obste...
Necrotizing Fasciitis (NF) is an infectious and inflammatory process, with necrosis of the fascia muscularis and surrounding subcutaneous adipose tissue, evolving quickly and that can be potentially fatal. Although rare, NF can be one of the possible clinical presentations of surgical wound infection after cesarean delivery. A case of a patient who was submitted to a cesarean section during labor with later dev...
Abstract Purpose To evaluate the efficacy of an outpatient protocol with vaginal misoprostol to treat delayed miscarriage. Methods Retrospective analysis of prospectively collected data on women medically treated for missed abortion with an outpatient protocol. The inclusion criteria were: ultrasound-based diagnosis of missed abortion with less than 10 weeks; no heavy bleeding, infection, inflammatory bowel dis...
Overview and Aims: pregnancy in women with chronic kidney disease (CKD), particularly in terminal CKD, remains a rare event. There are scarce reports of pregnancy in women undergoing peritoneal dialysis. Our study aims to evaluate the outcomes of pregnancies in women with CKD diagnosed at Hospital São João during the study period. Study design: retrospective case series. Population: pregnant women with chronic ...
Overview and Aims: The main objective of this study was to describe the main clinical indications, diagnostic yield, complications and pregnancy outcomes regarding amniocentesis performed in a tertiary University Hospital, during an 8-year period. Study Design: We developed an observational, retrospective study, of all amniocenteses performed between June 2003 and June 2011. Population: All pregnant women conse...