Ginecologia/Obstetrícia

Diretriz NICE | Gravidez ectópica e aborto: diagnóstico e tratamento inicial.

13 Dez, 2021 | 11:31h

Ectopic pregnancy and miscarriage: diagnosis and initial management – National Institute for Health and Care Excellence

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Diretriz NICE | Parto induzido.

13 Dez, 2021 | 11:30h

Inducing labour – National Institute for Health and Care Excellence

Conteúdo relacionado: NICE recommends offering women induced labor earlier in new draft guidance – “women with uncomplicated singleton pregnancies should be offered induction at 41 weeks and the induction should take place as soon as possible. Previous guidelines advised induction between 41 and 42 weeks”.

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Seguimento de 2 anos de estudo randomizado mostra que adiar o clampeamento do cordão umbilical salva a vida de bebês prematuros.

13 Dez, 2021 | 11:25h

Comunicado de imprensa: Two-year follow up shows delaying umbilical cord clamping saves babies’ lives – University of Sydney

Artigo original: Effects of delayed versus immediate umbilical cord clamping in reducing death or major disability at 2 years corrected age among very preterm infants (APTS): a multicentre, randomised clinical trial – The Lancet Child & Adolescent Health

Conteúdo relacionado:

Systematic Review: Delayed Cord Clamping May Reduce the Risk of Death Before Discharge for Babies Born Preterm

Delayed vs early umbilical cord clamping for preterm infants: a systematic review and meta-analysis – American Journal of Obstetrics & Gynecology

 

Comentários no Twitter

In very #preterm infants, delayed cord clamping (at least 60 s, w/o milking) reduced the risk of death or major disability at 2 years by 17%, compared with immediate cord clamping

Study by Kristy Robledo, William Tarnow-Mordi & team: https://t.co/VYGttMk1pa @alphacollab #neoEBM pic.twitter.com/680lL04dLx

— The Lancet Child & Adolescent Health (@LancetChildAdol) December 9, 2021

Among preterm infants born before 30 weeks, delayed cord clamping (for 60 seconds) reduced the risk of death or major disability at 2 years by 17%, compared with immediate cord clamping, as shown in this international multicentre RCT.https://t.co/Hlh5zvQM3b#EBNeoAlerts #NeoEBM pic.twitter.com/cp2Bt1HC6B

— Evidence-Based Neo (@EBNEO) December 12, 2021

 

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Revisão | Câncer endometrial.

13 Dez, 2021 | 11:21h

Endometrial cancer – Nature Reviews Disease Primers (gratuito por tempo limitado – se o acesso a este link for pago, tente este)

Infográfico: Endometrial cancer (gratuito por tempo limitado – se o acesso a este link for pago, tente este)

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Estudo de coorte | Associação de salpingo-ooforectomia bilateral com mortalidade por todas as causas e por causas específicas.

13 Dez, 2021 | 11:19h

Association of bilateral salpingo-oophorectomy with all cause and cause specific mortality: population based cohort study – The BMJ

Comentário: Bilateral salpingo-oophorectomy may have risks for younger women, but safe for post-menopausal patients – News Medical

 

Comentário no Twitter

This observational study found that bilateral salpingo-oophorectomy at non-malignant hysterectomy appeared to be associated with increased all cause mortality in women aged <50 years, but not in those aged ≥50 years https://t.co/I0b9nrht9V

— The BMJ (@bmj_latest) December 11, 2021

 

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Revisão sistemática | Benefícios e prejuízos do rastreamento mamográfico anual, bienal e trienal para mulheres na média de risco para câncer de mama.

9 Dez, 2021 | 15:20h

Benefits and harms of annual, biennial, or triennial breast cancer mammography screening for women at average risk of breast cancer: a systematic review for the European Commission Initiative on Breast Cancer (ECIBC) – British Journal of Cancer

 

Comentário no Twitter (fio – clique para saber mais)

Our comprehensive #systematicreview for the #ECIBC on intervals (every 1, 2, 3 years) of #breastcancer #screening is available.
We included RCT, observational, and mathematical modeling studies to assess benefits and harms and applied the #GRADE approachhttps://t.co/IfplsWfKuA pic.twitter.com/7niEbnaWKR

— Carlos Canelo-Aybar (@ccaneloa) November 27, 2021

 

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Avaliação e tratamento do prolapso de órgão pélvico.

8 Dez, 2021 | 13:00h

Evaluation and Management of Pelvic Organ Prolapse – Mayo Clinic Proceedings

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Risco de complicações pós-operatórias após cirurgias eletivas em pacientes com COVID-19 ativa ou resolvida nos EUA – Cirurgia realizada de 0 a 4 semanas após Covid-19 está associada a risco bastante aumentado de complicações pós-cirúrgicas; cirurgia feita de 4 a 8 semanas depois da infecção ainda está associada com risco aumentado de pneumonia.

7 Dez, 2021 | 11:50h

The Risk of Postoperative Complications following Major Elective Surgery in Active or Resolved COVID-19 in the United States – Annals of Surgery

Conteúdos relacionados:

Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery

Study from 116 countries suggests surgery should be delayed for at least seven weeks following a COVID-19 diagnosis to reduce mortality risk

ASA Guidance: Preoperative testing for COVID-19 is essential, regardless of vaccination.

Position statement: Perioperative management of post-COVID-19 surgical patients.

Cohort study: Postoperative in-hospital mortality of patients with COVID-19 infection was more than double that in patients without COVID-19

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Revisão sistemática | Práticas atuais de tratamento da infecção por citomegalovírus materna e congênita durante a gestação após uma infecção primária ocorrida no primeiro trimestre da gestação.

7 Dez, 2021 | 11:28h

Current practices of management of maternal and congenital Cytomegalovirus infection during pregnancy after a maternal primary infection occurring in first trimester of pregnancy: Systematic review – PLOS One

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Consenso sobre abordagem prática dos distúrbios da paratireoide em adultos e durante a gestação.

6 Dez, 2021 | 16:16h

European Expert Consensus on Practical Management of Specific Aspects of Parathyroid Disorders in Adults and in Pregnancy: Recommendations of the ESE Educational Program of Parathyroid Disorders – European Journal of Endocrinology

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