Objective: To determine if maternal height in nulliparous women influences pregnancy results in twin pregnancies. Material and methods: Retrospective cohort analysis evaluating twin pregnancies followed at Centro Hospitalar Universitário Lisboa Central, between 1995 and 2020. Of the 2900 pregnancies followed in that period, 886 nulliparous women with dichorionic twin pregnancies were selected. Two groups were c...
Premature delivery often complicates multifetal pregnancies, placing neonates at risk of serious morbidity and mortality. In select cases, preterm birth of one sibling may not require delivery of the remaining fetus(es), which may remain in utero for a delayed-interval delivery, consequently improving neonatal morbidity and mortality. Currently, there is no consensus on the best protocol for the optimal managem...
OBJECTIVE: To assess the effect of the concurrence of gestational diabetes mellitus (GDM) and pre-gravid obesity in twin gestations ("diabesity"). METHODS: We compared perinatal outcomes of twin gestation in mothers with GDM and pre-gravid obesity (1.7%), mothers with GDM but with normal BMI (6.2%), and obese mothers without GDM (7.0%). RESULTS: Twin pregnancies with "diabesity" were associated with significant...
Overview and aims: Intrauterine blood transfusion (IBT) is an established technique for the treatment of severe fetal anemia, increasing the survival of these fetuses. We aimed to describe the experience of a single center in pregnancies complicated with severe fetal anemia, that underwent IBT. Study design, Population, Methods: A retrospective cohort study was conducted from January 1996 to June 2014. Data wer...
Objective: To calculate an updated prospective risk of fetal death in monochorionic-biamniotic (MCBA) twins. Study design: We evaluated 520 MCBA twin pregnancies that had intensive prenatal surveillance and delivered in a single Portuguese referral center. The prospective risk of fetal death was calculated as the total number of deaths at the beginning of the gestational period divided by the number of continui...
Adnexal torsion is a rare event whose diagnosis requires a high degree of suspicion since its presentation is clinical and laboratory nonspecific. Ultrasound constitute the first-line exam in the imaging evaluation and timely surgical treatment, with detorsion, is mandatory to allow the preservation of the structures involved. The effectiveness of preventive measures of recurrence is yet to be determined. In th...
OBJECTIVE: To evaluate monochorionic twins conceived by assisted reproductive technology (ART). DESIGN: We compared perinatal outcomes of monochorionic twins conceived by ART with their dichorionic counterparts and with spontaneous monochorionic twins. SETTING: Referral center. PATIENT(S): Mothers to monochorionic and dichorionic twins conceived by ART and spontaneous monochorionic twins. INTERVENTION(S): None....
The aim of this work was to develop a new food product from a well known product made with olive oil, the vinaigrette, which was innovated through texturing. The main goal was to create an original product that is hoped to fulfil the consumers needs and expectations. After preparing the product, making chemical analysis, texture profile analysis, sensory analysis and a market research, it was found that the pro...
Introduction: Uncontrolled studies suggest that twins conceived by in vitro fertilization have increased rates of preterm birth and low birth weight and would warrant increased antenatal monitoring. The objective of this study was to compare the obstetric outcome of twin pregnancies conceived by in vitro fertilization or intracytoplasmic sperm injection (IVF/ICSI) and ovulation induction with those conceived sp...
Purpose: This study aims to describe and compare the content of instruments that assess environmental factors (EF) using the International Classification of Functioning, Disability and Health (ICF). Relevance: Assessing the impact of EF on patients' functioning is an important part of the rehabilitation process. Physiotherapists need to know which instruments assess EF, which EF these instruments assess and whi...