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Your search keyword '"Torloni, M"' showing total 46 results
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46 results on '"Torloni, M"'

35. P03.36: Sirenomelia: a case report

Author

Fernandes, G. L., primary, Sevrin, C. E., additional, Torloni, M. R., additional, Malho, A. S., additional, Praizan, L. F. G., additional, Machado, M. B., additional, Sancovski, M., additional, and Peixoto, S., additional

Published
2005
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43. Analgesia for vaginal birth: Secondary analysis from the WHO Multicountry Survey on Maternal and Newborn Health.

Author

Souza MA, Cecatti JG, Guida JP, Souza JP, Gulmezoglu AM, Betran AP, R Torloni M, Vogel JP, and Costa ML

Subjects
Adult, Cross-Sectional Studies, Female, Global Health, Humans, Infant, Newborn, Pain Management, Pregnancy, Surveys and Questionnaires, World Health Organization, Young Adult, Analgesia, Epidural statistics & numerical data, Healthcare Disparities, Labor Pain drug therapy, Labor, Obstetric, Maternal-Child Health Services standards, Prenatal Care
Abstract

Objective: To evaluate the use of analgesia during labor in women who had a vaginal birth and to determine the factors associated with its use., Methods: A secondary analysis was performed of the WHO Multicountry Survey on Maternal and Newborn Health, a cross-sectional, facility-based survey including 359 healthcare facilities in 29 countries. The prevalence of analgesia use for vaginal birth in different countries was reported according to the Human Development Index (HDI). Sociodemographic and obstetric characteristics of the participants with and without analgesia were compared. The prevalence ratios were compared across countries, HDI groups, and regions using a design-based χ 2 test., Results: Among the 221 345 women who had a vaginal birth, only 4% received labor analgesia, mainly epidural. The prevalence of women receiving analgesia was significantly higher in countries with a higher HDI than in countries with a lower HDI. Education was significantly associated with increased use of analgesia; nulliparous women and women undergoing previous cesarean delivery had a significantly increased likelihood of receiving analgesia., Conclusion: Use of analgesia for women undergoing labor and vaginal delivery was low, specifically in low-HDI countries. Whether low use of analgesia reflects women's desire or an unmet need for pain relief requires further studies., (© 2020 International Federation of Gynecology and Obstetrics.)

Published
2021
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44. The cross-sectional area of umbilical cord components in normal pregnancy.

Author

Togni FA, Araujo Júnior E, Vasques FA, Moron AF, Torloni MR, and Nardozza LM

Subjects
Adolescent, Adult, Anatomy, Cross-Sectional, Cephalometry, Cross-Sectional Studies, Female, Femur embryology, Fetal Weight, Fetus anatomy & histology, Gestational Age, Humans, Pregnancy, Regression Analysis, Ultrasonography, Prenatal, Umbilical Arteries diagnostic imaging, Umbilical Veins diagnostic imaging, Umbilical Arteries anatomy & histology, Umbilical Veins anatomy & histology
Abstract

Objective: To determine the normal cross-sectional areas of the umbilical vein, umbilical artery, and Wharton jelly in healthy pregnancies, and correlate the obtained values with fetal anthropometric parameters., Methods: A cross-sectional study was performed with 312 women between the 24th and 39th weeks of a normal pregnancy. The cross-sectional areas of umbilical cord vessels were measured at the junction of the cord and fetal abdomen, and the values were subtracted from the total cord cross-sectional area to assess the cross-sectional area of the Wharton jelly. The anthropometric parameters analyzed were biparietal diameter, head circumference, femur length, and estimated fetal weight, and the Spearman correlation was used to assess the correlation between the cross-sectional areas of umbilical cord components and fetal anthropometric parameters. A polynomial regression analysis was performed to identify the curves that best adjusted to mean and standard deviation according to gestational age., Results: A statistically significant correlation was observed between the cross-sectional areas of cord components and fetal anthropometric parameters (P<0.001) as well as gestational age (P<0.001)., Conclusions: Reference measurements of the cross-sectional areas of umbilical cord components are important tools in the assessment of fetal growth.

Published
2007
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45. Chromosomal and cardiac anomalies in fetuses with intracardiac echogenic foci.

Author

Gonçalves TR, Zamith MM, Murta CG, Bussamra LC, Torloni MR, and Moron AF

Subjects
Adolescent, Adult, Brazil epidemiology, Cross-Sectional Studies, Down Syndrome diagnostic imaging, Down Syndrome epidemiology, Down Syndrome genetics, Echocardiography, Doppler, Color, Female, Fetal Diseases epidemiology, Heart Defects, Congenital epidemiology, Heart Defects, Congenital genetics, Humans, Karyotyping, Maternal Age, Pregnancy, Retrospective Studies, Aneuploidy, Fetal Diseases diagnostic imaging, Fetal Diseases genetics, Heart Defects, Congenital diagnostic imaging, Ultrasonography, Prenatal
Abstract

Objective: To evaluate the prevalence of intracardiac echogenic foci (ICEF) and the association between ICEF and chromosomal and cardiac anomalies in Brazilian women., Methods: In a cross-sectional observational study, 373 of the 23,360 genetic sonograms performed at a private maternal-fetal medicine clinic over 5 years showed intracardiac echogenic foci (ICEF). These 373 sonograms were reviewed for chromosomal and cardiac anomalies and associations were analyzed using the chi(2) test or the Fisher exact test. P<0.05 was considered significant., Results: The prevalence of ICEF was 1.7%. Cardiac anomalies were detected in 10 sonograms (2.7%) and chromosomal anomalies in 14 (3.7%). There were cardiac defects in 6 (1.7%) of the 359 euploid fetuses with isolated ICEF. Of the 373 women who had fetuses with ICEF, 295 were younger than 35 years and 78 were 35 years or older. There were 6 fetuses (2.1%) with aneuploidy in the younger group and 8 (10.3%) in the older group., Conclusion: The prevalence of ICEF was 1.7%, and there was an association between cardiac and chromosomal anomalies. Women carrying fetuses with ICEF should be offered fetal echocardiography and karyotyping.

Published
2006
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46. Pregnancy outcome for Rh-alloimmunized women.

Author

Nardozza LM, Camano L, Moron AF, da Silva Pares DB, Chinen PA, and Torloni MR

Subjects
Blood Flow Velocity, Blood Transfusion, Intrauterine, Chi-Square Distribution, Exchange Transfusion, Whole Blood, Female, Hematocrit, Humans, Infant, Newborn, Middle Cerebral Artery physiology, Pregnancy, Rheology, Spectrophotometry, Ultrasonography, Prenatal, Amniotic Fluid chemistry, Middle Cerebral Artery diagnostic imaging, Pregnancy Outcome, Rh Isoimmunization diagnosis, Ultrasonography, Doppler
Abstract

Objective: To compare perinatal results of Rh-alloimmunized pregnancies managed with spectrophotometric amniotic fluid analysis or fetal middle cerebral artery Doppler ultrasonographic velocimetry., Method: A descriptive observational study involving 291 consecutive Rh-negative pregnancies. Group 1 consisted of 74 isoimmunized women managed with amniotic fluid spectrophotometry; group 2 of 25 isoimmunized women managed with Doppler ultrasonography; and group 3 of 192 nonimmunized Rh-negative women. The variables analyzed were need for intrauterine or neonatal transfusion, mode and time of delivery, birth weight, neonatal hematocrit, and perinatal mortality., Results: Need for intrauterine transfusion, birth weight, prematurity, rate of cesarean section, and perinatal mortality were similar in groups 1 and 2. Neonatal hematocrit was significantly lower and the need for neonatal transfusion was significantly higher when spectrophotometry rather than Doppler ultrasonographic velocimetry was used., Conclusion: Fetuses managed with Doppler ultrasonographic velocimetry had a higher hematocrit at birth and a lesser need for neonatal transfusion, suggesting that this noninvasive method of monitoring fetal anemia is a better choice.

Published
2005
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