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Some pregnancies are considered to be of high risk due to the occurrence of changes before or during pregnancy, which can harm the entire process, requiring specialized monitoring. Gestational Diabetes Mellitus (DMG) can be one of the gestational complications and early diagnosis and adequate control of the pathology become essential to the health of the mother and child.The objective of the present study was to outline the profile of women with GDM and their newborns in a maternity in the countryside of São Paulo. It is a retrospective descriptive study in which the births carried out from January 2017 to January 2018 were analyzed through registers and medical records. A total of 105 pregnant women, aged 31 ± 6 years, mostly color white (57%), eighty-eight cesarean deliveries (83.8%) and 17 vaginal deliveries (16.19%). The most prevalent pathologies were Systemic Arterial Hypertension (15%), followed by Hypertensive Disease Specific to Pregnancy (14%). The total number of newborns was 107 (two twin pregnancies), male prevalence (52.34%), jaundice was the predominant complication (32.71%), followed by hypoglycaemia (10,28%) and macrosomia (8.41%). In this study we found a sample of pregnant women with favorable marital support, satisfactory school level and with pathologies associated with GDM. In relation to the newborns, there were occurrences of expected pathologies in pregnancies with GDM. Because it is a recurrent pathology, it was observed the need for careful monitoring during prenatal care to prevent complications for both the mother and the newborn. [ABSTRACT FROM AUTHOR]

Objective: to analyze the epidemiological profile of patients admitted to a Maternal Intensive Care Unit (ICU). Methodolofy: A retrospective quantitative cross-sectional study with 70 inpatients at a maternal ICU in the State of Alagoas, Santa Mônica Maternity (MESM), in the year 2015. Results: The three main diagnoses of hospitalizations were hypertensive syndromes, hemorrhagic syndromes and cardiopathy. Average age 27 years, most coming from the interior of Alagoas. 48.5% primigravida, caesarean section 94.7%. Most frequent surgical procedures were laparotomy, orotracheal intubation, and hysterectomy. Length of stay from 1-31 days. Death rate 5.7%. Conclusion: The epidemiological profile of the patients in the study diverges, in some aspects, from other studies, mainly due to the rates of maternal caesarean section and death, which is also contradictory to the main causes of hospitalization. Thus, obstetric care in the state of Alagoas needs to move forward to reduce maternal deaths and reduce the rate of cesarean section. [ABSTRACT FROM AUTHOR]

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Objective: Takayasu arteritis (TAK) is a rare chronic granulomatous vasculitis that affects large vessels and usually begins in women of childbearing age, so it is not uncommon for pregnancies to occur in these patients. However, there is limited information about these pregnancies, with reports of adverse maternal and obstetric outcomes. The objective of this study is to evaluate adverse maternal, fetal and neonatal events in pregnant patients with TA., Methods: This is a cross-sectional study with retrospective data collection. We reviewed 22 pregnancies in 18 patients with TAK, according to the American College of Rheumatology criteria, that were followed up in a high-risk prenatal clinic specialized in systemic autoimmune diseases and thrombophilia (PrAT) at Hospital Universitário Pedro Ernesto, from 1998 to 2021., Results: In twenty-two pregnancies, the mean age of patients was 28.09 years and the mean duration disease was 10.9 years. Of the 18 patients with TAK studied, only one had the diagnosis during pregnancy and had active disease. All other patients had a previous diagnosis of TAK and only 3 had disease activity during pregnancy. Twelve patients (66.6%) had previous systemic arterial hypertension and eleven (61.1%) had renal involvement. Among maternal complications, eight patients (36.3%) developed preeclampsia and six (27.2%) had uncontrolled blood pressure without proteinuria, while 10 (45%) had puerperal complications. Four (18.1%) births were premature, all due to severe preeclampsia and eight newborns (34.7%) were small for gestational age. When all maternal and fetal/neonatal outcomes included in this study were considered, only 6 (27.2%) pregnancies were uneventful., Conclusion: Although there were no maternal deaths or pregnancy losses in this study, the number of adverse events was considerably high. Hypertensive disorders and small for gestational age newborns were more common than general population, while the number of patients with active disease was low. These findings suggest that pregnancies in patients with TAK still have several complications and a high-risk prenatal care and delivery are necessary for these patients., (© 2023. The Author(s).)

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Copyright of Scientia Medica is the property of EDIPUCRS - Editora Universitaria da PUCRS and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)