Publications by authors named "Mario Macoto Kondo"
Objective: To evaluate objective criteria of Magnetic Resonance Imaging (MRI) of Placenta Accreta Spectrum disorder (PAS) analyzing interobserver agreement and to derive a model including imaging and clinical variables to predict PAS.
Methods: A retrospective review including patients submitted to MRI with suspicious findings of PAS on ultrasound. Exclusion criteria were lack of pathology or surgical information and missing or poor-quality MRI.
Risk factors for severe and critical Covid-19 in pregnant women in a single center in Brazil.
J Matern Fetal Neonatal Med
December 2022
Background: Risk factors for severe SARS-CoV2 infection in pregnancy have not been extensively studied. This information can help guide the management of pregnant women with COVID-19.
Objective: Examine risk factors for severe COVID-19 in pregnant women.
Article Synopsis
- A study presented five cases of fetal death (≥12 weeks) in women with confirmed COVID-19, highlighting a potential link between the virus and adverse pregnancy outcomes.
- All affected women had mild to moderate COVID-19, were mostly overweight or obese, and showed no significant pre-existing health issues that could contribute to fetal death, with cases occurring between 21-38 weeks of gestation.
- Histological examination revealed severe placental inflammation in all cases, suggesting that SARS-CoV-2 may directly impact the placenta, leading to fetal demise.
Background: Lack of skills on how to diagnose and manage obstetric emergencies contribute to substandard institutional care and preventable maternal deaths in Brazil. Simulation-based obstetric emergency team training can reduce adverse maternal outcomes. However, this type of training is expensive and not widely available, especially in low resource settings.
View Article and Find Full Text PDFPerioperative temporary occlusion of the internal iliac arteries as prophylaxis in cesarean section at risk of hemorrhage in placenta accreta.
Cardiovasc Intervent Radiol
August 2011
Purpose: The purpose of this study was to describe the preliminary results of prophylactic temporary balloon occlusion of the internal iliac arteries for bleeding control in patients with placenta accreta during cesarean hysterectomy.
Methods: From May 2006 to March 2010, 21 patients diagnosed with placenta accreta using ultrasound and/or magnetic resonance imaging were submitted to prophylactic balloon occlusion before hysterectomy. Fluoroscopy, balloon occlusion time, surgical duration, intraoperative blood loss, transfusion volume, and procedure complications were analyzed.