"Posterior Tibial Nerve" or "Tibial Nerve"? Improving the reporting in health papers.

AIMS: The primary objective of this study is to identify which term is the most appropriate to use according to anatomical nomenclature: "posterior tibial nerve" or "tibial nerve." Furthermore, this paper intends to show how the use of these terms in papers indexed in important health databases is numerous and to describe the anatomical characteristics of such nerve, to improve future scientific publications. METHODS: This is a descriptive study about the importance of standardizing the use of the terms "posterior tibial nerve" and "tibial nerve" and its anatomy. It comprises three phases: the first is a search in the main databases to identify the use of the terms "posterior tibial nerve" and "tibial nerve." The second phase refers to the consultation of international anatomical terminology to identify the most appropriate term to refer to the nerve, while the third phase is related to the study of the anatomy of this nerve. RESULTS: The term "tibial nerve" is more commonly used, but the use of the term "posterior tibial nerve" is still very substantial. According to international anatomical terminology, the correct term is "tibial nerve," which is a branch of the sciatic nerve. CONCLUSIONS: "Tibial nerve" is the term standardized by international anatomical terminology. The use of terms in accordance with Terminologia Anatomica is important to facilitate the process of teaching and learning, as well as to improve the reporting and interpretation of papers regarding health, and the evidence-based clinical practice.

Multiparity, age and overweight/obesity as risk factors for urinary incontinence in pregnancy: a systematic review and meta-analysis.

INTRODUCTION AND HYPOTHESIS: Multiparity, age and high body mass index (BMI) are the most widely investigated factors associated with urinary incontinence (UI) during pregnancy. We hypothesized that multiparity, age 35 years or older and high BMI (prepregnancy and during pregnancy) are risk factors for the occurrence of UI in pregnant women. METHODS: Searches were done on MEDLINE/PubMed (1966-2017), LILACS/BIREME (1982-2017), CINAHL/Ebsco (1981-2017) and Scopus/Elsevier (1950-2017). The following criteria were used for study eligibility: (1) population: low-risk pregnant women in any trimester and without age restriction; (2) exposure factors: multiparity (≥ 2 deliveries), age 35 years or older and high BMI (overweight and obesity); (3) outcome: UI during pregnancy; (4) study design: cohort, case-control or cross-sectional studies that used multivariate logistic analysis. Two independent reviewers performed the entire systematic review process. Data extraction of each article was done and, when possible, included in a meta-analysis. Risk of study bias was assessed by NOS and quality of evidence by GRADE. A significance level of p ≤ 0.05 was adopted. The PROSPERO registration number was CRD42014013193. RESULTS: Of 1176 articles identified through searches, 13 were included after screening and application of eligibility criteria. Very low quality of evidence shows that multiparity (OR = 2.09; 95% CI: 1.07 to 4.08), age 35 years or older (OR = 1.53; 95% CI: 1.45 to 1.62) and overweight and obesity during pregnancy (OR = 1.53; 95% CI: 1.28 to 1.83) are risk factors for UI in pregnancy. CONCLUSIONS: The exposure factors investigated are risk factors for UI in pregnancy based on a very low quality of evidence.

Prescription of breathing orientations given by the healthcare team during labor: a cross-sectional study / Prescrição de orientações respiratórias pela equipe de saúde durante o trabalho de parto: um estudo de corte transversal

The choice of respiratory advice during childbirth has been controversial. This study aimed to identify the prescription of respiratory guidelines during labor and to evaluate the association between the presence of these orientations and maternal satisfaction. A cross-sectional study with 192 postpartum women with vaginal delivery was performed. A questionnaire and a visual analog scale were used to acquire the socioeconomic information, to identify respiratory orientations received during labor and maternal satisfaction. Measures of central tendency, frequencies, the odds ratio for associations with a 95% confidence interval were calculated. Deep breathing was the most indicated form (81.25%) and the most performed in an autonomous way (15.10%). Orientations of fast and superficial respiratory frequency (13.54%) and Valsalva Maneuver (93.22%) were still present. Postpartum women who received respiratory orientations in either the first (OR: 6.28, 95% CI 2.32-16.94) or the second labor periods (OR: 4.84, CI95% 1.33 - 17.67) had more satisfaction with their delivery. Respiratory orientations contribute to increase maternal satisfaction at the time of delivery.

As escolhas de orientações respiratórias durante o parto sempre foram controversas. O estudo teve como objetivo identificar a prescrição de orientações respiratórias durante o trabalho de parto (TP) e avaliar a associação entre a presença dessas orientações com a satisfação materna. Estudo de corte transversal com 192 puérperas com parto vaginal. Aplicou-se um questionário para aquisição das informações socioeconômicas e das orientações respiratórias recebidas durante o TP e uma escala visual analógica para identificar a satisfação materna. Medidas de tendência central e frequências foram calculadas, bem como odds ratio para as associações com intervalo de confiança 95%. A respiração profunda foi a mais orientada (81,25%) e a mais realizada de forma autônoma (15,10%). As orientações respiratórias do tipo "respiração cachorrinho" (13,54%) e a manobra de Valsalva (93,22%) ainda estiveram presentes. As puérperas que receberam as orientações respiratórias tanto no primeiro (OR: 6,28; IC95% 2,32- 16,94) como no segundo (OR: 4,84; IC95% 1,33 - 17,67) período do parto tiveram maior satisfação com seu parto. O fornecimento de orientações respiratórias no momento do parto contribui para aumentar a satisfação materna.