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Induced Labor– Is There an Increased Risk of Perinatal Infection?
Olival, V; Correia, A; Mahomed, F; Mira, R; Virella, DObjectives: To assess induced labor-associated perinatal infection risk at Hospital D.Estefânia from January to June of 2010 at Hospital de D. Estefânia’s delivery rooms, reviewing the indications for inducing labor as well as the techniques used. Material and Methods: Performing an historical prospective study searching the clinical processes as well as the mother and newborn’s computer database from January t...
Laparoscopic Assisted Vaginal Hysterectomy Versus Vaginal Hysterectomy
Condeço, R; Barreto, S; Leitão, C; Silva, MC; Mira, RIntroduction: Hysterectomy is the commonest gynecologic operation, performed for malignant and benign conditions. There are many approaches to hysterectomy for benign disease. Studies comparing the techniques have showed that vaginal hysterectomy has benefits in terms of reduced hospital stay, faster recovery and less operating time. Objective: The purpose of this study is to compare the surgical and immediate ...
Ocular Toxoplasmosis Reactivation During Pregnancy – A Case Report
Olival, V; Ravara Bello, A; Cabugueira, A; Dias, I; Caetano, M; Nunes, MJ; Nery, I; Mira, RIntroduction: Toxoplasmosis is caused by Toxoplasma gondii and may be acquired from food or water contaminated with cat feces or by vertical transmission. Severe fetal complications can overcome during pregnancy. There are also rare case-reports of congenital toxoplasmosis from previously immunized pregnant women; usually these women being had prior retinal toxoplasmic lesions. Immunosuppresion is one of the ri...
Ruptura Uterina - A Propósito de 2 Casos Clínicos
Olival, V; Condeço, R; Vaz, D; Sousa, F; Nunes, MJ; Leitão, C; Ferreira, C; Caetano, M; Dias, I; Coelho, M; Mira, RIntrodução: A ruptura uterina leva a consequências graves materno-fetais. A maioria dos casos ocorre em grávidas com cesarianas anteriores ou incisões uterinas prévias como miomectomia, raramente ocorrendo em úteros sem cicatrizes. Um dos principais factores correlacionado com o risco de ruptura é o tipo de incisão da histerotomia prévia: clássica (4-9%), em T (4-9%), vertical (1-7%); transversa (0,2-1,5%). Out...
Two Gestational Sacs, Two Locations - Heterotopic Pregnancy - Case Report
Olival, V; Bernardo, MJ; Leitão, C; Coelho, M; Nunes, MJ; Nery, Isabel; Mira, RIntroduction: Heterotopic pregnancy (HP) is defined as two gestational sacs simultaneously present in two different locations, being the uterus and the fallopian tubes the more common. Sporadic HP is a very rare condition (1:30,000 pregnancies). With the use of medically assisted reproduction the prevalence is significantly higher(1:7,000). Considering spontaneous pregnancy, HP is associated with risk factors, ...
Confined Placental Mosaicism in Chorionic Vilus Sampling - Case Report
Olival, V; Caetano, P; Bernardo, A; Correia, H; Caetano, M; Mira, RObjectives: Chorionic Vilus Sampling (CVS) has several advantages over amniocentesis: it may be performed at an earlier gestational age, the results are quicker to obtain and there’s a lower miscarriage risk – 1%. However, the higher prevalence of discrepant fetal and vilus sampling material’s karyotype findings is a disadvantage of this technique – 0.5%. This is caused, amongst other causes, by placental mosai...
Office Hysteroscopy After Ultrasonographic Diagnosis of Thickened Endometrium i...
Cordeiro, A; Condeço, R; Leitão, C; Sousa, F; Coutinho, S; Silva, MC; Bernardo, MJ; Mira, RThe aim of our study was to access office hysteroscopy results in postmenopausal patients with thickened endometrium. A retrospective descriptive study was carried out on 245 postmenopausal patients submitted to office hysteroscopy after sonographic diagnosis of thickened endometriumin 20 consecutive months.Women were evaluated for age, hormonal therapy, hysteroscopic findings, procedure duration, complications...
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