Maria Misrelma Moura Bessa, J. Drezett, Hugo Macedo Ferraz e Souza Junior, F. Adami, Í. M. Bezerra, L. C. Abreu
Objective: To identify the prevalence and characteristics related to violence during the gestational period. Methods: A cross-sectional study performed at a Maternity Hospital in the city of Juazeiro do Norte, Ceará, Brazil. The population was composed of 360 postpartum women who were questioned about the occurrence of physical or sexual violence during pregnancy. Cases of violence committed by an intimate partner or other aggressors were considered. The instrument used was the Portuguese version of the Abuse Assessment Screen, applied confidentially. We used the prevalence of 20% violence against women during pregnancy estimated by the World Health Organization, with absolute error of 5%, significance level of 5% and test power of 80%. The data were analyzed with the Epinfo program, version 3.5.2. Pearson’s chi-square test was used, with a p-value of <0.05 and a 95% confidence interval. The study was approved by the Research Ethics Committee, ABC Medial School, N. 391,622. Results: Sexual violence 19.2% (69) surpassed the prevalence of physical violence 7.8% (28) among pregnant women who were surveyed. The common variable that showed relevance among women who suffered physical and sexual violence was low income in 96.4% and 78.2%, respectively. Conclusions: While a variety of factors influence gestational violence, low income women had higher rates of exposure to the cycle of violence in this population.
目的:了解妊娠期暴力行为的发生率及特点。方法:横断面研究在Juazeiro do Norte市，塞埃尔，巴西的一家妇产医院进行。人口由360名产后妇女组成，她们被问及在怀孕期间发生身体暴力或性暴力的情况。审议了亲密伴侣或其他侵犯者实施暴力的案件。所使用的工具是葡萄牙语版的滥用评估筛选，保密使用。我们使用世界卫生组织估计的20%的怀孕期间暴力侵害妇女的发生率，绝对误差为5%，显著性水平为5%，检验能力为80%。使用Epinfo 3.5.2版软件对数据进行分析。采用Pearson卡方检验，p值<0.05，置信区间为95%。该研究已获得ABC医学院研究伦理委员会批准，编号391,622。结果:在接受调查的孕妇中，性暴力发生率为19.2%(69人)，超过了身体暴力发生率7.8%(28人)。在遭受身体暴力和性暴力的妇女中显示相关性的共同变量是低收入，分别为96.4%和78.2%。结论:虽然有多种因素影响妊娠期暴力，但低收入妇女在这一人群中遭受暴力循环的比率较高。
{"title":"Physical and sexual violence during pregnancy in the northeastern backlands of Brazil: a cross-sectional study","authors":"Maria Misrelma Moura Bessa, J. Drezett, Hugo Macedo Ferraz e Souza Junior, F. Adami, Í. M. Bezerra, L. C. Abreu","doi":"10.4322/hra.000321","DOIUrl":"https://doi.org/10.4322/hra.000321","url":null,"abstract":"Objective: To identify the prevalence and characteristics related to violence during the gestational period. Methods: A cross-sectional study performed at a Maternity Hospital in the city of Juazeiro do Norte, Ceará, Brazil. The population was composed of 360 postpartum women who were questioned about the occurrence of physical or sexual violence during pregnancy. Cases of violence committed by an intimate partner or other aggressors were considered. The instrument used was the Portuguese version of the Abuse Assessment Screen, applied confidentially. We used the prevalence of 20% violence against women during pregnancy estimated by the World Health Organization, with absolute error of 5%, significance level of 5% and test power of 80%. The data were analyzed with the Epinfo program, version 3.5.2. Pearson’s chi-square test was used, with a p-value of <0.05 and a 95% confidence interval. The study was approved by the Research Ethics Committee, ABC Medial School, N. 391,622. Results: Sexual violence 19.2% (69) surpassed the prevalence of physical violence 7.8% (28) among pregnant women who were surveyed. The common variable that showed relevance among women who suffered physical and sexual violence was low income in 96.4% and 78.2%, respectively. Conclusions: While a variety of factors influence gestational violence, low income women had higher rates of exposure to the cycle of violence in this population.","PeriodicalId":179585,"journal":{"name":"Human Reproduction Archives","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131178160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. L. Moraes, Lays Costa Marques, Fernanda Sardinha de Abreu Tacon, Sâmara Huang Bastos, Letícia Bernardes Marçal, W. Amaral
Objectives: Report a rare congenital anomaly diagnosed by obstetric ultrasound. Methods: The pregnant woman suspected of have fetus with congenital anomaly was attended in the fetal medicine service of a public maternity hospital in Goiás, Brazil. A hyperechogenic nodule in the mesoabdomen of a male fetus were observed through ultrasonography. The totipotent cell mass was withdrawn one week postpartum. The anatomopathological analysis performed confirmed fetal tissue type FIF. Results: The ultrasonography performed at the institution detected the presence of a hyperechogenic nodule with 2cm shade in the mesoabdomen of a male fetus, performed at the 30th week of gestation. The totipotent cell mass was withdrawn during labor. It had bones and limbs under development. This pathology is due to abnormal embryogenesis. In these cases, a vertebrate fetus is enclosed within the body of another normally developed fetus and kept by a pedicle in an area filled with liquid or sebaceous material, with no placental or chorionic tissue. Intrauterine growth of FIF is initially similar to its twin, with its subsequent arrested development in a precipitate way due to the “host’s” vascular domain or an inherent defect of the “parasitic” twin. The entity is rare and interesting, typically presented in childhood or early childhood. Conclusions: Current imaging modalities, such as pre and postnatal ultrasonography, can accurately diagnose the condition. Complete excision is curative and allows confirmation of the diagnosis.
{"title":"Case report: rare congenital anomaly diagnosed by ultrasonography","authors":"C. L. Moraes, Lays Costa Marques, Fernanda Sardinha de Abreu Tacon, Sâmara Huang Bastos, Letícia Bernardes Marçal, W. Amaral","doi":"10.4322/hra.000919","DOIUrl":"https://doi.org/10.4322/hra.000919","url":null,"abstract":"Objectives: Report a rare congenital anomaly diagnosed by obstetric ultrasound. Methods: The pregnant woman suspected of have fetus with congenital anomaly was attended in the fetal medicine service of a public maternity hospital in Goiás, Brazil. A hyperechogenic nodule in the mesoabdomen of a male fetus were observed through ultrasonography. The totipotent cell mass was withdrawn one week postpartum. The anatomopathological analysis performed confirmed fetal tissue type FIF. Results: The ultrasonography performed at the institution detected the presence of a hyperechogenic nodule with 2cm shade in the mesoabdomen of a male fetus, performed at the 30th week of gestation. The totipotent cell mass was withdrawn during labor. It had bones and limbs under development. This pathology is due to abnormal embryogenesis. In these cases, a vertebrate fetus is enclosed within the body of another normally developed fetus and kept by a pedicle in an area filled with liquid or sebaceous material, with no placental or chorionic tissue. Intrauterine growth of FIF is initially similar to its twin, with its subsequent arrested development in a precipitate way due to the “host’s” vascular domain or an inherent defect of the “parasitic” twin. The entity is rare and interesting, typically presented in childhood or early childhood. Conclusions: Current imaging modalities, such as pre and postnatal ultrasonography, can accurately diagnose the condition. Complete excision is curative and allows confirmation of the diagnosis.","PeriodicalId":179585,"journal":{"name":"Human Reproduction Archives","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131363233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Érica Eugênio Lourenço Gontijo, M. G. D. Silva, A. M. Castro, H. Rezende, M. S. Approbato
{"title":"DOES THE FERTILIZATION AND REPRODUCTION SUCCESS IN ISO 5/7 LABOR HAVE A DIFFERENCE WHEN COMPARED TO A CONVENTIONAL LABORATORY?","authors":"Érica Eugênio Lourenço Gontijo, M. G. D. Silva, A. M. Castro, H. Rezende, M. S. Approbato","doi":"10.4322/hra.000219","DOIUrl":"https://doi.org/10.4322/hra.000219","url":null,"abstract":"","PeriodicalId":179585,"journal":{"name":"Human Reproduction Archives","volume":"118 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127302663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objectives: Obtaining and maintaining pregnancy after intracytoplasmic sperm injection (ICSI) may be affected by many technical factors. The goal of this study is to determine the rates of success from ICSI technique with established parameters and assess the associated factors to its success to treat infertility. Methods: A cross-sectional study involving 115 infertile couples submitted to ICSI was performed to test the association between technical aspects and success rates, from July 2013 to December 2014. Data collection was done through medical records. The bivariate associations were calculated by prevalence ratios and a Poisson regression was performed with significance level p < 0.05. Results: The aspiration of eight or more oocytes was 0.73 times (CI 95% 0.57-0.94) less associated (p = 0.014), but transferring two or more embryos was 1.75 times (CI 95% 1.54-1.99) more associated with the viable pregnancy (p < 0.001). The remaining characteristics of the ICSI procedures were not significantly associated with the expected outcome. Conclusions: The prevalence of the viable pregnancy after ICSI procedure was 40.9%. This index was positively influenced by the aspiration of less than eight oocytes and the transferring of two or more embryos.
{"title":"Factors associated with the success of intracytoplasmic sperm injection for the treatment of conjugal infertility","authors":"R. D. Nunes, T. Vieira, J. Traebert","doi":"10.4322/hra.003519","DOIUrl":"https://doi.org/10.4322/hra.003519","url":null,"abstract":"Objectives: Obtaining and maintaining pregnancy after intracytoplasmic sperm injection (ICSI) may be affected by many technical factors. The goal of this study is to determine the rates of success from ICSI technique with established parameters and assess the associated factors to its success to treat infertility. Methods: A cross-sectional study involving 115 infertile couples submitted to ICSI was performed to test the association between technical aspects and success rates, from July 2013 to December 2014. Data collection was done through medical records. The bivariate associations were calculated by prevalence ratios and a Poisson regression was performed with significance level p < 0.05. Results: The aspiration of eight or more oocytes was 0.73 times (CI 95% 0.57-0.94) less associated (p = 0.014), but transferring two or more embryos was 1.75 times (CI 95% 1.54-1.99) more associated with the viable pregnancy (p < 0.001). The remaining characteristics of the ICSI procedures were not significantly associated with the expected outcome. Conclusions: The prevalence of the viable pregnancy after ICSI procedure was 40.9%. This index was positively influenced by the aspiration of less than eight oocytes and the transferring of two or more embryos.","PeriodicalId":179585,"journal":{"name":"Human Reproduction Archives","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127921259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bhianca Lopes Teixeira, Camila P. Almeida, H. L. D. Puerto, Ê. Ferreira
Endometriosis is a chronic condition that affects women of reproductive age worldwide. Although the etiology is still uncertain, it has been characterized as endometrial stroma and glands outside the uterus cavity. Evidence suggests that women with this condition have implications like immunological alterations, the frequent presence of comorbidities, and chronic inflammation, which has been described to cause pain and contribute to the disease’s aggravation. Besides that, patients with endometriosis have not been considered a higher-risk group to severe cases of COVID-19. However, the real implications of the infection in patients with endometriosis are still unknown. Since hyper inflammation in endometriosis is related to severe disease cases and exacerbated inflammatory response in COVID-19 may worsen clinical symptoms. Even to patient’s death, the purpose of this review is to correlate inflammation in both conditions, drawing to a possible risk factor related to an exacerbation of inflammatory response in patients with endometriosis followed by COVID-19 infection
{"title":"Could endometriosis increase the severity of COVID-19 infection symptoms?","authors":"Bhianca Lopes Teixeira, Camila P. Almeida, H. L. D. Puerto, Ê. Ferreira","doi":"10.4322/hra.000621","DOIUrl":"https://doi.org/10.4322/hra.000621","url":null,"abstract":"Endometriosis is a chronic condition that affects women of reproductive age worldwide. Although the etiology is still uncertain, it has been characterized as endometrial stroma and glands outside the uterus cavity. Evidence suggests that women with this condition have implications like immunological alterations, the frequent presence of comorbidities, and chronic inflammation, which has been described to cause pain and contribute to the disease’s aggravation. Besides that, patients with endometriosis have not been considered a higher-risk group to severe cases of COVID-19. However, the real implications of the infection in patients with endometriosis are still unknown. Since hyper inflammation in endometriosis is related to severe disease cases and exacerbated inflammatory response in COVID-19 may worsen clinical symptoms. Even to patient’s death, the purpose of this review is to correlate inflammation in both conditions, drawing to a possible risk factor related to an exacerbation of inflammatory response in patients with endometriosis followed by COVID-19 infection","PeriodicalId":179585,"journal":{"name":"Human Reproduction Archives","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121795350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
W. Pace, A. Pace, Andrea Alves Morato, F.A.N. Pereira, Gabriela Loiola Pace, João Oscar de Almeida Falcão Júnior
objectives: To evaluate the impact of previous guidance on the hysteroscopy exam using multimedia resources (film) compared to verbal orientations only, on the pain intensity perceived by the patient during hysteroscopy without anesthesia. Methods: Randomized clinical trial, which included 187 women, who were referred for hysteroscopy. The patients in the experimental group (89) watched an explanatory video just before the exam. The control group (98), however, received only routine verbal guidance about the exam. The degree of pain perceived by all patients was measured 1 and 5 minutes after the procedure using Visual Analog Scale. results: In the experimental group, 1 minute after the examination, 29.2% of the patients reported mild pain, 24.7% moderate pain and 46.1% severe pain. In the control group, 28.6% of the patients reported mild pain, 29.6% moderate pain and 41.8% severe pain. In the analysis 5 minutes after the examination of the experimental group 60.7% of the patients reported mild pain, 28.1% moderate pain and 11.2% severe pain and the control group 62.3% of the patients reported mild pain, 26.5% moderate pain and 11.2% severe pain. Conclusions: The study was not able to demonstrate the relationship of pain perceived by patients with prior multimedia orientation, thus that, more studies are needed.
{"title":"Comparative study of pain perception in outpatient hysteroscopy analyzing previous orientation by multimedia","authors":"W. Pace, A. Pace, Andrea Alves Morato, F.A.N. Pereira, Gabriela Loiola Pace, João Oscar de Almeida Falcão Júnior","doi":"10.4322/hra.001019","DOIUrl":"https://doi.org/10.4322/hra.001019","url":null,"abstract":"objectives: To evaluate the impact of previous guidance on the hysteroscopy exam using multimedia resources (film) compared to verbal orientations only, on the pain intensity perceived by the patient during hysteroscopy without anesthesia. Methods: Randomized clinical trial, which included 187 women, who were referred for hysteroscopy. The patients in the experimental group (89) watched an explanatory video just before the exam. The control group (98), however, received only routine verbal guidance about the exam. The degree of pain perceived by all patients was measured 1 and 5 minutes after the procedure using Visual Analog Scale. results: In the experimental group, 1 minute after the examination, 29.2% of the patients reported mild pain, 24.7% moderate pain and 46.1% severe pain. In the control group, 28.6% of the patients reported mild pain, 29.6% moderate pain and 41.8% severe pain. In the analysis 5 minutes after the examination of the experimental group 60.7% of the patients reported mild pain, 28.1% moderate pain and 11.2% severe pain and the control group 62.3% of the patients reported mild pain, 26.5% moderate pain and 11.2% severe pain. Conclusions: The study was not able to demonstrate the relationship of pain perceived by patients with prior multimedia orientation, thus that, more studies are needed.","PeriodicalId":179585,"journal":{"name":"Human Reproduction Archives","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116996130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
José Maurício Lucas da Silva, Daniel da Silva, J. Oliveira, Weber Nascimento, Maria Auxiliadora Macêdo Callou, Talyta Valéria Siqueira do Monte
Objectives: This is a review of the methods of assisted reproduction, in vivo and in vitro fertilization, and its applications. Methods: The aforementioned information was compiled through a review of the literature on articles, books and periodicals about Intrauterine Transfer (IT), In Vitro Fertilization (IVF), Intracytoplasmic Injection (ICSI), Gamete Intrafallopian Transfer (GIFT), and ZygoteIntrafallopian Transfer (ZIFT). Results: The exacerbated use of these techniques brought peculiar attention on the subject although population was discordant about its use. This formed non-veridical opinions regarding the process. Manipulation of these therapies has been controlled and enacted by laws, legislations, and resolutions by each country politics, yet these techniques are well sought and present satisfactory results. Conclusions: Assisted human reproduction gives hope and brings greater understanding and confidence to those who are facing problems to build a family. The search for specialized clinics has become more frequent for those who wish to have children and are not limited to this, it has the possibility to deviate from hereditary genetic problems, since it contributes as an improvement in the health of a new generation.
{"title":"Investigation of in vivo and in vitro fertilization methods: a review of the literature","authors":"José Maurício Lucas da Silva, Daniel da Silva, J. Oliveira, Weber Nascimento, Maria Auxiliadora Macêdo Callou, Talyta Valéria Siqueira do Monte","doi":"10.4322/hra.002919","DOIUrl":"https://doi.org/10.4322/hra.002919","url":null,"abstract":"Objectives: This is a review of the methods of assisted reproduction, in vivo and in vitro fertilization, and its applications. Methods: The aforementioned information was compiled through a review of the literature on articles, books and periodicals about Intrauterine Transfer (IT), In Vitro Fertilization (IVF), Intracytoplasmic Injection (ICSI), Gamete Intrafallopian Transfer (GIFT), and ZygoteIntrafallopian Transfer (ZIFT). Results: The exacerbated use of these techniques brought peculiar attention on the subject although population was discordant about its use. This formed non-veridical opinions regarding the process. Manipulation of these therapies has been controlled and enacted by laws, legislations, and resolutions by each country politics, yet these techniques are well sought and present satisfactory results. Conclusions: Assisted human reproduction gives hope and brings greater understanding and confidence to those who are facing problems to build a family. The search for specialized clinics has become more frequent for those who wish to have children and are not limited to this, it has the possibility to deviate from hereditary genetic problems, since it contributes as an improvement in the health of a new generation.","PeriodicalId":179585,"journal":{"name":"Human Reproduction Archives","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115250166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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