Publications by authors named "Joao Cavaco Gomes"

Objective:  Pain is the primary limitation to performing hysteroscopy. We aimed to evaluate the predictive factors of low tolerance to office hysteroscopic procedures.

Methods:  Retrospective cohort study of the patients who underwent office hysteroscopy from January 2018 to December 2020 at a tertiary care center.

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Objective:  The present study aims to understand to what extent obesity is related to adverse maternal, obstetrical, and neonatal outcomes in a Portuguese obstetrical population.

Methods:  A retrospective case-control study was conducted at the Department of Obstetrics of a differentiated perinatal care facility. The study compared 1,183 obese pregnant women with 5,399 normal or underweight pregnant women for the occurrence of gestational diabetes, hypertensive pregnancy disorders, and preterm birth.

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 To evaluate the efficacy of an outpatient protocol with vaginal misoprostol to treat delayed miscarriage.  Retrospective analysis of prospectively collected data on women medically treated for missed abortion with an outpatient protocol. The inclusion criteria were: ultrasound-based diagnosis of missed abortion with less than 10 weeks; no heavy bleeding, infection, inflammatory bowel disease or misoprostol allergy; no more than 2 previous spontaneous abortions; the preference of the patient regarding the medical management.

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Lateral or transverse facial clefts are the most frequent of the atypical facial clefts, classified by Tessier as no. 7 clefts. Most of the cases are diagnosed at birth, while few cases are diagnosed prenatally.

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Article Synopsis
  • The study evaluated whether the time of day (day vs. night) affected maternal and perinatal labor outcomes in a hospital with experienced medical staff.
  • Data was collected from 9,143 singleton deliveries over five years, specifically focusing on outcomes like neonatal birth asphyxia and admissions to the neonatal intensive care unit.
  • Results showed no significant differences in outcomes throughout the day, except for more instances of severe perineal tears occurring in the evening, indicating that consistent quality of care may mitigate nighttime risks.
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Background: Emphysematous vaginitis is a rare condition, characterized by the presence of multiple gas-filled cysts in the vaginal and/or exocervical mucosa. Although its etiology is not completely understood, it is self-limited, with a benign clinical course. Vaginal discharge, sometimes bloody, and pruritus are the most common symptoms.

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Aims: To investigate the differences between symptomatic and asymptomatic women with vulvar lichen sclerosus (LS).

Methods: Data on file concerning 228 LS patients was retrospectively reviewed.

Results: Most patients were symptomatic (193/228; 85%).

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Objective: To investigate the prevalence of vulvodynia in Portugal and factors associated with this condition.

Methods: In a cross-sectional study, an online survey was distributed by email and posted on a website and social networks. Women aged at least 18 years who were living in Portugal were eligible to complete the survey between June 1 and November 30, 2013.

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