Florindo, C; Damião, V; Lima, J; Nogueira, I; Rocha, I; Caetano, P; Ribeiro, L; Viegas, S; Gomes, J; Borrego, MJ
To evaluate the positive predictive value (PPV) of group B Streptococcus (GBS) cultures at 35-37 weeks of gestation relative to GBS colonization status at delivery.
Rectovaginal swabs from 221 women at labor in four Lisbon hospitals were collected for GBS screening according to the CDC guidelines.
The PPV was 24.4%. IAP was administered to 100% of prenatally GBS positive women. There was no case of early onset GBS disease (EOD).
Poor accuracy of prenatal cultures in identifying true candidates for IAP highlights the need for Portuguese clinical and laboratory guidelines to prevent EOD and antibiotic overtreatment of pregnant women.
Martins, C; Serras, I; Santos, AV; Braga, A
Martins, C; Santos, AV; Miranda, M; Granja, C
Ramilo, I; Caeiro, AF; Mendinhos, G; Santos, AP; Matos, F
Overview and Aims: Postpartum Hysterectomy (PPH) is considered an obstetrical emergency. Profuse bleeding, the most common indication, may jeopardize the puerperal woman. If not controlled by conservative measures, it may require PPH.
Its incidence varies between 0.13 to 5.38 per 1000 births. Women with underlying conditions such as placenta previa, fi-
broleiomyomas or previous cesarean section (CS) are at increased risk. We evaluated the incidence of PPH, its indications, risk factors and complications.
Material and Methods: Retrospective study of PPH conducted at a tertiary care hospital in 15 years (1997-2011).
Results: We found 41 cases of PPH (0.6 per 1000 births). Twenty eight occurred...
Dias, G; Santos, AV; Martins, C; Ferreira, AP; Fonseca, J
Introduction: ectopia cordis is a rare congenital malformation, with an estimated incidence of 5 to 8 per million live births. It is defined as a malformation in which the heart is located in an extra-thoracic position. Ectopia cordis may occur as an isolated malformation or associated with other anomalies
such as omphalocele, congenital heart disease or integrating Cantrell syndrome. The size and location
of the defect influence the prognosis. Description: we report a case of a 24-year-old nulliparous woman, with no relevant family or personal history, in which the prenatal fetal ultrasound, performed at 21 weeks of gestation, revealed a defect of...
Veríssimo, C; Matos, T; Dutschmann, L; Rocha, I
Introdução: A síndrome de anticorpos antifosfolípidos (SAAF) é uma trombofilia autoimune de etiologia mal definida e que condiciona tromboses vasculares e complicações gestacionais.
Caso clínico: Uma mulher de 27 anos de idade com diagnóstico de SAAF previamente
estabelecido recorreu ao Serviço de Urgência por dor no hipocôndrio direito cinco dias
após parto eutócico de termo. As análises demonstraram elevação das transaminases e
trombocitopénia. A TC abdominal evidenciou alterações do parênquima hepático sugestivas
de enfarte por isquémia venosa. O eco-doppler abdominal documentou trombose do
ramo esquerdo da veia porta com inversão do fluxo e arterialização da vascularização do
lobo esquerdo do fígado. Foi instituída terapêutica com heparina de...