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dc.typeArtigo de periódicopt_BR
dc.titleFetal Bilateral Obstructive Uropathies: Ultrasound Findings During Pregnancy And Postnatal Outcomes [uropatias Obstrutivas Bilaterais Fetais: Sinais Ultrassonográficos Durante Agravidez E Evolução Pós-natal]pt_BR
dc.contributor.authorPeralta C.F.A.pt_BR
dc.contributor.authorde Figueiredo Neto M.pt_BR
dc.contributor.authorHidalgo S.R.pt_BR
dc.contributor.authorSbragia Neto L.pt_BR
dc.contributor.authorRosa I.M.pt_BR
dc.contributor.authorMarussi E.F.pt_BR
dc.contributor.authorBarini R.pt_BR
unicamp.authorPeralta, C.F.A., Departamento de Obstetrícia e Ginecologia, Centro de Atenção Integral à Saúde da Mulher (CAISM), Universidade Estadual de Campinas - UNICAMP, Campinas (SP), Brazilpt_BR
unicamp.authorde Figueiredo Neto, M., Faculdade de Ciências Médicas, Universidade Estadual de Campinas - UNICAMP, Campinas (SP), Brazilpt_BR
unicamp.authorHidalgo, S.R., Departamento de Obstetrícia e Ginecologia, Centro de Atenção Integral à Saúde da Mulher (CAISM), Universidade Estadual de Campinas - UNICAMP, Campinas (SP), Brazilpt_BR
unicamp.authorSbragia Neto, L., Departamento de Cirurgia, Universidade Estadual de Campinas - UNICAMP, Campinas (SP), Brazilpt_BR
unicamp.authorRosa, I.M., Divisão de Neonatologia, Centro de Atenção Integral à Saúde da Mulher (CAISM), Universidade Estadual de Campinas UNICAMP, Campinas (SP), Brazilpt_BR
unicamp.authorMarussi, E.F., Departamento de Obstetrícia e Ginecologia, Centro de Atenção Integral à Saúde da Mulher (CAISM), Universidade Estadual de Campinas - UNICAMP, Campinas (SP), Brazilpt_BR
unicamp.authorBarini, R., Departamento de Obstetrícia e Ginecologia, Centro de Atenção Integral à Saúde da Mulher (CAISM), Universidade Estadual de Campinas - UNICAMP, Campinas (SP), Brazilpt_BR
dc.description.abstractPurpose: To verify the association between ultrasonographic signs during gestation and post-delivery evolution in fetuses with bilateral obstructive uropathies, followed up in an expectant way. Methods: Fetuses with bilateral obstructive uropathies presenting severe oligoamnios and narrow thorax have been compared with fetuses with bilateral obstructive uropathies without those alterations, concerning the presence or absence of cysts in both kidneys, and the presence or absence of parenchymal hyperechogenicity in both kidneys. Cases of neonatal death were compared with cases of neonatal discharge from the nursery, regarding the same renal echographic aspects mentioned above, the presence of severe oligoamnios and narrow thorax. The sensitivity, specificity, positive and negative predictive value of the presence of bilateral renal cysts, bilateral renal hyperechogenicity, severe oligoamnios and narrow fetal thorax for the neonatal death were calculated. RESULTS: severe oligoamnios and narrow thorax were more frequent (p=0.03; p<0.001) in fetuses with bilateral renal cysts, as compared to those with echographically normal renal parenchyma. Neonatal death was more frequent among cases with severe oligoamnios (p<0.001), narrow thorax (p<0.001) and bilateral renal cysts (p<0.002), when respectively compared with cases without those alterations. The best values of sensitivity, specificity, positive and negative predictive value for the death of neonatal/breastfeeding infants were obtained using the echographic aspect of narrow thorax, and were 81.8, 100, 100 and 79.3%, respectively. Conclusions: In cases of fetuses with bilateral obstructive uropathies followed up in an expectant way, the ultrasonographic signs more associated to bad prognosis are severe oligoamnios, narrow fetal thorax and presence of bilateral renal cysts.en
dc.relation.ispartofRevista Brasileira de Ginecologia e Obstetriciapt_BR
dc.identifier.citationRevista Brasileira De Ginecologia E Obstetricia. , v. 31, n. 11, p. 540 - 546, 2009.pt_BR
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