Maria Regina Torloni
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View article: Incidence and risk factors for postplacental intrauterine device expulsion in a Brazilian hospital
Incidence and risk factors for postplacental intrauterine device expulsion in a Brazilian hospital Open
Objective This study assessed the incidence of and risk factors associated with expulsion of copper intrauterine devices inserted in the immediate postpartum period at a public hospital in Brazil. Methods This retrospective cohort study in…
View article: Effectiveness and safety of assisted vaginal birth and second-stage cesarean section: a systematic review and meta-analysis of real-world contemporary data
Effectiveness and safety of assisted vaginal birth and second-stage cesarean section: a systematic review and meta-analysis of real-world contemporary data Open
Contemporary data reveal wide variability in the prevalence of failed assisted vaginal birth and adverse maternal and neonatal outcomes following operative delivery in the second stage of labor. While assisted vaginal birth carries specifi…
View article: A scoping review of decision aids for pregnant women around childbirth: Do they improve decision quality, processes, and outcomes?
A scoping review of decision aids for pregnant women around childbirth: Do they improve decision quality, processes, and outcomes? Open
Decision aids around childbirth have the potential to meet women's needs in decision-making, appropriate use of care and perinatal health outcomes especially when they are prepared to use the tool and supported by healthcare providers. Fut…
View article: Evidence-based medical procedures to optimise caesarean outcomes: an overview of systematic reviews
Evidence-based medical procedures to optimise caesarean outcomes: an overview of systematic reviews Open
UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), a cosponsored programme executed by the World Health Organization (WHO).
View article: Intervention using the Robson classification as a tool to reduce cesarean section rates in six public hospitals in Brazil
Intervention using the Robson classification as a tool to reduce cesarean section rates in six public hospitals in Brazil Open
Objectives To analyze the effectiveness and safety of a multifaceted intervention to reduce cesarean section (CS) rates. Methods This interrupted time series study involved six public hospitals with pre-intervention CS rates>35 %. We colle…
View article: Knowledge, perception, and satisfaction of postpartum women about newborn hearing screening in two private Brazilian maternity hospitals
Knowledge, perception, and satisfaction of postpartum women about newborn hearing screening in two private Brazilian maternity hospitals Open
Purpose To assess the knowledge, perception, and satisfaction of postpartum women about newborn hearing screening and investigate factors associated with lack of knowledge about the test. Methods Cross-sectional analytical study conducted …
View article: Conhecimento, percepção e satisfação de puérperas sobre o exame de triagem auditiva neonatal em duas maternidades privadas brasileiras
Conhecimento, percepção e satisfação de puérperas sobre o exame de triagem auditiva neonatal em duas maternidades privadas brasileiras Open
RESUMO Objetivo Avaliar o conhecimento, percepção e satisfação de puérperas em relação à triagem auditiva neonatal e investigar fatores associados ao desconhecimento do exame. Método Estudo transversal analítico realizado em duas maternida…
View article: Reducing caesarean section rates in Robson groups 1 and 3: a quality improvement initiative in a private Brazilian hospital
Reducing caesarean section rates in Robson groups 1 and 3: a quality improvement initiative in a private Brazilian hospital Open
Private Brazilian hospitals have one of the highest caesarean section (CS) rates in the world. Caesareans may have short- and long-term implications for the health of mothers and babies. The primary objective of this project was to assess …
View article: PD90 Use Of Medicinal Herbs In Natura By Pregnant Women In The Amazon Region
PD90 Use Of Medicinal Herbs In Natura By Pregnant Women In The Amazon Region Open
Introduction There are few studies on the use medicinal herbs by pregnant women in Brazil, even though there is a wealth of knowledge about medicinal herbs among Brazilians of Indigenous, African, and European ancestry. The aim of this stu…
View article: Engaging women to set the research agenda for assisted vaginal birth
Engaging women to set the research agenda for assisted vaginal birth Open
Introduction Public and patient involvement can provide crucial insights to optimise research by enhancing relevance and appropriateness of studies. The World Health Organization (WHO) engaged in an inclusive process to ensure that both te…
View article: Evidence-based surgical procedures to optimize caesarean outcomes: an overview of systematic reviews
Evidence-based surgical procedures to optimize caesarean outcomes: an overview of systematic reviews Open
View article: Dietary Intake and Oral Glucose Tolerance Test Results in Women with Gestational Diabetes
Dietary Intake and Oral Glucose Tolerance Test Results in Women with Gestational Diabetes Open
Background/Objective: Diet is a risk factor for gestational diabetes mellitus (GDM). There are few studies on women’s diet and glucose tolerance test (GTT) results during pregnancy. The objective of this study was to evaluate the relations…
View article: Dietary Intake and Oral Glucose Tolerance Test Results in Women with Gestational Diabetes
Dietary Intake and Oral Glucose Tolerance Test Results in Women with Gestational Diabetes Open
Background: Diet is a risk factor for gestational diabetes mellitus (GDM). There are few studies on women´s diet and glucose tolerance test (GTT) results. Objective: To evaluate the relationship between previous diet and the number of abno…
View article: A research agenda to improve incidence and outcomes of assisted vaginal birth
A research agenda to improve incidence and outcomes of assisted vaginal birth Open
Access to emergency obstetric care, including assisted vaginal birth and caesarean birth, is crucial for improving maternal and childbirth outcomes. However, although the proportion of births by caesarean section has increased during the l…
View article: Vaccines for preventing herpes zoster in older adults
Vaccines for preventing herpes zoster in older adults Open
We included two new studies involving 1736 participants in this update. The review now includes a total of 26 studies involving 90,259 healthy older adults with a mean age of 63.7 years. Only three studies assessed the cumulative incidence…
View article: What do healthcare providers think of the quality of uterotonics? A mixed-methods systematic review
What do healthcare providers think of the quality of uterotonics? A mixed-methods systematic review Open
Objectives To synthesise evidence on the perceptions of healthcare providers (HCPs) about the quality of oxytocin and misoprostol available in their settings, and their actions as a result of these perceptions. Design Mixed-methods systema…
View article: Knowledge, Attitude, and Practice of Brazilian Physicians about Immediate Postpartum and Postabortion Intrauterine Device Insertion
Knowledge, Attitude, and Practice of Brazilian Physicians about Immediate Postpartum and Postabortion Intrauterine Device Insertion Open
Objective To assess the knowledge, attitude, and practice of Brazilian physicians about immediate postpartum and postabortion intrauterine device insertion. Methods Cross-sectional online survey involving physicians on duty in public Brazi…
View article: The Insertion of Intrauterine Devices in the Immediate Postpartum Period Remains an Important Missed Opportunity to Prevent Unplanned Pregnancies in Brazil
The Insertion of Intrauterine Devices in the Immediate Postpartum Period Remains an Important Missed Opportunity to Prevent Unplanned Pregnancies in Brazil Open
Unplanned pregnancy continues to be a public health problem in Brazil, particularly for the most vulnerable segment of the population. According to data from the Birth in Brazil study, 55% of pregnancies are unplanned, a proportion that re…
View article: Dietary intake of pregnant women with non-alcoholic fatty liver disease: A case-control study
Dietary intake of pregnant women with non-alcoholic fatty liver disease: A case-control study Open
View article: Alemtuzumab for multiple sclerosis
Alemtuzumab for multiple sclerosis Open
BACKGROUND: Multiple sclerosis (MS) is an autoimmune, T‐cell‐dependent, inflammatory, demyelinating disease of the central nervous system, with an unpredictable course. Current MS therapies focus on treating and preventing exacerbations, a…
View article: The Godmother Project: A Virtual Initiative to Support Pregnant and Postpartum Women in Brazil During the COVID-19 Pandemic
The Godmother Project: A Virtual Initiative to Support Pregnant and Postpartum Women in Brazil During the COVID-19 Pandemic Open
Our findings suggest that WhatsApp groups of pregnant/postpartum women led by dedicated nurse educators can be an important tool to educate and support women during the perinatal period. This type of initiative may be especially important …
View article: Behavioural factors associated with fear of litigation as a driver for the increased use of caesarean sections: a scoping review
Behavioural factors associated with fear of litigation as a driver for the increased use of caesarean sections: a scoping review Open
Objective To explore the behavioural drivers of fear of litigation among healthcare providers influencing caesarean section (CS) rates. Design Scoping review. Data sources We searched MEDLINE, Scopus and WHO Global Index (1 January 2001 to…
View article: Interventions to reintroduce or increase assisted vaginal births: a systematic review of the literature
Interventions to reintroduce or increase assisted vaginal births: a systematic review of the literature Open
Objective To synthesise the evidence from studies that implemented interventions to increase/reintroduce the use of assisted vaginal births (AVB). Design Systematic review. Eligibility criteria We included experimental, semi-experimental a…
View article: Conhecimento, atitude e prática de médicos brasileiros sobre a inserção do DIU imediatamente após o parto e o abortamento
Conhecimento, atitude e prática de médicos brasileiros sobre a inserção do DIU imediatamente após o parto e o abortamento Open
View article: Caesarean section or vaginal delivery for low-risk pregnancy? Helping women make an informed choice in low- and middle-income countries
Caesarean section or vaginal delivery for low-risk pregnancy? Helping women make an informed choice in low- and middle-income countries Open
Women’s fear and uncertainty about vaginal delivery and lack of empowerment in decision-making generate decision conflict and is one of the main determinants of high caesarean section rates in low- and middle-income countries (LMICs). This…
View article: Sexual function in Brazilian female adolescents and young adults: a cross-sectional study
Sexual function in Brazilian female adolescents and young adults: a cross-sectional study Open
OBJECTIVE: The aim of this study was to investigate and compare the sexual function of Brazilian adolescents and young women who were using popular contraceptive methods. METHODS: This cross-sectional study took place in 2012–2014 in a fre…
View article: Practical and conceptual issues of clinical trial registration for Brazilian researchers
Practical and conceptual issues of clinical trial registration for Brazilian researchers Open
CONTEXT AND OBJECTIVE: Clinical trial registration is a prerequisite for publication in respected scientific journals. Recent Brazilian regulations also require registration of some clinical trials in the Brazilian Clinical Trials Registry…
View article: Association between prelabour caesarean section and perinatal outcomes: analysis of demographic and health surveys from 26 low-income and middle-income countries
Association between prelabour caesarean section and perinatal outcomes: analysis of demographic and health surveys from 26 low-income and middle-income countries Open
Objectives Caesarean section (CS) conducted before labour (prelabour CS (PLCS)), compared with vaginal birth, may pose additional maternal and perinatal risks. No multicountry analysis has examined PLCS in low-income and middle-income coun…
View article: Collaborative model of intrapartum care: qualitative study on barriers and facilitators to implementation in a private Brazilian hospital
Collaborative model of intrapartum care: qualitative study on barriers and facilitators to implementation in a private Brazilian hospital Open
Introduction A collaborative (midwife-obstetrician) model of intrapartum care (CMIC) is associated with lower caesarean section (CS) rates than physician-led models. In 2019, the largest private maternity hospital in Latin America (14.000 …