37 documents found, page 1 of 4
Pre-eclampsia: Universal Screening or Universal Prevention for Low andMiddle-In...
Oliveira,Leandro Gustavo De; Diniz,Angélica Lemos Debs; Prado,Caio Antônio de Campos; Cunha Filho,Edson Vieira Da; Souza,Francisco Lázaro Pereira DeAbstract Pre-eclampsia (PE) is a severe disorder that affects up to 8% of all pregnancies and represents an important cause of maternal and perinatal morbidity and mortality. The screening of the disease is a subject of studies, but the complexity and uncertainties regarding its etiology make this objective a difficult task. In addition, the costs related to screening protocols, the heterogeneity of the most af...
Clinical Experience Over 15 Years with the B-Lynch Compression Suture Technique...
Nagahama,Gilberto; Korkes,Henri Augusto; Sass,NelsonAbstract Objective To describe the clinical experience with the B-Lynch technique in the management of postpartum hemorrhage as well as the factors related to the indication of the technique and to present the success rates of the application of the B-Lynch technique. Methods Observational, retrospective, cross-sectional, and analytical study. Patient data was obtained through the study of medical records. The ...
Coronavirus 2019, Thrombocytopenia and HELLP Syndrome: Association or Coincidence?
Braga,Luiz Felipe Bagnatori; Sass,NelsonAbstract The present report describes the case of a 31-year-old primigravida, with dichorionic twins at 31 weeks. She presented with history of myalgia, jaundice, and abdominal discomfort. No flu-like symptoms as fever or cough. She was not aware of exposure to COVID-19. Normal blood pressure and O2 saturation. Laboratory tests showed platelet count of 218,000 mm3, alanine aminotransferase (ALT) 558 IU and seru...
Pre-eclampsia/Eclampsia
Peraçoli,José Carlos; Borges,Vera Therezinha Medeiros; Ramos,José Geraldo Lopes; Cavalli,Ricardo de Carvalho; Costa,Sérgio Hofmeister de Almeida MartinsAbstract Pre-eclampsia is a multifactorial and multisystemic disease specific to gestation. It is classically diagnosed by the presence of hypertension associated with proteinuria manifested in a previously normotensive pregnant woman after the 20th week of gestation. Pre-eclampsia is also considered in the absence of proteinuria if there is target organ damage. The present review takes a general approach focus...
Trends Associated with Stillbirth in a Maternity Hospital School in the North Z...
Fonseca,Raissa Magalhães de Mendonça; Garcia,Carolina Laila; Angimahtz,Talita Sampaio; Battaglia1,Cindy Fazio; Chalem,Elisa; Sass,NelsonAbstract Objective To evaluate conditions associated with stillbirth (SB), and possible trends related with it, in a maternity hospital school in the North zone of São Paulo. Methods An observational, cross-sectional study conducted at the Hospital Maternidade- escola de Vila Nova Cachoeirinha with 1,139 SBs in the period of 2003 to 2017. Cases of intermediate SB (ISB) (weight between 500 and 999 g) and late SB...
Translation and validation of Warmometer, a tool for assessing warmth in patien...
Brooke,Marieta Sodré; Nakamura,Mary Uchiyama; Hosomi,Jorge Kioshi; Ribeiro,Meireluci Costa; Sass,NelsonABSTRACT BACKGROUND: Empathy in the patient-provider relationship is associated with important outcomes in healthcare practice. Our aim was to translate and validate Warmometer, a visual tool for assessing warmth in patient-provider relationships, for use in Brazilian Portuguese. DESIGN AND SETTING: Cross-sectional study conducted at an antenatal clinic of a public university hospital in São Paulo, Brazil. METH...
High Blood Pressure during Pregnancy is not a Protective Factor for Preterm Inf...
Sabino,Annibal Tagliaferri; Souza,Eduardo de; Goulart,Ana Lucia; Lima,Adriana Martins de; Sass,NelsonAbstract Objective To evaluate whether the presence of maternal blood pressure reduces the risks of morbidity, perinatal mortality and morbidity at 24 months of age in very low birth weight infants (VLBWIs) compared with a control group. Methods A retrospective, observational, case-control study. Total 49 VLBWIs were allocated to the study group, called the maternal arterial hypertension group (AHG), and matche...
Preeclampsia
Ramos,José Geraldo Lopes; Sass,Nelson; Costa,Sérgio Hofmeister MartinsAbstract The authors review hypertensive disease during pregnancy with an academic and practical view, and using the best evidence available. This disease, which is the most important clinical disease in Brazilian pregnant women, may have its incidence reduced with prevention through the use of calcium and aspirin in pregnant women at risk. Previously, it was a disease that presented with hypertension with prot...
Avaliação de alterações urinárias e função renal em gestantes com hipertensão a...
Silva Junior,Guilherme Santos da; Moreira,Silvia Regina; Nishida,Sonia K.; Sass,Nelson; Kirsztajn,Gianna MastroianniResumo Introdução: O acometimento renal em gestantes portadoras de hipertensão arterial crônica (HAC) não é amplamente conhecido. Objetivos: 1- Descrever o perfil epidemiológico de pacientes com HAC; 2- Avaliar a ocorrência de alterações urinárias e de função renal (por meio de determinação sérica de creatinina, cistatina C e ritmo de filtração glomerular estimada - RFGe); 3- Avaliar o desfecho das gestações em...
Pregnancy after kidney transplantation: high rates of maternal complications
Candido,Cristina; Cristelli,Marina Pontello; Fernandes,Ana Raquel; Lima,Andre Caires Alvino de; Viana,Laila Almeida; Sato,Jussara L; Sass,NelsonAbstract Introduction: Women regain fertility a few time after renal transplantation. However, viability of pregnancy and maternal complications are still unclear. Objective: To describe the outcomes of pregnancies in kidney transplanted patients, focusing on maternal complications. Methods: Retrospective study of pregnancies in kidney transplanted patients between 2004 and 2014, followed up 12 months after del...