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Find video protocols related to scientific articles indexed in Pubmed.
Contribution of antepartum and intrapartum hemorrhage to the burden of maternal near miss and death in a national surveillance study.
Acta Obstet Gynecol Scand
PUBLISHED: 05-03-2014
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To evaluate the occurrence of severe obstetric complications associated with antepartum and intrapartum hemorrhage among women from the Brazilian Network for Surveillance of Severe Maternal Morbidity.
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Intracluster correlation coefficients for the Brazilian Multicenter Study on Preterm Birth (EMIP): methodological and practical implications.
BMC Med Res Methodol
PUBLISHED: 04-14-2014
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Cluster-based studies in health research are increasing. An important characteristic of such studies is the presence of intracluster correlation, typically quantified by the intracluster correlation coefficient (ICC), that indicate the proportion of data variability that is explained by the way of clustering. The purpose of this manuscript was to evaluate ICC of variables studied in the Brazilian Multicenter Study on Preterm Birth.
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Impact of a nationwide study for surveillance of maternal near-miss on the quality of care provided by participating centers: a quantitative and qualitative approach.
BMC Pregnancy Childbirth
PUBLISHED: 03-24-2014
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The Brazilian Network for Surveillance of Severe Maternal Morbidity was established in 27 centers in different regions of Brazil to investigate the frequency of severe maternal morbidity (near-miss and potentially life-threatening conditions) and associated factors, and to create a collaborative network for studies on perinatal health. It also allowed interventions aimed at improving the quality of care in the participating institutions. The objective of this study was to evaluate the perception of the professionals involved regarding the effect of participating in such network on the quality of care provided to women.
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Perspectives of professionals participating in the Brazilian Network for the Surveillance of Severe Maternal Morbidity regarding the implementation of routine surveillance: a qualitative study.
Reprod Health
PUBLISHED: 03-09-2014
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The Brazilian Network for the Surveillance of Severe Maternal Morbidity was developed in Brazil with the participation of 27 centers in different regions of the country. The objective of the network project was to evaluate the frequency of severe maternal morbidity (near-miss and potentially life-threatening conditions) and the factors involved with these clinical conditions. Over the data collection period, this project implemented a surveillance system to identify these cases in the participating institutions. The objective of the present study was to evaluate the perspective of the professionals who participated in this network regarding the surveillance of cases of severe maternal morbidity, the facilities and difficulties encountered in involving colleagues in the process, and participants’ proposals to give continuity to this practice of qualifying maternal healthcare.
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Severe maternal morbidity and maternal near miss in the extremes of reproductive age: results from a national cross- sectional multicenter study.
BMC Pregnancy Childbirth
PUBLISHED: 02-10-2014
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The aim of this study was to assess severe maternal morbidity (SMM) and near miss (NM) cases among adolescent girls and women over 35 years of age in the Brazilian Network for Surveillance of Severe Maternal Morbidity, using a set of standard criteria, compared to pregnant women aged 20 to 34 years.
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Delays in receiving obstetric care and poor maternal outcomes: results from a national multicentre cross-sectional study.
BMC Pregnancy Childbirth
PUBLISHED: 01-16-2014
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The vast majority of maternal deaths in low-and middle-income countries are preventable. Delay in obtaining access to appropriate health care is a fairly common problem which can be improved. The objective of this study was to explore the association between delay in providing obstetric health care and severe maternal morbidity/death.
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Maternal near miss and death among women with severe hypertensive disorders: a Brazilian multicenter surveillance study.
Reprod Health
PUBLISHED: 01-14-2014
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Hypertensive disorders represent the major cause of maternal morbidity in middle income countries. The main objective of this study was to identify the prevalence and factors associated with severe maternal outcomes in women with severe hypertensive disorders.
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WHO multicentre study for the development of growth standards from fetal life to childhood: the fetal component.
BMC Pregnancy Childbirth
PUBLISHED: 01-08-2014
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In 2006 WHO presented the infant and child growth charts suggested for universal application. However, major determinants for perinatal outcomes and postnatal growth are laid down during antenatal development. Accordingly, monitoring fetal growth in utero by ultrasonography is important both for clinical and scientific reasons. The currently used fetal growth references are derived mainly from North American and European population and may be inappropriate for international use, given possible variances in the growth rates of fetuses from different ethnic population groups. WHO has, therefore, made it a high priority to establish charts of optimal fetal growth that can be recommended worldwide.
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Brazilian Multicentre Study on Preterm Birth (EMIP): Prevalence and Factors Associated with Spontaneous Preterm Birth.
PLoS ONE
PUBLISHED: 01-01-2014
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Preterm birth rate is increasing and is currently a worldwide concern. The purpose of this study was to estimate the prevalence of preterm birth in a sample of health facilities in Brazil and to identify the main risk factors associated with spontaneous preterm births.
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The burden of unintended pregnancies in Brazil: a social and public health system cost analysis.
Int J Womens Health
PUBLISHED: 01-01-2014
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Unintended pregnancy (UP) is an unmet medical need with consequences worldwide. We evaluate the costs of UP based on pregnancies in Brazil from for the year 2010.
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The burden of eclampsia: results from a multicenter study on surveillance of severe maternal morbidity in Brazil.
PLoS ONE
PUBLISHED: 01-01-2014
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Maternal mortality (MM) is a core indicator of disparities in women's rights. The study of Near Miss cases is strategic to identifying the breakdowns in obstetrical care. In absolute numbers, both MM and occurrence of eclampsia are rare events. We aim to assess the obstetric care indicators and main predictors for severe maternal outcome from eclampsia (SMO: maternal death plus maternal near miss).
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Evaluation of a birth preparation program on lumbopelvic pain, urinary incontinence, anxiety and exercise: a randomized controlled trial.
BMC Pregnancy Childbirth
PUBLISHED: 07-01-2013
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Antenatal preparation programmes are recommended worldwide to promote a healthy pregnancy and greater autonomy during labor and delivery, prevent physical discomfort and high levels of anxiety. The objective of this study was to evaluate effectiveness and safety of a birth preparation programme to minimize lumbopelvic pain, urinary incontinence, anxiety, and increase physical activity during pregnancy as well as to compare its effects on perinatal outcomes comparing two groups of nulliparous women.
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Estimation of preterm birth rate, associated factors and maternal morbidity from a demographic and health survey in Brazil.
Matern Child Health J
PUBLISHED: 06-14-2013
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To determine the prevalence of preterm birth from self-reports by Brazilian women, to assess complications, interventions and outcomes, to identify factors associated with preterm birth, and to improve the preterm birth rates estimates. This is a secondary analysis of data from a Demographic Health Survey. It interviewed a sample of 4,743 Brazilian women who had 6,113 live births from 2001 to 2007. Estimates of preterm birth rates were obtained per region and per year according to self-reported gestational age. The prevalence rate and 95 % confidence interval (CI) for preterm was determined according to the characteristics of mothers and offspring. Odds ratios and 95 % CI were estimated for complications such as severe maternal morbidity. The preterm birth rate was 9.9 %, with regional variations. Preterm birth was more likely to be associated with neonatal death, low birth weight, and longer hospital stay. Maternal factors associated with preterm birth were: white ethnicity, living in an urban area, history of hypertension or heart disease, twin gestation, non-elective Cesarean section, medical insurance for delivery, low number of antenatal visits, and severe morbidity. A self-report survey has indicated that the preterm birth rate in Brazil is higher than official data suggest, with an increasing trend in more developed areas, and is associated with poor neonatal and maternal outcomes.
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Moving beyond essential interventions for reduction of maternal mortality (the WHO Multicountry Survey on Maternal and Newborn Health): a cross-sectional study.
Lancet
PUBLISHED: 05-21-2013
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We report the main findings of the WHO Multicountry Survey on Maternal and Newborn Health (WHOMCS), which aimed to assess the burden of complications related to pregnancy, the coverage of key maternal health interventions, and use of the maternal severity index (MSI) in a global network of health facilities.
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[Cross-cultural adaptation of the World Health Organization Disability Assessment Schedule (WHODAS 2.0) into Portuguese].
Rev Assoc Med Bras
PUBLISHED: 05-17-2013
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The World Health Organization Disability Assessment Schedule (WHODAS 2.0) was designed to assess the functioning level in six life domains (cognition, mobility, self-care, getting along, life activities, and participation in community activities). There are different versions, from the simplest to the most complete, various presentations (either interviews or self-administered), comprehending the domains of the International Classification of Functioning, Disability and Health (ICF). This study aimed to make a cross-cultural adaptation of the complete version into Portuguese.
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COHELLP: collaborative randomized controlled trial on corticosteroids in HELLP syndrome.
Reprod Health
PUBLISHED: 05-14-2013
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Hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome is one of the most severe forms of preeclampsia and aggravates both maternal and perinatal prognosis. The systematic review available in Cochrane Library compared corticosteroid (dexamethasone, betamethasone, or prednisolone) given during pregnancy, just after delivery or in the postnatal period, or both before and after birth, with placebo or no treatment. Those receiving steroids showed significantly greater improvement in platelet counts which was greater for those receiving dexamethasone than those receiving betamethasone. There was no clear evidence of any effect of corticosteroids on substantive clinical outcomes. These benefits appear to be greater in Class I HELLP syndrome.
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Antenatal education and the birthing experience of Brazilian women: a qualitative study.
BMC Pregnancy Childbirth
PUBLISHED: 03-07-2013
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Information is still scarce on the birthing experience of women who participate in antenatal systematic education programs. The objective of the study was to report the experience of labor as described by nulliparous women who participated and who did not in a systematic Birth Preparation Program (BPP).
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[Is uterine height able to diagnose amniotic fluid volume deviations?].
Rev Bras Ginecol Obstet
PUBLISHED: 02-16-2013
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To evaluate the performance of a Brazilian reference curve of fundal height (FH) regarding its capacity of screening the deviations of volume of amniotic fluid using a Brazilian reference curve of amniotic fluid index (AFI) as gold standard.
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[Maternal mortality in a reference center in the Brazilian Southeast].
Rev Bras Ginecol Obstet
PUBLISHED: 02-10-2013
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To describe the prevalence of maternal mortality at a tertiary care hospital and to assess its preventability.
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Maternal morbidity and near miss associated with maternal age: the innovative approach of the 2006 Brazilian demographic health survey.
Clinics (Sao Paulo)
PUBLISHED: 01-18-2013
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To study the prevalence of potentially life-threatening maternal conditions and near miss in Brazil according to maternal age.
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Area of Whartons jelly as an estimate of the thickness of the umbilical cord and its relationship with estimated fetal weight.
Reprod Health
PUBLISHED: 10-21-2011
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To build a reference curve for the area of Whartons jelly (WJ) in low-risk pregnancies from 13 to 40 weeks and to assess its relationship with estimated fetal weight (EFW).
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The prevalence of perinatal depression and its associated factors in two different settings in Brazil.
J Affect Disord
PUBLISHED: 10-07-2011
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The prevalence of antepartum and postpartum depression (PPD) and its association with certain risk factors was evaluated.
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Pre-validation of the WHO organ dysfunction based criteria for identification of maternal near miss.
Reprod Health
PUBLISHED: 07-25-2011
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To evaluate the performance of the WHO criteria for defining maternal near miss and identifying deaths among cases of severe maternal morbidity (SMM) admitted for intensive care.
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Mother-to-child transmission of human immunodeficiency virus in aten years period.
Reprod Health
PUBLISHED: 06-20-2011
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to evaluate mother-to-child transmission (MTCT) rates and related factors in HIV-infected pregnant women from a tertiary hospital between 2000 and 2009.
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Progestin-only contraception prevents bone loss in postpartum breastfeeding women.
Contraception
PUBLISHED: 05-30-2011
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There are an increase in bone loss during the first 6 months postpartum and a complete recovery postweaning. A few studies of steroid contraceptive use during this period provide some evidence towards protection of bone loss with progestin-only contraceptive methods.
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SISPRENATAL as a tool for evaluating quality of prenatal care.
Rev Saude Publica
PUBLISHED: 05-11-2011
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To evaluate coverage by the Prenatal and Birth Humanization Program, according to its minimal requirements and process indicators, by comparing information from prenatal booklets to SISPRENATAL (System to Accompany the Prenatal and Birth Humanization Program).
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From planning to practice: building the national network for the Surveillance of Severe Maternal Morbidity.
BMC Public Health
PUBLISHED: 05-08-2011
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Improving maternal health is one of the Millennium Development Goals for 2015. Recently some progress has been achieved in reducing mortality. On the other hand, in developed regions, maternal death is a relatively rare event compared to the number of cases of morbidity; hence studying maternal morbidity has become more relevant. Electronic surveillance systems may improve research by facilitating complete data reporting and reducing the time required for data collection and analysis. Therefore the purpose of this study was to describe the methods used in elaborating and implementing the National Network for the Surveillance of Severe Maternal Morbidity in Brazil.
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Perinatal outcomes associated with low birth weight in a historical cohort.
Reprod Health
PUBLISHED: 05-06-2011
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To identify perinatal outcomes associated with low birth weight (LBW).
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[Strategies directed to professionals for reducing unnecessary cesarean sections in Brazil].
Rev Bras Ginecol Obstet
PUBLISHED: 04-28-2011
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Brazil is among the countries with the highest cesarean section rates, especially in the supplementary health sector. However, some characteristics are similar in both the public and private sectors in terms of the wishes and expectations of pregnant women regarding their delivery. There is a preference for vaginal delivery among women of all social, economic, and cultural levels, a fact that shifts the focus of the negative influence of this variable from women to other subjects involved in delivery care. No isolated factor is able to justify the complexity of making a decision for cesarean section, but the physician and the type of hospital are the main associated factors. The several harmful effects of a non-judicious performance of cesarean section are scientifically recognized. It is important to raise the awareness of doctors and of other health professionals about the real consequences of this decision, the ethical deviations when conducts are chosen without exclusively focusing on the patient`s health, and the need for constant updating for the management of the various possible conditions of childbirth.
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Water exercises and quality of life during pregnancy.
Reprod Health
PUBLISHED: 04-11-2011
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In Brazil, concern with the quality of life of pregnant women is one of the points emphasized in the Program for the Humanization of Prenatal Care and Childbirth launched in 2000. However, there are few references in the literature on the role of either land or water-based physical exercise on womens quality of life during pregnancy. The purpose of this study was to evaluate the effects of a physical exercise program of water aerobics on the quality of life (QOL) of sedentary pregnant women.
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Computer-assisted telephone interviewing (CATI): using the telephone for obtaining information on reproductive health.
Cad Saude Publica
PUBLISHED: 04-07-2011
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The objective of this study was to evaluate the feasibility of using computer assisted telephone interviewing (CATI) as a method for obtaining information on reproductive health in Brazil. A total of 998 eligible women for the study were selected to answer a questionnaire through computer- assisted telephone interviewing undertaken by trained interviewers. The outcomes of each telephone contact attempt were described. Differences between groups were assessed using the ?(2) test. Phone contact was made in 60.3% of the attempts and 57.5% of the interviews were completed. The success rate improved with the decrease in time from hospitalization to interview and with the higher numbers of telephones available. A total of 2,170 calls were made, comprising of one to sixteen attempts per woman. The majority of situations where extra calls were necessary were due to the number being busy or to the fact that the woman was not available at the time of the call. CATI can prove be a valuable procedure for obtaining information on reproductive health among Brazilian women, particularly for relatively recent events and when more than one alternative telephone number is available.
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[Evaluation of the Program for Humanization of Prenatal and Childbirth Care in Brazil: a systematic review].
Cad Saude Publica
PUBLISHED: 04-07-2011
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The Program for Humanization of Prenatal and Childbirth Care (PHPN) was launched in Brazil in 2000, with quantitative criteria for obstetric care and SISPRENATAL as the database. The current study pooled the national data on prenatal care using SISPRENATAL and other data sources. This was a systematic review of prenatal care with an online search of articles in MEDLINE, EMBASE, and SciELO. The study compiled publications since 2001 that used PHPN process indicators. A meta-analysis was performed, estimating the mean proportion of each process indicator with its respective 95%CI. Process indicators increased over the target period, but SISPRENATAL showed low coverage for PHPN as compared to other data sources. The PHPN faces the challenge of proper data recording through SISPRENATAL. Priorities should include awareness-raising on the importance of data recording, training for inclusion of data in the system, and more accessible and less cumbersome data recording tools.
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Elective induction versus spontaneous labour in Latin America.
Bull. World Health Organ.
PUBLISHED: 03-30-2011
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To assess the frequency of elective induction of labour and its determinants in selected Latin America countries; quantify success in attaining vaginal delivery, and compare rates of caesarean and adverse maternal and perinatal outcomes after elective induction versus spontaneous labour in low-risk pregnancies.
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Subsequent reproductive outcome in women who have experienced a potentially life-threatening condition or a maternal near-miss during pregnancy.
Clinics (Sao Paulo)
PUBLISHED: 03-18-2011
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To evaluate the long-term reproductive consequences that affect women who have experienced potentially life-threatening or life-threatening (near-miss) maternal complications.
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A population-based surveillance study on severe acute maternal morbidity (near-miss) and adverse perinatal outcomes in Campinas, Brazil: the Vigimoma Project.
BMC Pregnancy Childbirth
PUBLISHED: 01-22-2011
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Auditing of sentinel health events based on best-practice protocols has been recommended. This study describes a population-based investigation on adverse perinatal events including severe acute maternal morbidity (near-miss), maternal and perinatal mortality, as a health intervention to help improve the surveillance system.
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[Physical exercise, weight gain, and perinatal outcomes in overweight and obese pregnant women: a systematic review of clinical trials].
Cad Saude Publica
PUBLISHED: 01-14-2011
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This study aimed to evaluate the effects of exercise on weight gain and perinatal outcomes among overweight and obese pregnant women, through a systematic review in MEDLINE/PubMed, EMBASE, LILACS, and SciELO. We included ten clinical trials that evaluated the effectiveness of exercise with or without combined diet in the control of gestational weight gain. Three studies were randomized, and methodological quality was assessed using the CONSORT 2010 Checklist, but none met all the criteria. Four studies showed weight gain differences between groups. The majority (60%) of studies showed no differences in perinatal outcomes (mode of delivery, gestational age at birth, birth weight). In conclusion, few studies confirmed the positive effect of exercise in controlling weight gain during pregnancy, thus requiring more research in this direction. Regarding perinatal outcomes, mild to moderate exercise does not appear to be decisive for perinatal outcomes, and is safe for pregnant women with overweight and obesity.
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Periodontal disease and some adverse perinatal outcomes in a cohort of low risk pregnant women.
Reprod Health
PUBLISHED: 09-15-2010
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To evaluate the association of periodontal disease (PD) in pregnancy with some adverse perinatal outcomes.
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Fetal cardiotocography before and after water aerobics during pregnancy.
Reprod Health
PUBLISHED: 07-26-2010
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To evaluate the effect of moderate aerobic physical activity in water on fetal cardiotocography patterns in sedentary pregnant women.
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A randomized controlled trial comparing vaginal misoprostol versus Foley catheter plus oxytocin for labor induction.
Acta Obstet Gynecol Scand
PUBLISHED: 07-20-2010
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To compare effectiveness and safety of 25 microg vaginal misoprostol versus Foley catheter and oxytocin for cervical ripening and labor induction in pregnant women with unripe cervices.
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Development and validation of a questionnaire to identify severe maternal morbidity in epidemiological surveys.
Reprod Health
PUBLISHED: 07-07-2010
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to develop and validate a questionnaire on severe maternal morbidity and to evaluate the maternal recall of complications related to pregnancy and childbirth. Design: validity of a questionnaire as diagnostic instrument. Setting: a third level referral maternity in Campinas, Brazil. Population: 386 survivors of severe maternal complications and 123 women that delivered without major complications between 2002 and 2007.
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[Abortion in Brazil: a demographic approach].
Rev Bras Ginecol Obstet
PUBLISHED: 06-01-2010
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To evaluate the prevalence of spontaneous and induced abortion reported by a sample of Brazilian women interviewed in the National Demographic Health Survey of 1996.
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A cluster randomized controlled trial to evaluate the effectiveness of the clinically integrated RHL evidence -based medicine course.
Reprod Health
PUBLISHED: 05-14-2010
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Evidence-based health care requires clinicians to engage with use of evidence in decision-making at the workplace. A learner-centred, problem-based course that integrates e-learning in the clinical setting has been developed for application in obstetrics and gynaecology units. The course content uses the WHO reproductive health library (RHL) as the resource for systematic reviews. This project aims to evaluate a clinically integrated teaching programme for incorporation of evidence provided through the WHO RHL. The hypothesis is that the RHL-EBM (clinically integrated e-learning) course will improve participants knowledge, skills and attitudes, as well as institutional practice and educational environment, as compared to the use of standard postgraduate educational resources for EBM teaching that are not clinically integrated.
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Using a Caesarean Section Classification System based on characteristics of the population as a way of monitoring obstetric practice.
Reprod Health
PUBLISHED: 05-04-2010
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to compare the distribution of caesarean rates in the Robsons 10 groups classification in order to see if any change occurred after the implementation of an audit and feedback intervention. Design: cross sectional, before and after an audit and feedback study. Setting: a university hospital in Brazil.
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Severe maternal morbidity and factors associated with the occurrence of abortion in Brazil.
Int J Gynaecol Obstet
PUBLISHED: 04-23-2010
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To evaluate the reported occurrence of spontaneous and induced abortion, and abortion-associated severe maternal morbidity in Brazil.
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Symphysis-fundal height curve in the diagnosis of fetal growth deviations.
Rev Saude Publica
PUBLISHED: 04-15-2010
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To validate a new symphysis-fundal curve for screening fetal growth deviations and to compare its performance with the standard curve adopted by the Brazilian Ministry of Health.
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[Correlation between estimated fetal weight by ultrasound and neonatal weight].
Rev Bras Ginecol Obstet
PUBLISHED: 03-09-2010
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to evaluate the correlation between the estimated fetal weight (EFW) by ultrasonography and the neonatal weight (NW), as well as the EFWs capacity to predict changes in NW among pregnant women in João Pessoa, Paraíba, Brazil.
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Brazilian multicenter study on prevalence of preterm birth and associated factors.
BMC Pregnancy Childbirth
PUBLISHED: 03-02-2010
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The occurrence of preterm birth remains a complex public health condition. It is considered the main cause of neonatal morbidity and mortality, resulting in a high likelihood of sequelae in surviving children. With variable incidence in several countries, it has grown markedly in the last decades. In Brazil, however, there are still difficulties to estimate its real occurrence. Therefore, it is essential to establish the prevalence and causes of this condition in order to propose prevention actions. This study intend to collect information from hospitals nationwide on the prevalence of preterm births, their associated socioeconomic and environmental factors, diagnostic and treatment methods resulting from causes such as spontaneous preterm labor, prelabor rupture of membranes, and therapeutic preterm birth, as well as neonatal results.
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Microbiological characteristics and inflammatory cytokines associated with preterm labor.
Arch. Gynecol. Obstet.
PUBLISHED: 03-02-2010
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To evaluate vaginal microflora and interleukin-1? (IL-?), interleukin-6 (IL-6), interleukin-8 (IL-8) and tumor necrosis factor-alpha (TNF-?) concentrations in the cervicovaginal fluid of a group of pregnant women in preterm labor when compared with a group of full-term pregnant women not yet in labor.
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Neonatal near miss approach in the 2005 WHO Global Survey Brazil.
J Pediatr (Rio J)
PUBLISHED: 02-13-2010
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To explore the use of the neonatal near miss concept as a tool to evaluate the quality of neonatal care, as 3 million early neonatal deaths occur every year around the world and the majority of these deaths are avoidable and take place in developing countries.
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[Comparison of two methods for the investigation of maternal mortality in a municipality of the Brazilian southeast].
Rev Bras Ginecol Obstet
PUBLISHED: 08-20-2009
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to compare maternal death data from the National Death Information System (DIS), with a death survey of 10 to 49 year-old women at reproductive age (RAMOS), in order to identify sub-notification and to search for causes of maternal death (MD) from 1999 to 2006.
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Brazilian network for the surveillance of maternal potentially life threatening morbidity and maternal near-miss and a multidimensional evaluation of their long term consequences.
Reprod Health
PUBLISHED: 07-17-2009
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It has been suggested that the study of women who survive life-threatening complications related to pregnancy (maternal near-miss cases) may represent a practical alternative to surveillance of maternal morbidity/mortality since the number of cases is higher and the woman herself is able to provide information on the difficulties she faced and the long-term repercussions of the event. These repercussions, which may include sexual dysfunction, postpartum depression and posttraumatic stress disorder, may persist for prolonged periods of time, affecting womens quality of life and resulting in adverse effects to them and their babies.
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An emerging "maternal near-miss syndrome": narratives of women who almost died during pregnancy and childbirth.
Birth
PUBLISHED: 06-04-2009
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An improvement in maternal health conditions can only be achieved when a reduction in the number of deaths is accompanied by a reduction in the frequency of severe complications of pregnancy. The objective of this study was to investigate womens experiences related to the burden of severe maternal morbidity.
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Audit and feedback: effects on professional obstetrical practice and healthcare outcomes in a university hospital.
Acta Obstet Gynecol Scand
PUBLISHED: 05-20-2009
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To assess the effects of audit and feedback on the practice of professionals in obstetrics.
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Factors associated with low birth weight in a historical series of deliveries in Campinas, Brazil.
Rev Assoc Med Bras
PUBLISHED: 04-06-2009
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To identify the risk factors associated with low birth weight (< 2500 grams).
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[Provision of voluntary surgical sterilization in the Campinas Metropolitan Area, São Paulo State, Brazil: perceptions of public health services managers and professionals].
Cad Saude Publica
PUBLISHED: 03-21-2009
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This study describes the perceptions of public health services managers and professionals concerning provision of voluntary surgical sterilization in the Campinas Metropolitan Area, São Paulo State, Brazil. The study adopted a qualitative approach in four municipalities (counties), where semi-structured interviews were conducted with 26 health professionals and health services managers involved in the provision of surgical sterilization. The interviewees identified difficulties in scheduling visits at Outpatient Family Clinics or Reference Centers (APF/CR), and the number of available surgeries in the accredited hospitals was insufficient. They emphasized the lack of physical infrastructure and human resources for conducting family planning activities in the primary health units as well as in the APF/CR.They also criticized the legal criteria for authorizing surgical sterilization, and mentioned adaptations to make them more appropriate to the each municipalitys situation. According to the health services managers and professionals, despite the efforts, meeting the demand for surgical sterilization in the Campinas Metropolitan Area was jeopardized by its centralization in the APF/CR, which in practice had to cover the gap in family planning activities in each municipalitys primary care units.
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Maternal near miss and maternal death in the World Health Organizations 2005 global survey on maternal and perinatal health.
Bull. World Health Organ.
PUBLISHED: 01-15-2009
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To develop an indicator of maternal near miss as a proxy for maternal death and to study its association with maternal factors and perinatal outcomes.
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Factors associated with maternal death in women admitted to an intensive care unit with severe maternal morbidity.
Int J Gynaecol Obstet
PUBLISHED: 01-09-2009
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To identify factors associated with maternal death among women with severe maternal morbidity.
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Water aerobics II: maternal body composition and perinatal outcomes after a program for low risk pregnant women.
Reprod Health
PUBLISHED: 01-06-2009
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To evaluate the effectiveness and safety of water aerobics during pregnancy.
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Effectiveness of a clinically integrated e-learning course in evidence-based medicine for reproductive health training: a randomized trial.
JAMA
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For evidence-based practice to embed culturally in the workplace, teaching of evidence-based medicine (EBM) should be clinically integrated. In low-middle-income countries (LMICs) there is a scarcity of EBM-trained clinical tutors, lack of protected time for teaching EBM, and poor access to relevant databases in languages other than English.
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Physical exercise during pregnancy: a systematic review.
Curr. Opin. Obstet. Gynecol.
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This review aims to provide an update on the recent evidence concerning exercise during pregnancy including effects for mother and fetus and the types, frequency, intensity, duration and rate of progression of exercise performed.
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Intraclass correlation coefficients in the Brazilian Network for Surveillance of Severe Maternal Morbidity study.
BMC Pregnancy Childbirth
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The purpose of the study was to evaluate intraclass correlation coefficients (ICC) of variables concerning personal characteristics, structure, outcome and process in the Brazilian Network for Surveillance of Severe Maternal Morbidity study conducted to identify severe maternal morbidity/near miss cases using the World Health Organization criteria.
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The role of delays in severe maternal morbidity and mortality: expanding the conceptual framework.
Reprod Health Matters
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Maternal mortality has gained importance in research and policy since the mid-1980s. Thaddeus and Maine recognized early on that timely and adequate treatment for obstetric complications were a major factor in reducing maternal deaths. Their work offered a new approach to examining maternal mortality, using a three-phase framework to understand the gaps in access to adequate management of obstetric emergencies: phase I--delay in deciding to seek care by the woman and/or her family; phase II--delay in reaching an adequate health care facility; and phase III--delay in receiving adequate care at that facility. Recently, efforts have been made to strengthen health systems ability to identify complications that lead to maternal deaths more rapidly. This article shows that the combination of the "three delays" framework with the maternal "near-miss" approach, and using a range of information-gathering methods, may offer an additional means of recognizing a critical event around childbirth. This approach can be a powerful tool for policymakers and health managers to guarantee the principles of human rights within the context of maternal health care, by highlighting the weaknesses of systems and obstetric services.
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Applying the new concept of maternal near-miss in an intensive care unit.
Clinics (Sao Paulo)
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The World Health Organization has recommended investigating near-misses as a benchmark practice for monitoring maternal healthcare and has standardized the criteria for diagnosis. We aimed to study maternal morbidity and mortality among women admitted to a general intensive care unit during pregnancy or in the postpartum period, using the new World Health Organization criteria.
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Reference values for Doppler velocimetry of the ophthalmic and central retinal arteries in low-risk pregnancy.
Int J Gynaecol Obstet
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To establish reference values for Doppler velocimetry of the ophthalmic artery (OA) and the central retinal artery (CRA) in low-risk pregnancy.
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What is Visualize?

JoVE Visualize is a tool created to match the last 5 years of PubMed publications to methods in JoVE's video library.

How does it work?

We use abstracts found on PubMed and match them to JoVE videos to create a list of 10 to 30 related methods videos.

Video X seems to be unrelated to Abstract Y...

In developing our video relationships, we compare around 5 million PubMed articles to our library of over 4,500 methods videos. In some cases the language used in the PubMed abstracts makes matching that content to a JoVE video difficult. In other cases, there happens not to be any content in our video library that is relevant to the topic of a given abstract. In these cases, our algorithms are trying their best to display videos with relevant content, which can sometimes result in matched videos with only a slight relation.