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  1. Article ; Online: Commentary on "Nonpharmacological Methods to Reduce Pain During Active Labor in a Real-life Setting".

    Knobel, Roxana / Menezes, Mariane de Oliveira / Andreucci, Carla Betina

    Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia

    2023  Volume 45, Issue 9, Page(s) e549–e550

    Title translation Comentário sobre “Métodos não farmacológicos para reduzir a dor durante o trabalho de parto ativo em um ambiente da vida real”.
    MeSH term(s) Humans ; Pregnancy ; Female ; Pain Management ; Labor Pain/therapy
    Language English
    Publishing date 2023-10-16
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 2105176-8
    ISSN 1806-9339 ; 0100-7203
    ISSN (online) 1806-9339
    ISSN 0100-7203
    DOI 10.1055/s-0043-1772470
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Commentary on “Nonpharmacological Methods to Reduce Pain During Active Labor in a Real-life Setting”

    Knobel, Roxana / Menezes, Mariane de Oliveira / Andreucci, Carla Betina

    Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics

    2023  Volume 45, Issue 09, Page(s) e549–e550

    Language English
    Publishing date 2023-09-01
    Publisher Thieme Revinter Publicações Ltda.
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 2105176-8
    ISSN 1806-9339 ; 0100-7203
    ISSN (online) 1806-9339
    ISSN 0100-7203
    DOI 10.1055/s-0043-1772470
    Database Thieme publisher's database

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  3. Article ; Online: Planning, construction and use of handmade simulators to enhance the teaching and learning in Obstetrics.

    Knobel, Roxana / Menezes, Mariane de Oliveira / Santos, Débora de Souza / Takemoto, Maíra Libertad Soligo

    Revista latino-americana de enfermagem

    2020  Volume 28, Page(s) e3302

    Abstract: Method: to describe the development process and present the results of a pilot study on the use of low-cost handmade simulators for teaching and learning Obstetrics.presentation of 3 low-cost simulators designing, based on educational needs identified ... ...

    Abstract Method: to describe the development process and present the results of a pilot study on the use of low-cost handmade simulators for teaching and learning Obstetrics.presentation of 3 low-cost simulators designing, based on educational needs identified in real-world training contexts. The developing process is presented in detail and each simulator was tested and re-tested, being submitted to improvements until their final version. The simulators presented are: delivery simulator shorts, Neoprene uterus for postpartum hemorrhage management, and perineal repair simulator. A pilot study was carried out to evaluate the perception of apprentices through a structured questionnaire, using the Kirkpatrick evaluation model. Data were descriptively analyzed.
    Results: the respondents (31 apprentices) positively evaluated the simulators, perceiving significant gains in theoretical knowledge, ability to solve clinical problems and decreased anxiety to deal with situations similar to those simulated.
    Conclusion: low-cost, handmade simulators are feasible and effective, resulting in positive learner evaluations. Their availability as open technology allows the dissemination of their use.
    MeSH term(s) Clinical Competence ; Humans ; Learning ; Obstetrics/education ; Pilot Projects ; Simulation Training
    Language Spanish
    Publishing date 2020-07-01
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 2105698-5
    ISSN 1518-8345 ; 0104-1169
    ISSN (online) 1518-8345
    ISSN 0104-1169
    DOI 10.1590/1518-8345.3684.3302
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Book ; Online: Testagem universal de COVID-19 na população obstétrica

    Menezes, Mariane de Oliveira / Andreucci, Carla Betina / Nakamura-Pereira, Marcos / Knobel, Roxana / Magalhães, Cláudia Garcia / Takemoto, Maíra Libertad Soligo

    Cadernos de Saúde Pública v.36 n.8 2020

    impactos para a saúde pública

    2020  

    Keywords covid19
    Language Portuguese
    Publishing date 2020-01-01
    Publisher Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
    Publishing country br
    Document type Book ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Pré-natal de gestantes de risco habitual por enfermeira obstetra e obstetriz: custo-efetividade sob a perspectiva do Sistema de Saúde Suplementar.

    Menezes, Mariane de Oliveira / Knobel, Roxana / Andreucci, Carla Betina / Magalhães, Claudia Garcia / Amorim, Melania Maria Ramos / Katz, Leila / Takemoto, Maíra Libertad Soligo

    Cadernos de saude publica

    2021  Volume 37, Issue 8, Page(s) e00076320

    Abstract: In several countries, primary care for pregnant women is performed by obstetric nurses and/or midwives. In Brazil's Supplementary Health System (private health insurance and out-of-pocket care), coverage of prenatal care is mandatory and is performed by ... ...

    Title translation Prenatal care for normal-risk pregnant women by obstetric nurses and midwives: cost-effectiveness from the perspective of the Supplementary Health System in Brazil.
    Abstract In several countries, primary care for pregnant women is performed by obstetric nurses and/or midwives. In Brazil's Supplementary Health System (private health insurance and out-of-pocket care), coverage of prenatal care is mandatory and is performed by medical obstetricians. The objective of this study is to conduct a cost-effectiveness analysis, comparing clinical outcomes and costs associated with the incorporation of prenatal care by obstetric nurses and midwives in the Supplementary Health System, from the perspective of the operator of health plans as the payment source. A decision tree was built, based on data from a Cochrane Collaboration meta-analysis that showed a reduction in the risk of premature birth in the group of normal-risk pregnant women accompanied by obstetric nurses and midwives. The analysis only considered the direct medical costs covered by health plan operators for essential appointments and tests, according to the prevailing Ministry of Health protocol. The study assumed equal unit costs of consultations by medical professionals and applied an increase in the overall cost of prenatal tests associated with medical follow-up, based on data from the literature. Incremental cost-effective ratio was estimated at -BRL 10,038.43 (savings of BRL 10,038.43) per premature birth avoided. This result was consistent with the sensitivity analyses, with savings associated with the substitution ranging from -BRL 2,544.60 to -BRL 31,807.46 per premature death avoided. In conclusion, prenatal care provided by obstetric nurses and midwives was superior to that provided by medical obstetricians for the prevention of premature birth, besides resulting in cost savings.
    Language Portuguese
    Publishing date 2021-08-30
    Publishing country Brazil
    Document type English Abstract ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1115730-6
    ISSN 1678-4464 ; 0102-311X
    ISSN (online) 1678-4464
    ISSN 0102-311X
    DOI 10.1590/0102-311X00076320
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4981: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  6. Article ; Online: Cesarean-section Rates in Brazil from 2014 to 2016: Cross-sectional Analysis Using the Robson Classification.

    Knobel, Roxana / Lopes, Thiago Jose Pinheiro / Menezes, Mariane de Oliveira / Andreucci, Carla Betina / Gieburowski, Juliana Toledo / Takemoto, Maira Libertad Soligo

    Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia

    2020  Volume 42, Issue 9, Page(s) 522–528

    Abstract: Objective:  To obtain cesarean-section (CS) rates according to the Robson Group Classification in five different regions of Brazil.: Methods:  A descriptive epidemiological study using data from secondary birth records from the Computer Science ... ...

    Title translation Taxas de cesariana no Brasil de 2014 a 2016: Análise transversal utilizando a classificação de Robson.
    Abstract Objective:  To obtain cesarean-section (CS) rates according to the Robson Group Classification in five different regions of Brazil.
    Methods:  A descriptive epidemiological study using data from secondary birth records from the Computer Science Department of the Brazilian Unified Health System (Datasus, in Portuguese) between January 1st, 2014, and December 31st, 2016, including all live births in Brazil.
    Results:  The overall rate of CS was of 56%. The sample was divided into 11 groups, and vaginal births were more frequent in groups 1 (53.6%), 3 (80.0%) and 4 (55.1%). The highest CS rates were found in groups 5 (85.7%), 6 (89.5%), 7 (85.2%) and 9 (97.0%). The overall CS rate per region varied from 46.2% in the North to 62.1% in the Midwest. Group 5 was the largest obstetric population in the South, Southeast and Midwest, and group 3 was the largest in the North and Northeast. Group 5 contributed the most to the overall CS rate, accounting for 30.8% of CSs.
    Conclusion:  Over half of the births in Brazil were cesarean sections. The Midwest had the highest CS rates, while the North had the lowest. The largest obstetric population in the North and in the Northeast was composed of women in group 3, while in the South, Southeast and Midwest it was group 5. Among all regions, the largest contribution to the overall CS rate was from group 5.
    MeSH term(s) Brazil/epidemiology ; Cesarean Section/statistics & numerical data ; Cross-Sectional Studies ; Female ; Humans ; Labor, Induced/statistics & numerical data ; Pregnancy ; Vaginal Birth after Cesarean/statistics & numerical data
    Language English
    Publishing date 2020-06-19
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 2105176-8
    ISSN 1806-9339 ; 0100-7203
    ISSN (online) 1806-9339
    ISSN 0100-7203
    DOI 10.1055/s-0040-1712134
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Universal COVID-19 testing in the obstetric population: impacts on public health.

    Menezes, Mariane de Oliveira / Andreucci, Carla Betina / Nakamura-Pereira, Marcos / Knobel, Roxana / Magalhães, Cláudia Garcia / Takemoto, Maíra Libertad Soligo

    Cadernos de saude publica

    2020  Volume 36, Issue 8, Page(s) e00164820

    Title translation Testagem universal de COVID-19 na população obstétrica: impactos para a saúde pública.
    MeSH term(s) Brazil ; COVID-19 Testing ; Clinical Laboratory Techniques/methods ; Coronavirus Infections/diagnosis ; Coronavirus Infections/epidemiology ; Female ; Humans ; Obstetrics ; Pandemics ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/epidemiology ; Pregnancy ; Pregnant Women ; Public Health
    Keywords covid19
    Language Portuguese
    Publishing date 2020-08-03
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 1115730-6
    ISSN 1678-4464 ; 0102-311X
    ISSN (online) 1678-4464
    ISSN 0102-311X
    DOI 10.1590/0102-311x00164820
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4981: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  8. Article ; Online: Higher case fatality rate among obstetric patients with COVID-19 in the second year of pandemic in Brazil: do new genetic variants play a role?

    Takemoto, Maira Libertad Soligo / Nakamura-Pereira, Marcos / Menezes, Mariane de Oliveira / Katz, Leila / Knobel, Roxana / Amorim, Melania Maria Ramos / Andreucci, Carla Betina

    medRxiv

    Abstract: Background: In Brazil, a 20% increase in maternal mortality rate due to COVID-19 is projected for 2020. On January 4, 2021, the P.1 SARS-CoV-2 genetic variant was firstly identified in the country and recent data has indicated an association with higher ... ...

    Abstract Background: In Brazil, a 20% increase in maternal mortality rate due to COVID-19 is projected for 2020. On January 4, 2021, the P.1 SARS-CoV-2 genetic variant was firstly identified in the country and recent data has indicated an association with higher hospitalization rates and mortality. The impact of P.1 variant in the obstetric population remains unclear. Methods: We carried out a preliminary analysis of sociodemographic and clinical characteristics of COVID-19 confirmed maternal deaths (between 10-50 years old) comparing cases reported to the Brazilian official severe acute respiratory syndrome (SARS) surveillance system (SS) in 2020 with those from 2021 (until April 12, 2021). This preliminary analysis employed methods described in previous reports from our group. Results: 803 maternal deaths out of 8,248 COVID-19 maternal SARS cases with a recorded outcome were reported to the SARS-SS since March 2020. Case fatality rate was significantly higher in 2021 (15.6% vs 7.4%). The first three months of 2021 already account for 46.2% of all deaths occurred in the 13-months analysed period. COVID-19 fatal cases from 2021 had a lower proportion of at least one risk factor or comorbidity as compared to 2020 but had a higher frequency of obesity. There were no significant differences in terms of age, type of residence area (urban, rural, or peri-urban), type of funding of the notification unit (public vs. private), COVID-19 diagnostic criteria, pregnancy status (pregnancy or postpartum), cardiovascular disease or diabetes. The proportion of hospitalization, ICU admission, and respiratory support before death was also not significantly different. Conclusion: Case fatality rate was increased in the three first months of 2021 when compared to 2020. Once variables related to health care access and demographics are not significantly different and women seem to be healthier in the 2021 sample, such difference may be related to the circulation of more aggressive genetic variants in the country.
    Keywords covid19
    Language English
    Publishing date 2021-05-08
    Publisher Cold Spring Harbor Laboratory Press
    Document type Article ; Online
    DOI 10.1101/2021.05.06.21256651
    Database COVID19

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  9. Article: Universal COVID-19 testing in the obstetric population: impacts on public health

    Menezes, Mariane de Oliveira / Andreucci, Carla Betina / Nakamura-Pereira, Marcos / Knobel, Roxana / Magalhães, Cláudia Garcia Takemoto / Soligo, Maíra Libertad

    Cadernos de saude publica

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #696258
    Database COVID19

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  10. Article: Cesarean-section Rates in Brazil from 2014 to 2016: Cross-sectional Analysis Using the Robson Classification

    Knobel, Roxana / Lopes, Thiago Jose Pinheiro / Menezes, Mariane de Oliveira / Andreucci, Carla Betina / Gieburowski, Juliana Toledo / Takemoto, Maira Libertad Soligo

    Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics

    2020  Volume 42, Issue 09, Page(s) 522–528

    Abstract: Objective: To obtain cesarean-section (CS) rates according to the Robson Group Classification in five different regions of Brazil.: Methods: A descriptive epidemiological study using data from secondary birth records from the Computer Science ... ...

    Abstract Objective: To obtain cesarean-section (CS) rates according to the Robson Group Classification in five different regions of Brazil.
    Methods: A descriptive epidemiological study using data from secondary birth records from the Computer Science Department of the Brazilian Unified Health System (Datasus, in Portuguese) between January 1st, 2014, and December 31st, 2016, including all live births in Brazil.
    Results: The overall rate of CS was of 56%. The sample was divided into 11 groups, and vaginal births were more frequent in groups 1 (53.6%), 3 (80.0%) and 4 (55.1%). The highest CS rates were found in groups 5 (85.7%), 6 (89.5%), 7 (85.2%) and 9 (97.0%). The overall CS rate per region varied from 46.2% in the North to 62.1% in the Midwest. Group 5 was the largest obstetric population in the South, Southeast and Midwest, and group 3 was the largest in the North and Northeast. Group 5 contributed the most to the overall CS rate, accounting for 30.8% of CSs.
    Conclusion: Over half of the births in Brazil were cesarean sections. The Midwest had the highest CS rates, while the North had the lowest. The largest obstetric population in the North and in the Northeast was composed of women in group 3, while in the South, Southeast and Midwest it was group 5. Among all regions, the largest contribution to the overall CS rate was from group 5.
    Keywords cesarean section ; vaginal birth after cesarean section ; obstetric delivery ; repeat cesarean section ; induced labor ; cesárea ; nascimento vaginal após cesárea ; parto obstétrico ; cesárea repetida ; trabalho de parto induzido
    Language English
    Publishing date 2020-06-19
    Publisher Thieme Revinter Publicações Ltda
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 2105176-8
    ISSN 1806-9339 ; 0100-7203
    ISSN (online) 1806-9339
    ISSN 0100-7203
    DOI 10.1055/s-0040-1712134
    Database Thieme publisher's database

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