18 documents found, page 1 of 2
Transabdominal and transperineal ultrasound vs routine care before instrumental...
Barros, Joana; Afonso, Maria; Martins, Ana T.; Carita, Ana I.; Clode, Nuno; Ayres-de-Campos, Diogo; Graça, Luís M.Introduction: The role of intrapartum ultrasound as an ancillary method to instrumental vaginal delivery is yet to be determined. This study aimed to compare the use of transabdominal and transperineal ultrasound with routine clinical care before performing an instrumental vaginal delivery, regarding the incidence of adverse maternal and neonatal outcomes. Material and methods: A randomized controlled trial was...
Effect of simulation-based training on the accuracy of fetal head position dete...
Barros, Joana G.; Gomes-da-Costa, Ana; Afonso, Maria; Carita, Ana I.; Ayres-de-Campos, Diogo; Graça, Luís M.; Clode, NunoObjectives: The objective of this study was to evaluate the effect of simulation-based training on the accuracy of fetal head position determination by junior residents during the second stage of labour. Study design: This prospective study was conducted in a tertiary care university hospital. During an initial period of 12 weeks, 13 junior residents were asked to routinely evaluate fetal head position by digit...
National-survey for evaluation of the best screening method of late fetal growt...
Policiano, Catarina; Reis-de-Carvalho, Catarina; Clode, Nuno; Graça, Luís M.Objective: To compare knowledge and practices surrounding third trimester screening of fetal growth restriction (FGR) in low risk pregnancies among Portuguese Gynecologists/Obstetricians (GOs) and General Practitioners (GPs). Primary outcome was to compare the proportion of GOs that consider the need of a third trimester ultrasound (estimation of fetal weight) for screening of FGR in low risk pregnancies and th...
Small-for-gestational-age babies of low-risk term pregnancies : does antenatal ...
Policiano, Catarina; Fonseca, Andreia; Mendes, Jorge M.; Clode, Nuno; Graça, Luís M.Objectives: To compare delivery route and admission rate to neonatal intensive care unit between small- and appropriate-for-gestational-age babies among low-risk term pregnancies. Methods: A retrospective study was conducted using the database of deliveries in 2014 at a tertiary hospital. Babies delivered at ≥37 weeks with birthweight <10th centile were considered small-for-gestational-age (SGA) and >90th centi...
Agreement and accuracy using the FIGO, ACOG and NICE cardiotocography interpret...
Santo, Susana; Ayres de Campos, Diogo; Costa Santos, Cristina; Schnettler, William; Ugwumadu, Austin; Graça, Luís M.Introduction: One of the limitations reported with cardiotocography is the modest interobserver agreement observed in tracing interpretation. This study compared agreement, reliability and accuracy of cardiotocography interpretation using the International Federation of Gynecology and Obstetrics, American College of Obstetrics and Gynecology and National Institute for Health and Care Excellence guidelines. Mate...
Prevalence of Late Preterm and Early Term Birth in Portugal
Barros, Joana Goulão; Clode, Nuno; Graça, Luís M.Introduction: Late preterm birth (defined as birth between 34 and 36 complete weeks’ gestation) and early term birth (defined as birth between 37 and 38 complete weeks’ gestation) have become a topic of recent discussion as the morbidity associated with delivery at these gestational ages has become increasingly evident. Our objective was to evaluate the characteristics of late preterm and early term birth in Po...
Prevalence and risk factors for iron deficiency anemia and iron depletion durin...
Gomes da Costa, Ana; Vargas, Sara; Clode, Nuno; Graça, Luís M.Introduction: Anemia and iron deficiency during pregnancy are a worldwide concern and are more frequent among women of reproductive age, pregnant women, and young children. The aim of this study was to assess the prevalence of iron deficiency anemia and the risk factors for iron depletion during the first half of pregnancy, in a Portuguese population. Material and Methods: A prospective study was conducted at a...
Prevalence of late preterm and early term birth in Portugal
Barros, Joana Goulão; Clode, Nuno; Graça, Luís M.Introduction: Late preterm birth (defined as birth between 34 and 36 complete weeks' gestation) and early term birth (defined as birth between 37 and 38 complete weeks' gestation) have become a topic of recent discussion as the morbidity associated with delivery at these gestational ages has become increasingly evident. Our objective was to evaluate the characteristics of late preterm and early term birth in Po...
Prediction of success in external cephalic version under tocolysis : still a ch...
Vaz de Macedo, Carolina; Clode, Nuno; Graça, Luís M.Introduction: External cephalic version is a procedure of fetal rotation to a cephalic presentation through manoeuvres applied to the maternal abdomen. There are several prognostic factors described in literature for external cephalic version success and prediction scores have been proposed, but their true implication in clinical practice is controversial. We aim to identify possible factors that could contribu...
Intra-abortion contraception with etonogestrel subdermal implant
Barros Pereira, Isabel; Carvalho, Rui M.; Graça, Luís M.Objectives: Etonogestrel subdermal implant is a highly effective, reversible and safe form of contraception. Immediate placement during abortion visit could increase contraception use in women at high risk for unintended pregnancy. Our purpose was to evaluate patient acceptability, user continuation rate and efficacy of medical termination of pregnancy when the implant is inserted during medical termination of ...