Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 49
Filtrar
1.
Eur J Obstet Gynecol Reprod Biol ; 264: 97-102, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34298451

RESUMO

OBJECTIVE: To study the accuracy of frozen section biopsy for endometrial pathology in high-risk women with abnormal uterine bleeding (AUB). STUDY DESIGN: A case-control study was conducted between November 2017 to April 2019, a total of 150 women with postmenopausal bleeding, perimenopausal AUB, and high-risk women of age < 40 years with AUB were recruited. All women underwent transvaginal sonography and Doppler, based on age-appropriate endometrial thickness cut-offs 80 women then underwent hysteroscopy. Based on hysteroscopy, women suspicious of malignancy were taken as cases (n = 40) and those with benign findings as controls (n = 40). All cases and controls underwent dilatation and curettage (D & C) with frozen section (FS) and routine histopathology. RESULTS: The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), positive likelihood ratio (LR), negative LR, and overall test accuracy of FS were 90.9%, 93.19%, 83.33%, 96.19%, 13.8, 0.1 and 86.25% respectively for diagnosing endometrial hyperplasia and cancer taking histopathology as the gold standard. Correlation between frozen section biopsy and histopathology was highly significant (p < 0.001) on D & C specimens and the level of agreement was good (K = 0.778). CONCLUSION: In women suspicious of malignancy on hysteroscopy, frozen section has high accuracy on D&C specimen and can be used to diagnose endometrial hyperplasia and cancer in an effort to fast-track investigations and work-up for definitive treatment while awaiting final histopathology.


Assuntos
Hiperplasia Endometrial , Secções Congeladas , Adulto , Biópsia , Estudos de Casos e Controles , Hiperplasia Endometrial/diagnóstico por imagem , Endométrio/diagnóstico por imagem , Feminino , Humanos , Histeroscopia , Gravidez , Sensibilidade e Especificidade , Ultrassonografia , Hemorragia Uterina/etiologia
2.
Abdom Radiol (NY) ; 46(9): 4420-4431, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-33890122

RESUMO

Sonography is the imaging modality of choice for diagnosing diseases of the female genital tract due to its high resolution, easy availability, low cost and lack of radiation. CT is not advocated for the primary evaluation of the female pelvis. However, with the advent of Multidetector CT (MDCT), females of all ages undergo CT scan of the abdomen and pelvis for myriad non-gynaecological diseases, e.g. subacute intestinal obstruction, abdominal lump, abdominal tuberculosis, appendicitis, ureteric colic, pancreatitis, oncological staging, follow-up, etc. Incidental female genital tract disorders were seen on these scans that are a dilemma for both, the radiologists and the clinicians. The objective of this pictorial review is to characterise the incidentally detected lesions of the female genital tract observed on 64-slice MDCT by correlating with sonography, if necessary, and establishing a clinico-radiological diagnosis. Our aim is to emphasise that the radiologist may be the first person to recognise a gynaecologic disorder and hence can play a significant role in patient management.


Assuntos
Apendicite , Doenças dos Genitais Femininos , Feminino , Doenças dos Genitais Femininos/diagnóstico por imagem , Genitália Feminina/diagnóstico por imagem , Humanos , Tomografia Computadorizada Multidetectores , Pelve
5.
Angle Orthod ; 90(6): 889, 2020 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-33126256

Assuntos
Dente Serotino
7.
Int J Appl Basic Med Res ; 10(2): 134-136, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32566531

RESUMO

Inadequate oral hygiene is the root cause of the initiation and establishment of the periodontal disease. Dental calculus serves as plaque retentive area, thereby contributing to gingivitis and periodontitis. The present unusual case is of a 55-year-old female patient reported to the department of periodontology with a chief complaint of hard deposit at the right maxillary and mandibular posterior region. The patient was found to have very heavy calculus deposition with respect to right maxillary and mandibular posterior teeth, and the patient was using the left side for mastication and avoiding chewing from the right side mainly due to some periodontal problem. The extraction of the hopeless teeth along with dental calculus was done. Dimensions of dental calculi at maxillary and mandibular teeth was 4 cm × 3 cm each.

8.
Med Pharm Rep ; 93(1): 97-104, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32133453

RESUMO

Objective: The purpose of the present study was to assess the symphyseal morphology and lower incisor angulation in different anteroposterior relationship and in different growth patterns and to investigate whether the symphyseal morphology had any correlation with dentofacial parameters. Method: Random Sampling method and lateral cephalograms of 90 subjects, age group 16-30 years, were divided into 30 in each group, i.e. Class I, Class II & Class III after calculating the following parameters (ANB angle, wits appraisal). After that, groups were again divided into 10 in each subgroup i.e. Average, Horizontal and Vertical growers. Results: Results showed the increase in actual symphysis width, inclination of the alveolar part, total height of symphysis and reduction in overall width along with retroclination of lower incisors in class III subjects as compared to class I and class II. Similarly actual and overall width of the symphysis were decreased and inclination of the alveolar part, symphyseal height and symphyseal ratio were increased in vertical growers. Conclusion: The dimensions and configuration of Mandibular Symphysis in class III was found to be different than those in Class I and Class II relationships; the alveolar part of Mandibular Symphyseal compensated for the skeletal relationship in the Class III pattern. Mandibualr Symphysis dimensions were strongly correlated to anterior facial dimensions. Similarly the dimensions and configuration of Mandibular Symphysis was also different in vertical growers as compared to horizontal and average growers, moreover symphyseal morphology and lower incisor angulation had a correlation with dentofacial parameters.

9.
Indian J Dent Res ; 30(2): 238-242, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31169156

RESUMO

Objectives: The aim of this retrospective study was to investigate the prevalence and pattern of third molar impaction and missing third molars in patients over 18 years in different anteroposterior skeletal patterns among central Indian populations. Materials and Methods: The study reviewed 357 orthopantomograms of patients attending the Government College of Dentistry, Indore, Madhya Pradesh. Patients were evaluated to determine the prevalence of third molar impaction, angulation, and level of eruption in Class I, Class II, and Class III patients using Winter's classification to determine angulation of third molars and Pell and Gregory classification for level of impaction. Results: Out of 357 patients, 187 (52.3%) were present with at least one impacted teeth. The third molar impaction was most commonly present in Class II malocclusion (60.65%). Overall, the most common angulation of impaction in both genders was the mesioangular (39%), and the most common level of impaction in both arches was Level B. In Class I, Class II and Class III malocclusion vertical angulation was the most common finding in the maxillary arch and mesioangular angulation in the mandibular arch. No significant association was observed between different types of malocclusion and third molar impaction (P > 0.4648). Conclusion: This study found that almost half of the adult patients above 18 years had at least one impacted third molar. The anteroposterior relationship does not have any significant role for the third molar impaction.


Assuntos
Má Oclusão , Dente Impactado , Adulto , Feminino , Humanos , Masculino , Mandíbula , Dente Serotino , Prevalência , Estudos Retrospectivos
10.
Med Pharm Rep ; 92(1): 72-78, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30957090

RESUMO

Objective: The aim of the present study was to present detailed information regarding the impacted maxillary and mandibular canines and their patterns of presentation into the oral cavity and to evaluate the prevalence of different canine anomalies, such as ectopic canine, transmigration, transposition and agenesis of permanent canines among central Indian population. Method: A total of 1593 patients OPG's were thoroughly evaluated and the prevalence of different canine anomalies like impacted maxillary and mandibular canine, transmigration, transposition, agenesis and ectopic canine eruptions were evaluated. The canine angulation, vertical position in relation to occlusal surface of adjacent tooth's and the overlapping of adjacent teeth's crown by impacted canine was evaluated by tracings. Result: Out of 1593 subjects, 22 patients had impacted canines. The prevalence of canine impaction was1.38%, with maxillary canine impaction of 0.93%, mandibular canine impaction of 0.37%, canine agenesis 0.06%, transmigration 0.12%, canine transposition 0.18% and the ectopic canine was 5.5%. Conclusion: There is no gender difference in canine impaction. The prevalence of canine impaction is 1.38%.

12.
Eur J Obstet Gynecol Reprod Biol ; 234: 149-154, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30690191

RESUMO

OBJECTIVES: 1. To study the efficacy of exercise in improving clinical symptoms, anthropometry, glucose tolerance and laboratory profile in women with Polycystic ovarian syndrome. 2. To study the combined efficacy of exercise and metformin on above parameters in women with polycystic ovary syndrome. STUDY DESIGN: A Randomised double blinded placebo controlled trial was performed at a district hospital in New Delhi. Sixty six women were included in the study. Block randomisation was done to divide the women into two groups. Women were treated with fixed exercise schedule along with oral placebo in Group A and exercise with oral metformin in Group B. Outcomes stated in objectives were studied and statistically analysed. Quantitative variables were compared using unpaired t-test and Paired t-test within the groups across follow-ups. Qualitative variable has been compared using Chi-Square test /Fisher's exact test. RESULTS: In Group A and B significant improvement was noted in menstrual cycles, mean waist circumference, mean waist-hip ratio and body mass index. The mean weight loss was 0.78 ± 0.19 kg and 1.71 ± 0.19 kg in group A and B respectively after 3 months. The mean weight loss was 1.08 ± 0.30 kg and 1.71 ± 0.19 kg in group A and B respectively. The mean difference in modified Ferriman Gallwey score at 0, 3 and 6 months were statistically significant in both groups. On comparing group A with group B at 6 months, significant improvement was found in menstrual cycle symptoms (55.17% vs 83.33%), mean weight loss (1.08 kg vs 2.5 kg), waist circumference reduction (2.56 cm vs 4.75 cm) and change in mean waist hip ratio (0.02 vs 0.04). Significant changes were noted in OGTT and Serum testosterone level at 6 months in Group B, but not in Group A. Statistically no significant differences were found in acne, acanthosis nigricans and other biochemical parameters. CONCLUSION: Regular exercise should be recommended for the women with PCOS. It results in statistically significant improvement in menstrual cycle pattern, hirsutism, body mass index, weight, waist circumference waist-hip ratio. Addition of metformin resulted in added benefits on menstrual cycle, hirsutism, weight, body mass index, waist circumference, waist hip ratio, serum testosterone and Oral Glucose Tolerance Test (OGTT).


Assuntos
Terapia por Exercício/métodos , Hipoglicemiantes/uso terapêutico , Metformina/uso terapêutico , Síndrome do Ovário Policístico/terapia , Adulto , Índice de Massa Corporal , Terapia Combinada , Feminino , Teste de Tolerância a Glucose , Hirsutismo/etiologia , Hirsutismo/terapia , Humanos , Ciclo Menstrual , Síndrome do Ovário Policístico/complicações , Síndrome do Ovário Policístico/fisiopatologia , Resultado do Tratamento , Circunferência da Cintura , Relação Cintura-Quadril , Perda de Peso , Adulto Jovem
13.
Clujul Med ; 91(2): 151-156, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29785152

RESUMO

Aim: The aim is to evaluate the association between midline discrepancies and tempromandibular disorders (TMDs). Methods: Literature search was performed by using various search engines to include human studies in English. TMDs include a wide variety of signs and symptoms such as pain in and around TMJ, jaw muscles, clicking and locking of jaws, pain during mandibular movement and restricted mandibular movements. The etiology is multifactorial, including one or several of the following factors like severe malocclusions (increased overjet, retroclination of incisors, cross bite, CR CO discrepancies etc), stress and psychological factors, structural abnormalities as possible etiology. There are controversies concerning the association between different traits of malocclusion and TMDs. The aim of the present study was to find out any association between signs and symptoms of TMDs with midline discrepancies, which represent an important trait of malocclusion. Result: Of the seven studies evaluated in this systematic review for investigating the association between midline discrepancy and TMD, six had moderate grade (B) of evidence. Four studies of moderate grade evidence (B) showed a significant association between the presence of midline shift and TMDs, and the remaining studies (two) had non-significant association. Only one study had a strong grade of evidence (A) and interestingly it denies the presence of midline shift to be a causative factor for TMDs. So, it can be concluded that the results are inconclusive regarding the association of midline discrepancies with TMDs. Nonetheless, this requires concrete evidence which necessitates further long term research into this aspect.

14.
Contemp Clin Dent ; 9(1): 31-34, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29599580

RESUMO

Objective: The purpose of the study is to determine the prevalence of TMDs among the 12-18 years and 19-30 years patient age group requiring orthodontic treatment by using the Fonseca's questionnaire. Material and Methods: A total of 390 patients who visited the orthodontic department for treatment were asked to fill Fonseca's questionnaire. The results were analyzed for both the age groups and the percentage values were compared between males and females, different types of malocclusion and presence of TMDs. Results: In the 12-18 years age group, around 18.75% of the males and 12.28% of the females were having some degree of TMJ dysfunction. In the 19-30 years age group, around 30.32% of the females were found to have some severity of TMJ dysfunction as opposed to 19.23% of males. In the 12-18 years age group, around 11% of Class I, 16% of Class II and 50% of class III patients were having some degree of temporomandibular dysfunction. In the 19-30 years age group, the results showed that around 24% of Class I and class II patients and 50% of Class III patients presented with some degree of TMD. In the 12-18 years age group around 15% and in the 19-30 years age group, around 25% of the patients presented with some degree of TMD ranging from mild, moderate to severe. Conclusion: The study concludes that significantly more number of females presented with TMDs as compared to males in the 19-30 years age group. As the age increases the presence of TMDs also increases because of the significant presence of TMDs in the 19-30 years age group as compared to 12-18 years age group.

15.
J Clin Diagn Res ; 11(1): QD08-QD09, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28274007

RESUMO

Levetiracetam (LEV) is a relatively newer anticonvulsant drug used to treat epilepsy and is approved by United States Food and Drugs Administration (USFDA). The drug binds to a synaptic vesicle glycoprotein and inhibits presynaptic calcium channels, thus reducing neurotransmitter release. Commonly reported side effects include drowsiness, weakness, unsteady gait, mood changes and loss of appetite. Like most other antiepileptics, it is a Category C drug in pregnancy. We report the first case of facial dysmorphism in the neonate of a mother taking LEV antenatally. A 30-year-old lady, G2P1L1 presented at 38 weeks gestation with history of previous caesarean and leaking per vaginum. She was a known epileptic, taking carbamazepine since three to four years. She was switched over to LEV at fifth week of pregnancy. Her antenatal period was uneventful. Basic investigations including anomaly scan were normal. Unfavourable cervix necessitated caesarean section. Neonate (female) had dysmorphic facies with bilateral preauricular appendages and lateral cleft. Infantogram was suggestive of bifid vertebra in thoracic region. Computed Tomography (CT) scan chest revealed bifid vertebral body at D5 level with fusion of spinous process of D5 and D6 vertebra on left side. This is the first case of LEV induced facial dysmorphism, highlighting the need of further studies on LEV safety during pregnancy.

16.
Int J Yoga ; 10(1): 9-15, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28149062

RESUMO

CONTEXT: Chronic pelvic pain (CPP) is a common condition of women of the reproductive age group. It has a negative impact on a woman's personal health and quality of life (QOL). Practicing yoga has shown numerous benefits in various chronic painful conditions. AIM: To study the effects of yogic intervention on pain scores and quality of life in females of reproductive age group with CPP, on conventional therapy. SETTINGS AND DESIGN: It is a follow-up, randomized case-control study done in a tertiary care hospital. SUBJECTS AND METHODS: Sixty female patients of CPP in the age group of 18-45 years were randomly divided into Group I (n = 30) and Group II (n = 30). Group I received only conventional therapy in the form of NSAIDS and Group II received yoga therapy in the form of asanas, pranayama, and relaxation along with the conventional therapy for 8 weeks. They were assessed twice (pre- and post-treatment) for pain scores through visual analog scale (VAS) score and QOL by the World Health Organization quality of life-BREF (WHOQOL-BREF) questionnaire. STATISTICAL ANALYSIS USED: Repeated measure ANOVA followed by Tukey's test. P < 0.05 was considered significant. RESULTS: After 8 weeks of yogic intervention, Group II patients showed a significant decrease in intensity of pain seen by a decrease in VAS score (P < 0.001) and improvement in the quality of life with a significant increase (P < 0.001) in physical, psychological, social, and environmental domain scores of WHOQOL-BREF. CONCLUSIONS: The practice of yoga causes a reduction in the pain intensity and improves the quality of life in patients with chronic pelvic pain.

17.
Int J Gynaecol Obstet ; 137(1): 8-13, 2017 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-28099692

RESUMO

OBJECTIVE: To determine the prevalence and types of intimate partner violence (IPV) during pregnancy, factors linked with IPV, and effects of IPV on maternal-fetal outcomes. METHODS: In a prospective observational study at a tertiary care hospital in Delhi, India, 400 women at 20-28 weeks of pregnancy were screened for IPV between December 2013 and April 2015. The women completed a detailed questionnaire and were followed up until delivery. RESULTS: Overall, 49 (12.3%) women experienced IPV during pregnancy. The most prevalent type of IPV was emotional (43/400 [10.7%]), followed by physical (40/400 [10.0%]) and sexual (7/400 [1.8%]). The most prevalent factor triggering IPV was intimate partner's desire for a son (17/49 [34.7%]). Women and their intimate partners were older in the IPV group than in the control group, and duration of marriage was longer (P<0.05 for all). Multigravidity, lower socioeconomic status, low education level of intimate partner, and partners' addiction were more common in the IPV group (P<0.05 for all). Obstetric outcomes were similar in both groups. Depression was diagnosed in 19 (46.3%) women affected by IPV. CONCLUSION: IPV was documented in approximately 12% of participants. Population-based surveys need to be done to investigate further.


Assuntos
Violência por Parceiro Íntimo/estatística & dados numéricos , Complicações na Gravidez/psicologia , Delitos Sexuais/estatística & dados numéricos , Adulto , Depressão/psicologia , Feminino , Humanos , Índia/epidemiologia , Relações Interpessoais , Violência por Parceiro Íntimo/psicologia , Masculino , Gravidez , Complicações na Gravidez/epidemiologia , Estudos Prospectivos , Fatores de Risco , Delitos Sexuais/psicologia , Parceiros Sexuais/psicologia , Inquéritos e Questionários , Centros de Atenção Terciária/estatística & dados numéricos , Adulto Jovem
18.
Gynecol Obstet Invest ; 82(2): 157-162, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-27486902

RESUMO

OBJECTIVE: To assess the feasibility and efficacy of Keyes punch biopsy instrument (KP) in diagnosing cervical lesions and compare it with cervical punch biopsy forceps (CP). METHODS: 75 women having satisfactory colposcopy with abnormal transformation zone were included and paired colposcopic directed biopsies were taken using KP followed by CP from the same target area. RESULTS: It was feasible in all cases to take cervical biopsy with KP after increasing its effective length. The volume of gross specimen obtained by KP was less than CP (0.076 ± 0.097 vs. 0.101 ± 0.156 cm3, p = 0.061), however on microscopic examination, mean length and mean depth of tissue in KP was greater than CP by 0.06 mm (p = 0.810) and 0.14 mm (p = 0.634) respectively. Exact agreement was found with the final surgical specimen in 42% of cases in both the biopsy forceps. CONCLUSION: KP is almost at par with CP for diagnosing preinvasive cervical lesions and is a useful adjunct to the existing armamentarium of biopsy forceps.


Assuntos
Biópsia/instrumentação , Colposcopia/normas , Instrumentos Cirúrgicos/normas , Doenças do Colo do Útero/diagnóstico , Adulto , Estudos de Viabilidade , Feminino , Humanos , Forceps Obstétrico/normas , Neoplasias do Colo do Útero
19.
J Clin Diagn Res ; 10(9): ZC34-ZC36, 2016 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-27790576

RESUMO

INTRODUCTION: Human teeth has always been known for morphological variations in both the crown and root structures. The corono-morphological variations can be in the form of extra cusp or missing cusp. Permanent maxillary first molars are the biggest teeth in maxillary arch and have a high anchorage value and are known for their four cusp and five cusp patterns, if present with cusp of Carebelli. AIM: The aim of this study was to determine the prevalence of cuspal variations and quantification of cusps of permanent maxillary first molar in Malwa population. MATERIALS AND METHODS: A total of 1249 individuals were studied at Government College of Dentistry, Indore, Madhya Pradesh, India, to evaluate the number of cusps in permanent maxillary first molars. RESULTS: Of the studied 1249 individuals, permanent maxillary first molars had five cusps in 407 (32.6%) cases while 838 (67.08%) cases had four cusp and four (0.32%) cases had three cusps. The four cases having three cusp permanent maxillary first molars were present unilaterally and only in females. CONCLUSION: This article emphasizes the presence of permanent maxillary first molar with only three cusps in the Malwa population of India. It also reviews the literature in respect to this rare anomaly and calls for continuous and close monitoring to report such cases in the future.

20.
Eur J Obstet Gynecol Reprod Biol ; 207: 11-17, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27792988

RESUMO

OBJECTIVES: Maternal Early Obstetric Warning System (MEOWS) chart adopted from CEMACH 2003-2005 report is based on the principle that abnormalities in physiological parameters precede critical illness. The 'track and trigger' of physiological parameters on this chart can aid in recognition of maternal morbidity at an early stage, ultimately halting the cascade of severe maternal morbidity and mortality. The objectives of our study were to evaluate MEOWS chart as a bedside screening tool for predicting obstetric morbidity and to correlate each physiological parameter individually with obstetric morbidity. STUDY DESIGN: It was a prospective observational study conducted in labour wards of Guru Teg Bahadur Hospital, Delhi, India from October 2012 to April 2014. Physiological parameters of 1065 study subjects (including pregnant women in labour >28 weeks of gestation and postpartum women up to 6 weeks after delivery) were recorded on MEOWS chart. A trigger was defined as a single markedly abnormal observation (red trigger) or the combination of two simultaneously mildly abnormal observation (two yellow triggers). Based on outcome at time of discharge, Category 1 (normal and recovered without morbidity) and Category 2 (recovered with morbidity or mortality) were defined. Chi-square and Fischer's exact test were used for comparison between two groups. Performance of MEOWS chart was evaluated using Exact's method. Relative risk of morbidity (odd's ratio) and 95% confidence interval was calculated for individual parameter. p<0.05 was considered as significant. RESULTS: Two-hundred and eighty-four (26.6%) women triggered to abnormal zones on these charts. One-hundred and seventy-seven (16.61%) fulfilled the criteria for obstetric morbidity. MEOWS chart was 86.4% sensitive, 85.2% specific with a positive and negative predictive value of 53.8% and 96.9% respectively for prediction of obstetric morbidity. Individual parameters of MEOWS chart also had a significant correlation (p<0.05) with obstetric morbidity. CONCLUSIONS: MEOWS chart emerged as a useful bedside screening tool for prediction of obstetric morbidity and should be used routinely in every obstetric unit. Strict monitoring and documentation of all the vital parameters should be fundamental part of any patient's assessment to pick up acute illness at very early stage and to make a difference in final outcome.


Assuntos
Anemia/diagnóstico , Hipertensão Induzida pela Gravidez/diagnóstico , Hemorragia Pós-Parto/diagnóstico , Complicações na Gravidez/diagnóstico , Diagnóstico Pré-Natal , Adulto , Anemia/sangue , Anemia/epidemiologia , Anemia/urina , Biomarcadores/sangue , Biomarcadores/urina , Países em Desenvolvimento , Feminino , Hospitais de Ensino , Humanos , Hipertensão Induzida pela Gravidez/sangue , Hipertensão Induzida pela Gravidez/epidemiologia , Hipertensão Induzida pela Gravidez/urina , Índia/epidemiologia , Unidade Hospitalar de Ginecologia e Obstetrícia , Testes Imediatos , Hemorragia Pós-Parto/sangue , Hemorragia Pós-Parto/epidemiologia , Hemorragia Pós-Parto/urina , Valor Preditivo dos Testes , Gravidez , Complicações na Gravidez/sangue , Complicações na Gravidez/epidemiologia , Complicações na Gravidez/urina , Terceiro Trimestre da Gravidez , Prevalência , Estudos Prospectivos , Risco , Sensibilidade e Especificidade , Índice de Gravidade de Doença , Adulto Jovem
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...