Myasthenia gravis is an autoimmune disorder affecting predominantly women in their reproductive age. The course of the disease during pregnancy is unpredictable, although it is more difficult to manage earlier in the gestation. Myasthenia gravis with antibodies against the muscle-specific receptor tyrosine kinase (anti-MuSK) has been described as a subtype of disease with more localised clinical features and a ...
INTRODUCTION: International guidelines suggest that non-urgent planned deliveries be scheduled at or after 39 weeks. Despite this recommendation elective cesarean often occurs before 39 weeks. Some research has demonstrated that elective cesarean before 39 weeks poses a greater risk to the infants than at or after 39 weeks. OBJECTIVE: To evaluate neonatal morbidity in term newborns born by elective cesarean sec...
As emergências obstétricas são eventos raros e inesperados. O modelo tradicional para a formação médica nestes eventos críticos apresenta limitações óbvias. Dada a variedade de competências técnicas e o ambiente de alto risco em que são aplicadas, a obstetrícia é uma especialidade que se adequa totalmente ao treino através de técnicas ou tecnologias aplicadas à Medicina ou Obstetrícia. Este modelo de aprendizag...
Introduction: Abnormal growth, including discordant growth and intrauterine growth restriction (IUGR), occurs frequently in twin pregnancies and has been associated with increased risk of perinatal morbidity and mortality. Typically this occurs in the second or third trimester. Discordant growth in monochorionic twin pregnancies is probably related with the complications of a shared placenta. It is not clear wh...
OVERVIEW AND AIMS: Multiple pregnancy accounts for about 3% of all pregnancies. The monochorionic pregnancy presents a relatively constant incidence (1:250 pregnancies) unlike the dichorionic, which is influenced by race, heredity, maternal age, parity and medically assisted procreation. The purpose of this work was to evaluate the impact of chorionicity on perinatal morbidity of twin pregnancy. POPULATION AND ...
The presence of acute peripartum anaemia in a monochorionic twin pregnancy represents a clinical challenge requiring prompt recognition and management. Twin-to-twin transfusion syndrome (TTTS) is a major complication of these pregnancies and a medical emergency in its acute form. Acute intrapartum fetoplacental transfusion (AIFT) has been reported infrequently. The authors present a case of a probable acute TTT...
Introdução: As doenças infecciosas são uma causa frequente de morbi- -mortalidade no período neonatal. O conhecimento da epidemiologia de cada unidade é um factor decisivo para o sucesso da antibioterapia empírica. Objectivos: Caracterizar os episódios de sépsis neonatal (SNN) ocorridos de Janeiro de 2004 a Dezembro de 2006 na Unidade de Cuidados Intensivos Neonatais (UCIN) da Maternidade Bissaya Barreto. Mater...